• Title/Summary/Keyword: claustrophobia

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Comparison of Claustrophobia, Noise Sensitivity and Vital Signs according to Anxiety Sensitivity Level before and after MRI (자기공명영상(MRI) 검사 전·후 불안민감성 제수준에 따른 폐쇄공포, 소음민감성 및 활력징후 비교)

  • Park, Young-Hae
    • Korean Journal of Adult Nursing
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    • v.20 no.6
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    • pp.950-959
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    • 2008
  • Purpose: The present study was conducted in order to examine claustrophobia, noise sensitivity and vital signs according to anxiety sensitivity level in patients who have Magnet Resonance Imaging(MRI). Methods: With 100 outpatients, we measured anxiety sensitivity, claustrophobia, noise sensitivity and vital sign before and after MRI. Measuring tools were ASI, CLQ-M, and NSI. Data were collected from February to March, 2008. Results: The ASI score was higher in women than in men(p < .05), and no statistically significant difference was observed according to age, region of scanning, experience in MRI, and the use of contrast agent. Both men and women patients showed the same ASI score and decrease in CLQ M and NSI between before and after MRI. In women, ASI, CLQ M and NSI were in positive correlation with one another(p < .001), and in men, there was no correlation between ASI and CLQ M, and positive correlation was observed with NSI(p < .05). In comparison according to ASI level, blood pressure and pulse rate were not different in men and women. CLQ M was not different in men, but was different in women(p < .001). NSI was different in both men and women(men p < .05; women p < .001). Conclusion: MRI may cause claustrophobia in patients with high anxiety sensitivity, and noise appears to aggravate anxiety. In particular, claustrophobia was more serious in women than in men. Therefore, it is necessary to develop nursing interventions to reduce anxiety sensitivity particularly for female patients, and to make plans to educate and lower noise before MRI in order to reduce claustrophobia.

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Effects of Claustrophobia, Vital Signs on Psychological Anxiety of the Patients during MRI Examination(In Patient Safety Accident) (MRI 검사 시 환자의 심리적 불안감이 폐쇄공포 및 활력징후에 미치는 영향(환자안전사고에 있어서))

  • Kim, Jae-Cheon;Bae, Seok-Hwan;Kim, Yong-Kwon;Lee, Moo-Sik
    • Journal of the Korea Safety Management & Science
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    • v.17 no.4
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    • pp.231-240
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    • 2015
  • In this study, to find out the effect of psychological anxiety of the patients during MRI examination on the claustrophobia and vital signs, As for a study tool, to measure Anxiety Sensitivity Index(ASI), Kamsung Evaluation Index of Life Environmental Noise(KEI), Diagnostic and Statistical Manual of Mental Disorders(DSM-IV) was used, and for vital signs, blood pressure and pulse rate were measured pre and post MRI examination. In conclusion, it was indicated that though the effect of the general characteristics, psychological anxiety, on noise sensitivity and claustrophobia was small, the psychological anxiety of the patients during MRI examination affected claustrophobia and vital signs.

Evaluation of the Usefulness of Refraction Glasses to Reduce Claustrophobia During Magnetic Resonance Imaging (자기공명영상검사 시 폐쇄공포증 완화를 위한 굴절안경의 유용성 평가)

  • Jeon, Byeong-cheon;Jeong, Seong-Hun;Lee, Sang-hyeon;Son, Ji-hye
    • Journal of radiological science and technology
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    • v.41 no.5
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    • pp.421-426
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    • 2018
  • Unlike the traditional Radiological examinations, Magnetic Resonance Imaging (MRI) does not cause any harm and high levels of Radiation to the human body. Furthermore, MRI is widely used owing to its ability to adapt to different situations. However, the MRI equipment creates noises from its mechanical parts, and its magnetic bore structure can cause anxiety and claustrophobia in patients. To relieve claustrophobia, commercial refraction glasses were provided to the participants in this study, and the changes in anxiety and claustrophobia were measured. The participants were 30 volunteers with claustrophobia. To measure anxiety, the participants were asked to answer a Visual Analogue Scale (VAS) questionnaire. The physical markers of discomfort included perspiration on the forehead or hands (46.7%), mild frowning (30.3%), and leg shaking (40.1%). The subjective markers of discomfort included dizziness (2.85% in the men and 1.75% in the women). Although fear and anxiety levels were observed to be higher in the men, the difference was not significant. Hence, it was determined that both men and women felt discomfort (p >0.5). The fear coefficient was observed to decrease from 7.67 prior to wearing refraction glasses to 2.42 after wearing refraction glasses (p<0.000). In addition, use of refraction glass decreased MRI aversion from 1.97 to 1.03 (p<0.000). It can be inferred that refraction glasses are beneficial to patients undergoing MRI.

Analysis of Claustrophobia in MRI Exam Among The Korea Auxiliary Police and Combat Auxiliary Police (전·의경 MRI 폐소공포증에 대한 분석)

  • Jeon, Woo-Jin;Jeong, Jae-Kyo;Chun, Sung-Joon;Yoon, Dae-Hyun;Lim, Yoon-Sik;Seok, Jong-Min
    • Korean Journal of Digital Imaging in Medicine
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    • v.16 no.1
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    • pp.21-25
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    • 2014
  • This study, was conducted to find out the correlation factors of anxiety of the patients during MRI exam on the claustrophobia. This study conducted a survey targeting those korea auxiliary police and combat auxiliary police patients who were admitted to the National Police Hospital over a period from January 2 to December 24, 2013 to investigate their degree of claustrophobia. In study result, sufficient explain before exam was helpful and decrease anxiety. However, they felt more anxious about limited spare, and when the entered a bore. Symptoms of instability and fear were stuffy, sweat, dyspnea, palpitation those are ascending rank of frequency.

