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Knowledge and Attitude towards Cervical Cancer Screening among Females Attending out Patient Department in Health Centre IIIs in Oyam District
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作者 Ali Waiswa Ronald Nsubuga +6 位作者 Margret Muwasi Isaac Kimera Geofrey Ndikabona Pliers D. Tusingwire Maghanga Mshilla Emilio Ovuga Peter Akera 《Open Journal of Preventive Medicine》 2017年第4期55-62,共8页
Cervical cancer is a serious health concern in Uganda. Early screening and detection certainly improves chances of survival and treatment outcome. Sound knowledge and positive attitudes highly influence acceptability ... Cervical cancer is a serious health concern in Uganda. Early screening and detection certainly improves chances of survival and treatment outcome. Sound knowledge and positive attitudes highly influence acceptability and uptake of screening methods. This descriptive cross-sectional study determines knowledge and attitudes towards Cervical Cancer screening amongst female out-patients aged 15 - 49 years, attending Health Centre IIIs in Oyam District, Northern Uganda. A systematically obtained sample of 445 respondents was interviewed using semi-structured questionnaires and focused group discussions. Quantitative data was analyzed using SPSS 16.0. Directed content analysis of themes of transcribed qualitative data was conducted manually. Of the 445 respondents, only 62.7% (n = 279) had heard of cervical cancer amongst which only 35.1% (n = 85) had been screened;13.7% (n = 34) did not know what screening was;3.7% (n = 9) were not sure and 5.8% (n = 14) knew it as removal of the cervix. Only 39.1% (n = 174) believed that cervical cancer can be prevented. There is still limited knowledge and lots of misconceptions about cervical cancer screening in the communities, which requires massive sensitization of the population at risk to change negative attitudes and maximize acceptability to screening methods. 展开更多
关键词 Knowledge ATTITUDES CERVICAL Cancer Female out-patientS Screening
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Reducing Paediatric Outpatient Waitlists—A Proposed Allied Health Multidisciplinary Approach
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作者 Hsien-Jin Teoh Millie Darvell 《Open Journal of Preventive Medicine》 2021年第2期63-70,共8页
Extremely long Australian paediatric outpatient waiting lists have resulted in large numbers of children waiting to see a paediatrician. Analyses of the patient referrals suggest that a large proportion of children ma... Extremely long Australian paediatric outpatient waiting lists have resulted in large numbers of children waiting to see a paediatrician. Analyses of the patient referrals suggest that a large proportion of children may benefit from allied health input, in addition to being seen by the paediatrician. This paper provides an organisational strategy that involves streamlining Allied Health clinical services in an effort to assist with bringing down a Paediatric Out-patient waitlist. The paper describes principles to guide the formation of a Paediatric Allied Health Multi-Disciplinary team that proposes assessment and brief interventions. The service would focus on supporting the paediatricians through the use of structured procedures, telephone intakes, multidisciplinary triage, shared and standardised assessments, collaborative formulations and reports, brief interventions, clinical-community linkages, and allied health student support. A variety of additional important organisational principles are proposed to facilitate patient flow from the perspective of streamlining administrative processes, having adequate administrative support, shared responsibilities, teamwork, flexibility, carrying out intake assessments, determining which referrals were appropriate for allied health, and working closely with medical staff. 展开更多
关键词 PAEDIATRIC out-patient Allied Health MULTI-DISCIPLINARY Waiting Lists
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Stress and quality of life in dermatological patients: Are out-patients' needs different?
