Patient Experience in the CT Scan Suite
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 120
- 试验地点
- 1
- 主要终点
- stress and anxiety measured with questionnaires and physiological parameters
研究概览
简要总结
- Rationale: Recently, research that demonstrates a clear relationship between the built healthcare environment and the health and wellbeing of patients has come available. Patients in a CT scan suite are usually anxious. The environment has been shown to lower stress; a painting or piece of art for example, can capture and hold attention and thereby lower negative thoughts and evoke positive emotions. Sights of nature have demonstrated to be especially effective in recuperating from stress, presumably because the human brain has evolved in a natural environment. The current study will investigate the effects of exposure to nature in the CT scan suite. A SkyCeiling, a large, slightly illuminated, photographic illusion of a real sky view is placed above the CT scan. The main hypothesis of this study is that a sky view will lead to a lower level of anxiety in the CT scan suite.
- Objective: The primary objective of this study is to examine the effect of a view of nature on a patient's stress and anxiety. Secondary objectives are to study the effects of a view of nature on a patient's environmental appraisals of the CT suite, satisfaction with the provided service, and trust in the healthcare provider.
详细描述
- INTRODUCTION AND RATIONALE
The importance and the potential benefits of well-designed healthcare facilities have been widely acknowledged and recent research clearly demonstrates the relationship between the built healthcare environment and patients' health and well-being (Dijkstra, 2009).
Encounters with healthcare situations are generally characterized by fear, anxiety, stress, and uncertainty (Mitchell, 2003; Pearson, Maddern, & Fitridge, 2005). Looking at most environments in which these encounters take place, one might rightfully ask how well these healthcare environments satisfy the psychological needs of patients.
In order to create more beneficial environments, environmental stimuli can be added to (or removed from) the environment to influence the patient in a positive manner. The environment may elicit positive feelings, hold attention and interest, and block or reduce negative thoughts, for example, by the presence of art or a view from a window (R. S. Ulrich, 1984). The purpose of the present study is to improve patients' well-being by adding positive elements to existing healthcare environments, such as pictures of nature.
Stress is an important factor in healthcare situations and stress reactions can be considered a clinical problem since they often result in negative or worsened medical outcomes (Malkin, 2008). Previous studies (Volicer & Volicer, 1978), for example, found that hospital stress was correlated with changes in heart rate and blood pressure. Other studies showed that psychological stress impairs wound healing in patients (Christian, Graham, Padgett, Glaser, & Kiecolt-Glaser, 2006; Kiecolt-Glaser, Marucha, Malarkey, Mercado, & Glaser, 1995). Elbrecht and colleagues (Elbrecht et al., 2004) studied the effects of perceived stress and cortisol levels on wound healing and demonstrated a considerable negative effect of stress.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Only
- 时间视角
- Cross Sectional
入排标准
- 年龄范围
- 18 Years 至 85 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age 18-85
- •Able to read and write Dutch
- •Able to observe the visual stimuli applied to the ceiling, i.e. normal vision or corrected to normal vision.
排除标准
- •Patients who have undergone a CT scan after the SkyCeiling was installed (this is a rare event) are excluded. This because of the fact that these patients might remember the look of the CT unit either with or without the SkyCeiling and could thus become more aware of the intended anxiety-reducing effect of the intervention, or the lack thereof if randomized to the control group.
- •Patients who undergo a second scan during the run time of this study (this will be a rare event) will not be included a second time. The data of their first scan remain included.
- •Patients who lie with their face down or are otherwise incapable of looking at the ceiling will be excluded.
结局指标
主要结局
stress and anxiety measured with questionnaires and physiological parameters
时间窗: 30 minutes During CT-scan visit
次要结局
- environmental appraisals, mood, satisfaction with the provided service, time perception, and trust in the healthcare provider.(30 minutes during CT-scan visit)
研究者
Trialbureau radiology
Coordinating investigator
Erasmus Medical Center