Effects of brief mindfulness on anxiety-provoked adverse events during ultrasound-guided fine-needle aspiration biopsy of thyroid nodules

被引：1

作者：

Zhu, Lian ^{[1
]}

Xie, Yan-Hui ^{[1
,2
]}

Tan, Hai-Long ^{[1
]}

Wang, Li-Rong

Zhou, Ruo-Yun ^{[1
]}

Xiao, Ya-Nan ^{[1
,2
]}

Liu, Xin ^{[1
,2
]}

Peng, Ling-Jing ^{[1
,2
]}

Yang, Xiao-Lian ^{[1
,2
]}

Qu, Ying-Jun ^{[1
,2
]}

Jiang, Ying-Ke ^{[1
]}

Ai, Lei ^{[1
]}

Huang, Ke-Xin ^{[1
]}

Huang, Peng ^{[1
,5
]}

Chang, Shi ^{[1
,3
,4
,6
]}

机构：

[1] Cent South Univ, XiangYa Hosp, Dept Gen Surg, 87 Xiangya Rd, Changsha 410008, Hunan, Peoples R China

[2] Cent South Univ, Xiangya Hosp, Teaching & Res Sect Clin Nursing, 87 Xiangya Rd, Changsha 410008, Hunan, Peoples R China

[3] Cent South Univ, Xiangya Hosp, Clin Res Ctr Thyroid Dis Hunan Prov, 87 XiangYa Rd, Changsha 410008, Hunan, Peoples R China

[4] Cent South Univ, Xiangya Hosp, Hunan Prov Engn Res Ctr Thyroid & Related Dis Trea, 87 XiangYa Rd, Changsha 410008, Hunan, Peoples R China

[5] Cent South Univ, Xiangya Hosp, Changsha, Peoples R China

[6] Cent South Univ, Xiangya Hosp, 87 Xiangya Rd, Changsha 410008, Hunan, Peoples R China

来源：

BEHAVIOUR RESEARCH AND THERAPY | 2023年 / 170卷

基金：

中国国家自然科学基金; 中国博士后科学基金;

关键词：

Thyroid nodule; Mindfulness; Fine needle aspiration biopsy; Stress; MANAGEMENT; MECHANISMS; CANCER;

D O I：

10.1016/j.brat.2023.104418

中图分类号：

B849 [应用心理学];

学科分类号：

040203 ;

摘要：

Purpose This study aims to test the effectiveness of brief mindfulness for anxiety-provoked adverse events during ultrasound-guided fine needle aspiration biopsy (FNAB).Results A total of 439 patients were randomized to two groups. The ratio of anxiety in all patients with TN before FNAB was 25.3%, which was correlated with the intraoperative stress index. The FNAB-related adverse events in the control group were significantly higher than in the intervention group (65.0% vs. 17.3%; odds ratio [OR], 0.11 [95%CI, 0.56-0.74]; P < 0.001), especially for emotional stress (61.5% vs. 15.5%, odds ratio [OR], 0.12 [95%CI, 0.53-0.70]; P < 0.001) and patient's noncooperation (12.0% vs. 1.8%, odds ratio [OR], 0.14 [95%CI, 0.06-0.18]; P = 0.002). The stress index in control group were significantly higher than in the intervention group (87.82 [range, 27-99] vs 83.48 [range, 31-95]; P < 0.001).Conclusions Brief mindfulness decreased anxiety-provoked adverse events and stress index in patients with thyroid nodules during FNAB.

引用

页数：8

共 45 条

[1] Cutaneous Sinus Formation Is a Rare Complication of Thyroid Fine Needle Aspiration Biopsy [J].

Akbaba, Gulhan ;

Omar, Muhyettin ;

Polat, Murat ;

Ozcan, Onder ;

Belli, Ahmet Korkut ;

Sahan, Murat ;

Cullu, Nesat .

CASE REPORTS IN ENDOCRINOLOGY, 2014, 2014

[2] Roles of Religious Commitment, Emotion Regulation and Social Support in Preoperative Anxiety [J].

Aliche, Joseph Chinenye ;

Ifeagwazi, Chuka Mike ;

Chukwuorji, JohnBosco Chika ;

Eze, John E. .

JOURNAL OF RELIGION & HEALTH, 2020, 59 (02) :905-919

[3] Effect of a Brief Mindfulness-Based Program on Stress in Health Care Professionals at a US Biomedical Research Hospital A Randomized Clinical Trial [J].

Ameli, Rezvan ;

Sinaii, Ninet ;

West, Colin P. ;

Luna, Maria Jose ;

Panahi, Samin ;

Zoosman, Michael ;

Rusch, Heather L. ;

Berger, Ann .

JAMA NETWORK OPEN, 2020, 3 (08) :E2013424

[4] Thyroid Nodules [J].

Burman, Kenneth D. ;

Wartofsky, Leonard .

NEW ENGLAND JOURNAL OF MEDICINE, 2015, 373 (24) :2347-2356

[5]

Cao, 2018, Effect of preoperative psychological intervention on postoperative complications of general anesthesia in patients with thyroid papillary carcinoma, V024

[6] What the hippocampus tells the HPA axis: Hippocampal output attenuates acute stress responses via disynaptic inhibition of CRF+ PVN neurons [J].