【摘要】 目的 探讨多模态影像定量参数联合血小板与淋巴细胞比值（PLR）对上皮性卵巢癌（EOC）的诊断价值及其对良恶性卵巢病变的鉴别意义。方法 选取2023年6月至2024年12月本院收治的84例卵巢占位性病变患者作为研究对象，其中EOC患者46例纳入EOC组，良性卵巢病变患者38例纳入非EOC组。比较两组CT动脉期碘浓度、CT能谱曲线斜率及ADC值多模态影像定量参数，同时检测外周血指标并计算PLR，分析各指标在EOC诊断中的应用价值。采用受试者工作特征（ROC）曲线评价各指标单独及联合诊断效能。结果 两组年龄、体重指数及绝经情况比较差异均无统计学意义（P＞0.05）。EOC组形态不规则、边界模糊、实性成分为主、壁结节形成、明显不均匀强化、中大量腹腔积液及腹膜、淋巴结转移发生率均高于非EOC组（P＜0.05）。EOC组PLR、CT动脉期碘浓度及CT能谱曲线斜率均高于非EOC组，而ADC值低于非EOC组（P＜0.05）。ROC曲线分析显示，CT动脉期碘浓度、CT能谱曲线斜率、ADC值及PLR诊断EOC的AUC分别为0.801、0.819、0.828及0.867；联合预测模型AUC为0.975，敏感度为94.7%，特异度为91.3%，诊断效能优于各单项指标。结论 EOC患者多模态影像定量参数及PLR均存在明显异常改变，多模态影像参数联合PLR可进一步提高EOC的诊断效能，对良恶性卵巢病变的鉴别具有一定临床应用价值。
目的 探讨将 Root Cause Analysis（RCA）质量管理模式与心理资本理论相结合应用于手术核查团队，对改善沟通中断、提升沟通执行质量与团队协作能力的效果。方法 选取 2025年 1 月至 2025 年12 月某三级医院手术室手术团队成员 80 名，按手术间编号分为对照组与实验组，各 40 名。对照组实施常规手术核查流程；实验组在此基础上实施基于 RCA 的流程诊断与基于心理资本理论的综合沟通能力提升干预。干预结束后，比较两组沟通中断发生率、核查流程执行质量、沟通效率，以及心理资本量表（PCQ-24）和团队协作量表（T-TPQ）得分。结果 实验组沟通中断发生率显著低于对照组（P＜0.05），核查流程执行质量和沟通效率均显著优于对照组（P＜0.001）。实验组 PCQ-24 各维度及总分、T-TPQ 各维度及总分均显著高于对照组（均 P＜0.001）。结论 将 RCA 流程分析与心理资本理论干预相结合，可通过流程规范化与心理动力增强双路径同步改善手术团队沟通质量与协作水平，具有良好的临床应用价值与推广潜力。
Objective: To evaluate the effectiveness of an intervention combining Root Cause Analysis (RCA)–based quality management and Psychological Capital (PsyCap) theory in reducing communication interruptions and improving communication quality and teamwork in surgical safety check teams. Methods: Eighty surgical team members from a tertiary hospital (January 2025 - December 2025.) were assigned to a control group or an intervention group according to operating room allocation (40 per group). The control group followed routine surgical safety check procedures, whereas the intervention group additionally received an RCA-guided workflow analysis and a PsyCap-based communication enhancement program. Post-intervention outcomes included communication interruption rate, execution quality and efficiency of safety checks, Psychological Capital Questionnaire (PCQ-24) scores, and TeamSTEPPS Teamwork Perceptions Questionnaire (T-TPQ) scores. Results: The intervention group demonstrated a significantly lower communication interruption rate compared with the control group (P＜0.05). Execution quality and communication efficiency were significantly improved in the intervention group (P＜0.001). PCQ-24 total and subscale scores were significantly higher in the intervention group than in the control group (P＜0.001), as were T-TPQ total and subscale scores (P＜0.001). Conclusion: Integrating RCA-based workflow optimization with PsyCap-oriented psychological and behavioral training can effectively enhance communication quality, reduce interruptions, and strengthen teamwork in surgical safety check teams. The combined model has strong applicability and potential for wider clinical promotion.
