Sanae van der Vleuten-Chraibi, Sanne Nauts, Dobromiła Barańska, Emilio J Inarejos Clemente, Jonas Sterup Bovin, Nadia Najafi, Julian A Luetkens, Marianne Alison, Hilla M Biermann, Fabian Peckman, Privender Saini
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引用次数: 0
Abstract
Background: Magnetic resonance imaging (MRI) is the diagnostic imaging modality of choice for pediatric patients. However, it can be challenging to scan young children awake while maintaining a high image quality with an efficient, patient-friendly workflow.
Objective: We investigated if an audio-visual intervention with specially designed pediatric content could reduce MRI-related patient anxiety and workflow-issues in children during an awake MRI.
Materials and methods: In six European hospitals, children (n = 175; aged 6-12 years) were scanned with child-friendly content (intervention) or without (control). Staff recorded children's stress levels before, during, and after the MRI on a 6-point Likert scale. Scan issues (i.e., repeat scans and interruptions) were recorded by staff and extracted from the MRI logfiles.
Results: The stress level of young children (aged 6-10 years) in the intervention group decreased more strongly from before to after the MRI compared to the control group, F(2,96) = 7.84, P < 0.001. They also had significantly fewer scan issues as reported by staff, F(1,169) = 8.36, P = 0.004, Cohen's d = 0.58, and as logged by the MRI system, F(1,156) = 8.10, P = 0.005, Cohen's d = 0.45. The used pediatric content showed no significant effects on older children (aged 10 + years).
Conclusion: A child-friendly audio-visual intervention can help reduce stress levels of young children (aged 6-10 years) and support a smooth workflow.
期刊介绍：
Official Journal of the European Society of Pediatric Radiology, the Society for Pediatric Radiology and the Asian and Oceanic Society for Pediatric Radiology
Pediatric Radiology informs its readers of new findings and progress in all areas of pediatric imaging and in related fields. This is achieved by a blend of original papers, complemented by reviews that set out the present state of knowledge in a particular area of the specialty or summarize specific topics in which discussion has led to clear conclusions. Advances in technology, methodology, apparatus and auxiliary equipment are presented, and modifications of standard techniques are described.
Manuscripts submitted for publication must contain a statement to the effect that all human studies have been reviewed by the appropriate ethics committee and have therefore been performed in accordance with the ethical standards laid down in an appropriate version of the 1964 Declaration of Helsinki. It should also be stated clearly in the text that all persons gave their informed consent prior to their inclusion in the study. Details that might disclose the identity of the subjects under study should be omitted.
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