候床管理系统在提高分化型甲状腺癌患者住院收治率中的作用

The Role of Waiting Bed Management System in Improving the Hospitalization Rate of Differentiated Thyroid Cancer Patients

目的探讨核医学科分化型甲状腺癌患者候床管理系统构建方法及在提高住院收治率中的作用。方法选择2021年3月—2023年1月广西医科大学第一附属医院核医学科收治的960例分化型甲状腺癌患者为对象,随机数字表法分为2组,各480例。对照组采用常规方法管理,观察组构建候床管理系统。2组均完成3个月干预,比较2组自我管理水平、住院时间、不良反应发生率、住院收治率及满意度。结果观察组干预3个月后自我概念、自护技能、自护意识及健康知识评分高于对照组(P<0.05);观察组干预3个月后住院时间≥7 d病例数和治疗过程中乏力、辐射损伤、放射性炎症、消瘦及恶心呕吐总发生率低于对照组(P<0.05);观察组干预3个月期间住院收治率为64.58%,高于对照组的43.75%;干预方法、服务态度、干预效果及干预形式方面满意度高于对照组(P<0.05)。结论构建核医学科分化型甲状腺癌患者候床管理系统,有助于提高患者自我管理水平,缩短住院时间,降低不良反应发生率,提高住院收治率及满意度。

Objective To explore the construction method of a staging management system for differentiated thyroid cancer patients in nuclear medicine and its role in improving hospitalization rates.Methods A total of 960 patients with differentiated thyroid cancer admitted to department of nuclear medicine,the First Affiliated Hospital of Guangxi Medical University from March 2021 to January 2023 were selected as the subjects and divided into 2 groups with 480 patients each by random number table method.The control group was managed using conventional methods,while the observation group constructed a waiting bed management system.Both groups completed the 3-month intervention.Selfmanagement level,length of stay,incidence of adverse reactions,admission rate and satisfaction of the two groups were compared.Results After 3 months of intervention,the self-concept,self-care skills,self-care awareness,and health knowledge scores of the observation group were higher than those of the control group(P<0.05).The number of patients staying in hospital for≥7 d and the total incidence of fatigue,radiation injury,radiation inflammation,weight loss,nausea and vomiting in the observation group was lower than that in the control group after 3 months intervention(P<0.05).The hospitalization rate of observation group was 64.58%,which was higher than that of control group(43.75%).The satisfaction of intervention method,service attitude,intervention effect and intervention form was higher than that of control group(P<0.05).Conclusion The construction of the bed waiting management system for differentiated thyroid cancer patients in nuclear medicine can help improve the self-management level of patients,shorten the length of hospital stay,reduce the incidence of adverse reactions,improve the admission rate and satisfaction.