Survey on Pre-pregnancy Health Knowledge and Service Demands among Un-pregnant Married Women

Objective To understand the pre-pregnancy health knowledge and service needs among un-pregnant married women in Shanghai. Methods A total of 968 newly-married un-pregnant women in Changqiao, Lingyun sub-districts and Huajing town of Xuhui district, Shanghai, were recruited and interviewed by structured questionnaire to collect the information on pre-pregnancy health knowledge and service demands. Results 1） Newly-married women thought the contraceptive methods suitable for them was male condom（84.4%）, followed by oral contraceptives（54%）, emergent contraceptive（52.5%） and contraceptive suppository （48.3%）. 2） The score of pre-pregnancy health knowledge was 54.7±14.5 among the subjects. The participants with junior college or a bachelor had more knowledge than those with junior or senior high school, and those who were engaged in medicine /education/science field had higher score. 3） They had higher knowing rate on the common knowledge, and the rate was above 80%. But the knowing rate on the knowledge of birth defect was low, and all below 50%. 4）A proportion of 52. 7% of the respondents knew that there was a station for reproductive health service in their communities, but only 45.5% received the service from the station, 87.0% thought they had insufficient or scarce knowledge, 73.6% planned to consult before pregnancy training courses on preparing pregnancy. and 63.6% were willing to attend the Conclusion The participants had certain pre-pregnancy health knowledge, but still need being improved,＂ in addition, they had higher needs on knowledge and service of birth defect prevention, at the same time they can＇t make full use of the existing reproductive health institution.

Sex- and Age-Specific Associations of Social Status and Health-Related Behaviors with Health Check Attendance: Findings from the Cross-Sectional Kanazawa Study

Health checks are key features of primary and secondary disease prevention. The aim of this study was to examine the sex- and age-specific association of social status and health-related behaviors with health check attendance in eligible persons. Data were derived from the Kanazawa Study 2011 (n = 12,781), a cross-sectional study which investigated all the residents in model areas of Kanazawa City, Ishikawa Prefecture, Japan. We selected participants aged 23 years or older with National Health Insurance (n = 4920). Attendance at health checks was the outcome. We used social status and health-related behaviors as predictor variables. We analyzed them by sex and applied stratified analyses by age groups for each sex. The bivariate analyses were conducted by means of cross-tabs. We calculated health check attendance rates by each variable. We used Pearson’s χ2-test to examine statistically significant differences. We fitted logistic regression models to estimate adjusted odds ratios (ORs) of attendance in the past one year. We computed ORs in a logistic regression model containing all variables described above. Workingmen and women aged 23 to 39 years and aged 40 to 64 years had significantly increased ORs for health check attendance compared with non-working persons. Men, men aged 23 to 39 years and men aged 65 years or older with more physical activity had significantly increased ORs for health check attendance. Male ex-smokers, female ex- and non-smokers, male ex-smokers aged 65 years or older, and female non-smokers aged 40 to 64 years had significantly increased ORs. The findings suggest that population groups with lower social status or increased risks of adverse health effects are less likely to attend health checks than those with higher social status or decreased risks in particular sex and age groups. It indicates that diverse approaches are required to realize the full benefit of health checks.

Influence of initial check, information exchange, final accuracy check, reaction information nursing on the psychology of elderly with lung cancer

BACKGROUND As one of the fatal diseases with high incidence,lung cancer has seriously endangered public health and safety.Elderly patients usually have poor self-care and are more likely to show a series of psychological problems.AIM To investigate the effectiveness of the initial check,information exchange,final accuracy check,reaction(IIFAR)information care model on the mental health status of elderly patients with lung cancer.METHODS This study is a single-centre study.We randomly recruited 60 elderly patients with lung cancer who attended our hospital from January 2021 to January 2022.These elderly patients with lung cancer were randomly divided into two groups,with the control group taking the conventional propaganda and education and the observation group taking the IIFAR information care model based on the conventional care protocol.The differences in psychological distress,anxiety and depression,life quality,fatigue,and the locus of control in psychology were compared between these two groups,and the causes of psychological distress were analyzed.RESULTS After the intervention,Distress Thermometer,Hospital Anxiety and Depression Scale(HADS)for anxiety and the HADS for depression,Revised Piper’s Fatigue Scale,and Chance Health Locus of Control scores were lower in the observation group compared to the pre-intervention period in the same group and were significantly lower in the observation group compared to those of the control group(P<0.05).After the intervention,Quality of Life Questionnaire Core 30(QLQ-C30),Internal Health Locus of Control,and Powerful Others Health Locus of Control scores were significantly higher in the observation and the control groups compared to the pre-intervention period in their same group,and QLQ-C30 scores were significantly higher in the observation group compared to those of the control group(P<0.05).CONCLUSION The IIFAR information care model can help elderly patients with lung cancer by reducing their anxiety and depression,psychological distress,and fatigue,improving their tendencies on the locus of control in psychology,and enhancing their life qualities.

