With the background of enterprise compliance management,this paper discusses how to improve the level of enterprise legal service and reduce enterprise legal risks by optimizing the compliance management system.It aim...With the background of enterprise compliance management,this paper discusses how to improve the level of enterprise legal service and reduce enterprise legal risks by optimizing the compliance management system.It aims to analyze the current situation and existing problems of enterprise legal services through the analysis of the importance of compliance management.Furthermore,it delves into the case of enterprise legal service strategy based on compliance management optimization to verify the effectiveness and feasibility of enterprise legal service strategy.展开更多
In today’s fast-changing business environment,enterprises are facing unprecedented challenges.In today’s fast-changing business environment,enterprises are facing unprecedented challenges.Compliance management has b...In today’s fast-changing business environment,enterprises are facing unprecedented challenges.In today’s fast-changing business environment,enterprises are facing unprecedented challenges.Compliance management has become a key element to ensure the sustainable development of enterprises,not only because it assists enterprises to comply with laws and regulations,but also because it is the cornerstone of corporate reputation and culture.A compliance management model called“Trinity”has emerged.Based on this,this paper analyzes in detail the“Trinity”model of compliance management from the value of its application in enterprises,to provide new ideas and directions for the compliance management work of enterprises,and promote enterprises to achieve a more robust and stable business environment in the complex and changing market environment.In order to provide new ideas and directions for enterprise compliance management,and to promote enterprises to realize more stable and sustainable development in the complex and changing market environment.展开更多
Objective:The study aimed to assess medication management compliance and mental health in elderly patients with hypertension.Method:The study evaluated medication compliance and mental health status of elderly hyperte...Objective:The study aimed to assess medication management compliance and mental health in elderly patients with hypertension.Method:The study evaluated medication compliance and mental health status of elderly hypertensive patients in China using simple random sampling.Data was collected using the Morisky Medication Compliance Questionnaire,Hospital Anxiety and Depression Scale,and a checklist.Ethical practices were strictly observed.Results:A study of 100 elderly hypertensive patients found poor drug management compliance,with female patients showing worse compliance.Female patients were more vulnerable to anxiety and depression.The study also found no significant association between gender,age,education level,marital status,living standards,and medication compliance.Barriers to medication management included food and daily necessities,lack of awareness about the importance of drug treatment,and basic family needs.The lowest-ranked barriers were lack of support from government health clinics,low income,and lack of family support.Conclusion:Based on the results,the study proposes an educational plan for elderly hypertensive patients and their families,to be evaluated and implemented by the hospital and township community service center.The plan aims to improve medication management and lifestyle modification compliance,encourage active participation,and provide access to medical and mental health clinics,support groups,and counseling services.展开更多
BACKGROUND Intravenous infusion is a common method of drug administration in clinical practice.Errors in any aspect of the infusion process,from the verification of medical orders,preparation of the drug solution,to i...BACKGROUND Intravenous infusion is a common method of drug administration in clinical practice.Errors in any aspect of the infusion process,from the verification of medical orders,preparation of the drug solution,to infusion by nursing staff,may cause adverse infusion events.AIM To analyzed the value of improving nursing measures and enhancing nursing management to reduce the occurrence of adverse events in pediatric infusion.METHODS The clinical data of 130 children who received an infusion in the pediatric department of our hospital from May 2020 to May 2021 were analyzed and divided into two groups according to the differences in nursing measures and nursing management:65 patients in the control group received conventional nursing and nursing management interventions,while 65 patients in the observation group received improved nursing measure interventions and enhanced nursing management.The occurrence of adverse events,compliance of children,satisfaction of children’s families,and complaints regarding the transfusion treatment were recorded in both groups.RESULTS The incidence of fluid extravasation and infusion set dislodgement in the observation group were 3.08%and 1.54%,respectively,which