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作者 Liana Manolache 《World Journal of Dermatology》 2016年第1期1-3,共3页
The debut, progression and maintenance of skin disease are related to stress(acne, alopecia areata, atopic dermatitis, lichen planus, psoriasis, urticaria, vitiligo, herpes, hyperhidrosis, pemphigus, rosacea or seborr... The debut, progression and maintenance of skin disease are related to stress(acne, alopecia areata, atopic dermatitis, lichen planus, psoriasis, urticaria, vitiligo, herpes, hyperhidrosis, pemphigus, rosacea or seborrheic dermatitis). Environmental, socio-professional, life events are representing external factors. Personality, previous experiences, traits of anxiety are individual factors influencing the state of stress. Perceived stress could be more harmful especially in "high reactors" to stress. Coping abilities to stress could be increased in social programs. There was a recent interest in measuring the quality of life in the last years. There are dermatology and disease specific questionnaires that could help. Out-patients have less time to wait for very sophisticated procedures. They expect faster results. For simple, acute diseases it is important to have a good communication and good understanding of the instructions to get results as soon as possible. For chronic diseases a strong long-term alliance is needed, so the patients should revisit for his benefit and not for giving up. Small questions regarding potential stressful events, impact on the quality of life, stigmatization, the level of symptoms(pruritus), psychiatric comorbidities(anxiety, depression), short questionnaires for quality of life give us a better picture, personalize the doctorpatient relationship and could influence the choice of treatment. Many skin disorders could be seen from a psychosomatic point of view and the final goal, especially for the chronic diseases, is to improve through our treatments the impact on the quality of patient's life. 展开更多
关键词 STRESS Perceived STRESS QUALITY of LIFE out-patientS DERMATOLOGY LIFE QUALITY INDEX Children DERMATOLOGY LIFE INDEX
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The Economics of Reorganizing Otolaryngology Out-Patient Services for COVID-19 Pandemic in Low- and Middle-Income Countries
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作者 Ravinder Singh Nagi Satinder Pal Singh Prahlad Duggal 《International Journal of Otolaryngology and Head & Neck Surgery》 2020年第5期180-184,共5页
The Coronavirus 2019 (COVID-19) pandemic has widespread implications for clinical practice of otolaryngologists in clinics and hospitals. With various reports of otolaryngology practitioners catching infection, a prof... The Coronavirus 2019 (COVID-19) pandemic has widespread implications for clinical practice of otolaryngologists in clinics and hospitals. With various reports of otolaryngology practitioners catching infection, a profound structural reorganization of ENT services in the clinic is mandatory for protecting both patients and healthcare workers. The present study focused on quantifying the cost involved in reorganizing the otolaryngology out-patient services in a third world country during the ongoing Covid-19 pandemic. Though the pandemic has increased the cost of running of an otolaryngology practice world over, the impact is huge in India as penetration of health insurance/social security is minimal. As out of pocket expenditure forms a significant proportion of healthcare spending by majority in India, any transfer of additional cost incurred because of Covid-19 pandemic to the patient will burn a bigger hole in their pocket. 展开更多
