Knowledge Attitude and Practice (KAP) and Health Impacts of MRI Among the Patients Attending MRI in Dhaka City

International Journal of Medical Imaging Pub Date : 2024-04-12 DOI:10.11648/j.ijmi.20241202.13

Sohel Sumon, Mohammad Rahman, Marzuk Ahamed, Mohammad Sikder, M. Abedin, Abdur Akanda

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Abstract

Introduction: Magnetic resonance imaging (MRI) is an important diagnostic method in modern clinical medicine. Patients’ knowledge about MRI is of utmost importance for optimizing the workflow, safety, and patient comfort and saving valuable time for the MRI department. Objective: The aim of this study was to investigate the knowledge, attitude and practice (KAP) and health impacts of Magnetic Resonance Imaging (MRI) among the patients attending in Dhaka city. Methodology: This was a cross-sectional prospective study carried out at the department of Radiology and Imaging in Islami Bank Central Hospital & Popular Diagnostic Center, Dhaka, Bangladesh during January, 2022 to June, 2022. A purposive random sampling technique was used and a total of 200 cases referred for MRI, from OPD, aged above 15 years were enrolled in this study. The collected data were analyzed using Statistical Package for Social Sciences (SPSS) software, version 23.0. The ethical clearance of this study was obtained from the Ethics Committee of School of Public Health & Life Science, University of South Asia, and Dhaka, Bangladesh. Results: A total of (n=200) cases referred for MRI, from OPD, aged above 15 years were enrolled in this study. The majority 85(42.5%) patients belonged to the age group (46-60) and followed by 72(36%),(36-45) years, 22(11%), (26-35) years, 13(6.5%), (15-25) years and 8(4%), >60 years. The maximum132 (66%) patients were male and the minimum 68(34%) were female. The maximum, 61(30.5%) were graduate and followed by 50(25%) HSC, 30(15%) SSC, 21(10.5%) Primary and 6(3%) had no formal education. Among the study patients, 110(55%) had previous knowledge about MRI. 35(17.5%) patients had previous knowledge about the health effect of MRI.74 (37%) patients had seen close contact of relative/family member to face MRI examination. 196(89%) patients opined conversation is very important before MRI examination. 177(88.5%) patients felt nervous to conduct MRI test and 92(46%) patients practiced MRI before. The maximum 110(55%) felt discomfort. 86(43%) patients opined MRI took long time. 100(50%) of the patients observed metal effect during MRI, 78(39%) patients had MRI phobia and the maximum 18(9%) patients had allergic reaction. Conclusion: This study investigated (55%) study patients had previous knowledge about MRI. (17.5%) patients had previous knowledge about the health effect of MRI.(37%) patients felt to have close contact of relative/family member is needed during MRI test,(89%) patients had positive attitude to conversation before MRI examination, 177(88.5%) patients felt nervous to conduct MRI test and (46%) patients practiced MRI. The major impact of MRI on health was discomfort and MRI phobia.

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达卡市磁共振成像就诊患者的磁共振成像知识、态度和实践（KAP）及对健康的影响

导言磁共振成像（MRI）是现代临床医学的一种重要诊断方法。患者对核磁共振成像的了解对于优化工作流程、提高安全性和患者舒适度以及为核磁共振成像部门节省宝贵时间至关重要。研究目的本研究旨在调查达卡市就诊患者对磁共振成像（MRI）的认知、态度和实践（KAP）以及对健康的影响。研究方法：这是一项横断面前瞻性研究，于 2022 年 1 月至 2022 年 6 月期间在孟加拉国达卡伊斯兰银行中心医院和大众诊断中心的放射科和影像科进行。本研究采用了有目的的随机抽样技术，共纳入了 200 例 15 岁以上的门诊转诊核磁共振成像病例。收集到的数据使用 23.0 版社会科学统计软件包（SPSS）进行分析。本研究获得了孟加拉国达卡南亚大学公共卫生与生命科学学院伦理委员会的伦理许可。研究结果本研究共登记了（n=200）名从门诊转诊到 MRI 的 15 岁以上病例。大多数 85 名（42.5%）患者属于（46-60 岁）年龄组，其次是 72 名（36%）（36-45 岁）、22 名（11%）（26-35 岁）、13 名（6.5%）（15-25 岁）和 8 名（4%）（60 岁以上）。男性患者最多，为 132 人（66%），女性患者最少，为 68 人（34%）。最多有 61 人（30.5%）受过正规教育，其次是 50 人（25%）受过高等教育，30 人（15%）受过中等教育，21 人（10.5%）受过初等教育，6 人（3%）未受过正规教育。在研究的患者中，有 110 人（55%）对磁共振成像有所了解。35（17.5%）名患者曾了解核磁共振成像对健康的影响。74（37%）名患者曾亲眼看到亲属/家人接受核磁共振成像检查。196（89%）名患者认为核磁共振成像检查前的交谈非常重要。177（88.5%）名患者在进行核磁共振成像检查时感到紧张，92（46%）名患者在检查前进行过核磁共振成像练习。最多有 110 名（55%）患者感到不适。86（43%）名患者认为核磁共振成像检查耗时较长。100（50%）名患者在磁共振成像过程中观察到金属效应，78（39%）名患者有磁共振成像恐惧症，最多 18（9%）名患者有过敏反应。结论：37%的患者认为在进行核磁共振检查时需要亲属/家人的密切接触，89%的患者对核磁共振检查前的谈话持积极态度，177（88.5%）名患者对进行核磁共振检查感到紧张，46%的患者进行了核磁共振检查。核磁共振成像对健康的主要影响是不适和核磁共振成像恐惧症。

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International Journal of Medical Imaging

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