were significantly lower than 12.31%and 13.85%in the control group(P<0.05),while repeated punctures and medication addition errors in the observation group were 3.08%and 0.00%,respectively,which were lower than 9.23%and 3.08%in the control group,but there was no significant difference(P>0.05).The compliance rate of children in the observation group was 98.46%(64/65),which was significantly higher than 87.69%(57/65)in the control group,and the satisfaction rate of children’s families was 96.92%(63/65),which was significantly higher than 86.15%(56/65)in the control group(P<0.05).The observation group did not receive any complaints from the child’s family,whereas the control group received four complaints,two of which were due to the crying of the child caused by repeated punctures,one due to the poor attitude of the nurse,and one due to medication addition errors,with a cumulative complaint rate of 6.15%.The cumulative complaint rate of the observation group was significantly lower than that of the control group(P<0.05).CONCLUSION Improving nursing measures and enhancing nursing management can reduce the incidence of fluid extravasation and infusion set dislodgement in pediatric patients,improve children’s compliance and satisfaction of their families,and reduce family complaints.展开更多
Objective:To study the application effect of the plan-do-check-act(PDCA)cycle management in the hand hygiene management of psychiatric medical staff.Methods:One hundred and twenty medical staff from a psychiatric hosp...Objective:To study the application effect of the plan-do-check-act(PDCA)cycle management in the hand hygiene management of psychiatric medical staff.Methods:One hundred and twenty medical staff from a psychiatric hospital from May 2023 to December 2023 were selected and divided into two groups.The control group(May 2023 to August 2023)applied the conventional management model,and the observation group(September 2023 to December 2023)applied the PDCA cycle management.The hand hygiene compliance,hand hygiene knowledge,and hygiene qualifications were compared,including the amount of hand sanitizer used.Results:The proportion of medical staff’s hand hygiene compliance and hand hygiene knowledge mastery scores in the observation group were higher than those in the control group(P<0.05);the hand hygiene passing rate in the observation group was higher than that of the control group(P<0.05);the daily amount of hand sanitizer per patient bed and the amount of hand sanitizer used was higher than that of the control group(P<0.05).Conclusion:The PDCA cycle management model for psychiatric medical staff promoted the improvement of hand hygiene compliance and increased their hand hygiene qualifications.It is suitable for further popularization and application in future clinical practice.展开更多
<span style="font-family:Verdana;">In order to achieve the goal of drug safety, effectiveness and quality control, corporate compliance management construction is significant. Therefore, this paper sys...<span style="font-family:Verdana;">In order to achieve the goal of drug safety, effectiveness and quality control, corporate compliance management construction is significant. Therefore, this paper systematically analyzes the seven elements of compliance management for </span><span style="font-family:Verdana;">U.S. pharmaceutical manufacturers</span><span style="font-family:""><span style="font-family:Verdana;"> as described in the </span><i><span style="font-family:Verdana;">Compliance Program Guidance for Pharmaceutical Manufacturers</span></i><span style="font-family:Verdana;"> issued by the HHS-Office of Inspector General, as well as further analyzes the implementation of the guidance by representative multinational companies in different drug regis</span><span style="font-family:Verdana;">tration stages. Finally, some suggestions and implications are proposed to </span><span style="font-family:Verdana;">strengthen the construction of compliance management for Chinese drug</span><span style="font-family:Verdana;"> registration applicants based on the former practical experience.展开更多
Objective:To explore the effect of case management nursing service on compliance behavior and quality of life of patients with pulmonary tuberculosis.Methods:69 cases of pulmonary tuberculosis patients in our hospital...Objective:To explore the effect of case management nursing service on compliance behavior and quality of life of patients with pulmonary tuberculosis.Methods:69 cases of pulmonary tuberculosis patients in our hospital from September 2019 to August 2020 were selected as the research objects.The 69 patients were divided into study group(35 cases)and control group(34 cases).The compliance behavior,quality of life and nursing satisfaction of pulmonary tuberculosis patients were studied and analyzed.Results:The compliance rate of the control group was 82.35%,and that of the study group was 97.14%;The quality of life in the control group was[61.32±7.66],which was significantly lower than that in the study group[71.12±7.23];The satisfaction rate of the study group was 97.14%,which was significantly higher than 73.53%of the control group.Conclusion:In the treatment of tuberculosis patients,the use of case management nursing service can effectively improve the quality of life of patients,improve the compliance behavior of patients,and improve the treatment effect of patients,which is worthy of promotion.展开更多