Serum Uric Acid Level Has Stronger Correlations with Metabolic Syndrome-Related Markers in Women than in Men in a Japanese Health Check-Up Population

Background A serum uric acid (UA) level of 7.0 mg/dL has been used as the criterion for hyperuricemia in Japan regardless of gender, despite higher serum UA levels in men than in women. Serum UA has been identified as a predictive biomarker for metabolic syndrome (MetS);however, the gender differences in the association between UA levels and MetS-related conditions in a Japanese population have not been completely assessed. Objective To examine gender and age differences in the associations between serum UA levels and other biomarkers within a health-screened Japanese population and to evaluate the usefulness of serum UA as a predictor of MetS between the two genders. Methods A cross-sectional study of healthy individuals in Japan (16,391 men;16,656 women) was conducted. Associations between UA and several biomarkers were analyzed for each gender type and for age- and serum UA level-stratified groups. Logistic regression was used to analyze the association of age and serum UA levels with MetS-related conditions. Receiver operating characteristic (ROC) curve analysis was performed to identify the UA cut-off value for predicting the risk of the MetS-related conditions. Results Serum UA levels in women had stronger correlations with MetS-related biomarkers than in men. After adjusting for age, the odds ratios for a 1-mg/dL serum UA increase for diabetes mellitus and dyslipidemia in women were 1.13 (95% confidence interval, 1.04 - 1.23) and 1.30 (1.25 - 1.34), respectively. In ROC analysis, women had significantly higher area under the curve (AUC) values for MetS prediction than men. Conclusion An elevated serum UA level has a higher predictive ability for the risk of MetS-related conditions in Japanese women than in men. The optimal serum UA cut-off value for MetS in women was suggested to be approximately 5 mg/dL, remarkably lower than that in men.

Lower Incidence of Positive Gynecological Cancers in Examinees of a Unique Health Check-Up Institute, Ningen Dock in Japan, 2011-2016

The present study aims to determine the gynecologic health status of asymptomatic women at a unique Japanese Health Check-up Institute, Ningen Dock. Medical records of Japanese women, who underwent gynecological medical (health) examinations between January 2011 and December 2016, were retrospectively reviewed. Of the cervical smears from 8927 women aged 18 - 85 years, 50 (0.6%) were classified as dysplastic and malignant changes: 18 of low-grade squamous intraepithelial lesion, 10 high-grade squamous intraepithelial lesion, 21 atypical squamous cells of undetermined significance and 1 cervical squamous cell carcinoma. No case of cervical adenocarcinoma was found. Ultrasonographic examination detected uterus enlargements and ovary tumors in 2.0% and 0.9% of cases, respectively. Most of participants (95.6%) revealed no gynecologic abnormalities. The present study based on the records of Ningen Dock, where asymptomatic participants undergo a medical examination at their own expense, showed very low incidence of abnormal cytologic and/or ultrasonographic findings.

Trends in age distribution of participants in a self-covered and a public expense-covered health check-up programs in Japan

Objective: In Japan, there are unique facilities (namely Ningen Dock) of health check-up, where asymptomatic participants undergo a medical examination at their own expense. The earlier occurrence of cervical cancer and the concern on screening prompted us compare to the age distribution in the self-covered system with that of free physical check-up programs at public expense. Methods: We analyzed medical records of Japanese women, who underwent gynecological examinations at self-covered expense and at public expense between for the periods 2002-2011 and 2005-2009, respectively, restricting examinee’s age group. Results: For self-covered system, approximately 80% of the overall examinee population was occupied with three age groups 30-39, 40-49 and 50-59. The participants was extremely fewer in the over 60 years age group accounting for 10%, compared to those for the public expense-covered system, the over 60 years age group being 25%. Participant under the age of 30 years seemed to increase in chronological order in both systems. Conclusion: The level of knowledge on sexually transmitted infections may contribute to screening promotion for the younger women, while the elderly over 60 years’ attitudes toward screening may be mainly related to social-economic status and/or public expense support.