关键词 COVID-19 Pandemic Otolaryngology out-patients ECONOMICS Low- and Middle-Income Countries
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基于国际“PAIN OUT”调查工具PDCA改进术后患者镇痛管理质量 被引量:4
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作者 刘冬华 杨庆菊 +6 位作者 王泽中 刘晓辉 冯翠翠 宋纪明 张洁 刘燕 刘莎莎 《麻醉安全与质控》 2021年第6期403-408,共6页
目的探讨基于国际“PAIN OUT”过程、结果多维度质控调查工具,医护一体化采用PDCA循环法在提升患者术后疼痛管理质量的应用效果。方法随机选取2018年10~12月聊城市人民医院关节骨科、胸科、肝胆外科、胃肠外科和两腺外科5个科室的术后2... 目的探讨基于国际“PAIN OUT”过程、结果多维度质控调查工具,医护一体化采用PDCA循环法在提升患者术后疼痛管理质量的应用效果。方法随机选取2018年10~12月聊城市人民医院关节骨科、胸科、肝胆外科、胃肠外科和两腺外科5个科室的术后24 h患者共150例作为改进前组,每科室各30例,在前期成立急性疼痛服务组织的基础上,组建医护一体化多学科合作疼痛管理团队,采用PDCA通过计划、实施、检查和处理步骤对患者围术期疼痛管理实施改进,基于信息化对医务人员进行多模式疼痛知识培训教育,优化改进流程,根据手术类别,制定个体化镇痛管理方案,对患者实施多元化宣教管理和多模式镇痛管理。2019年10~12月实施改进后从改进前选取的5个科室再次随机选取术后24 h患者150例作为研究对象,采用国际“PAIN OUT”数据表,从过程、结果指标多维度进行改进后评价。结果改进前后患者术后24 h内中重度疼痛的发生率由40.00%降至10.00%;镇痛满意度由91.20%提升到98.00%;患者镇痛知识健康教育满意度由90.00%提升到98.00%;护士的疼痛评估次数(1.78±1.05)次提升至(4.02±1.03)次;疼痛非药物干预措施实施次数由0次(0,1)提升到3次(2,4),P<0.05均有统计学意义。患者疼痛最剧烈的疼痛评分从(6.49±1.02)分降至(4.02±2.01)分,患者的首次下床活动时间由术后(23.72±6.05)h降低到(17.42±3.92)h;患者术后24 h内阿片类药物的用量由(110.24±10.23)μg降低至(82.21±11.27)μg(P<0.05)。结论采用PDCA实施术后疼痛管理质量改进,并采用国际“PAIN OUT”过程和结果质控指标进行评价,不仅能提高术后患者的满意度、舒适度,提升就医体验,缩短患者首次下床活动时间;而且减少患者阿片类药物的用量,符合ERAS快速康复理念。 展开更多
关键词 持续质量改进 术后患者 疼痛 多模式镇痛 PAIN out
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PDCA循环在Time out执行管理中的应用 被引量:4
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作者 毛镇伟 季晓辉 《中国医院》 2015年第3期59-61,共3页
目的:推广手术和有创性操作术前暂停(Time out)程序,落实国际患者安全目标,确保正确的手术部位、操作和患者。方法:根据JCI评审标准(第4版)国际患者安全目标章节中的要求,应用PDCA循环,结合镇江市第一人民医院实际情况,提出手术和有创... 目的:推广手术和有创性操作术前暂停(Time out)程序,落实国际患者安全目标,确保正确的手术部位、操作和患者。方法:根据JCI评审标准(第4版)国际患者安全目标章节中的要求,应用PDCA循环,结合镇江市第一人民医院实际情况,提出手术和有创性操作术前暂停可执行性方案。结果:自实施手术和有创性操作术前暂停程序以来,未发生一例错误操作或手术事件,手术和有创性操作前Time out执行率由实施PDCA循环前的40%上升至实施后的100%,正确执行率由实施PDCA循环前的52.08%上升至实施后的83.75%。结论:术前暂停程序是保障正确的病人、正确的部位、正确的操作方式的重要手段之一,是至关重要的相互交流的手段或平台,能够减少甚至杜绝错误手术事件发生。 展开更多
关键词 PDCA TIME out 患者安全目标 医疗安全
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Predictors of hypoglycemia in insulin-treated patients with type 2 diabetes mellitus in Basrah 被引量:3
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作者 Dhuha Tarik Nassar Omran S Habib Abbas Ali Mansour 《World Journal of Diabetes》 SCIE CAS 2016年第18期470-480,共11页