Drawing on the implementation of the compliance management guidelines issued by China’s SASACs,we construct a quasi-natural experiment to examine the impact of the implementation of these guidelines on the investment...Drawing on the implementation of the compliance management guidelines issued by China’s SASACs,we construct a quasi-natural experiment to examine the impact of the implementation of these guidelines on the investment efficiency of SOEs.The investment efficiency of SOEs is significantly improved after the implementation of the guidelines.The impact is more pronounced on SOEs with significant financing constraints,high financing requirements and intense competition in the product market.We also find that the guidelines improve efficiency investment by reducing management’s risk appetite,mitigating the Type I agency problems and enhancing the level of internal control.The conclusions indicate that compliance management is an important strategy for enhancing the investment efficiency of SOEs.展开更多
Nearly forty years after the Clean Water Act(CWA)was passed,we’ve come a long way in our understanding of the strength and fragility of our water resources and the impact that our actions or inactions can have on the...Nearly forty years after the Clean Water Act(CWA)was passed,we’ve come a long way in our understanding of the strength and fragility of our water resources and the impact that our actions or inactions can have on them.Though regulatory systems are in place and best management practices(BMPs)are plentiful,successfully managing risk in environmental compliance remains a constant concern.Fortunately,the rules to environmental compliance are simple:half of it is paperwork and the other half is maintenance.If you take an organized and balanced approach to compliance,you should be able to keep risk at bay and avoid enforcement action.However,remember that no matter how thoroughly you prepare for a construction project,you may still encounter unexpected situations requiring environmental knowledge and understanding.As you start to plan your operation,you should take the time to stop and consider the risk associated with your project.The Environmental Protection Agency(EPA)considers risk to be“the chance of harmful effects to human health or to ecological systems resulting from exposure to the environmental stressor.”The“stressors”are a variety of physical,chemical,or biological activities that can cause negative reactions to ecosystems and the environment.1 In order to limit,and hopefully prevent,risky situations,the key is to assess and target the problems that could arise and then implement a system of metrics that help with prevention.展开更多
Authorization management is important precondition and foundation for coordinating and resource sharing in open networks. Recently, authorization based on trust is widely used whereby access rights to shared resource ...Authorization management is important precondition and foundation for coordinating and resource sharing in open networks. Recently, authorization based on trust is widely used whereby access rights to shared resource are granted on the basis of their trust relation in distributed environment. Nevertheless, dynamic change of the status of credential and chain of trust induces to uncertainty of trust relation. Considering uncertainty of authorization and analyzing deficiency of authorization model only based on trust, we proposes joint trust-risk evaluation and build the model based on fuzzy set theory, and make use of the membership grade of fuzzy set to express joint trust-risk relation. Finally, derivation principle and constraint principle of joint trust-risk relationships are presented. The authorization management model is defined based on joint trust-risk evaluation, proof of compliance and separation of duty are analyzed. The proposed model depicts not only trust relationship between principals, but also security problem of authorization.展开更多
In P2P Grid computing systems, the authorization decision is often tackled by two different trust management methods: policy-based approach, where authorization are built on logical rules and verifiable properties en...In P2P Grid computing systems, the authorization decision is often tackled by two different trust management methods: policy-based approach, where authorization are built on logical rules and verifiable properties encoded in signed credentials, and reputation-based approach, based on collecting, aggregating and disseminating reputation among the peers. However, the overhead caused by proof of compliance on authorization and the absence of certifying authorities may negate the strong and objective security advantages of policy-based approach, whilst vagueness, complexity and inaccurate characterization caused by reputation evolution may eliminate the quantitative and flexible advantages of reputation-based approach. We propose an adaptive trust management framework, which combines the merit of policy proof and reputation evolution such that authorization is aware of not only the strong and objective security traits, but also the calculability and the availability security traits. Finally, the framework of system is proposed.展开更多