DEK ISCAN Health Check工具为卓越的用户支持服务开启绿灯

DEK公司宣布针对其ISCANTM（智能化可延展控制局域网络）推出全新的Health Check（健康检查）工具，通过红／绿灯即时告警系统进行快速的诊断和预报故障。该新工具能为DEK用户带来出色的支持服务，实现最少的停机时间。

PDCA联合ABC管理在慢性心力衰竭患者健康教育中的应用效果

目的 探讨慢性心力衰竭患者健康教育中应用PDCA联合ABC(A级为最优先的目标,B级为较为重要的目标,C级为不甚重要的目标)管理的干预效果。方法 选取2021年1月至2022年4月我院收治的慢性心力衰竭患者82例,按随机数字表法分2组,每组41例。对照组采用常规健康教育干预,观察组采用PDCA联合ABC管理的方法进行健康教育干预,比较2组的自我管理能力、生活质量、健康教育满意度和护患信任程度。结果 观察组和对照组干预后的自我管理能力量表中饮食、药物、症状管理及心理和社会适应等维度的评分分别为(13.02±1.63)分、(16.39±1.81)分、(16.59±1.92)分、(17.50±1.75)分和(11.89±1.89)分、(14.28±1.91)分、(14.57±1.76)分、(14.78±1.68)分,与对照组比较,观察组干预后的自我管理能力评分升高更为明显(P<0.05)。观察组和对照组干预后的健康调查简表中心理、躯体、物质和生活功能等维度的评分分别为(73.22±5.13)分、(72.25±5.09)分、(77.31±5.25)分、(78.16±5.17)分和(62.33±5.17)分、(61.25±5.09)分、(63.31±5.26)分、(65.27±5.18)分,与对照组比较,观察组干预后的生活质量评分升高更为明显(P<0.05)。观察组和对照组健康教育满意度总分分别为(91.36±4.22)分和(63.53±4.13)分,观察组健康教育满意度评分高于对照组,差异有统计学意义(P<0.05)。观察组和对照组干预后的护患信任程度得分总分分别为(42.89±3.17)分和(39.12±3.27)分,与对照组比较,观察组干预后的护患信任程度得分升高更为明显(P<0.05)。结论 慢性心力衰竭患者健康教育中应用PDCA联合ABC管理,能提高患者的自我管理能力和生活质量,同时还促进健康教育满意度和护患信任程度提升。

产科门诊开展孕期系统健康教育对产检孕产妇健康知识掌握程度、分娩结局的影响

目的 探讨产科门诊中,孕期系统健康教育的应用。方法 取2022年1月至2023年2月漳州市第二医院妇产科门诊收入的124例孕妇,随机分为对照组(常规宣教)和观察组(孕期系统健康教育),就两组健康知识掌握度、心理状态评分、分娩结局和护理质量予以评估比较。结果 观察组健康知识掌握优良率、自然分娩率、母乳喂养率、护理质量各项评分均高于对照组、SDS、SAS评分低于对照组(均P <0.05)。结论 产科门诊中,孕期系统健康教育的开展,可提高孕妇对健康知识掌握度,改善分娩结局。

现代体检模式下信息调查管理平台在健康体检者高血压风险预警中的应用效果

目的:分析现代体检模式下信息调查管理平台在健康体检者高血压风险预警中的应用效果。方法:选取2021年1月—2022年1月于南方医科大学第三附属医院行健康体检,经信息调查管理平台(康软体检管理信息系统)筛选出的84例高血压中度患病风险者为研究对象,采用随机数字表法分为现代组(应用现代体检模式管理)及传统组(应用传统体检模式管理),各42例。记录两组管理6个月后高血压高风险发生率,并比较管理前后不良生活方式及体格检查、实验室检查数据。结果:两组管理6个月后高血压高风险发生率比较,差异无统计学意义(P>0.05);管理后,现代组吸烟率、饮酒率、体力活动不足率、饮食习惯不良率均低于管理前,且低于传统组(P<0.05);两组管理前后各项体格检查、实验室检查数据比较,差异无统计学意义(P>0.05)。结论:现代体检模式下信息调查管理平台可预警健康体检者高血压风险,为体检者提供个性化的健康指导,纠正不良生活方式。

城市健康体检人群乳腺结节检出情况及影响因素

目的:探讨城市健康体检人群乳腺结节的检出情况及其影响因素.方法:选取2022年1—12月于柳州市中医医院体检中心行健康体检的女性1083例开展研究,纳入的研究者均进行乳腺超声检查和流行病学问卷调查,采用单因素分析及多因素Logistic回归分析乳腺结节的影响因素.结果:1083例健康体检者检出乳腺结节368例(33.98%);无乳腺结节715例(66.02%).多因素Logistic回归分析结果显示,大专及以上学历、生产史>2次、流产史及口服避孕药为乳腺结节的危险因素(P<0.05);哺乳史、就业情况(在岗)、经常锻炼为乳腺结节的保护因素(P<0.05).结论:乳腺结节的发生受多种因素影响共同影响,应根据可控的影响因素进行积极干预,以降低乳腺结节发生率.

