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- Cancer patient experience in a nuclear medicine department: comparison between bone scintigraphy and 18F-FDG PET/CTPublication . Grilo, Ana Monteiro; Vieira, Lina Oliveira; Carolino, Elisabete; Costa, Melissa; Galaio, Salomé; Melo, Inês; Geão, Ana; Santos, Andrea; Colarinha, PaulaObjective: To assess the emotional impact on cancer patients undergoing Nuclear Medicine scans and identify how professionals can improve patient experience. Methods: 94 patients undergoing a Bone Scan (BS) or a Positron emission tomography/Computed Tomography (18F-FDG PET/CT) completed two Scan Experience Questionnaires and the State Anxiety Inventory (STAI-S) prior to the scan and after image acquisition. Results: Before the exam, the mean anxiety levels were higher for the BS patients compared to the 18F-FDG PET/CT group. For the post-scan STAI-S mean score, the opposite is true. Both groups experienced a reduction in levels of anxiety after the scan (BS - STAI score pre-scan = 51.75, and post-scan = 36.70; 18F-FDG PET/CT - STAI score pre-scan = 44.67, and post-scan = 38.82). The greatest anxiety factor for the BS group was the duration of the exam - 5.34 ± 2.08 (mean ± SD), while for the 18F-FDG PET/CT group it was the result - 5.40±1.80 (mean ± SD). Conclusion: Patients undergoing NM exams in an oncological context revealed significant anxiety levels prior to and after their scans. However, the BS and 18F-FDG PET/CT have different triggers. It is of extreme importance that healthcare professionals are aware of these peculiarities and adjust their procedures accordingly.
- Anxiety experienced by oncological patients who undergo 18F-FDG PET CT: a systematic reviewPublication . Vieira, Lina Oliveira; Pires, A.; Grilo, Ana MonteiroIntroduction: Anxiety is an emotional reaction often experienced by patients who undergo Positron Emission Tomography/Computed Tomography (PET/CT) with 18F-2-fluoro-2-deoxy-d-glucose (18F-FDG). This systematic review aimed to summarise the evidence currently available considering the anxiety experienced by adult oncological patients concerning pre and post 18F-FDG PET/CT examination and the factors contributing to anxiety. Methods: A systematic review search of CINAHL, PsycINFO, PubMed, Scopus, and Web Science databases and other manual search sources, was conducted from November to February 2021. The research included articles published from January 2000 to December 2020. It included quantitative studies, which analyzed the anxiety experienced by oncological patients who had undergone 18F-FDG PET/CT. Results: Ten articles met the inclusion criteria for this systematic review. The studies selected were published between 2011 and 2020 and carried out in five countries. Anxiety experienced by patients was evaluated at the various stages of the 18F-FDG PET/CT, eight studies assessed it in the pre-examination, seven studies in the post-examination, and five studies at both times. Four main anxiety factors were found: patients' clinical situation, first-time patients’ examination, scan procedure, and patients' concern with the examination result. Conclusion: Moderate to high levels of anxiety are present in most of the patients who undergo the examination. This review also highlights several factors related to the anxiety levels through different procedure moments. Implications for practice: The results of this research will allow health professionals to adjust non-pharmacological strategies to decrease anxiety levels in oncological patients undergoing 18F-FDG PET/CT.
- Estratégias não-farmacológicas para redução da ansiedade em doentes submetidos a PET/CT: revisão sistematizada de literaturaPublication . Pedro, Beatriz; Henriques, Daniela; Grilo, Ana Monteiro; Vieira, Lina OliveiraIntrodução – A ansiedade, caracterizada por sentimentos de tensão e preocupação relativamente a situações que o indivíduo perceciona como potencialmente perigosas ou desconhecidas, é uma das reações emocionais experienciadas pelos doentes oncológicos aquando da realização do exame Positron Emission Tomography/Computed Tomography (PET/CT). Elevados níveis de ansiedade podem influenciar negativamente a experiência e a satisfação do paciente, bem como ter implicações a nível imagiológico. Deste modo, a avaliação da ansiedade nesses pacientes é de extrema importância, assim como a necessidade de adotar estratégias de intervenção eficazes na sua redução. Objetivos – Nesta revisão sistematizada pretende-se identificar e analisar a eficácia de técnicas não-farmacológicas que visam a redução da ansiedade em doentes submetidos a PET/CT, antes e durante o exame. Métodos – Recorreu-se a duas bases de dados (PubMed e Science Direct) e a outras fontes de pesquisa de onde resultaram 22 estudos. Foram incluídos todos os estudos que incluíssem estratégias para redução da ansiedade em exames PET/CT e que estivessem publicados nas línguas portuguesa e inglesa. Foram excluídos artigos de revisão sistemática, com população pediátrica e que não apresentassem o texto na íntegra. Resultados – Foram selecionados para análise oito estudos, num espaço temporal entre 2000 e 2020. Identificaram-se quatro estratégias que visam a redução da ansiedade nos doentes submetidos a PET/CT: música, meios audiovisuais, práticas de mindfulness e comunicação profissional de saúde-doente. Conclusão – São várias as técnicas que podem ser aplicadas de modo a minimizar o sentimento de ansiedade no doente e proporcionar uma melhor experiência no serviço. No entanto, ainda existe pouca evidência neste tema. Sendo assim, sugerem-se estudos adicionais que possam identificar mais técnicas e comprovar a sua eficácia.