Objective: To define the role of health education in improving patient compliance with Zoledronic Acid for osteoporosis treatment and management and draw closer attention of patients and physicians to the importance o...Objective: To define the role of health education in improving patient compliance with Zoledronic Acid for osteoporosis treatment and management and draw closer attention of patients and physicians to the importance of health education. Methods: A total of 198 postmenopausal patients with osteoporosis who were admitted by the osteoporosis outpatient clinic of our hospital and had the first administration of Zoledronic Acid in 2015 were invited to participate in the follow-up visit that involved questions concerning the frequency of health education and the questionnaire survey on osteoporosis in 2015 and the administration of Zoledronic Acid during the past three years. The patients were divided into five groups according to the frequency of health education to compare the survey results of each group in 2015 and 2018 and investigate the differences in the scores and frequency of administration among the five groups. Results: Among the 198 patients, there were 182 attending the follow-up visit. In terms of the frequency of health education (FREQ = 0, 1, 2, 3, 4), these patients were divided into five groups of 47, 63, 35, 18 and 19 members respectively. After three years of treatment, the questionnaire score of each group was higher than the pre-treatment level and the difference showed statistical significance (p Conclusion: Health education is an effective approach to influence a patient’s knowledge connected to relevant diseases in a positive way and improve patient compliance with Zoledronic Acid treatment. An enhanced health education program can be developed to assist the patients in chronic disease management.展开更多
Globally,type 2 diabetes mellitus(T2DM)is considered as one of the most common diseases,which is associated with irreversible risk factors such as age,gene,race,ethnicity,and reversible factors such as diet,physical a...Globally,type 2 diabetes mellitus(T2DM)is considered as one of the most common diseases,which is associated with irreversible risk factors such as age,gene,race,ethnicity,and reversible factors such as diet,physical activity,and smoking.Noncompliance to dietary regimen is the major factors for rapidly rising incidence of T2DM among developing countries.Recently,elevated HbA1c level has also been considered as one of the leading risk factors for developing microvascular and macrovascular complications.Improvement in the elevated HbA1c level can be achieved through diet management;thus,this study found that improvement in patients’dietary knowledge,attitude toward,and compliance to diet regimen will promote a better control of the disease.In conclusion,the stakeholders(health-care providers,health facilities,agencies involved in T2DM care)should educate the patients on the importance of dietary modification in the disease management.Similarly,there is a need for nurses and other health care professionals to advocate and promote a better holistic management that will encourage patients participation and family involvement in the care.展开更多
文摘With the background of enterprise compliance management,this paper discusses how to improve the level of enterprise legal service and reduce enterprise legal risks by optimizing the compliance management system.It aims to analyze the current situation and existing problems of enterprise legal services through the analysis of the importance of compliance management.Furthermore,it delves into the case of enterprise legal service strategy based on compliance management optimization to verify the effectiveness and feasibility of enterprise legal service strategy.
文摘In today’s fast-changing business environment,enterprises are facing unprecedented challenges.In today’s fast-changing business environment,enterprises are facing unprecedented challenges.Compliance management has become a key element to ensure the sustainable development of enterprises,not only because it assists enterprises to comply with laws and regulations,but also because it is the cornerstone of corporate reputation and culture.A compliance management model called“Trinity”has emerged.Based on this,this paper analyzes in detail the“Trinity”model of compliance management from the value of its application in enterprises,to provide new ideas and directions for the compliance management work of enterprises,and promote enterprises to achieve a more robust and stable business environment in the complex and changing market environment.In order to provide new ideas and directions for enterprise compliance management,and to promote enterprises to realize more stable and sustainable development in the complex and changing market environment.