【摘要】 目的 探讨多模态影像定量参数联合血小板与淋巴细胞比值（PLR）对上皮性卵巢癌（EOC）的诊断价值及其对良恶性卵巢病变的鉴别意义。方法 选取2023年6月至2024年12月本院收治的84例卵巢占位性病变患者作为研究对象，其中EOC患者46例纳入EOC组，良性卵巢病变患者38例纳入非EOC组。比较两组CT动脉期碘浓度、CT能谱曲线斜率及ADC值多模态影像定量参数，同时检测外周血指标并计算PLR，分析各指标在EOC诊断中的应用价值。采用受试者工作特征（ROC）曲线评价各指标单独及联合诊断效能。结果 两组年龄、体重指数及绝经情况比较差异均无统计学意义（P＞0.05）。EOC组形态不规则、边界模糊、实性成分为主、壁结节形成、明显不均匀强化、中大量腹腔积液及腹膜、淋巴结转移发生率均高于非EOC组（P＜0.05）。EOC组PLR、CT动脉期碘浓度及CT能谱曲线斜率均高于非EOC组，而ADC值低于非EOC组（P＜0.05）。ROC曲线分析显示，CT动脉期碘浓度、CT能谱曲线斜率、ADC值及PLR诊断EOC的AUC分别为0.801、0.819、0.828及0.867；联合预测模型AUC为0.975，敏感度为94.7%，特异度为91.3%，诊断效能优于各单项指标。结论 EOC患者多模态影像定量参数及PLR均存在明显异常改变，多模态影像参数联合PLR可进一步提高EOC的诊断效能，对良恶性卵巢病变的鉴别具有一定临床应用价值。
摘要：目的：探讨早期床上抗阻训练联合情绪释放技术应用于肝癌介入术后患者效果。 方法：选取中国医学科学院肿瘤医院96例肝癌介入治疗患者，于2024年3月-2025年4月间收治，随机分为两组。两组患者均给予常规肝癌介入术后管理，对照组给予早期床上抗阻训练，观察组在此基础上联合使用情绪释放技术，两组患者均连续干预2周。比较两组术后康复指标[术后首次排便时间、术后肠鸣音恢复时间、术后住院时长、术后首次排气时间]，干预前后应激指标[皮质醇(Cor )、促肾上腺皮质激素(ACTH)、醛固酮（ALD）]、情绪指标[疾病进展恐惧量表（FoP-Q-SF）、心理痛苦温度计（DT）、正负性情绪状态量表（PANAS）]及生活质量[肝癌患者生命质量测定量表（QOL-LC）]。 结果：干预前两组各指标相比无差别（P>0.05）。与对照组相比，观察组干预后Cor、ACTH、ALD、FoP-Q-SF、DT、PANAS消极情绪部分水平较低，PANAS积极情绪部分、QOL-LC各项评分水平较高（P<0.05）。两组中，观察组首次排气排便时间、肠鸣音恢复时间较早，术后住院时长较短（P<0.05）。 结论：早期床上抗阻训练联合情绪释放技术应用于肝癌介入术术后患者效果良好，可促进患者术后胃肠道功能恢复，减轻机体应激反应，缓解患者疾病恐惧及负性情绪，提升患者生活质量。
【摘要】 目的 探讨多模态影像定量参数联合血小板与淋巴细胞比值（PLR）对上皮性卵巢癌（EOC）的诊断价值及其对良恶性卵巢病变的鉴别意义。方法 选取2023年6月至2024年12月本院收治的84例卵巢占位性病变患者作为研究对象，其中EOC患者46例纳入EOC组，良性卵巢病变患者38例纳入非EOC组。比较两组CT动脉期碘浓度、CT能谱曲线斜率及ADC值多模态影像定量参数，同时检测外周血指标并计算PLR，分析各指标在EOC诊断中的应用价值。采用受试者工作特征（ROC）曲线评价各指标单独及联合诊断效能。结果 两组年龄、体重指数及绝经情况比较差异均无统计学意义（P＞0.05）。EOC组形态不规则、边界模糊、实性成分为主、壁结节形成、明显不均匀强化、中大量腹腔积液及腹膜、淋巴结转移发生率均高于非EOC组（P＜0.05）。EOC组PLR、CT动脉期碘浓度及CT能谱曲线斜率均高于非EOC组，而ADC值低于非EOC组（P＜0.05）。ROC曲线分析显示，CT动脉期碘浓度、CT能谱曲线斜率、ADC值及PLR诊断EOC的AUC分别为0.801、0.819、0.828及0.867；联合预测模型AUC为0.975，敏感度为94.7%，特异度为91.3%，诊断效能优于各单项指标。结论 EOC患者多模态影像定量参数及PLR均存在明显异常改变，多模态影像参数联合PLR可进一步提高EOC的诊断效能，对良恶性卵巢病变的鉴别具有一定临床应用价值。
目的 探讨将 Root Cause Analysis（RCA）质量管理模式与心理资本理论相结合应用于手术核查团队，对改善沟通中断、提升沟通执行质量与团队协作能力的效果。方法 选取 2025年 1 月至 2025 年12 月某三级医院手术室手术团队成员 80 名，按手术间编号分为对照组与实验组，各 40 名。对照组实施常规手术核查流程；实验组在此基础上实施基于 RCA 的流程诊断与基于心理资本理论的综合沟通能力提升干预。干预结束后，比较两组沟通中断发生率、核查流程执行质量、沟通效率，以及心理资本量表（PCQ-24）和团队协作量表（T-TPQ）得分。结果 实验组沟通中断发生率显著低于对照组（P＜0.05），核查流程执行质量和沟通效率均显著优于对照组（P＜0.001）。实验组 PCQ-24 各维度及总分、T-TPQ 各维度及总分均显著高于对照组（均 P＜0.001）。结论 将 RCA 流程分析与心理资本理论干预相结合，可通过流程规范化与心理动力增强双路径同步改善手术团队沟通质量与协作水平，具有良好的临床应用价值与推广潜力。
Objective: To evaluate the effectiveness of an intervention combining Root Cause Analysis (RCA)–based quality management and Psychological Capital (PsyCap) theory in reducing communication interruptions and improving communication quality and teamwork in surgical safety check teams. Methods: Eighty surgical team members from a tertiary hospital (January 2025 - December 2025.) were assigned to a control group or an intervention group according to operating room allocation (40 per group). The control group followed routine surgical safety check procedures, whereas the intervention group additionally received an RCA-guided workflow analysis and a PsyCap-based communication enhancement program. Post-intervention outcomes included communication interruption rate, execution quality and