- 期刊
放射治療排程中病患失約因子之探討
Factors Associated with Miss-Appointment of Patients Treated by Radiotherapy
摘要
目的：病患於放射治療療程中，常因某些原因而失約，此影響了設備使用率及其他病患安排的時程。基於治療使用最佳化之原則，本研究探討癌症病患放射治療之失約影響因子。 方法：前瞻式研究，以本院放射腫瘤科2006年7-12月新排入的病患為樣本。資料收集包括病患之社會人口學資料、癌症及放射治療相關資料、以及病患失約原因。利用複對數迴歸分析法進行統計分析。 結果：共收集505例，有一次（含）以上失約記錄的病患共169例(3346%)，失約人次共有330人次，病患平均失約率為458±127%。社會人口學資料與治療相關因子變項中，我們發現年收入100萬以下的病患比年收入100萬以上的病患較會失約(aOR=9.69, 95% CI=1.26-74.37)、住院的病患比門診的病患(aOR=1.70, 95% CI=1.11-2.62)較會失約及治療總劑量在3000cGy以下比3000cGy以上的病患(aOR=2.15, 95% CI=130-356)較會失約。失約原因以身體不適最多佔48.5%。 結論：癌症病患放射治療期間有些因子是與失約相關的。我們建議採5%過預約方法，同時經由衛教、病患諮詢協助以及更多醫療照護來避免病患失約。
並列摘要
Objective: For some reasons, cancer patients treated by radiotherapy (RI) experienced miss-appointment, which reduced the utility of treatment machines and affected the appointment schedule of other patients. Io optimize the treatment utility, we investigated the factors associated with patient miss-appointment during RT. Methods: We prospectively and consecutively enrolled 505 cancer patients treated at the department of radiation oncology in our hospital from July 1 to December 31 in 2006. The questionnaire concerning the reasons of miss-appointment was documented and the sociodemographic and cancer- related data of patients were reviewed. Logistic regression model was used for multivariate analysis. Results: There were 169 cases experiencing at least one miss-appointment during the RT course. The total miss-appointment number was 330, with a miss-appointment rate of 4.58+1.27%. Concerning the sociodemographic and cancer-related factors, we found patients with annual income below 10 million NTD (aOR=9.69, 95% CI=1.26-74.37), in-patients (aOR=1.70, 95% CI=1.11-2.62), and those treated with RI dose below 3000 cGy (aOR = 2.15, 95% CI=1.30-3.56) experienced more miss-appointment rate compared with the counterparts. Feeling ill was the most common (48.5%) reason of miss-appointment. Conclussion: Some factors were found to be associated with patient miss-appointment during RT. We suggest a 5% over-appointment rate to maximize the treatment utility, and to educate and pay more medical care to patients with a high risk of miss-appointment.