文摘Objective:The study aimed to assess medication management compliance and mental health in elderly patients with hypertension.Method:The study evaluated medication compliance and mental health status of elderly hypertensive patients in China using simple random sampling.Data was collected using the Morisky Medication Compliance Questionnaire,Hospital Anxiety and Depression Scale,and a checklist.Ethical practices were strictly observed.Results:A study of 100 elderly hypertensive patients found poor drug management compliance,with female patients showing worse compliance.Female patients were more vulnerable to anxiety and depression.The study also found no significant association between gender,age,education level,marital status,living standards,and medication compliance.Barriers to medication management included food and daily necessities,lack of awareness about the importance of drug treatment,and basic family needs.The lowest-ranked barriers were lack of support from government health clinics,low income,and lack of family support.Conclusion:Based on the results,the study proposes an educational plan for elderly hypertensive patients and their families,to be evaluated and implemented by the hospital and township community service center.The plan aims to improve medication management and lifestyle modification compliance,encourage active participation,and provide access to medical and mental health clinics,support groups,and counseling services.
文摘BACKGROUND Intravenous infusion is a common method of drug administration in clinical practice.Errors in any aspect of the infusion process,from the verification of medical orders,preparation of the drug solution,to infusion by nursing staff,may cause adverse infusion events.AIM To analyzed the value of improving nursing measures and enhancing nursing management to reduce the occurrence of adverse events in pediatric infusion.METHODS The clinical data of 130 children who received an infusion in the pediatric department of our hospital from May 2020 to May 2021 were analyzed and divided into two groups according to the differences in nursing measures and nursing management:65 patients in the control group received conventional nursing and nursing management interventions,while 65 patients in the observation group received improved nursing measure interventions and enhanced nursing management.The occurrence of adverse events,compliance of children,satisfaction of children’s families,and complaints regarding the transfusion treatment were recorded in both groups.RESULTS The incidence of fluid extravasation and infusion set dislodgement in the observation group were 3.08%and 1.54%,respectively,which were significantly lower than 12.31%and 13.85%in the control group(P<0.05),while repeated punctures and medication addition errors in the observation group were 3.08%and 0.00%,respectively,which were lower than 9.23%and 3.08%in the control group,but there was no significant difference(P>0.05).The compliance rate of children in the observation group was 98.46%(64/65),which was significantly higher than 87.69%(57/65)in the control group,and the satisfaction rate of children’s families was 96.92%(63/65),which was significantly higher than 86.15%(56/65)in the control group(P<0.05).The observation group did not receive any complaints from the child’s family,whereas the control group received four complaints,two of which were due to the crying of the child caused by repeated punctures,one due to the poor attitude of the nurse,and one due to medication addition errors,with a cumulative complaint rate of 6.15%.The cumulative complaint rate of the observation group was significantly lower than that of the control group(P<0.05).CONCLUSION Improving nursing measures and enhancing nursing management can reduce the incidence of fluid extravasation and infusion set dislodgement in pediatric patients,improve children’s compliance and satisfaction of their families,and reduce family complaints.
基金2023 Guangzhou Kangning Hospital Hospital-Level Scientific Research Project(KN2023-008)。
文摘Objective:To study the application effect of the plan-do-check-act(PDCA)cycle management in the hand hygiene management of psychiatric medical staff.Methods:One hundred and twenty medical staff from a psychiatric hospital from May 2023 to December 2023 were selected and divided into two groups.The control group(May 2023 to August 2023)applied the conventional management model,and the observation group(September 2023 to December 2023)applied the PDCA cycle management.The hand hygiene compliance,hand hygiene knowledge,and hygiene qualifications were compared,including the amount of hand sanitizer used.Results:The proportion of medical staff’s hand hygiene compliance and hand hygiene knowledge mastery scores in the observation group were higher than those in the control group(P<0.05);the hand hygiene passing rate in the observation group was higher than that of the control group(P<0.05);the daily amount of hand sanitizer per patient bed and the amount of hand sanitizer used was higher than that of the control group(P<0.05).Conclusion:The PDCA cycle management model for psychiatric medical staff promoted the improvement of hand hygiene compliance and increased their hand hygiene qualifications.It is suitable for further popularization and application in future clinical practice.