AIM To measure the incidence and determinants(predictors) of hypoglycemia among patients with type 2 diabetes mellitus(T2DM) who were on insulin treatment for at least one year. METHODS The present study is an out-pat... AIM To measure the incidence and determinants(predictors) of hypoglycemia among patients with type 2 diabetes mellitus(T2DM) who were on insulin treatment for at least one year. METHODS The present study is an out-patients based inquiry about the risk and predictors of hypoglycemia among patients with T2DM seeking care at the Al-Faiha Specialized Diabetes, Endocrine, and Metabolism Center, in Basrah over a period of 7 mo(from 15^(th) of April, 2013 to 15^(th) of October, 2013). The data used in the study were based on all detailed interview and selected laboratory investigations. A total of 336 patients could be included in the study.RESULTS The incidence of overall hypoglycemia among the studied patients was 75.3% within the last 3 mo preceding the interview. The incidence of hypoglycemia subtypes were 10.2% for severe hypoglycemia requiring medical assistance in the hospital, 44.36% for severe hypoglycemia treated at home by family; this includes both confirmed severe hypoglycemia with an incidence rate of 14.6% and unconfirmed severe hypoglycemia for which incidence rate was 29.76%. Regarding mild self-treated hypoglycemia, the incidence of confirmed mild hypoglycemia was 21.42%, for unconfirmed mildhypoglycemia the incidence rate was 50.0% and for total mild hypoglycemia, the incidence rate was 71.42%. The most important predictors of hypoglycemia were a peripheral residence, increasing knowledge of hypoglycemia symptoms, in availability and increasing frequency of self-monitoring blood glucose, the presence of peripheral neuropathy, higher diastolic blood pressure, and lower Hemoglobin A1c.CONCLUSION Hypoglycemia is very common among insulin-treated patients with T2DM in Basrah. It was possible to identify some important predictors of hypoglycemia. 展开更多
关键词 Diabetes MELLITUS INSULIN HYPOGLYCEMIA out-patient Type 2
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脊柱手术患者Time-out前期病房安全核查的实施 被引量:5
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作者 赵兴娥 赵丽萍 +1 位作者 谭晓菊 王文丽 《护理学杂志》 CSCD 2016年第10期17-19,共3页
目的有效确认脊柱手术患者术前相关信息,保证手术如期进行。方法将脊柱外科择期手术患者180例,根据入院先后顺序分为对照组(82例)和干预组(98例),对照组按常规完成术前准备,术前1d对手术患者术前相关信息进行核查,干预组在对照组基础上... 目的有效确认脊柱手术患者术前相关信息,保证手术如期进行。方法将脊柱外科择期手术患者180例,根据入院先后顺序分为对照组(82例)和干预组(98例),对照组按常规完成术前准备,术前1d对手术患者术前相关信息进行核查,干预组在对照组基础上按自制的Time-out前期病房安全核查要素对手术所需准备项目进行核查,比较两组手术如期进行率及手术安排满意度。结果干预组手术如期进行率、手术安排满意度显著高于对照组(P<0.05,P<0.01)。结论对脊柱手术患者实施Time-out前期病房安全核查,可有效确认患者术前相关核查的要素,充分发挥手术安全监测、预警作用,保证术前准备到位,利于提高科室整体医疗质量。 展开更多
关键词 脊柱外科 Time-out前期 手术安全核查 质量控制 患者安全
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Infection Prevention Strategies in Cardiac Rehabilitation [1]—A Behavioral Intervention for Patients [2]
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作者 Wendy Bjerke 《Health》 2017年第9期1273-1284,共12页
Background: Healthcare Acquired Infections (HAI) result in over 100 thousand deaths each year with one third of these deaths preventable via behaviors such as hand washing among health care providers in inpatient sett... Background: Healthcare Acquired Infections (HAI) result in over 100 thousand deaths each year with one third of these deaths preventable via behaviors such as hand washing among health care providers in inpatient settings. Less research has been conducted in outpatient exercise settings such as cardiac rehabilitation (CR) among patients. Purpose: The purpose of this study was to examine the effectiveness of HAI prevention strategies in a CR setting among patients. Methods: