کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3908592 1251185 2014 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Online support: Impact on anxiety in women who experience an abnormal screening mammogram
ترجمه فارسی عنوان
حمایت آنلاین: تاثیر بر اضطراب در زنان مبتلا به ماموگرام غربالگری
کلمات کلیدی
غربالگری، اضطراب، ماموگرافی
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی زنان، زایمان و بهداشت زنان
چکیده انگلیسی

ObjectivesTo determine whether an online support tool can impact anxiety in women experiencing an abnormal mammogram.Materials and methodsWe developed an online support system using the Comprehensive Health Enhancement Support System (CHESS) designed for women experiencing an abnormal mammogram as a model. Our trial randomized 130 of these women to online support (the intervention group) or to a list of five commonly used Internet sites (the comparison group). Surveys assessed anxiety and breast cancer worry, and patient satisfaction at three important clinical time points: when women were notified of their abnormal mammogram, at the time of diagnostic imaging, and at the time of biopsy (if biopsy was recommended).ResultsStudy participants in the intervention group showed a significant decrease in anxiety at the time of biopsy compared to the comparison group (p = 0.017). However, there was no significant difference in anxiety between the intervention group and the comparison group at the time of diagnostic work-up. We discontinued assessment of patient satisfaction after finding that many women had substantial difficulty answering the questions that referenced their physician, because they did not understand who their physician was for this process of care.ConclusionThe combination of the inability to identify the physician providing care during the mammography work-up and anxiety effects seen only after an interaction with the breast imaging team may indicate that online support only decreases the anxiety of women in concert with direct interpersonal support from the healthcare team.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: The Breast - Volume 23, Issue 6, December 2014, Pages 743–748
نویسندگان
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