文摘<span style="font-family:Verdana;">In order to achieve the goal of drug safety, effectiveness and quality control, corporate compliance management construction is significant. Therefore, this paper systematically analyzes the seven elements of compliance management for </span><span style="font-family:Verdana;">U.S. pharmaceutical manufacturers</span><span style="font-family:""><span style="font-family:Verdana;"> as described in the </span><i><span style="font-family:Verdana;">Compliance Program Guidance for Pharmaceutical Manufacturers</span></i><span style="font-family:Verdana;"> issued by the HHS-Office of Inspector General, as well as further analyzes the implementation of the guidance by representative multinational companies in different drug regis</span><span style="font-family:Verdana;">tration stages. Finally, some suggestions and implications are proposed to </span><span style="font-family:Verdana;">strengthen the construction of compliance management for Chinese drug</span><span style="font-family:Verdana;"> registration applicants based on the former practical experience.
基金Medical science research key project plan of Hebei health and Family Planning Commission in 2018.Subject name:Evaluation of application effect of case management model in newly treated smear positive pulmonary tuberculosis patients,Question number:20180720.
文摘Objective:To explore the effect of case management nursing service on compliance behavior and quality of life of patients with pulmonary tuberculosis.Methods:69 cases of pulmonary tuberculosis patients in our hospital from September 2019 to August 2020 were selected as the research objects.The 69 patients were divided into study group(35 cases)and control group(34 cases).The compliance behavior,quality of life and nursing satisfaction of pulmonary tuberculosis patients were studied and analyzed.Results:The compliance rate of the control group was 82.35%,and that of the study group was 97.14%;The quality of life in the control group was[61.32±7.66],which was significantly lower than that in the study group[71.12±7.23];The satisfaction rate of the study group was 97.14%,which was significantly higher than 73.53%of the control group.Conclusion:In the treatment of tuberculosis patients,the use of case management nursing service can effectively improve the quality of life of patients,improve the compliance behavior of patients,and improve the treatment effect of patients,which is worthy of promotion.
基金support from Xi Jinping Thought on Socialism with Chinese Characteristics for a New Era Research Centre of Beijing(23LLGLC052).
文摘Drawing on the implementation of the compliance management guidelines issued by China’s SASACs,we construct a quasi-natural experiment to examine the impact of the implementation of these guidelines on the investment efficiency of SOEs.The investment efficiency of SOEs is significantly improved after the implementation of the guidelines.The impact is more pronounced on SOEs with significant financing constraints,high financing requirements and intense competition in the product market.We also find that the guidelines improve efficiency investment by reducing management’s risk appetite,mitigating the Type I agency problems and enhancing the level of internal control.The conclusions indicate that compliance management is an important strategy for enhancing the investment efficiency of SOEs.
文摘Nearly forty years after the Clean Water Act(CWA)was passed,we’ve come a long way in our understanding of the strength and fragility of our water resources and the impact that our actions or inactions can have on them.Though regulatory systems are in place and best management practices(BMPs)are plentiful,successfully managing risk in environmental compliance remains a constant concern.Fortunately,the rules to environmental compliance are simple:half of it is paperwork and the other half is maintenance.If you take an organized and balanced approach to compliance,you should be able to keep risk at bay and avoid enforcement action.However,remember that no matter how thoroughly you prepare for a construction project,you may still encounter unexpected situations requiring environmental knowledge and understanding.As you start to plan your operation,you should take the time to stop and consider the risk associated with your project.The Environmental Protection Agency(EPA)considers risk to be“the chance of harmful effects to human health or to ecological systems resulting from exposure to the environmental stressor.”The“stressors”are a variety of physical,chemical,or biological activities that can cause negative reactions to ecosystems and the environment.1 In order to limit,and hopefully prevent,risky situations,the key is to assess and target the problems that could arise and then implement a system of metrics that help with prevention.
