[1]方键蓝,方涌文,肖亮杰,等.乐园化引导干预可提升儿童放疗摆位精度[J].中国医学物理学杂志,2022,39(10):1204-1207.[doi:DOI:10.3969/j.issn.1005-202X.2022.10.004]
　FANG Jianlan,FANG Yongwen,et al.Playful situational intervention can improve the positioning accuracy in radiotherapy for children[J].Chinese Journal of Medical Physics,2022,39(10):1204-1207.[doi:DOI:10.3969/j.issn.1005-202X.2022.10.004]
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乐园化引导干预可提升儿童放疗摆位精度()
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《中国医学物理学杂志》[ISSN:1005-202X/CN:44-1351/R]

卷:
39卷
期数:
2022年第10期
页码:
1204-1207
栏目:
医学放射物理
出版日期:
2022-11-02

文章信息/Info

Title:
Playful situational intervention can improve the positioning accuracy in radiotherapy for children
文章编号:
1005-202X（2022）10-1204-04
作者:
方键蓝1; 2; 方涌文1; 肖亮杰1; 林晓生1; 王宇留1; 钟庆初1; 林茂盛1; 何梦雪1; 许森奎1; 2; 姚文燕1; 2
1.中山大学肿瘤防治中心华南肿瘤学国家重点实验室， 广东 广州 510060； 2.广东省食管癌研究所， 广东 广州 510060
Author(s):
FANG Jianlan1;  2;  FANG Yongwen1;  XIAO Liangjie1;  LIN Xiaosheng1;  WANG Yuliu1;  ZHONG Qingchu1;  LIN Maosheng1;  HE Mengxue1;  XU Senkui1;  2;  YAO Wenyan1;  2
1. State Key Laboratory of Oncology in South China, Sun Yat-sen University Cancer Center, Guangzhou 510060, China 2. Guangdong Institute of Esophageal Cancer, Guangzhou 510060, China
关键词:
儿童肿瘤; 放疗; 乐园化干预; 摆位精度
Keywords:
Keywords: pediatric tumor radiotherapy playful situational intervention positioning accuracy
分类号:
R318
DOI:
DOI:10.3969/j.issn.1005-202X.2022.10.004
文献标志码:
A
摘要:
目的：探讨乐园化引导干预对儿童放疗摆位精度的影响。方法：选取2020年3月～2022年5月在中山大学肿瘤防治中心放疗的儿童患者作为研究对象，按照是否参与乐园化引导干预分为试验组（24例）和对照组（21例）。试验组儿童患者在每次放疗前进行儿童乐园化诱导心理干预，待儿童患者完成心理适应后进行治疗；对照组实施常规放疗准备后治疗。比较两组儿童患者放疗实施的摆位精度。结果：试验组在左右（LR）、头脚（SI）、腹背（AP）方向的摆位误差分别为（-0.32±2.18）、（-0.12±2.24）、（-0.17±2.32） mm，对照组分别为（-0.93±1.91）、（0.79±1.75）、（-0.63±1.97） mm。两组摆位误差比较，在LR和SI方向的差异有统计学意义（LR：t=2.28, P=0.02；SI：t=-2.58, P=0.01），而AP方向的差异无统计学意义（LR：t=1.63, P=0.11）。结论：乐园化引导干预可以提高儿童患者放疗的依从性，进而提高放疗的摆位精度，具有显著的临床应用意义和推广价值。
Abstract:
Abstract: Objective To explore the effect of playful situational intervention on the positioning accuracy in radiotherapy for children. Methods Children who received radiotherapy in Sun Yat-sen University Center Cancer from March 2020 to May 2022 were enrolled in the study. The patients in experimental group (n=24) were given playful situational intervention before radiotherapy, and the radiotherapy was carried out after psychological adjustment. Those in control group (n=21) received radiotherapy after routine preparation.?he positioning accuracy in radiotherapy was compared between two groups. Results The setup errors in left-right (LR), superior-inferior (SI) and anterior-posterior (AP) directions were (-0.32±2.18), (-0.12±2.24), (-0.17±2.32) mm in experimental group, and (-0.93±1.91), (0.79±1.75), (-0.63±1.97) mm in control group. There were significant differences in setup errors between two groups in LR and SI directions (LR: t=2.28, P=0.02 SI: t=-2.58, P=0.01), but not in AP direction (t=1.63, P=0.11). Conclusion Playful situational intervention can improve patient compliance, thereby improving the positioning accuracy of radiotherapy, with significant clinical significance and popularization value.

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备注/Memo

备注/Memo:
【收稿日期】2022-06-08 【基金项目】广东省医学科学技术研究基金（A2017613, A2020621）；广东省食管癌研究所科技计划青年项目（Q202107） 【作者简介】方键蓝，技师，研究方向：放疗体位固定技术，E-mail: fangjl@sysucc.org.cn 【通信作者】姚文燕，硕士，主管技师，研究方向：放疗摆位，E-mail: yaowy@sysucc.org.cn
更新日期/Last Update: 2022-10-27