|
KMID : 1033520150060010099
|
|
Korean Society of Medical Sonographers
2015 Volume.6 No. 1 p.99 ~ p.110
|
|
|
Pain Evaluation Before and After Gel Pad Application by region During Automated Whole Breast Ultrasound
|
|
Kim Jeong-Dan
Park Yong-Sung
Cha Gyeong-Min
Choi Hyeon-Jeong
Yang Jeong-A
Hang Wan-Sik
Cho Min-Yeon
Kim Sung-Hun
|
|
|
Abstract
|
|
|
Purpose: This examination was conducted and evaluated in order to reduce pain in patients during the automated whole breast ultrasound compared to other existing examination methods.
Materials and Methods: After the subjects filled out the consent forms, AWUS was conducted with subjects (115 patients, Mean age: 47.7) who visited the breast center for biopsy between June and August 2013 and who had palpable lesions near the skins of their breasts or subareolar lesions. The examination was conducted in 3 directions (Anterior-posterior, Lateral, Medial) after which the examination was repeated for only the lesion with gel pad applied. By evaluating the images from the examination and quantifying the pain experienced by the patients, pain relief and any inconvenience or discomfort during the examination were studied from the patients and technologist.
Results: The pain relief in patients was investigated according to age, breast density, pathological examination results, region of discomfort and anatomical factors regarding difficult body positions during the examination. The P-values for the pain relief after gel pad application in consideration of the objective factors of the patients were analyzed to be as follows: below 0.001 for age group (below 40 y.o., 40 y.o. or older, below 50 y.o., 50 y.o. or older), below 0.001 for breast parenchyma types (fatty breast, dense breast), and 0.001 or below for pathological examination results (high risk, mid-risk, low risk). The P-values for the pain relief after gel pad application in consideration of the subjective factors of the patients and technologist were analyzed to be as follows: 0.02 or below for regions of discomfort (nipple/areola, lesion, sternum, whole breast, ribs, shoulder) except in case of shoulder region, and 0.05 or below for the anatomical factors regarding difficult body positions during the examination (large thorax, small thorax, skin with low elasticity, skin with high elasticity, thin physique, fat physique). In general, the average pain from examination was 5.10 before gel pad application, which decreased by 4.65% to 2.73 after application. The resulting P-value was below 0.001.
Conclusion: The examination using gel pad is relatively significant in pain relief according to the statistics except in case of the shoulder region. However, it is considered that the evaluation of the information on the lesion would be needed, trained skills of the technologist are required, and profit/loss aspect and expected effects from pain relief must be reviewed.
|
|
|
KEYWORD
|
|
|
Automated whole breast ultrasound(AWUS), Gel pad, Patient pain relief
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
|
|
|