Observations of the frequency of hand washing among CR patients pre and post four HAI strategies including provision of HAI education and signs, hand washing demonstrations, a HAI prevention video, and hand sanitizer samples. Washing hands prior to CR (WI) was observed as well as washing hands prior to leaving the CR center (WO). Methods included recording the frequency of WI and WO among all patients at baseline and after each of the four interventions. Mean frequencies of WI and WO were compared among a mean of 22 - 43 CR patient visits over 12 weeks using descriptive statistics and t-tests to determine if changes were significant pre and post intervention strategies. Results: At baseline, no patients WI or WO during an outpatient CR visit. Post interventions 1 - 4, the percentage of patients WI and WO was 33 and 34, 32 and 26, 32 and 29, 33 and 22 respectively. At a one-year follow up, the percentage of patients WI and WO was 40%. Conclusion: Increases in frequency and the percentage of WI and WO were observed among patients meriting continued examination of HAI prevention strategies among patients in outpatient exercise settings such as CR. 展开更多
关键词 Healthcare ACQUIRED INFECTIONS out-patient SETTINGS PREVENTION Behavior MODIFICATION
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Exploring the Views of Parents of Children Following Telephone Advice from Nurses Working in a GP Out-of-Hours in Ireland
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作者 Abedallah Kasem 《Open Journal of Pediatrics》 2018年第4期334-346,共13页
This paper focuses on parents’ use and experiences of general practitioner (GP) out-of-hours (OOHs) services in Ireland. The progress in the establishment of GP OOHs services is considered by the Health Service Execu... This paper focuses on parents’ use and experiences of general practitioner (GP) out-of-hours (OOHs) services in Ireland. The progress in the establishment of GP OOHs services is considered by the Health Service Executive (HSE) to be a highly significant quality initiative for patient care, and the health service as a whole. Outside of normal GP surgery hours, parents of children can call a dedicated telephone number, to have their urgent health concerns assessed and to be advised about the appropriate level of care. Experienced nurses, who are often based in a GP OOHs centre, assess the call over the telephone and provide advice to the callers. The spur for conducting this study arose from my personal and professional experience which, I believe, underscores the need for exploring and understanding parents’ views of GP OOHs services, in order to bring about change in nurses’ practice of delivering advice over the telephone. The overall aim of the study is to explore and understand the views of parents of children, aged two years and under, following telephone advice received from nurses in the context of a GP out-of-hours service. A qualitative, exploratory, and descriptive design was used to examine the views and experiences of parents of children aged two years and under, who used a GP out-of-hours service provider in Ireland. Nine parents who had received phone advice from a nurse were purposively