Objective:To explore the impact of compassion fatigue resilience training on the compassion and psychological resilience of nurses in the hemato-oncology department.Methods:Convenience sampling was used to select 24 n...Objective:To explore the impact of compassion fatigue resilience training on the compassion and psychological resilience of nurses in the hemato-oncology department.Methods:Convenience sampling was used to select 24 nurses from the hemato-oncology department of our hospital as the intervention group and another 24 as the control group.The intervention group received compassion fatigue resilience training,while the control group received routine health education.Results:The compassion fatigue score of the intervention group was lower than that of the control group,and the psychological resilience score was higher,with statistically significant differences(P<0.05).Conclusion:Compassion fatigue resilience training is beneficial for improving the compassion fatigue and psychological resilience of nurses in the hemato-oncology department.展开更多
目的利用Compass三维验证系统对乳腺癌保乳术后调强放射治疗计划进行剂量验证,研究其影响因素并进行分类分析。方法选择乳腺癌保乳放射治疗女性患者20例,年龄45~74岁,中位年龄59岁;侧别,左侧10例,右侧10例。用Compass系统进行计划剂量验...目的利用Compass三维验证系统对乳腺癌保乳术后调强放射治疗计划进行剂量验证,研究其影响因素并进行分类分析。方法选择乳腺癌保乳放射治疗女性患者20例,年龄45~74岁,中位年龄59岁;侧别,左侧10例,右侧10例。用Compass系统进行计划剂量验证,包括独立核算验证和实测重建剂量验证;将Monaco计划系统蒙卡算法计算的剂量(MCD)、Compass卷积/超分割算法独立核算剂量(CCD)和Compass实测重建剂量(CRD)三者之间两两剂量验证结果进行两两比较(CCD-MCD、CRD-CCD、CRD-MCD),比较参数包括靶区剂量最大限值10%生成区域的γ结果及剂量体积直方图(DVH)结果。结果CRD-MCD与CRD-CCD的γ通过率和平均γ值差异均有统计学意义[(95.23±2.38)%vs(96.33±2.72)%、(94.78±2.56)%vs(95.97±2.95)%、0.41±0.04 vs 0.37±0.04、0.42±0.04 vs 0.38±0.04。P<0.05],CRD-MCD与CCD-MCD的γ通过率和平均γ值差异也均有统计学意义[(95.23±2.38)%vs(99.29±0.46)%、(94.78±2.56)%vs(99.26±0.46)%、0.41±0.04 vs 0.26±0.03、0.42±0.04 vs 0.27±0.03。P<0.05],CRD-CCD与CCD-MCD的γ通过率和平均γ值差异也均有统计学意义[(96.33±2.72)%vs(99.29±0.46)%、(95.97±2.95)%vs(99.26±0.46)%、0.37±0.04 vs 0.26±0.03、0.38±0.04 vs 0.27±0.03。P<0.05]。计划肿瘤靶区(PGTV)的D_(98%)和计划靶区(PTV)的D_(mean)、健侧乳腺的D_(mean)、V5和患侧肺的V20、V30的剂量体积相对偏差在CRD-MCD与CRD-CCD比较,差异有统计学意义[(2.01±1.27)%vs(2.60±1.05)%、(2.84±0.55)%vs(2.55±0.71)%、(-11.15±7.87)%vs(-18.29±7.91)%、(-1.45±5.45)%vs(-2.76±3.83)%、(-0.85±0.36)%vs(-0.65±0.23)%、(-0.56±0.37)%vs(-0.38±0.27)%。P<0.05]。PGTV的D98%、D_(2%)、D_(mean),PTV的D_(98%)、D_(2%)、D_(mean),心脏的D_(mean)、健侧乳腺的D_(mean)、V_(5),健侧肺的V_(5)和患侧肺的V_(5)、V_(20)、V_(30)的剂量体积相对偏差在CRD-MCD与CCD-MCD比较,差异均有统计学意义[(2.01±1.27)%vs(-0.51±0.54)%、(2.86±1.22)%vs(-0.002±0.92)%、(2.63±0.75)%vs(-0.19±0.40)%、(2.17±0.82)%vs(0.38±1.01)%、(2.81±0.95)%vs(-0.17±0.70)%、(2.84±0.55)%vs(0.29±0.43)%、(-17.39±7.79)%vs(0.87±3.30)%、(-11.15±7.87)%vs(9.27±4.87)%、(-1.45±5.45)%vs(2.01±1.30)%、(-0.24±0.80)%vs(0.01±0.04)%、(-4.60±0.87)%vs(0.27±0.59)%、(-0.85±0.36)%vs(-0.21±0.21)%、(-0.56±0.37)%vs(-0.22±1.34)%。P<0.05]。PGTV的D_(98%)、D_(2%)、D_(mean),PTV的D_(98%)、D_(2%)、D_(mean),心脏的D_(mean)、健侧乳腺的D_(mean)、V_(5),健侧肺的V_(5)和患侧肺的V5、V20、V30的剂量体积相对偏差在CRD-CCD与CCD-MCD比较,差异均有统计学意义[(2.60±1.05)%vs(-0.51±0.54)%、(2.88±1.12)%vs(-0.002±0.92)%、(2.83±0.68)%vs(-0.19±0.40)%、(1.81±0.90)%vs(0.38±1.01)%、(2.87±0.82)%vs(-0.17±0.70)%、(2.55±0.71)%vs(0.29±0.43)%、(-18.10±7.40)%vs(0.87±3.30)%、(-18.29±7.91)%vs(9.27±4.81)%、(-2.76±3.83)%vs(2.01±1.30)%、(-0.25±0.81)%vs(0.01±0.04)%、(-4.90±1.03)%vs(0.27±0.59)%、(-0.65±0.23)%vs(-0.21±0.21)%、(0.38±0.27)%vs(-0.22±1.34)%。P<0.05]。结论不同算法在高剂量区、低剂量区和肺等组织密度比较大或者含空腔的组织中计算精度偏差更加显著;机器的稳定性状态对剂量差异亦有影响。展开更多
