Research Mentor Name

Arif Musa, MD

Research Mentor Email Address

AMusa2@dmc.org

Institution / Department

Wayne State University School of Medicine / Detroit Medical Center Department of Radiology

Document Type

Research Abstract

Research Type

clinicalresearch

Level of Research

no

Abstract

Abstract Title: RAPID (Reducing the Anxiety of Patients in Interventional and Diagnostic) Radiologic Procedures: A Review of the Literature

Background: Pre-procedural anxiety is a prevalent concern that can be associated with negative effects for patients including perceived pain. Most interventional radiologic procedures are performed under local anesthesia with minimal sedation if any, which may not be sufficient in relaxing the patient. Effective patient education with appropriate pain management and anxiety control can improve comfort and can yield optimal post-procedural outcomes.

Methods: A search was done with the PubMed database for studies concerning patient anxiety in radiologic procedures. Search terms included, “pre-procedural anxiety”, “radiologic procedure” and other variations. Studies were screened based on inclusion-and-exclusion criteria developed prior. Studies were reviewed by two reviewers using Covidence software, followed by a third reviewer who resolved any disputes. The quality of each study will be analyzed using the NIH quality assessment tools.

Results: Preliminary data reveals various methods in which patient anxiety can be addressed and relieved apart from pharmacological methods. Strategies include, but are not limited to, implementation of a preoperative preparation video, music therapy, meditation, aromatherapy, and communication strategies. One example of improved outcomes includes reduced preoperative anxiety and postoperative pain in children after guided imagery relaxation before minor surgery.

Conclusion: The implementation of non-pharmacological strategies to reduce preoperative anxiety in surgical and radiological specialties has resulted in improved postoperative outcomes. Procedural indications and processes are discussed in medical education, but there is a lack of patient perspective during the peri-procedural window. Patient anxiety is a concern that influences patient outcomes; therefore, it is in the interest of trainees to incorporate it into the curriculum.

Disciplines

Alternative and Complementary Medicine | Education | Medical Education | Other Mental and Social Health | Radiology | Surgery

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