sampled to take part in the study. Data were collected using semi-structured interviews by telephone. Data were transcribed and analysed thematically. Themes included parents’ perceptions of illness in children with the need to be heard, parents’ views about accessibility to GP OOHs, parents’ expectations that the service would offer guidance and reassurance, parents’ satisfaction with the nurse’s advice, and parents’ experiences of hospital emergency departments (EDs). Suggestions for improving the GP OOHs service were made across these themes. The suggestions include: higher staffing levels, wanting a quicker call back, preference for face-to-face assessment over telephone advice and a preference for a children’s area in the GP OOHs. The study revealed that parents are satisfied with the GP OOHs service and the parental decision-making model has the potential to provide an opportunity to continue the progress of the establishment of GP OOHs services in Ireland. 展开更多
关键词 TELEPHONE ADVICE GP out-of-Hours patients’ Experiences or VIEWS TELEPHONE Consultation Parents’ VIEWS or Experience PARENTS of CHILDREN TELEPHONE Information Service Clinical Decision Support Software
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骨科外出检查患者安全转运评估表设计与应用效果分析
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作者 李泽光 《中外医药研究》 2024年第34期126-128,共3页
目的:设计骨科外出检查患者安全转运评估表并分析其应用效果。方法:选取2022年6—11月玉林市第一人民医院骨科需安全转运前往辅助科室进行检查的住院患者2238例为对照组,另选取2022年12月—2023年5月同科室转运患者2330例为观察组。对... 目的:设计骨科外出检查患者安全转运评估表并分析其应用效果。方法:选取2022年6—11月玉林市第一人民医院骨科需安全转运前往辅助科室进行检查的住院患者2238例为对照组,另选取2022年12月—2023年5月同科室转运患者2330例为观察组。对照组根据安全转运评估表动态评估患者情况,观察组根据骨科外出检查患者安全转运评估表动态评估患者情况。比较两组转运不良事件发生率及满意度。结果:观察组转运不良事件总发生率低于对照组(P<0.001);观察组满意度高于对照组(P<0.001)。结论:骨科外出检查患者安全转运评估表应用效果较好,可降低转运不良事件总发生率,提高患者满意度。 展开更多
关键词 骨科 外出检查 院内转运
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Patient handoffs in surgery: Successes, failures and room for improvement
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作者 David H Ballard Navdeep S Samra F Dean Griffen 《World Journal of Surgical Procedures》 2016年第1期8-12,共5页
Patient handoffs are transitions where communication failures may lead to errors in patient care.Face-toface handoffs are preferred,however may not always be feasible.Different models and strategies have been describe... Patient handoffs are transitions where communication failures may lead to errors in patient care.Face-toface handoffs are preferred,however may not always be feasible.Different models and strategies have been described,yet there are few experimental studies.Expanding the problem,the on-call surgeon may be responsible for many patients,few or none that they admitted.Effective handoffs improve the quality of care and result in fewer errors.Herein we review different models of patient handoffs,comment on common pitfalls,and suggest areas for new research. 展开更多
关键词 patient HANDOFF COMMUNICATION patient handover patient care FACE-TO-FACE COMMUNICATION Check out Sign out
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口腔科门诊患者的口腔健康管理与预防措施研究
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作者 章梅 上官海琴 黄丹花 《中国卫生标准管理》 2024年第8期186-189,共4页
