Research Article
Anxiety in Cancer Patients during
18
F-FDG PET/CT Low Dose: A
Comparison of Anxiety Levels before and after Imaging Studies
Ana Grilo,
1,2
Lina Vieira,
3,4
Elisabete Carolino,
5
Cátia Oliveira,
6
Carolina Pacheco,
6
Maria Castro,
7
and Juan Alonso
8,9
1
Department of Humanities and Social Sciences, Escola Superior de Tecnologia da Sa´ ude de Lisboa, Instituto Polit´ ecnico de Lisboa,
Lisboa, Portugal
2
Centro de Investigac ¸˜ ao em Ciˆ encias Psicol´ ogica, Faculdade de Psicologia, Universidade de Lisboa, Lisboa, Portugal
3
´
Area Cientifca de Medicina Nuclear, Escola Superior de Tecnologia da Sa´ ude de Lisboa, Instituto Polit´ ecnico de Lisboa,
Lisboa, Portugal
4
Instituto de Biof´ ısica e Engenharia Biom´ edica, Faculdade de Ciˆ encias da Universidade de Lisboa, Lisboa, Portugal
5
Department of Natural Sciences, Escola Superior de Tecnologia da Sa´ ude de Lisboa, Instituto Polit´ ecnico de Lisboa, Lisboa, Portugal
6
Escola Superior de Tecnologia da Sa´ ude de Lisboa, Instituto Polit´ ecnico de Lisboa, Lisboa, Portugal
7
Servicio de Medicina Nuclear, Instituto Tecnol´ ogico de Servicios Sanitarios, Madrid, Spain
8
Servicio de Medicina Nuclear, Hospital General Universitario “Gregorio Mara˜ non”, Madrid, Spain
9
Sociedad Espa˜ nola de Medicina Nuclear e Imagen Molecular, Madrid, Spain
Correspondence should be addressed to Ana Grilo; ana.grilo@estesl.ipl.pt
Received 28 July 2016; Revised 6 October 2016; Accepted 28 November 2016; Published 14 March 2017
Academic Editor: Claire Newman
Copyright © 2017 Ana Grilo et al. Tis is an open access article distributed under the Creative Commons Attribution License,
which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Objective. Assessing the level of anxiety in oncology patients who underwent
18
F-FDG PET/CT low dose scan and identifying the
main reasons that generate anxiety. Material and Method. Te study included 81 cancer patients submitted to the
18
F-FDG PET/CT
low dose scan. Patients flled in the Scan Experience Questionnaire and the State-Trait Anxiety Inventory (STAI) before and afer
18
F-FDG PET/CT low dose scan. Results. Substantial levels of anxiety were detected both before and afer
18
F-FDG PET/CT low
dose scan (STAI mean > 30), with a signifcant increase in the state of anxiety afer scan performance ( < 0.0001, Median
pre
= 31.1,
and Median
pos
= 33.0).
18
F-FDG PET/CT low dose results are the main cause of anxiety both before (79.1%) and afer (86.9%) the
scan. Te information provided by staf both before and on the
18
F-FDG PET/CT low dose day was classifed mostly as completely
understandable (70.5% and 75.3%, resp.) and as very useful (70.5% and 72.6%, resp.) and correlated positively with patients’ overall
satisfaction with NM Department (
= 0.372, = 0.004 and
= 0.528, p = 0.000, resp.), but not with anxiety levels. Conclusions.
Patients perceive high levels of anxiety during the
18
F-FDG PET/CT low dose scan and the concern with scan results was pointed
out as the main factor for that emotional reaction.
1. Introduction
Positron Emission Tomography/Computed Tomography
(PET/CT) low dose with
18
F-fuor-2-deoxi-D-glucose (
18
F-
FDG) and other radiopharmaceuticals (e.g.,
11
C-colina,
11
C-
acetato, and
11
C-metionina) is of increasing interest in the
study of the cancer patient since it is indicated in diferential
diagnosis, follow-up, and prognostic and therapeutic plan
related to cancer diseases [1, 2].
Anxiety can be defned as a complex reaction to situations
when perceived by patient as dangerous even if just under
an uncertain circumstance. It can take many forms, as
psychic, physiological, and behavioral components [3]. Tis
emotional reaction is ofen felt by cancer patients during
18
F-FDG PET/CT low dose scans. Tere are many factors
that can generate anxiety during
18
F-FDG PET/CT low
dose procedures, as the use of radiopharmaceuticals, which
produce radiation and because of it many patients can
Hindawi
Nursing Research and Practice
Volume 2017, Article ID 3057495, 9 pages
https://doi.org/10.1155/2017/3057495