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Application of Personalized Health Education in Patients Undergoing Day Surgery

ObjectiveTo carry out health education to day surgery patients, assist the smoothness of their operation, promote early recovery of patients and improve the quality of nursing and patients' degree of satisfaction. MethodsA total of 1 888 operations from January to May, 2013 were chosen to be the control group; and 2 136 operations from January to May, 2014 were regarded as the trail group. Patients in the control group accepted routine nursing and health education, while patients in the trail group accepted health education before and after surgery, and through telephone during the follow-up period. ResultsThe rate of failure to keep the appointment, the readmission rates, and the satisfaction rate to the nursing work were 0.28%, 0.94% and 94.71% respectively in the trial group, while were 3.50%, 3.07%, and 90.20%, respectively in the control group. the differeces between the two groups were significant (P<0.05). ConclusionPersonalized health education can ensure the smooth operation of day surgery, advance wound healing of the patients, and improve the day surgery ward care quality and patient satisfaction.

180例血液科住院患者护理满意度调查分析及对策

目的：通过调查找出护理工作的薄弱环节，分析原因提出对策，提高护理服务质量。方法：对2007年1~12月血液科住院患者的护理满意度进行调查，选择住院3天以上、神志清楚、能阅读文字或可以正确回答问题的患者，每月10日发放调查表15份，调查内容包括护士长接待、服务态度、巡视病房、指导服药、护理技术、入院宣教、健康教育、病房环境及护理总体评价。结果：病房环境满意度为88.7%；其他项目满意度均在96.0%以上。结论：随着我国医疗体制改革的不断深入，患者对住院环境、疾病知识介绍、护理技术等要求也在不断提高。

A Survey and Analysis on Residents’ Satisfactory Degree to the Rebuilding Status of Community Health Service System in Mianzhu City

Objective To investigate the rebuilding status of community health service (CHS) system after Wenchuan earthquake in Mianzhu, improve service ability and provide data for better reconstruction of CHS system after natural disaster. Methods The interview was conducted with local health system officials, and self-designed questionnaire for face-to-face interview was distributed to 508 community residents in Mianzhu who were selected by convenience sampling. Data entry and statistical analysis were completed using Microsoft Office Excel 2007 and SPSS 16.0 respectively. Results A total of 508 questionnaires were distributed, and then 486 questionnaires were retrieved effectively (response rate 95.7%). The analysis on 486 respondents in CHS after rebuilding showed the rate of respondents with health files rose from 20.1% to 43.8%, the rate of having regular health check-up rose from 7.4% to 46.7%, the rate of health education rose from 20.1% to 39.7%, the rate of chronic disease monitoring rose from 0.9% to 35.4%, the rate of knowing referral pattern rose from 15.7% to 51.2%, the rate of propaganda for disaster relief rose from 33.6% to 58.6%, and the rate of doing disaster emergency response exercise was 21.8% currently. 62.3% of residents chose CHS on the first visit. The satisfactory degree to CHS rose from 45.4% to 76.1% after earthquake. Both popularization of regular health check-up and propaganda for disaster relief were major factors with influence on residents’ satisfaction to CHS (Plt;0.001, P=0.010, respectively). Conclusion The residents’ satisfactory degree to the rebuilding status of CHS system is encouraging. It is necessary to strengthen the popularization of regular health check-up and propaganda for disaster relief in order to improve the quality of community health service.

Application of Humanistic Ideas in High Quality Nursing Service in Grass-root Hospitals

ObjectiveTo explore the effect of humanistic ideas applied for high quality nursing service in grass-root hospitals. MethodsIn the process of high quality nursing service between January 2011 and December 2013, humanistic philosophy was adopted. We provided humanistic nursing care for the patients, and humanistic management and care for doctors and nurses. Then, we used self-made questionnaire to do survey on the satisfaction degree in 1 200 patients, 500 nurses and 100 doctors in a third-grade class-A hospital. ResultsThrough the application of humanistic management idea, the satisfaction degree of all patients, nurses and doctors was significantly raised. ConclusionHumanistic concept applied in high quality nursing service inspires the enthusiasm and activity of nurses, promotes their nursing mode, and raise the nursing quality, which satisfies all the patients nurses and doctors.

Extracervical Approaches to Endoscopic Thyroid Surgery

眼科两种不同住院模式患者体验与满意度调查分析

目的 比较日间住院模式与普通住院模式的患者满意度情况以指导临床护理工作。 方法 2013年12月选择日间住院模式与普通住院模式行白内障手术患者各82例，采用在澳大利亚患者满意度检测工具基础上修订的眼科住院患者满意度调查表调查两种住院模式患者的满意度，对总满意度及各个条目进行比较。 结果 两种住院模式的患者总满意度差异无统计学意义（P=0.421）；在院前等待时间、询问有关患者治疗和病情机会、工作人员倾听患者诉说治疗愿望、院内安静程度评价及除去医疗费用外的其他花费上两种不同模式的比较差异有统计学意义（P＜0.05）。 结论 日间手术能缩短入院前的等待时间，使更多的患者得到治疗，而普通住院患者与医护人员交流机会更多。两种住院模式各有其优缺点，应根据患者疾病病种和严重程度选择住院方式，普通住院手术模式适合行择期手术、病情较重的患者；而日间手术模式更适合行择期手术、病情较轻的患者。