目的探讨口腔健康管理对口腔门诊患者的口腔健康的影响。方法回顾性分析龙岩市中医院口腔科2022年3月—2023年3月收治的160例慢性龈炎患者为对象,按护理方式的不同分为干预组和对照组,每组80例。对照组按照常规口腔护理,干预组在对照组... 目的探讨口腔健康管理对口腔门诊患者的口腔健康的影响。方法回顾性分析龙岩市中医院口腔科2022年3月—2023年3月收治的160例慢性龈炎患者为对象,按护理方式的不同分为干预组和对照组,每组80例。对照组按照常规口腔护理,干预组在对照组的基础上进行健康教育。调查2组患者口腔健康行为、口腔健康状况。结果干预组昨日刷牙占比为95.0%,每天刷牙次数为(2.5±0.6)次,口腔保护产品使用占比为80.0%,均高于对照组的80.0%、(1.8±0.7)次、60.0%(P<0.05),干预组牙龈出血、牙龈红肿、牙龈增生例数均少于对照组,功能牙数高于对照组,舌苔指数评分低于对照组(P<0.05)。结论健康教育是口腔科门诊患者口腔健康管理的有用方案,可以有效改善慢性龈炎疾病如牙龈出血、牙龈红肿、牙龈增生等。此文的研究结果为口腔健康管理后期标准制定提供了借鉴内容。 展开更多
关键词 口腔科 门诊患者 口腔健康 管理 预防 措施
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一站式护理在患者出入院护理管理中的应用效果
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作者 杨文风 《中国社区医师》 2024年第21期105-107,共3页
目的:探究一站式护理在患者出入院护理管理中的应用效果。方法:选取2021年1月—2022年12月射阳县人民医院的入院患者200例作为研究对象,随机分为对照组和观察组,各100例。对照组采用常规护理,观察组采用一站式护理。比较两组患者出入院... 目的:探究一站式护理在患者出入院护理管理中的应用效果。方法:选取2021年1月—2022年12月射阳县人民医院的入院患者200例作为研究对象,随机分为对照组和观察组,各100例。对照组采用常规护理,观察组采用一站式护理。比较两组患者出入院电梯等待时间、缴费排队时间、护患纠纷发生率及护理满意度。结果:观察组入院、出院时电梯等待时间和排队缴费时间均短于对照组(P<0.001)。观察组护理满意度高于对照组,护患纠纷发生率低于对照组(P<0.05)。结论:一站式护理在患者出入院护理管理中的应用效果显著,可以缩短患者出入院时电梯等候时间和排队缴费时间,提高服务效率和护理满意度。 展开更多
关键词 一站式护理 出入院护理 管理效果
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足前进角对不同年龄膝关节炎患者下肢动力学影响的系统综述和Meta分析
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作者 张泽毅 杨亦敏 +1 位作者 李文彦 张美珍 《中国组织工程研究》 CAS 北大核心 2024年第6期968-975,共8页
目的:膝关节内收力矩(knee adduction moment,KAM)双峰及膝关节内收角冲量(knee adduction angular impulse,KAAI)增大是膝关节骨性关节炎主要的生物力学危险因素。据调查,调整足前进角可改变膝关节骨性关节炎患者运动模式,然而足内偏... 目的:膝关节内收力矩(knee adduction moment,KAM)双峰及膝关节内收角冲量(knee adduction angular impulse,KAAI)增大是膝关节骨性关节炎主要的生物力学危险因素。据调查,调整足前进角可改变膝关节骨性关节炎患者运动模式,然而足内偏、足外偏对青年、老年患者KAM和KAAI的影响未达成共识。因此文章通过Meta分析综合论述足前进角对不同人群膝关节骨性关节炎患者KAM、KAAI的影响,为治疗膝关节骨性关节炎提供借鉴。方法:截至2022年6月,以“足前进角,膝关节内收力矩,膝关节内收角冲量,步态”为中文检索词,以“foot progression angle,knee adduction moment,knee adduction angular impulse,gait”为英文检索词在Web of Science、EBSCO、PubMed和中国知网数据库进行检索。纳入分析足内偏、足外偏对KAM双峰和KAAI影响的自身对照和随机对照试验。运用Cochrane偏倚风险评估工具对纳入文献进行文献质量评价,采用Stata 15.1软件进行亚组分析确定不同足前进角对步行KAM及KAAI的影响,应用Meta回归进一步确定结局指标(KAM及KAAI)随足前进角变化的特征。结果:(1)共15项自身对照试验和2项随机对照试验(455名受试者)纳入Meta分析,所纳入文献均为中、高质量文献。(2)Meta分析结果显示,足内偏可减小青年患者KAM第一峰值(SMD=-0.380,95%CI:-0.710至-0.060,P=0.022)和KAAI(SMD=-1.470,95%CI:-2.160至-0.770,P<0.001),足外偏降低了青年患者KAM第二峰值(SMD=-0.720,95%CI:-1.010至-1.440,P<0.001)。此外,足内偏减了小老年患者KAM第一峰值(SMD=-0.550,95%CI:-0.800至-0.300,P<0.001),但有增高KAM第二峰值的作用(SMD=0.280,95%CI:-0.010-0.560,P=0.047),足外偏可降低该人群KAM第二峰值(SMD=-0.510,95%CI:-0.830至-0.190,P=0.002)。(3)Meta回归显示,老年患者的足外偏程度越大,KAM第二峰值越低。结论:(1)足内偏降低了18-34岁的青年膝关节骨性关节炎患者的KAM第一峰值、KAAI,由于KAM、KAAI与膝关节内侧负荷、膝关节骨性关节炎发病率相关,因此足内偏步态干预可能是青年患者适合的康复策略。(2)足内偏增高了60岁以上老年膝关节骨性关节炎患者的KAM第二峰值,可能会加重这类人群膝关节骨性关节炎的程度,然而,该人群步行时KAM第二峰值会随足外偏程度的增大而减小,有助于降低膝关节内侧负荷,提示老年患者可以考虑在步行时采用足外偏步态。 展开更多
关键词 膝关节骨性关节炎 膝关节软组织退化 青年患者 老年患者 足内偏 足外偏 膝关节内收力矩 膝关节内收角冲量 步态 META分析
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广西县级综合性医院门诊患者满意度及其影响因素分析 被引量:11
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作者 侯佳乐 孔巍 +3 位作者 吴雁鸣 李志建 曹剑涛 马进 《上海交通大学学报(医学版)》 CAS CSCD 北大核心 2013年第6期740-745,共6页
