Internet网上的护理学信息资源

Internet这一几乎遍及世界每一角落的计算机网络 ,是世界上覆盖面最广、规模最大、资源最丰富的信息宝库 ,对作为现代科学重要组成部分的现代护理学的发展已产生了深远影响 ,护理实践及科研的传统模式将因它改变并从中受益。护理人员应充分重视、利用这一丰富宝藏 ,提高临床护理与科研水平。为了更好地利用Internet网上护理信息资源 ,结合个人的实践经验 ,现将Internet网上的护理学信息资源及查找方法介绍如下。1　软硬件准备一台 5 86以上的电脑 ,包括打印机和调制解调器 (modem) ,内置Windows98、Office 2 0 0 0、IE 5 0或其以上版本…     

我国31个城市的综合医院医疗运行效率分析

综合医院是我国卫生服务体系的重要组成部分.分析综合医院医疗资源运行效率,对于进一步推动医药卫生体制改革具有重要意义[1].本研究利用2010年31个直辖市和省会城市内所有综合医院(含一级医院、二级医院、三级医院)的汇总统计数据,分析比较各地综合医院的医疗运行效率,以便找出资源配置存在的问题,为优化资源结构、实施上下联动、对口支援等具体医改政策提供决策依据.     

河北省2007年度碘盐覆盖率≤80%的市（县）、区碘缺乏病调查分析

目的调查河北省2007年居民户碘盐覆盖率≤80%的7个市（县）、区碘缺乏病流行情况。方法按照《全国碘缺乏病监测方案》确定的碘缺乏病高危地区调查范围,甲状腺触诊和B超法检查按照卫生部颁发的《地方性甲状腺肿诊断标准》（WS276-2007）,尿碘浓度检测采用砷铈分光光度测定方法（WS/T107-2006）,盐碘含量采用直接滴定法测定。结论7市（县）、区均未构成碘缺乏病高危地区,但仍有3个县加权法儿童甲状腺肿大率超过5%,4个县居民户碘盐覆盖率〈80%,部分县尿碘中位数在正常范围偏低水平,需进一步提高居民户碘盐覆盖率。     

河北省低碘盐覆盖率地区重点人群碘营养状况调查

Objective To investigate the iodine nutrition status of the target population living in the areas with low coverage rate of iodized salt and to provide a basis to prevent and control iodine deficiency. Methods The investigation was carried out in the areas with coverage rate of iodized salt lower than 80%, including 7 counties (city, district). Three townships(sub-district office) were sampled in each county and two elementary schools in each township(sub-district office). Urinary iodine level was measured for 40 children aged from 8 to 10 years old in each elementary school. Drinking water iodine was collected and determined in their living villages. Twenty salt samples were tested for iodine in salt from 20 house which had fertile women, and urine iodine of 10 fertile women were tested in each village. Results Sixty-two water samples were determined and the water iodine was ranged from 5.8 to 272.7 μg/L, of which 3 water samples were equal and more than 150 μg/L. Eight hundred and seventy-two salt samples were collected. The coverage rate of iodized salt was 70.74%(585/827) and the coverage rates were below than 80% in 5 counties (city, district). A total of 1660 children' urine samples were collected, the content of urine iodine ranged from 10.0 to 1088.0 μg/L and the urine iodine median was 173.7 μg/L. Four hundred and thirty-seven urine samples were collected from the fertile women and the urine iodine median was 179.1 μg/L. The iodine level of children and women was the highest in Dongguang County(251.8,273.8 μg/L) while that of Hejian County (130.8,118.7 μg/L) was the lowest. Conclusions Although the iodine nutrition of children and fertile women is appropriate in areas with low coverage rate of iodized salt, we presume from the results that the possibility of iodine deficiency in pregnant and lactating women exists in Hejian and Anping.     

反思日记对实习护生评判性思维能力的影响

书写反思日记是将自己的亲身经历、观察到的事物、临床实践中的体会和感受以日记方式记录下来[1].可促使学生更好地利用经验,从经验中发现新的观念和信息,通过反思可增强自我意识和促进评判性思维能力的发展.     