基金Supported by the National Natural Science Foundation of China (60403027)
文摘Authorization management is important precondition and foundation for coordinating and resource sharing in open networks. Recently, authorization based on trust is widely used whereby access rights to shared resource are granted on the basis of their trust relation in distributed environment. Nevertheless, dynamic change of the status of credential and chain of trust induces to uncertainty of trust relation. Considering uncertainty of authorization and analyzing deficiency of authorization model only based on trust, we proposes joint trust-risk evaluation and build the model based on fuzzy set theory, and make use of the membership grade of fuzzy set to express joint trust-risk relation. Finally, derivation principle and constraint principle of joint trust-risk relationships are presented. The authorization management model is defined based on joint trust-risk evaluation, proof of compliance and separation of duty are analyzed. The proposed model depicts not only trust relationship between principals, but also security problem of authorization.
基金Supported by the Open Research Foundation of National Key Laboratory (SKLSE04-018)National Social Science Foundation of China (06BTQ024)the Science and Technical Key Project of Hubei Province (2005AA101C43)
文摘In P2P Grid computing systems, the authorization decision is often tackled by two different trust management methods: policy-based approach, where authorization are built on logical rules and verifiable properties encoded in signed credentials, and reputation-based approach, based on collecting, aggregating and disseminating reputation among the peers. However, the overhead caused by proof of compliance on authorization and the absence of certifying authorities may negate the strong and objective security advantages of policy-based approach, whilst vagueness, complexity and inaccurate characterization caused by reputation evolution may eliminate the quantitative and flexible advantages of reputation-based approach. We propose an adaptive trust management framework, which combines the merit of policy proof and reputation evolution such that authorization is aware of not only the strong and objective security traits, but also the calculability and the availability security traits. Finally, the framework of system is proposed.
文摘Objective: To define the role of health education in improving patient compliance with Zoledronic Acid for osteoporosis treatment and management and draw closer attention of patients and physicians to the importance of health education. Methods: A total of 198 postmenopausal patients with osteoporosis who were admitted by the osteoporosis outpatient clinic of our hospital and had the first administration of Zoledronic Acid in 2015 were invited to participate in the follow-up visit that involved questions concerning the frequency of health education and the questionnaire survey on osteoporosis in 2015 and the administration of Zoledronic Acid during the past three years. The patients were divided into five groups according to the frequency of health education to compare the survey results of each group in 2015 and 2018 and investigate the differences in the scores and frequency of administration among the five groups. Results: Among the 198 patients, there were 182 attending the follow-up visit. In terms of the frequency of health education (FREQ = 0, 1, 2, 3, 4), these patients were divided into five groups of 47, 63, 35, 18 and 19 members respectively. After three years of treatment, the questionnaire score of each group was higher than the pre-treatment level and the difference showed statistical significance (p Conclusion: Health education is an effective approach to influence a patient’s knowledge connected to relevant diseases in a positive way and improve patient compliance with Zoledronic Acid treatment. An enhanced health education program can be developed to assist the patients in chronic disease management.
文摘Globally,type 2 diabetes mellitus(T2DM)is considered as one of the most common diseases,which is associated with irreversible risk factors such as age,gene,race,ethnicity,and reversible factors such as diet,physical activity,and smoking.Noncompliance to dietary regimen is the major factors for rapidly rising incidence of T2DM among developing countries.Recently,elevated HbA1c level has also been considered as one of the leading risk factors for developing microvascular and macrovascular complications.Improvement in the elevated HbA1c level can be achieved through diet management;thus,this study found that improvement in patients’dietary knowledge,attitude toward,and compliance to diet regimen will promote a better control of the disease.In conclusion,the stakeholders(health-care providers,health facilities,agencies involved in T2DM care)should educate the patients on the importance of dietary modification in the disease management.Similarly,there is a need for nurses and other health care professionals to advocate and promote a better holistic management that will encourage patients participation and family involvement in the care.