入院前检查结合全身动态辐射监测在131I核素治疗病房管理中的实施效果

The implementation effectiveness of pre-admission examination combined with whole-body dynamic radiation monitoring in the 131I radionuclide therapy ward management

    摘要
  • 摘要:
    目的 探讨入院前检查结合全身动态辐射监测的病房管理模式在131I核素治疗病房管理中的实施效果。
    方法 采用历史对照试验，根据患者入院时间进行分组，选取2020年1月1日至12月31日于陆军军医大学第一附属医院行131I治疗的分化型甲状腺癌（DTC）患者作为A组男性178例、女性332例，年龄（46.5±19.3）岁，实施传统病房管理模式；选取2021年1月1日至12月31日同上述医院行131I治疗的DTC患者作为B组男性294例、女性716例，年龄（41.4±17.6）岁，实施入院前检查结合全身动态辐射监测的病房管理模式。对A组和B组患者进行患者满意度、满意率和医护人员工作满意度等问卷调查。2种管理模式下，计量资料的组间比较采用两独立样本t检验和Mann-Whitney U秩和检验；计数资料的组间比较采用卡方检验。
    结果 与A组相比，B组患者平均待床时间、平均住院时长均减少，科室平均每月收治患者批次增加，且差异均有统计学意义（t=113.368、96.864，Z=3.940，均P<0.001），患者并发症发生率降低，但差异无统计学意义（χ2=0.365，P>0.05）；患者满意度和满意率均有所提高；医护人员工作满意度各维度得分均提高，且差异均有统计学意义（t=6.740~20.333，均P<0.001）。
    结论 入院前检查结合全身动态辐射监测的病房管理模式，提高了131I核素治疗病房的利用率，可为131I核素治疗病房的管理提供参考。

     

    Abstract:
    Objective To explore the implementation effectiveness of a ward management model combining pre-admission examination with whole-body dynamic radiation monitoring in the management of 131I radionuclide therapy wards.
    Methods A historical control study was conducted. Patients were divided into two groups according to the time of admission. Patients with differentiated thyroid cancer (DTC) who underwent 131I therapy at the First Affiliated Hospital of Army Medical University from January 1 to December 31, 2020, were assigned to group A (178 males and 332 females, with an average age of (46.5±19.3) years), which received the conventional ward management model. DTC patients who underwent 131I therapy at the same hospital from January 1 to December 31, 2021, were assigned to group B (294 males and 716 females, with an average age of (41.4±17.6) years), which received a ward management model combining pre-admission examination with whole-body dynamic radiation monitoring. Questionnaires were administered to patients in groups A and B to assess patient satisfaction, satisfaction rate, and healthcare professionals′ job satisfaction. Under the two management models, continuous variables were compared using the independent-samples t-test or Mann-Whitney U test. Categorical variables were compared using the chi-square test.
    Results Compared with group A, group B had significantly shorter mean admission waiting time and mean length of hospital stay, as well as a significantly greater average number of patient admission batches per month (t=113.368, 96.864, Z=3.940; all P<0.001). The incidence of complications was lower in group B than in group A, although the difference was not statistically significant (χ2=0.365, P>0.05). Patients′ satisfaction and satisfaction rate improved in group B. In addition, scores for all dimensions of medical staff job satisfaction were significantly higher in group B than in group A (t=6.740–20.333, all P<0.001).
    Conclusions The ward management model combining pre-admission examination with whole-body dynamic radiation monitoring improved the utilization of 131I therapy wards, and may provide a reference for the management of wards for patients receiving 131I radionuclide therapy.

     

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