常規使用無線緊急呼叫鈴可以加強放射治療過程中病人安心度

Using a Wireless Emergent Ringer during Daily Radiotherapy Increasing Patient-reported Confidence of Treatment Safety

目的：放射治療過程中，病人安全是很重要的課題。這篇研究中，我們嘗試使用問卷的方式來評估無線緊急呼叫鈴的效果。病人與方法：從2010年7月到2010年12月，本院放射腫瘤部共發現有52個放射治療中容易發生意外之高危險群癌症病人。這些病人在每日放射治療時，前五到十次使用傳統常規性聲音及影像監視器監控病人安全。並於五到十次後，增加使用手持式無線緊急呼叫鈴以嘗試增加病人治療中安全感及安全性。在病人治療結束後一個星期完成滿意度問卷調查。結果：與傳統聲音及影像保護方式相比，無線緊急呼叫鈴可以有效加強放射治療過程中病人的安全性及安心度，安心度增加比率高達94.2%(49/52)。結論：在放射治療過程中，除傳統之聲音及影像監控外，增加使用無線緊急呼叫鈴是一個安全及有效的增進病人安心度及潛在增加安全性的工具。

Purpose:During daily radiotherapy (RT), on-board treatment safety is an important issue, especially for high-risk patients. In the present study, we aimed to examine the effect of an additional use of a wireless emergent ringer in conjunction with conventionally protective methods during daily RT.Patients and methods:From Jul. 2010 to Dec. 2010, 52 irradiated patients who were at a high risk for encountering emergent accidence were retrospectively recruited. Initially, all patients received conventionally patient-protective methods alone, such as voice and video monitoring, during daily RT. After a few fractions of RT (median, 6; ranged from 5 to 10), a wireless emergent ringer was additionally used. At one week after completion of RT, a questionnaire survey was done for measuring patient reported confidence of treatment safety during their RT course. For quantitative analysis, the original 5-category nominal scale was transformed into numerical score that ranged from 10 to 1 according to the concept of subjectively visual analogue scale. The transformed score that equal to or more than 8 was considered as a positively meaningful response for according items.Results:There were 33 males and 19 females. Most allocated patients had good performance status, i.e. with an Eastern Cooperative Oncology group (ECOG)performance score of 0-2 (48/52, 92.3%). After a use of a wireless emergent ringer, patient-reported confidence of on-board safety in the RT room was considerably improved, with a rate of 94.2% (49/52; transformed score ≥8). Conclusion:In our study cohort, applying a wireless emergent ringer can effectively increase patient-reported confidence of on-board safety during daily irradiation. A routine use of wireless emergent ringer may be encouraged, especially in high-risk patients.