目的调查广西县级综合性医院门诊患者的满意度并分析其影响因素。方法采用随机抽样方法对在广西壮族自治区武鸣县人民医院就诊的450名门诊患者进行满意度调查;问卷内容包括患者的基本信息如性别、年龄、户籍、工作状况、文化程度、经济... 目的调查广西县级综合性医院门诊患者的满意度并分析其影响因素。方法采用随机抽样方法对在广西壮族自治区武鸣县人民医院就诊的450名门诊患者进行满意度调查;问卷内容包括患者的基本信息如性别、年龄、户籍、工作状况、文化程度、经济收入和参加医疗保险等情况,满意度评价涉及就医方便程度、候诊时间、就医环境、医疗设备、医疗技术水平、医务人员服务态度、解释交流情况、费用水平和治疗效果等9个维度;采用描述性分析、t检验和方差分析、非条件logistic回归分析患者的满意度及其影响因素。结果该县级医院门诊患者对所接受医疗服务的总体满意度为3.74分,满意率为96.3%,属于比较满意。年龄<60岁、就业、失业、高中及中专学历、参加城镇基本医疗保险是门诊患者满意度总体评价的负面影响因素。非农业户籍和失业人群与其他群体比较差异有统计学意义(P<0.05)。结论该县级医院门诊患者对医疗服务的总体评价是满意的,对候诊时间和治疗费用的满意度偏低。建议根据不同科室的特点,采用适宜有效的措施来减少患者的候诊时间;引入成本核算理念,借助信息化技术,从根本上降低医院的运营成本,建立透明的价格管理体系。 展开更多
关键词 县级医院 广西 门诊患者 满意度 影响因素
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临床分离一株具有荚膜的白假丝酵母菌 被引量:10
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作者 马廉兰 钟有添 +3 位作者 曾祥凤 李坊贞 刘志春 张文平 《中山大学学报(医学科学版)》 CAS CSCD 北大核心 2005年第4期F002-F004,共3页
【目的】观察白假丝酵母菌临床菌株的荚膜结构并探讨其形成条件。【方法】临床标本直接涂片染色镜检和用沙保氏琼脂平板、琼脂斜面及沙保氏液体培养基培养、用涂片革兰染色和Hiss荚膜染色镜检、出芽试验、厚膜孢子形成试验、糖发酵试验... 【目的】观察白假丝酵母菌临床菌株的荚膜结构并探讨其形成条件。【方法】临床标本直接涂片染色镜检和用沙保氏琼脂平板、琼脂斜面及沙保氏液体培养基培养、用涂片革兰染色和Hiss荚膜染色镜检、出芽试验、厚膜孢子形成试验、糖发酵试验、小白鼠与家兔试验、扫描电镜与透射电镜观察等进行鉴定。【结果】(1)该临床分离菌为革兰阳性、念珠状菌;能形成芽管、假菌丝、厚膜孢子;能发酵葡萄糖和麦芽糖产酸又产气;发酵蔗糖产酸不产气;不发酵乳糖。(2)人阴道分泌物涂片、感染小白鼠及家兔体内及沙保氏液体培养基培养均可形成荚膜,荚膜层的厚度可因不同环境及培养时间的长短而有差异,但均≥0.2滋m,边界明显。沙保氏液体培养物经离心(1500r/min,15min,3次)荚膜层仍然可见。【结论】该菌株可被鉴定为具有荚膜的白假丝酵母菌。 展开更多
关键词 白假丝酵母菌 阴道分泌物涂片 液体培养基 透射电镜观察 染色镜检 厚膜孢子 糖发酵试验 临床分离菌 不发酵乳糖 形成条件 荚膜结构 临床菌株 琼脂平板 直接涂片 临床标本 革兰染色 家兔试验 扫描电镜 培养时间 不同环境
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门诊患者满意度测评量表研制及实证研究 被引量:29
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作者 石景芬 龚永 +2 位作者 李元峰 蒋玉石 胡培 《中国卫生事业管理》 北大核心 2015年第4期262-267,共6页
目的:测评门诊患者对我省公立医疗机构的医疗服务满意度,探索其影响因素。方法:自行编制门诊患者满意度问卷,对四川省15家不同级别公立医疗机构共计1301名门诊患者进行抽样调查。结果:量表模型拟合度良好,门诊患者满意度总体较高,达81.0... 目的:测评门诊患者对我省公立医疗机构的医疗服务满意度,探索其影响因素。方法:自行编制门诊患者满意度问卷,对四川省15家不同级别公立医疗机构共计1301名门诊患者进行抽样调查。结果:量表模型拟合度良好,门诊患者满意度总体较高,达81.09%,不同级别医疗机构满意度和影响因素具有差异性,省会城市三甲医院满意度明显低于地市级、区县级医院及省会城市社区卫生服务中心。门诊患者满意度主要受"医院品牌、医护技术和态度、医患沟通、环境设施、感知价值"5个维度的影响,其中"感知价值"对"患者满意度"的影响强度最高,其次是医护技术和态度。结论:本研究设计的门诊患者满意度测评量表具有实用价值,可以作为门诊医疗服务效果评价的参考工具。应用该量表经常性进行门诊患者满意度测评并探究其影响因素,有助于改善医疗服务效果,提升患者满意度。 展开更多
关键词 门诊患者 满意度 测评量表 实证研究
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小儿脑性瘫痪的门诊与家庭康复效果观察 被引量:23
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作者 张智香 李琴 +4 位作者 张旭光 杨惠泉 王瑛 陈桂芳 于会霞 《中国康复理论与实践》 CSCD 2006年第2期103-104,共2页
目的探讨门诊训练结合医生指导下家庭训练对小儿脑性瘫痪的康复效果。方法80例不住院患儿为治疗组,由治疗师在门诊训练1~3个月,然后对家长进行家庭训练指导,每2~3个月指导1次,每次30min。60例只住院治疗而不进行家庭训练的患儿为... 目的探讨门诊训练结合医生指导下家庭训练对小儿脑性瘫痪的康复效果。方法80例不住院患儿为治疗组,由治疗师在门诊训练1~3个月,然后对家长进行家庭训练指导,每2~3个月指导1次,每次30min。60例只住院治疗而不进行家庭训练的患儿为对照组。比较两组患儿的康复效果。结果在训练后的第1、3个月,治疗组患儿的运动发育情况与对照组无显著性差异(P〉0.05),第6个月则有显著性差异(P〈0.05),治疗组的康复效果好于对照组。结论对脑性瘫痪患儿采用门诊训练与指导方式进行康复训练,可降低治疗费用,方便灵活,而且训练效果满意。 展开更多
关键词 脑性瘫痪 门诊 家庭康复 小儿
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门诊合理用药国际指标追踪调查 被引量:15
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作者 陈莲珍 杨军 +3 位作者 王海莲 徐燕侠 王淑洁 王育琴 《中国药房》 CAS CSCD 北大核心 2006年第24期1880-1882,共3页
目的:探讨持续影响合理用药的主要因素以及合理用药干预后影响结果的持续时间。方法:运用前后对照的试验方法,对合理用药国际指标的核心指标进行现场调查研究,并分成干预前1年、干预后1年、干预后4年3个组。数据用SPSS11.1软件进行统计... 目的:探讨持续影响合理用药的主要因素以及合理用药干预后影响结果的持续时间。方法:运用前后对照的试验方法,对合理用药国际指标的核心指标进行现场调查研究,并分成干预前1年、干预后1年、干预后4年3个组。数据用SPSS11.1软件进行统计分析。结果:平均用药品种数从干预前的2.76个降到干预后1年的2.09个,干预后4年还保持在2.08个(P<0.01);抗生素使用百分率从干预前的34.0%降到干预后1年的28.0%,但在干预后4年又上升为30.0%;药师平均调配药品时间从干预前的11.8秒增加到干预后1年的13.8秒,干预后4年持续增加到15.6秒。结论:采取的干预措施是有效的和可行的。全方位干预后效应可持续4年左右。 展开更多
关键词 门诊 合理用药国际指标 干预 调研
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