2009年河北省碘缺乏病健康教育效果评价

目的 评价河北省碘缺乏病健康教育效果,为制订防治策略提供依据.方法 2009年,在河北省选择34个项目县,每个县选择3个乡,每个乡在中心小学5年级开展健康教育活动;并在每个乡选择3个村,开展社区育龄妇女健康教育活动,在健康教育前后进行碘缺乏病防治知识调查.结果 全部34个项目县小学生碘缺乏病防治知识知晓率由健康教育前的71.10%(7835/11 019)增长到健康教育后的94.84%(10 840/11 430),平均增幅23.74%;家庭主妇碘缺乏病防治知识知晓率由健康教育前的77.02%(4531/5883)增长到健康教育后的95.32%(5902/6192),平均增幅18.30%.其中衡水市小学生碘缺乏病防治知识知晓率由健康教育前的55.56%(750/1350)增长到健康教育后的94.89%(1281/1350),增幅为39.33%;邯郸市家庭主妇碘缺乏病防治知识知晓率由健康教育前的65.68%(532/810)增长到健康教育后的96.50%(909/942),增幅为30.82%.结论 实施健康教育干预措施后小学生及家庭主妇碘缺乏病防治知识知晓率显著提高,形成了良好的个人生活和卫生习惯,达到了预期效果.

Abstract：

Objective To evaluate the effectiveness of health education on iodine deficiency disorders (IDD) in Hebei, and to provide basic information for development of control strategies. Methods A total of 34 project counties were selected in Hebei province, and 3 townships were chosen in each project county. Heath educational activities were carried out in the classes of grade 5 in the central primary school of each selected township. In the meantime, 3 villages were chosen in each selected township where the health education for women of childbearing age in the community was carried out. Sureys on knowledge of IDD control were conducted in the 34 project counties before and after the health educational activities. Results The knowing rates of IDD control among pupils in all 34 project counties increased from 71.10%(7835/11 019) to 94.84%(10 840/11 430) after health education, with a average increase of 23.74%. The knowing rates of IDD control among housewives increased from 77.02%(4531/5883) to 95.32%(5902/6192), with a average increase of 18.30%. Of which, the knowing rates of IDD control among pupils in Hengshui city increased from 55.56% (750/1350) to 94.89% (1281/1350),with a average increase of 39.33%. The knowing rates of IDD control among housewives in Handan city increased from 65.68%(532/810) to 96.50%(909/942), with a average increase of 30.82%. Conclusions The knowing rates of IDD control among pupils and housewives are remarkably increased after implementing the health education projects. They have better life and health habits, and the project achieves desired effect.     

护理管理学双语教学的方法与组织形式

目的：探讨护理管理学双语教学的方法与组织形式。方法：选取护理管理学部分内容进行双语教学,采用教师—双语教学小组—学生三位一体的教学组织形式,及课堂讲授、以问题为中心、以案例为基础的教学方法,收集资料采用问卷和访谈相结合的方法。结果：教师在课堂上使用英语的恰当比例为30-50%,70%学生赞成中英文穿插使用。84%的学生赞成双语教学讲义的准备由教师及学生双语教学小组共同完成。结论：双语教学应吸纳学生参与到教学组织中去。     

三试点城市社区卫生服务机构医务人员的满意度及稳定性分析

目的 了解社区卫生服务体系建设重点联系试点城市社区卫生服务机构医务人员的满意度和稳定性,以期制定针对性的改革措施,促进社区卫生服务健康、可持续发展.方法 随机选取3个社区卫生服务体系建设重点联系试点城市的128名社区卫生服务机构的医务人员,采用问卷调查和管理人员访谈的方法,对其满意度和稳定性进行分析.结果 目前社区卫生服务机构医务人员的学历水平有所提高,但职称结构变化不大.社区医务人员对管理改革措施的满意度高,但对收入的满意度低;并且这一情况影响了社区卫生团队的稳定性;另外工作任务重、社会地位低等是满意度和稳定性的重要影响因素.结论 应在加强相关政策的基础上,重视社区医务人员的收入问题,建立新的绩效考核制度,同时加强职工教育.     

牙科护士临床护理工作能力量化评价的探讨

长期以来，对牙科护士的临床护理工作能力如何评价，缺乏量化标准。在医学继续教育的学分评定和护理专业技术职称评定中，通常进行的考试只是对基础知识和专业知识的检查，对临床护理工作能力的考评无具体标准。临床护理工作能力的评价往往是根据本人自述能够达到何种水平，由管理人员凭印象而定。因此，牙科护士临床护理工作能力往往成了软指标。采用目前的方法评价的临床护理工作能力，     

2008年河北省饮水型地方性氟中毒防治健康教育项目效果评价

为普及饮水型地方性氟中毒防治知识,增强病区人群的防病意识,促进不良生活行为和习惯的改变,按照2008年中央补助地方公共卫生专项资金地方病防治项目技术方案的有关要求,结合河北省饮水型氟中毒防治工作的具体实际,选择了一些病情较重、偏远地区的县（市、区），