影响我院门诊患者满意度的因素分析及解决方案

目的:分析影响门诊患者满意度的因素,并提出有针对性的解决方案。方法:2008年随机对笔者所在医院门诊患者满意度问卷调查2000例,患者需求、基本情况随机问卷调查1000例,对调查统计结果进行分析。结果:2008年度笔者所在医院门诊患者综合满意度为85.24％,其中满意度最低的单项为挂号、等候时间及服务态度;收集的主要批评意见包括(按意见多少排序):挂号难;检查、就诊等候时间长;部分工作人员服务态度差等。结论:影响医院门诊患者满意度的主要因素包括:挂号难(号源不能满足需求)、等候时间长以及部分工作人员服务态度差等问题。笔者对此提出了相应的解决方案。

Progress of conservative mastectomy with breast reconstruction for breast cancer

ObjectiveTo understand the current research status of conservative mastectomy with breast reconstruction for breast cancer, so as to provide a reference for surgeons and patients with breast cancer to choose surgical method. MethodThe recently domestic and foreign literature on the research of conservative mastectomy with breast reconstruction for breast cancer was reviewed and summarized. ResultsAt present, conservative mastectomy mainly included nipple sparing mastectomy, skin sparing mastectomy, and skin reduction mastectomy. All three surgical methods were safe and effective in the treatment of breast cancer, and the complications could be controlled. When combined with breast reconstruction, the better cosmetic effect could be obtained, and the postoperative satisfaction and quality of life of patients were markedly improved. ConclusionsAfter comprehensively preoperative evaluation for patients with breast cancer, conservative mastectomy provides a treatment choice for them. After conservative mastectomy, individualized reconstruction scheme is formulated according to size and sagging degree of breast, as well as individual expectations of patients, which can obtain a higher quality of life while treating diseases for patients with breast cancer.

Survey of the Reality of Community Health Service after Wenchuan Earthquake and Postdisaster Emergency Response Capability of Community Hospital in Mianzhu

摘要:目的: 了解绵竹市社区卫生服务系统震后现状,同时分析社区医疗震后居民满意度和社区卫生服务机构震后灾害干预能力,以期为社区卫生服务体系地震应急恢复和重建提供参考意见。 方法 :采用随机抽样的方法,抽取绵竹市剑南社区卫生服务中心和天河社区卫生服务中心进行访谈,采取方便抽样的方法,抽取24‰的绵竹城区居民采用面对面访谈的方式用自制问卷进行调查,并用Epidata30 进行数据录入、SPSS130进行统计分析。 结果 :共发放问卷240份,收回有效问卷229份(有效回收率954%)。当地社区卫生服务系统在地震中受损严重。社区卫生服务系统灾后工作居民满意度为454%,社区卫生服务机构对居民进行抗灾/防灾知识教育的比例为336%,灾后是否有持续而足够的常见病药品供应及是否有持续而足够的慢性病药品供应是影响当地居民对当地社区卫生服务体系灾害应急工作的满意度的影响因素(P 值分别是0033,0001)。 结论 :震后社区卫生服务居民满意度较低,服务体系地震灾害干预能力不足。居民在在灾前接受抗灾教育的比例较低,加强药品储备能提高社区卫生机构灾害应急工作的效果。在社区卫生服务体系重建的过程中,应注重社区医疗基础工作的恢复,基础设施的重建和健全社区急救体系。Abstract: Objective: To investigate the reality of community health service system after earthquake in Mianzhu, the satisfaction of community residents to the community health service as well as the postdisaster emergency response capability of community hospital in order to provide decisionmaking suggestions on better reconstruction of community health service system. Methods : Jiannan and Tianhe community hospital were randomly selected for visiting and 24‰ of community residents in the city zone of Mianzhu were selected by convenience sampling for a facetoface interview using a questionnaire. Data entry and statistically analysis were completed by Epidata30 and SPSS130 respectively. Results :A total of 240 questionnaires were conducted to facetoface interviews, and 229 questionnaires were returned (response rate 954%).The community health service system was badly injured. Residents’ satisfactory degree of the community health service after earthquake was 454%. The proportions of disaster / disaster prevention education was 336%,medicine supply for familiar diseases and the chronic were the main factors which influenced judgements of residents to the emergency response capabilities of community hospitals(〖WTBX〗P =0033,P=0001,respectively). Conclusion :The community health services after earthquake had not been widely satisfied and the emergency response capability of community hospital was far from enough. The proportions of disaster / disaster prevention education were far from enough. The effectiveness of emergency response work of community hospitals can be enhanced by reinforcing medicine preparation.In the course of the reconstruction, community health service system should pay attention to the resumance of basic community health service,reconstruction of basic establishment and construction of firstaid system.

护理干预在青光眼滤过术患者治疗中的作用及满意度影响

目的讨论护理干预对青光眼滤过术患者的效果及满意度影响。 方法将2012年1月－2014年6月收治的行青光眼滤过术患者120例，随机分成干预组和对照组各60例，对照组进行常规护理，干预组在常规护理基础上进行个体化综合护理干预，比较两组患者术后并发症、眼压改善率和护理满意度。 结果干预组患者在手术前日的焦虑情绪明显低于对照组（P＜0.05），住院满意度明显优于对照组（P＜0.05）；两组眼压改善情况及并发症发生率差异无统计学意义（P＞0.05）。 结论有效的护理干预有助于缓解患者术前焦虑情绪，增加护理服务满意度，促进患者早日康复。