Background:This study aimed to determine the relationship between compassion fatigue and empathic disposition and skill levels of pediatric clinic nurses.Methods:This research was carried out as a descriptive and cros...Background:This study aimed to determine the relationship between compassion fatigue and empathic disposition and skill levels of pediatric clinic nurses.Methods:This research was carried out as a descriptive and cross-sectional study.The research was carried out with 233 nurses determined by using a stratified sampling method from 648 nurses working in two University Hospital and two City Hospital children’s clinics.Data were collected using the“Personal Information Form”,“Compassion Scale(CS)”,“Empathic Tendency Scale(ETS)”and“Empathic Skill Scale(ESS)”.Pearson Correlation test,Student’s t-test,ANOVA test,and Scheffe test were used in the analysis of the data.Results:The mean age of the nurses participating in the study was 30.93±6.23 years,81.1%were women and 54.9%were married.Pediatric clinic nurses’mean compassion score was 96.29±11.64,empathic tendency mean score was 69.30±8.39,and empathic skill mean score was 140.82±23.15.According to the findings obtained,the mean compassion score of the male,married,and nurses who were not satisfied with working in the pediatric clinics and working in the pediatric emergency clinics was found to be the lowest(p<0.05,p<0.01,p<0.001).The empathic disposition mean scores of the nurses working in the pediatric inpatient clinics,who were satisfied with working in the pediatric clinic,and who did not have the thought of moving to another clinic,were found to be significantly higher(p<0.01,p<0.001).The mean scores of empathic skills of nurses working only during the daytime were found to be significantly higher(p<0.001).Conclusion:This study confirms that pediatric clinic nurses are experiencing compassion fatigue at the end of COVID-19 and how this situation negatively affects their empathic tendencies and skills.The study highlights the need for both clinical and management-based planning to prevent compassion fatigue and increase empathic tendencies and skills in Pediatric clinic nurses.展开更多
文摘Objective:To explore the impact of compassion fatigue resilience training on the compassion and psychological resilience of nurses in the hemato-oncology department.Methods:Convenience sampling was used to select 24 nurses from the hemato-oncology department of our hospital as the intervention group and another 24 as the control group.The intervention group received compassion fatigue resilience training,while the control group received routine health education.Results:The compassion fatigue score of the intervention group was lower than that of the control group,and the psychological resilience score was higher,with statistically significant differences(P<0.05).Conclusion:Compassion fatigue resilience training is beneficial for improving the compassion fatigue and psychological resilience of nurses in the hemato-oncology department.
文摘目的利用Compass三维验证系统对乳腺癌保乳术后调强放射治疗计划进行剂量验证,研究其影响因素并进行分类分析。方法选择乳腺癌保乳放射治疗女性患者20例,年龄45~74岁,中位年龄59岁;侧别,左侧10例,右侧10例。用Compass系统进行计划剂量验证,包括独立核算验证和实测重建剂量验证;将Monaco计划系统蒙卡算法计算的剂量(MCD)、Compass卷积/超分割算法独立核算剂量(CCD)和Compass实测重建剂量(CRD)三者之间两两剂量验证结果进行两两比较(CCD-MCD、CRD-CCD、CRD-MCD),比较参数包括靶区剂量最大限值10%生成区域的γ结果及剂量体积直方图(DVH)结果。结果CRD-MCD与CRD-CCD的γ通过率和平均γ值差异均有统计学意义[(95.23±2.38)%vs(96.33±2.72)%、(94.78±2.56)%vs(95.97±2.95)%、0.41±0.04 vs 0.37±0.04、0.42±0.04 vs 0.38±0.04。P<0.05],CRD-MCD与CCD-MCD的γ通过率和平均γ值差异也均有统计学意义[(95.23±2.38)%vs(99.29±0.46)%、(94.78±2.56)%vs(99.26±0.46)%、0.41±0.04 vs 0.26±0.03、0.42±0.04 vs 0.27±0.03。