背景:患者经常提到痛苦,焦虑,或者与核磁共振有关的幽闭恐惧症,导致没有出现,工作流的干扰,和持久的心理影响。患者的经历各不相同,并受社会人口统计学方面以及临床状况的调节。虽然定性研究有助于理解个人的经历,迄今为止,缺乏对MRI个体经验的系统回顾和汇总。
目的:调查成年患者如何经历MRI,以及特征因素。
方法:荟萃聚集和荟萃合成的系统评价。
方法:220例患者报告了成人接受临床MRI的经历,并引用了来自8项定性研究的144例。
结果:PubMed中的系统搜索,Scopus,WebofScience,和PsycInfo数据库根据PRISMA指南。对于质量鉴定,使用了乔安娜·布里格斯研究所(JBI)的工具。采取了统一的隔离方法。
方法:参与者招募,探索的设置,面试类型,并通过JoanaBriggs定性评估和审查仪器(JBIQARI)工具提取分析。元合成由概念图支持。对于元聚合,提取了患者的直接报价,发现分组,抽象出每个阶段的主题和特征因素,和类别编码在两个周期。对陈述的频率进行了量化。访谈原始数据不可用阻碍了计算机辅助分析。
结果:在12,755项初步研究中,有8篇文章,220名患者,包括在内。144例患者报价的元聚合回答:(1)以前的经验,在扫描台上,during,核磁共振后,(2)根据临床情况的差异,和(3)表征因素,包括应对策略,医疗技术的外观和感觉,与专业人士互动,和信息。七份出版物缺乏参与者的健康素养水平,职业,八项研究缺乏发育条件,种族,或原产国。在大学医院进行了六项研究。
结论:患者的聚集\'引文提供了成年患者\'MRI经历在MRI过程各阶段的基础描述。个人报价的原始数据不足和有限的社会人口统计学差异可能会限制对个人经验和特征因素的理解。
方法:1技术效果:第5阶段。
BACKGROUND: Patients often mention distress, anxiety, or claustrophobia related to MRI, resulting in no-shows, disturbances of the workflow, and lasting psychological effects. Patients\' experience varies and is moderated by socio-demographic aspects alongside the clinical condition. While qualitative studies help understand individuals\' experiences, to date a systematic
review and aggregation of MRI individuals\' experience is lacking.
OBJECTIVE: To investigate how adult patients experience MRI, and the characterizing factors.
METHODS: Systematic
review with meta-aggregation and meta-synthesis.
METHODS: 220 patients\' reported experience of adults undergoing clinical MRI and 144 quotes from eight qualitative studies.
RESULTS: Systematic search in PubMed, Scopus, Web of Science, and PsycInfo databases according to the PRISMA guidelines. For quality appraisal, the Joanna Briggs Institute (JBI) tools were used. Convergent segregated approach was undertaken.
METHODS: Participant recruitment, setting of exploration, type of interview, and analysis extracted through Joana Briggs Qualitative Assessment and
Review Instrument (JBI QARI) tool. Meta-synthesis was supported by a concept map. For meta-aggregation, direct patient quotes were extracted, findings grouped, themes and characterizing factors at each stage abstracted, and categories coded in two cycles. Frequency of statements was quantified. Interviews\' raw data unavailability impeded computer-aided analysis.
RESULTS: Eight articles out of 12,755 initial studies, 220 patients, were included. Meta-aggregation of 144 patient quotes answered: (1) experiences before, at the scanning table, during, and after an MRI, (2) differences based on clinical condition, and (3) characterizing factors, including coping strategies, look-and-feel of medical technology, interaction with professionals, and information. Seven publications lack participants\' health literacy level, occupation, and eight studies lack developmental conditions, ethnicity, or country of origin. Six studies were conducted in university hospitals.
CONCLUSIONS: Aggregation of patients\' quotes provide a foundational description of adult patients\' MRI experience across the stages of an MRI process. Insufficient raw data of individual quotes and limited socio-demographic diversity may constrain the understanding of individual experience and characterizing factors.
METHODS: 1 TECHNICAL EFFICACY: Stage 5.