efficiency of safety checks, Psychological Capital Questionnaire (PCQ-24) scores, and TeamSTEPPS Teamwork Perceptions Questionnaire (T-TPQ) scores. Results: The intervention group demonstrated a significantly lower communication interruption rate compared with the control group (P＜0.05). Execution quality and communication efficiency were significantly improved in the intervention group (P＜0.001). PCQ-24 total and subscale scores were significantly higher in the intervention group than in the control group (P＜0.001), as were T-TPQ total and subscale scores (P＜0.001). Conclusion: Integrating RCA-based workflow optimization with PsyCap-oriented psychological and behavioral training can effectively enhance communication quality, reduce interruptions, and strengthen teamwork in surgical safety check teams. The combined model has strong applicability and potential for wider clinical promotion.
目的 探讨将 Root Cause Analysis（RCA）质量管理模式与心理资本理论相结合应用于手术核查团队，对改善沟通中断、提升沟通执行质量与团队协作能力的效果。方法 选取 2025年 1 月至 2025 年12 月某三级医院手术室手术团队成员 80 名，按手术间编号分为对照组与实验组，各 40 名。对照组实施常规手术核查流程；实验组在此基础上实施基于 RCA 的流程诊断与基于心理资本理论的综合沟通能力提升干预。干预结束后，比较两组沟通中断发生率、核查流程执行质量、沟通效率，以及心理资本量表（PCQ-24）和团队协作量表（T-TPQ）得分。结果 实验组沟通中断发生率显著低于对照组（P＜0.05），核查流程执行质量和沟通效率均显著优于对照组（P＜0.001）。实验组 PCQ-24 各维度及总分、T-TPQ 各维度及总分均显著高于对照组（均 P＜0.001）。结论 将 RCA 流程分析与心理资本理论干预相结合，可通过流程规范化与心理动力增强双路径同步改善手术团队沟通质量与协作水平，具有良好的临床应用价值与推广潜力。
Objective: To evaluate the effectiveness of an intervention combining Root Cause Analysis (RCA)–based quality management and Psychological Capital (PsyCap) theory in reducing communication interruptions and improving communication quality and teamwork in surgical safety check teams. Methods: Eighty surgical team members from a tertiary hospital (January 2025 - December 2025.) were assigned to a control group or an intervention group according to operating room allocation (40 per group). The control group followed routine surgical safety check procedures, whereas the intervention group additionally received an RCA-guided workflow analysis and a PsyCap-based communication enhancement program. Post-intervention outcomes included communication interruption rate, execution quality and efficiency of safety checks, Psychological Capital Questionnaire (PCQ-24) scores, and TeamSTEPPS Teamwork Perceptions Questionnaire (T-TPQ) scores. Results: The intervention group demonstrated a significantly lower communication interruption rate compared with the control group (P＜0.05). Execution quality and communication efficiency were significantly improved in the intervention group (P＜0.001). PCQ-24 total and subscale scores were significantly higher in the intervention group than in the control group (P＜0.001), as were T-TPQ total and subscale scores (P＜0.001). Conclusion: Integrating RCA-based workflow optimization with PsyCap-oriented psychological and behavioral training can effectively enhance communication quality, reduce interruptions, and strengthen teamwork in surgical safety check teams. The combined model has strong applicability and potential for wider clinical promotion.