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Study of Nuclear medical imaging tests patient of Claustrophobia (폐소공포증 환자의 핵의학 영상검사에 관한 연구)

  • Kang, Yong-Gil;Hong, Jin-Woong;Yang, Han-Joon;Park, Sung-Su;Lee, Gui-Won;Kim, Keung-Sik
    • Korean Journal of Digital Imaging in Medicine
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    • v.15 no.1
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    • pp.55-59
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    • 2013
  • Patients who had claustrophobia tend to feel fear when they were scanned by an MRI, CT, PET-CT, or using a gamma camera scan. In this paper, claustrophobic patients were tested to find effective ways by changing patient's positions. For this paper, PET-CT scan in patients who had claustrophobia were used in the prone position. Prone position helped to maintain stable position and to get a h0igh quality of inspection without failure. Thus, as claustrophobic patients were requested taking prone position, they could feel comfortable. In a confined space, prone position for the claustrophobic patients who had a fear of the PET-CT examination would be expected to reduce the failure rate of inspection.

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Vital Signs Investigation in Subjects Undergoing Magnetic Resonance Imaging (자기공명검사 시 활력 징후의 변화)

  • Jeong, Mi-Ae;Choi, Kwan-Woo
    • The Journal of the Korea Contents Association
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    • v.19 no.6
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    • pp.412-417
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    • 2019
  • This study was proposed to investigate vital signs in subjects undergoing high magnetic field (3T) MR imaging for provide basic data on causes of claustrophobia as few previous studies were conducted on this special issue. Vital signs of 104 patients were monitored before and during the clinically indicated MR examinations to identify any relationship between MR scanning and the vital signs. An increase of systolic, diastolic blood pressure and pulse pressure were observed. However, they were not statistically significant(p>0.05), which meant the vital signs measured before and during the MRI scanning showed no significant change. This study is considered to be meaningful basic data for analyzing the links between vital sign fluctuations on claustrophobia during routine clinical MR examinations.

Dexmedetomidine for Repeated Sedation in Pediatric Sedation During Consecutive Radiation Therapy

  • Kim, Eun-Jung;Baek, Seung-Hoon;Byeon, Gyeong-Jo;Woo, Mi-Na
    • Journal of The Korean Dental Society of Anesthesiology
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    • v.14 no.4
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    • pp.221-225
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    • 2014
  • External beam radiotherapy (EBRT) causes anxiety and claustrophobia in pediatric patients. To provide exact figures and radiation amounts, an appropriate sedation or anesthesia can be supplied. Alpha 2 agonist dexmedetomidine has been used for sedation and anesthesia in pediatric imaging. Dexmedetomidine has an advantage because it has minimal respiratory depression and no direct effects on myocardial function. We report repeated sedation with dexmedetomidine for 33 consecutive radiation therapies in 5 years old children.

A Case of Nasal Surgery for a Positive Airway Pressure-Intolerant OSAS Patient Due to Nasal Obstruction (코막힘으로 인해 양압기에 적응하지 못한 폐쇄성수면무호흡증 환자에서 시행된 코수술 1례)

  • Jung, Jae Hyun;Seon, Sang Woo;Hong, Seung-No;Choi, Ji Ho
    • Sleep Medicine and Psychophysiology
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    • v.23 no.2
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    • pp.97-99
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    • 2016
  • Positive airway pressure (PAP) is currently recommended as a primary treatment for obstructive sleep apnea syndrome (OSAS) and positively affects various subjective and objective parameters related to OSAS, such as the apnea-hypopnea index, excessive daytime sleepiness, and blood pressure. However, PAP also exhibits various adverse effects, including skin breakdown, pressure intolerance, claustrophobia, unintentional mask removal, mouth leaks, and dryness. Especially, unintentional mask removal due to nasal obstruction may result in poor PAP compliance. A 47-year-old male patient with severe OSAS who had low PAP compliance due to nasal obstruction underwent nasal surgery. After the surgery, nasal obstruction was corrected and the patient experienced improved PAP compliance (from 30.4% to 86.7%). This case demonstrates that nasal surgery may be useful for improving PAP compliance in OSAS patients with nasal obstruction.

Magnetocardiography System in Open-door Magnetically-shielded Room (열린 자기차폐실의 심자도 시스템)

  • Kim, J.M.;Lee, Y.H.;Kwon, H.;Yu, K.K.;Kim, K.;Park, Y.K.;Sasada, Ichiro
    • Progress in Superconductivity
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    • v.9 no.1
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    • pp.50-55
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    • 2007
  • We have installed a 61-channel magnetocardiography (MCG) system inside a magnetically shielded room (MSR) with a size of $2.4\;m\;{\times}2.4\;m\;{\times}2.4\;m$. The MCG system consists of 1st-order axial gradiometers containing double relaxation oscillation SQUIDs (DROSs) with pick-up coils of a base line of 70 mm. The MSR holds a shielding factor of 50 at 0.1 Hz and 10000 at 100 Hz, when its door in the middle on a front wall is closed. On opening the MSR door, we have obtained the characteristics of the MCG system with a 2.9 Hz noise generated from an air conditioning unit at 13 m distance off the MSR. In an open-door MSR ($140^{\circ}$ opening), a noise at the center channel increases up to $700\;fT/Hz^{l/2}$ at 2.9 Hz and $1.7\;pT/Hz^{1/2}$ at 60 Hz. MCG signals for a healthy human do not show distortion until the door opens to $45^{\circ}$, but show the effect of noise when the door opens further at $90^{\circ}$ and $140^{\circ}$. With the door opens to $45^{\circ}$, MCG measurement can be performed with ease of door operation and without creating claustrophobia for the patient.

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