全面沟通护理在健康体检护理中的效果评价

探究全面沟通护理在健康体检护理中的效果。选取2020年1月—2023年1月于北京丰台医院接受健康体检的260例受检者为研究对象,随机将其分为对照组与试验组两组,每组各130例。对照组实施常规护理,试验组实施全面沟通护理,比较两组受检者护理效果。结果显示,干预后,试验组受检者的焦虑、抑郁情绪评分低于对照组(P<0.05);试验组体检效率评分和体检结果可信度评分均高于对照组(P<0.05);试验组各项护理质量评分和护理依从性均高于对照组(P<0.05)。研究发现,在健康体检护理中运用全面沟通护理能建立良好的护患关系,减轻受检者紧张、焦虑情绪,提高受检者护理依从性,体检中心全面优化护理质量,使体检报告结果更加真实可靠。

广西壮族自治区青少年心理健康状况调查

目的了解广西壮族自治区青少年心理问题发生率、心理问题的类型和表现形式及其影响因素。方法使用90项症状自评量表(SCL-90)、一般情况调查表及父母教养方式评价量表(EMBU)对广西壮族自治区南宁、桂林、百色、玉林和北海5个城市9367名青少年(男4361名,女5006名;年龄12～18岁)采用问卷调查方式进行心理健康状况调查。以SCL-90各因子得分达到或超过中度痛苦水平(≥3分)为界,划分有无心理健康问题。EMBU每个条目以1～4分量化其轻重程度,结合SCL-90及一般情况调查结果,了解父母教养方式对青少年心理健康水平的影响。所有数据均经SPSS13.0及PEMS2.0软件处理。结果症状自评量表筛选出有心理问题1362人,心理问题检出率为14.5%,广西青少年各因子得分均低于2004年4省常模,其中得分较高的项目为强迫、人际关系敏感、敌对和偏执;女性心理问题发生率高于男性;非独生子女心理问题发生率高于独生子女;单亲家庭子女心理问题发生率高于非单亲家庭子女;少数民族青少年与汉族青少年心理问题的发生率比较无统计学差异;父母不同教养方式对青少年心理健康有不同程度的影响:情感温暖与青少年心理健康状况呈负相关;而惩罚、严厉、过分干涉、偏爱被试、拒绝、否认、过度保护等项因子与青少年心理健康状况呈正相关。结论青少年心理健康问题应得到广泛重视。

颌面创伤住院患者心理状况及影响因素

目的 分析颌面创伤住院患者的心理状态及其影响因素 ,为医护人员进行医疗预防和康复工作提供参考 .方法 采用 SCL - 90 (Symptom check list- 90 )症状自评量表和自制的心理卫生相关因素调查表 ,对我院 1998- 10 /1999- 0 9,12 6例颌面创伤住院患者进行心理测试 .结果 颌面创伤患者SCL- 90总分平均 (15 4± 6 2 )分 .阳性项数目平均为 (32± 2 5 )分 ,显著高于国内常模 (P<0 .0 1) .颌面创伤住院患者 SCL -90各因子分均显著高于国内常模 (P<0 .0 1) .按显著性高低排列 ,前 4位的分别为抑郁、焦虑、恐怖和精神病性 .颌面创伤患者 SCL- 90总均分级别构成符合正态分布 .结论 颌面创伤住院患者的心理健康水平显著低于正常人群 .创伤事件和医源性应激是影响患者心身健康的两个主要原因 .

某三甲综合医院青年医务工作者心理健康状况研究

目的调查长沙市某国家三级甲等医院医务人员心理健康状况,以期对医务人员有针对性的开展心理健康教育提供循证依据。方法采取整群随机抽样方法,根据纳入与排除标准,抽取长沙地区某国家三级甲等医院在职青年医务人员556例,填写自编的基本情况问卷和症状自评量表(SCL-90)。结果医务工作者阳性症状筛查率为30.58%,躯体化阳性筛查率为24.28%、强迫症状为28.06%、人际关系敏感为24.64%、抑郁为27.88%、焦虑为24.82%、敌对为26.80%、恐怖为17.99%、偏执为19.96%和精神病性为16.55%。除人际敏感、偏执因子外,医务人员SCL-90总分及其他各因子分高于全国常模(P<0.05)。对收入不满意的医务人员SCL-90总分较对收入满意的医务人员高,护士SCL-90总分较其他职业高,工作时长≥40 h/周的医务人员SCL-90总分较<40 h的医务人员高,差异有统计学意义(P<0.05)。结论青年医务工作者心理健康水平低于普通人群,社会及医院应该关注医务人员的心理健康,采取积极有效的措施,保障其心理健康。

