방사선 시술: 환자의 불안감, 통증의 공포심, 시술에 대한 이해도, 그리고 약제에 대한 만족도-전향적 연구 = Radiologic Intervention: Patient Anxiety, Fear of Pain, Understanding of the Procedure and Satisfaction with the Medication-A Prospective Study

다국어 초록 (Multilingual Abstract)

Purpose: I wanted to prospectively assess patients' anxiety, their understanding of the procedure being performed, the perception of the pain level and the satisfaction with the administered medication for interventional procedures.
Materials and Methods: I investigated 78 patients before and after they underwent 93 interventional procedures. The patients responded to a series of questions by using a visual analogue scale (VAS). Two different procedures were performed on 15 patients at different times. Based on the patient's body weight, a combination of sedative and analgesic was intravenously administered.
Results: The mean anxiety VAS score for the interventional procedures was about 5.3. The mean anxiety score of the experienced patients was about 3.8 and that of the inexperienced patients was about 5.5 (p <.001). The mean score for the understanding of the procedure, which was recorded both before and after the procedure, was about 4.1 and 7.1, respectively. The mean scores for the understanding of the procedure were about 7.0 in the experienced patients and about 3.6 in the inexperienced patients (p< .001). The anticipated level of pain recorded before the procedure was about 5.2 and the level of pain during the procedure was 2.9, and the latter was recorded after the procedure (p< .001). The level of satisfaction with the medication provided during the procedure was about 8.0 on the VAS score.
Conclusion: The patients had a moderate amount of anxiety about the interventional procedures. Most patients had a high level of satisfaction with the medication despite the amount of pain they experienced during the procedure. The patients who were experienced with a procedure tended to have less anxiety and anticipated pain, and they had a greater understanding of the procedure.

국문 초록 (Abstract)

목적: 방사선 시술 전 환자가 느끼는 불안감, 시술에 대한 이해도, 시술로 인한 통증의 정도, 그리고 시술 시 주어진 약제에 대한 만족도를 전향적으로 분석하였다.
대상과 방법: 총 78명의 환자에게 93회의 인터벤션 시술 전후에 시술에 대한 불안감, 시술에 대한 이해도, 시술로 인한 통증의 정도, 그리고 시술 중 사용된 약제에 대한 만족도를 (시각상사척도)Visual analogue scale(VAS)을 이용하여 조사하였다. 15명의 환자는 2번의 시술을 받았고, 모든 환자는 몸무게에 비례하여 진정제 및 진통제 주사를 복용하였다.
결과: 시술에 대한 불안감은 VAS 상 평균 약 5.3이었고, 이전에 시술을 받은 경험이 있었던 경험자는 평균 3.8, 비 경험자는 평균 5.5이었다(p < .001). 시술에 대한 이해도는 시술 전에 평균 4.1 그리고 시술 후에 평균 약 7.1이었고, 경험자가 평균 7.0, 비 경험자가 3.6이었다 (p <.001). 통증은 시술 전 조사한 예상되는 통증의 정도는 평균 5.2 그리고 시술 후에 조사한 시술 중에 느낀 통증의 정도는 평균 2.9이였다(p < .001). 약제에 대한 만족도는 평균 약 8.0을 보였다.
결론: 환자들은 방사선 시술 전 시술로 인해 느끼는 불안감은 중등도 정도였다. 대부분의 환자는 시술 중 통증을 경험하지만 사용한 약제에 대해서 높은 만족도를 보였다. 인터벤션 시술을 경험하였던 환자는 시술에 대한 불안감 및 예상되는 통증의 정도는 낮았고 그리고 시술에 대한 이해도는 높았다.

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