P<0.05],CRD-CCD与CCD-MCD的γ通过率和平均γ值差异也均有统计学意义[(96.33±2.72)%vs(99.29±0.46)%、(95.97±2.95)%vs(99.26±0.46)%、0.37±0.04 vs 0.26±0.03、0.38±0.04 vs 0.27±0.03。P<0.05]。计划肿瘤靶区(PGTV)的D_(98%)和计划靶区(PTV)的D_(mean)、健侧乳腺的D_(mean)、V5和患侧肺的V20、V30的剂量体积相对偏差在CRD-MCD与CRD-CCD比较,差异有统计学意义[(2.01±1.27)%vs(2.60±1.05)%、(2.84±0.55)%vs(2.55±0.71)%、(-11.15±7.87)%vs(-18.29±7.91)%、(-1.45±5.45)%vs(-2.76±3.83)%、(-0.85±0.36)%vs(-0.65±0.23)%、(-0.56±0.37)%vs(-0.38±0.27)%。P<0.05]。PGTV的D98%、D_(2%)、D_(mean),PTV的D_(98%)、D_(2%)、D_(mean),心脏的D_(mean)、健侧乳腺的D_(mean)、V_(5),健侧肺的V_(5)和患侧肺的V_(5)、V_(20)、V_(30)的剂量体积相对偏差在CRD-MCD与CCD-MCD比较,差异均有统计学意义[(2.01±1.27)%vs(-0.51±0.54)%、(2.86±1.22)%vs(-0.002±0.92)%、(2.63±0.75)%vs(-0.19±0.40)%、(2.17±0.82)%vs(0.38±1.01)%、(2.81±0.95)%vs(-0.17±0.70)%、(2.84±0.55)%vs(0.29±0.43)%、(-17.39±7.79)%vs(0.87±3.30)%、(-11.15±7.87)%vs(9.27±4.87)%、(-1.45±5.45)%vs(2.01±1.30)%、(-0.24±0.80)%vs(0.01±0.04)%、(-4.60±0.87)%vs(0.27±0.59)%、(-0.85±0.36)%vs(-0.21±0.21)%、(-0.56±0.37)%vs(-0.22±1.34)%。P<0.05]。PGTV的D_(98%)、D_(2%)、D_(mean),PTV的D_(98%)、D_(2%)、D_(mean),心脏的D_(mean)、健侧乳腺的D_(mean)、V_(5),健侧肺的V_(5)和患侧肺的V5、V20、V30的剂量体积相对偏差在CRD-CCD与CCD-MCD比较,差异均有统计学意义[(2.60±1.05)%vs(-0.51±0.54)%、(2.88±1.12)%vs(-0.002±0.92)%、(2.83±0.68)%vs(-0.19±0.40)%、(1.81±0.90)%vs(0.38±1.01)%、(2.87±0.82)%vs(-0.17±0.70)%、(2.55±0.71)%vs(0.29±0.43)%、(-18.10±7.40)%vs(0.87±3.30)%、(-18.29±7.91)%vs(9.27±4.81)%、(-2.76±3.83)%vs(2.01±1.30)%、(-0.25±0.81)%vs(0.01±0.04)%、(-4.90±1.03)%vs(0.27±0.59)%、(-0.65±0.23)%vs(-0.21±0.21)%、(0.38±0.27)%vs(-0.22±1.34)%。P<0.05]。结论不同算法在高剂量区、低剂量区和肺等组织密度比较大或者含空腔的组织中计算精度偏差更加显著;机器的稳定性状态对剂量差异亦有影响。
文摘Background:This study aimed to determine the relationship between compassion fatigue and empathic disposition and skill levels of pediatric clinic nurses.Methods:This research was carried out as a descriptive and cross-sectional study.The research was carried out with 233 nurses determined by using a stratified sampling method from 648 nurses working in two University Hospital and two City Hospital children’s clinics.Data were collected using the“Personal Information Form”,“Compassion Scale(CS)”,“Empathic Tendency Scale(ETS)”and“Empathic Skill Scale(ESS)”.Pearson Correlation test,Student’s t-test,ANOVA test,and Scheffe test were used in the analysis of the data.Results:The mean age of the nurses participating in the study was 30.93±6.23 years,81.1%were women and 54.9%were married.Pediatric clinic nurses’mean compassion score was 96.29±11.64,empathic tendency mean score was 69.30±8.39,and empathic skill mean score was 140.82±23.15.According to the findings obtained,the mean compassion score of the male,married,and nurses who were not satisfied with working in the pediatric clinics and working in the pediatric emergency clinics was found to be the lowest(p<0.05,p<0.01,p<0.001).The empathic disposition mean scores of the nurses working in the pediatric inpatient clinics,who were satisfied with working in the pediatric clinic,and who did not have the thought of moving to another clinic,were found to be significantly higher(p<0.01,p<0.001).The mean scores of empathic skills of nurses working only during the daytime were found to be significantly higher(p<0.001).Conclusion:This study confirms that pediatric clinic nurses are experiencing compassion fatigue at the end of COVID-19 and how this situation negatively affects their empathic tendencies and skills.The study highlights the need for both clinical and management-based planning to prevent compassion fatigue and increase empathic tendencies and skills in Pediatric clinic nurses.
