放疗患者不同预约方案的等待时间和治疗时间固定性的比较研究  

Comparative study on waiting time and treatment time variability of different appointment regimens for radiotherapy patients

作　　者：刘首鹏 赖佳路 周灵慧 黄洋 胡娟[1] 曾祥华 薛志红[1] 曾贵林[1] 何朗 Liu Shoupeng;Lai Jialu;Zhou Linghui;Huang Yang;Hu Juan;Zeng Xianghua;Xue Zhihong;Zeng Guilin;He Lang(Department of Oncology,Fifth People's Hospital of Chengdu,Chengdu 611130,China;Radiotherapy Physics&Technology Center,Cancer Center,West China Hospital,Sichuan University,Chengdu 610041,China)

机构地区：[1]成都市第五人民医院肿瘤科,成都611130 [2]四川大学华西医院肿瘤中心放射物理技术中心,成都610041

出　　处：《中华放射肿瘤学杂志》2025年第2期160-166,共7页Chinese Journal of Radiation Oncology

基　　金：成都市医学科研课题(2023624)。

摘　　要：目的比较不同预约方案对放疗患者每日等待时间、治疗时间固定性及迟到率的影响。方法选取自2022年3月至2022年6月在四川大学华西医院同一直线加速器上接受放疗的332例患者的5488次治疗记录。基于MOSAIQ肿瘤信息管理系统的放疗信息整合平台,按直线加速器剩余工作时间将患者分配到上午班、下午班和晚班,上午班采用传统人工预约方案,下午班采用30 min预约方案,晚班采用15 min预约方案。比较不同预约方案下,患者的治疗等待时间、治疗时间固定性(即治疗时间的标准差,标准差越小,固定性越好)以及迟到率的差异。等待时间和治疗时间固定性采用单因素方差分析,迟到率采用2×3卡方检验。结果15 min预约组、30 min预约组和人工预约组患者的等待时间分别为(27.08±17.21)、(34.57±19.12)、(41.50±20.94)min,三组间差异有统计学意义(F=254.97,P<0.001),其中15 min预约组等待时间最短,30 min预约组次之,人工预约组最长(两两组间比较均P<0.001)。在治疗时间固定性方面,15 min预约组、30 min预约组和人工预约组分别为(15.60±7.87)、(18.69±8.94)、(24.30±15.10)min,三组间差异有统计学意义(F=25.23,P<0.001),其中15 min预约组的治疗时间最为固定,30 min预约组次之,人工预约组最差(均P<0.001)。在迟到率方面,15 min预约组、30 min预约组和人工预约组的迟到率分别为5.7%、6.2%、9.6%。其中,人工组的迟到率高于15 min预约组和30 min预约组(χ^(2)=19.24、14.90,均P<0.001),而15 min组和30 min组之间的迟到率差异没有统计学意义(χ^(2)=0.39,P=0.535)。结论在常规直线加速器开展常规调强放疗技术的临床实践中,采用15 min预约方案可以缩短患者等待时间,提高患者每日放疗时间的固定性,值得临床推广。Objective To compare the effects of different appointment regimens on the daily waiting time,fixedness of treatment time and lateness rate of radiotherapy patients.Methods Medical records of 5488 radiotherapy from 332 patients on the same linear accelerator in West China Hospital of Sichuan University from March to June 2022 were selected.Based on the radiotherapy information integration platform of MOSAIQ,all patients were randomly assigned to the morning class,afternoon class and evening class.Traditional manual appointment regimen was adopted for the morning class,30 min appointment regimen for the afternoon class,and 15 min appointment regimen for the evening class,respectively.The differences in patient waiting time for treatment,fixedness of treatment time,and lateness rate under different appointment regimens were compared.The fixedness of treatment time and waiting time was determined by one-way ANOVA,and the 2×3 Chi-square test was adopted for the lateness rate.Results The waiting time in the 15 min appointment,the 30 min appointment and manual appointment groups were(27.08±17.21),(34.57±19.12)and(41.50±20.94)min,respectively.There was statistical significance among three appointment regimens(F=254.97,P<0.001).The waiting time was the shortest in the 15 min appointment group,followed by the 30 min appointment group,and the manual appointment group(all P<0.001 for two-group comparison).The fixedness of treatment time in the 15 min appointment,the 30 min appointment and the manual appointment groups were(15.60±7.87),(18.69±8.94)and(24.30±15.10)min,respectively.There was statistical significance among three groups(F=25.23,P<0.001).Among them,the fixedness of treatment time in the 15 min appointment group was the highest,followed by the 30 min appointment group,and the manual appointment group(all P<0.001).The lateness rates in the 15 min appointment,the 30 min appointment and the manual appointment groups were 5.7%,6.2%and 9.6%,respectively.The lateness rate in the manual appointment group was higher

关 键 词：放射疗法 预约方案 等待时间 预约管理系统 

分 类 号：R730.55[医药卫生—肿瘤]