背景:乳房X线照相术的积极经验对于增加患者出勤率和这些检查的出勤率至关重要,无论是用于诊断还是筛查目的。乳房X光检查确实有助于疾病的早期检测,增强治愈的潜力,从而降低乳腺癌死亡率。这篇综述的主要目的是确定和绘制旨在改善患者诊断和筛查乳房X线照相术经验的策略。
方法:本范围审查是根据JBI方法和系统审查的首选报告项目和范围审查的Meta分析扩展(PRISMA-ScR)进行的。通过MEDLINE数据库进行搜索,Embase.com,CINAHL,APAPsycINFO,Cochrane中央控制试验登记册,WebofScience,ProQuest论文和论文,和三个临床试验注册中心。这篇综述考虑了评估干预效果的研究,发生在乳房X线照相术部门,关于病人的经验。
结果:文献检索得出8113篇引文,其中60篇符合纳入标准,包括在内。这些策略分为八类。最具代表性的是乳房压迫和定位,其次是放松技术和镇痛护理,通信和信息,筛分设备,考试程序,患者相关因素,物理环境,最后是员工特征。与患者体验相关的研究结果主要是疼痛,焦虑,comfort,和满意度。在研究中还考虑了其他类型的结果,例如图像质量,技术参数,或辐射剂量。大多数研究是由放射技师进行的,关于女性患者,没有人提到男性或变性患者。
结论:这篇综述概述了改善患者体验的多种策略,尽管以技术为基础的干预措施占主导地位。需要进一步的研究,特别是在心理策略上,以及男性和变性人。
结论:本范围审查为医疗保健提供者和服务提供更好的以患者/客户为中心的护理提供指导。
BACKGROUND: A positive experience in mammography is essential for increasing patient attendance and reattendance at these examinations, whether conducted for diagnostic or screening purposes. Mammograms indeed facilitate early disease detection, enhance the potential for cure, and consequently reduce breast cancer mortality. The main objective of this
review was to identify and map the strategies aiming to improve the patient experience in diagnostic and screening mammography.
METHODS: This scoping
review was performed following the JBI methodology and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR). Searches were performed through databases of MEDLINE, Embase.com, CINAHL, APA PsycINFO, Cochrane Central Register of Controlled Trials, Web of Science, ProQuest Dissertation and Theses, and three clinical trial registries. This
review considered studies evaluating the effect of interventions, occurring within the mammography department, on the patient experience.
RESULTS: The literature search yielded 8113 citations of which 60, matching the inclusion criteria, were included. The strategies were classified into eight categories. The most represented one was breast
compression and positioning, followed by relaxation techniques and analgesic care, communication and information, screening equipment, examination procedures, patient-related factors, physical environment, and finally staff characteristics. The studied outcomes related to patient experience were mainly pain, anxiety, comfort, and satisfaction. Other types of outcomes were also considered in the studies such as image quality, technical parameters, or radiation dose. Most studies were conducted by radiographers, on female patients, and none mentioned the inclusion of male or transgender patients.
CONCLUSIONS: This
review outlined a diversity of strategies to improve patient experience, although technique-based interventions were predominant. Further research is warranted, notably on psychological strategies, and on men and transgender people.
CONCLUSIONS: This scoping review provides guidance to healthcare providers and services for better patient/client-centered care.