PATIENTS’ OPINIONS ABOUT PET/CT SCANS, EVALUATED BEFORE AND AFTER ONCOLOGICAL IMAGING

Yıl 2021, Cilt: 11 Sayı: 4, 879 - 888, 27.12.2021

Huri Tilla İlçe , Sezen Elhan Vargöl Hatice Halis , Esra Yazıcı

https://doi.org/10.31832/smj.929085

Öz

Objective: Positron emission tomography/computed tomography (PET/CT) imaging is used for many purposes such as diagnosis and staging of cancer patients and there may be different worries and opinions about this method. It is known patients may be anxious before PET/CT scan, but it is not well known whether their opinions continue after scanning. The aim of this study was to evaluate pre- and post-imaging worries and opinions of oncological patients referred to the Nuclear Medicine Clinic for PET/CT imaging.
Materials and Methods: Sociodemographic data form, STAI-I state, STAI-II trait anxiety forms, pre-test and post-test forms evaluating confidence-knowledge-worry about PET/CT procedure which is prepared by study team were applied to cancer patients referred to Nuclear Medicine Clinic.
Results: Confidence and worry were associated with gender, living place, well informed and being knowledgeable about the illness (p<0.05). In pre-test, it is observed that men relied PET/CT imaging more than women. However, there was no significant difference in post-test confidence scores. Before scanning, women were more worried than men. The worry scores of the patients living in rural areas both before PET/CT and after PET/CT procedure were higher than those living in urban areas and it was inversely correlated with knowledge and confidence.
Conclusion: PET/CT procedure can be an alarming experience for patients. In this process, well informed and being knowledgeable is associated with lower worry and higher confidence. Making this process more reassuring can contribute to decreased worry.

Anahtar Kelimeler

PET/CT, Cancer, Confidence, Worry

Pet/Bt Görüntüleme Öncesi ve Sonrasında Onkoloji Hastalarının Pet Bt Çekimi İle İlgili Kanaatleri

Öz

Amaç: Pozitron emisyon tomografi/bilgisayarlı tomografi (PET/BT) görüntüleme kanser hastalarının tanı ve evrelemesi gibi birçok amaçla kullanılmakta olup, bu tetkik ile ilgili farklı kaygı ve kanaatler olabilmektedir. Hastaların PET/BT çekimi öncesi kaygılı olabildikleri bilinmektedir ancak çekim sonrasında görüşlerinin devam edip etmediği iyi bilinmemektedir. Bu çalışmanın amacı PET/BT görüntüleme için Nükleer Tıp Kliniği’ne yönlendirilen onkolojik hastalarda görüntüleme öncesi ve sonrası çekimle ilgili kaygı ve görüşlerinin değerlendirilmesidir.
Gereç ve Yöntemler: Bu çalışmada Nükleer Tıp Kliniği’ne başvuran kanser hastalarına sosyodemografik veri formu, State Trate Anxiety Inventory I (STAI-I) durumluluk ve State Trate Anxiety Inventory II (STAI-II) süreklilik formları ile çalışma ekibi tarafından oluşturulan PET/BT öncesi ve sonrası, ön test ve son test ile PET CT prosedürüne dair güven-bilgi ve endişe formları uygulandı.
Bulgular: Bu çalışmada güven ve endişe; cinsiyet, yaşanılan yer ve hastalık konusunda bilgilendirilmiş ve bilgili olmak ile ilişkili bulunmuştur (p<0.05). Ön testte erkeklerin yapılacak görüntülemeye, kadınlardan daha fazla güvendiği saptanırken, son test güven puanlarında erkekler ve kadınlar arasında anlamlı bir fark saptanmadı. Kadınlar PET-BT çekimi öncesi erkeklere göre daha kaygılıydı. Kırsal kesimde yaşayan hastaların hem PET/BT öncesi, hem de PET/BT sonrası işlemle ilgili kaygı puanları kentsel kesimde yaşayanlara göre daha yüksek bulundu. Hastaların PET/BT çekimi sırasında duyulan endişeleri; bilgi ve güven ile ters korelasyon gösteriyordu.
Sonuç: PET/BT çekimi hastalar için endişe verici bir deneyim olabilmektedir. Bu süreçte hastaların bilgilendirilmesi daha düşük endişe ve daha yüksek güven skorları ile ilişkilidir. Bu sürecin daha güven verici bir hale getirilmesi, bu endişenin azalmasına katkı sağlayabilir.

Anahtar Kelimeler

PET/BT, Kanser, Güven, Endişe

Kaynakça

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