目的 探讨将 Root Cause Analysis（RCA）质量管理模式与心理资本理论相结合应用于手术核查团队，对改善沟通中断、提升沟通执行质量与团队协作能力的效果。方法 选取 2025年 1 月至 2025 年12 月某三级医院手术室手术团队成员 80 名，按手术间编号分为对照组与实验组，各 40 名。对照组实施常规手术核查流程；实验组在此基础上实施基于 RCA 的流程诊断与基于心理资本理论的综合沟通能力提升干预。干预结束后，比较两组沟通中断发生率、核查流程执行质量、沟通效率，以及心理资本量表（PCQ-24）和团队协作量表（T-TPQ）得分。结果 实验组沟通中断发生率显著低于对照组（P＜0.05），核查流程执行质量和沟通效率均显著优于对照组（P＜0.001）。实验组 PCQ-24 各维度及总分、T-TPQ 各维度及总分均显著高于对照组（均 P＜0.001）。结论 将 RCA 流程分析与心理资本理论干预相结合，可通过流程规范化与心理动力增强双路径同步改善手术团队沟通质量与协作水平，具有良好的临床应用价值与推广潜力。
Objective: To evaluate the effectiveness of an intervention combining Root Cause Analysis (RCA)–based quality management and Psychological Capital (PsyCap) theory in reducing communication interruptions and improving communication quality and teamwork in surgical safety check teams. Methods: Eighty surgical team members from a tertiary hospital (January 2025 - December 2025.) were assigned to a control group or an intervention group according to operating room allocation (40 per group). The control group followed routine surgical safety check procedures, whereas the intervention group additionally received an RCA-guided workflow analysis and a PsyCap-based communication enhancement program. Post-intervention outcomes included communication interruption rate, execution quality and efficiency of safety checks, Psychological Capital Questionnaire (PCQ-24) scores, and TeamSTEPPS Teamwork Perceptions Questionnaire (T-TPQ) scores. Results: The intervention group demonstrated a significantly lower communication interruption rate compared with the control group (P＜0.05). Execution quality and communication efficiency were significantly improved in the intervention group (P＜0.001). PCQ-24 total and subscale scores were significantly higher in the intervention group than in the control group (P＜0.001), as were T-TPQ total and subscale scores (P＜0.001). Conclusion: Integrating RCA-based workflow optimization with PsyCap-oriented psychological and behavioral training can effectively enhance communication quality, reduce interruptions, and strengthen teamwork in surgical safety check teams. The combined model has strong applicability and potential for wider clinical promotion.
目的 探讨将 Root Cause Analysis（RCA）质量管理模式与心理资本理论相结合应用于手术核查团队，对改善沟通中断、提升沟通执行质量与团队协作能力的效果。方法 选取 2025年 1 月至 2025 年12 月某三级医院手术室手术团队成员 80 名，按手术间编号分为对照组与实验组，各 40 名。对照组实施常规手术核查流程；实验组在此基础上实施基于 RCA 的流程诊断与基于心理资本理论的综合沟通能力提升干预。干预结束后，比较两组沟通中断发生率、核查流程执行质量、沟通效率，以及心理资本量表（PCQ-24）和团队协作量表（T-TPQ）得分。结果 实验组沟通中断发生率显著低于对照组（P＜0.05），核查流程执行质量和沟通效率均显著优于对照组（P＜0.001）。实验组 PCQ-24 各维度及总分、T-TPQ 各维度及总分均显著高于对照组（均 P＜0.001）。结论 将 RCA 流程分析与心理资本理论干预相结合，可通过流程规范化与心理动力增强双路径同步改善手术团队沟通质量与协作水平，具有良好的临床应用价值与推广潜力。