7395名工作人员健康体检结果分析及预防干预

目的了解本地区居民总体健康状况及疾病谱,为健康干预提供可靠的数据支撑。方法随机抽取2010年在杭州第二人民医院体检中心进行健康体检的5家单位7 395名员工的体检资料,并作回顾性的统计分析。结果共检出150多种异常症状或疾病,发生率居前10位的是:高血脂、脂肪肝、结膜炎、咽炎、高血压、高尿酸血症、肝囊肿、胆囊息肉、胆囊壁毛糙、谷丙转氨酶增高。结论现代人群疾病谱已发生明显变化,影响现代群体健康的主要因素是生活行为方式性疾病。

体检人群脂肪肝患病率调查分析及对策

目的了解体检人群脂肪肝患病情况,以便为疾病预防和治疗提供依据。方法采用方便抽样法对1838名在本院健康体检的20岁以上的体检者进行脂肪肝患病率现状调查分析。结果1838名调查对象中,脂肪肝患病率为22.63%,其中男性患病率为27.81%,女性患病率为15.74%,男性患病率明显高于女性(P<0.001)。结论体检人群脂肪肝患病率较高,特别是男性体检者患病率较高。应对这些特定人群进行健康知识教育,培养健康的生活方式,提高他们保健意识,从而达到预防或降低脂肪肝发病率的目的。

体检人群生活方式的研究

目的通过对体检人群生活方式的研究,为健康促进与护理干预提供重要的依据和信息。方法应用描述性研究的方法,对769名健康体检者进行问卷调查。结果体检人群的生活方式总体处于一般和好这两个水平,分别占53.97%和43.04%;在6个亚项中,最好的方面是自我实现,其次是人际关系,最差的是运动和健康责任。结论体检人群在重视自我实现、人际关系的同时忽略了运动和健康责任方面的重要性,因此指导体检人群养成良好的运动习惯以及提升对自身健康的责任应作为健康教育的重点。

卫生监督体系突发公共卫生事件现场快速检测能力现状及影响因素分析

目的:通过对黑龙江省卫生监督体系现场快速检测设备装备、使用情况及人员操作能力调查,了解卫生监督系统现场快速检测能力现状及影响因素。方法:分层整群抽样,运用问卷调查、深入访谈、文献研究方法。结果:黑龙江省卫生监督体系省级装备拥有率为7.5%,市(地)级为9.6%,县(区)级为14.9%。12个装备现场快速检测设备的机构使用现场快速检测设备共计10282台次,10175台次(99.0%)用于公共场所监测。被访者有39.9%的人不会使用现场快速检测设备。结论:黑龙江省目前装备的现场快速检测设备与装备标准比还有较大差距。基层卫生监督机构的现场快速检测设备闲置状况比较严重,现场快速检测设备主要用于公共场所卫生监测。卫生监督人员的现场快速检测能力亟待提高。

住院糖尿病健康教育执行单的设计与应用效果研究

目的 探讨住院糖尿病健康教育执行单在糖尿病患者中的应用及效果.方法 选择2012年2月～2013年5月在华中科技大学同济医学院附属荆州医院内分泌科住院的920例糖尿病患者作为研究对象,随机分成对照组和实验组各460例,对照组采用传统口头教育方法,实验组采用住院糖尿病健康教育执行单进行教育,比较两组患者教育后糖尿病知识掌握及行为改变情况.结果 应用住院糖尿病健康教育执行单进行教育效果评估,实验组和对照组患者非常满意的人数分别为456、428例,差异有高度统计学意义（P＜0.01）;实验组对疾病知识、饮食治疗、特殊检查、血糖监测、运动治疗、足部护理、低血糖防治的认知明显高于对照组,差异有高度统计学意义（P＜0.01）;在口服药物的名称、使用时间、剂量及作用时间等方面的认知,对照组和实验组间差异无统计学意义（P＞0.05）.结论 在糖尿病患者中应用住院糖尿病健康教育执行单能够增强护士责任心,保证健康教育质量,提高患者对糖尿病知识的掌握程度及行为改变,同时增加患者及其家属对医院的满意度.