心理护理对妊娠剧吐患者病程及疗效的影响

目的：探讨心理护理对妊娠剧吐患者病情转归的影响。方法：将我院在2005年2月至2007年2月住院的208例妊娠剧吐患者根据责任护理单元不同，随机分成研究组和对照组，均采用常规对症支持治疗和一般护理，研究组在此基础上给予心理护理。比较两组患者临床症状缓解情况。结果：96例心理护理研究组，临床症状明显好转，3天内治愈77例，好转13例，总有效率为93．75％；112例对照组，治愈61例，好转21例，总有效率为73．21％，差别有统计学意义（X2=15．231，P=0．000）。结论：心理护理辅助治疗妊娠剧吐能有效地改善患者的临床症状，缩短病程。     

课程思政对医学生职业素养培养的思考与探索

国家重视医学生职业素养培养、思想政治教育的时代背景给高校课程思政,即在传统专业课教学中融入思想政治教育元素带来新的契机。作为医学院校,要想培养时代需要的医务工作者,更应该对课程思政在医学生职业素养培养中的意义进行思考与探索。本文以《医学影像诊断学》为例,探索医学生课程思政的有效途径并思考其意义。     

医学信息学课程群的构建

结合我国医疗卫生信息化发展对专业人才的需求,以济宁医学院为例,构建了由《医学信息学》、《医院管理学》、《数据库原理》、《软件工程》、《病案信息学》以及《医院信息系统》组成的医学信息学课程群,并对其内容整合优化、教学模式改革、师资培养、教材建设等方面进行了分析与探讨。     

医疗护理员规范化培训课程体系的构建

目的运用德尔菲法构建适用于医疗护理员的规范化培训课程体系,为医疗护理员的规范化培训与发展提供科学的参考依据。方法采用文献分析、小组讨论及德尔菲法,对20名医疗护理员领域的专家进行了2轮函询,通过分析各级指标的权重、均值、变异系数以及肯德尔协调系数筛选指标。结果 2轮专家函询后,确立的医疗护理员规范化培训课程体系包括5个一级指标、19个二级指标和77个三级指标,问卷的有效回收率均为100%,专家的权威系数分别为0.835、0.845。结论医疗护理员规范化培训课程体系设置全面科学,专家的权威程度及积极性较高,各级指标专家意见趋于统一,可为医疗护理员规范化培训课程的制定提供参考。     

Do trauma courses change practice? A qualitative review of 20 courses in East,Central and Southern Africa

BackgroundTrauma courses have been shown to improve clinical knowledge and patient outcomes. However, little is known about the individual drivers of change in practice amongst course participants in their home clinic environment.MethodsFront-line healthcare workers participated in a two-day Primary Trauma Care (PTC) course. Immediately after the course participants completed an evaluation survey on intended change in the management of trauma patients. Six months after the course, participants completed a survey on actual changes that had occurred.ResultsA total of 451 participants were sampled, with 321 responding at 6 months, from 40 courses across East, Central and Southern Africa. The most commonly reported intended change was the adoption of an ABCDE/systematic approach (53%). Six months after the course, 92.7% of respondents reported that they had made changes in their management, with adoption of an ABCDE/systematic approach (50.0%) remaining most common. 77% of participants reported an improvement in departmental trauma management, 26% reported an increase in staffing, 29% an increase in equipment and 68% of participants had gone on to train other healthcare workers in PTC.ConclusionThe findings suggest that PTC courses not only improve individual management of trauma patients but also but is also associated with beneficial effects for participants’ host institutions with regards to staffing, equipment and training.     

在医学生中开展信息素养教育的必要性

概述信息素养概念的提出以及我国医学类高校开展信息素养教育的情况,指出应在医学生中广泛开设文献检索、信息分析、文献计量学等信息素养教育相关课程,并重视加强信息道德教育,由此提高医学生信息素养,适应社会需求.     

临床医学专业开设医院感染学课程探析

本文探讨了临床医学专业开设医院感染学课程的必要性，初步实践了将医院感染学作为临床医学专业必修课程的构想，其目的是使临床医学专业学生认识到医院感染的严重性和控制医院感染的重要性。     

教学助理制度在有机化学教学中的实践

教学助理制度在美国的大学教育中起着重要的作用。借鉴这一模式,结合自身教学实际,尝试在药学专业本科有机化学教学中设置教学助理,并在实施过程中对教学助理辅助教学工作进行制度化和规范化。     

加强“两课”教学实践基地建设的思考

文章分析了"两课"教学存在的问题,加强实践基地建设对"两课"教学的重要意义并对如何加强基地建设使之有效服务于"两课"教学提出建议,加强教学实践基地的建设,使之延伸、深化和发散"两课"教学内容,切实地促进和引导"两课"教学方法的创新.     

Availability of basic life support courses for the general populations in India,Nigeria and the United Kingdom: An internet-based analysis

BACKGROUND:The number of lay people willing to attempt cardiopulmonary resuscitation(CPR)in real life is increased by effective education in basic life support(BLS).However,little is known about access of general public to BLS training across the globe.This study aimed to investigate availability and key features of BLS courses proposed for lay people in India,Nigeria and the United Kingdom(UK).METHODS:A Google search was done in December 2018,using English keywords relevant for community resuscitation training.Ongoing courses addressing BLS and suitable for any adult layperson were included in the analysis.On-site training courses were limited to those provided within the country's territory.RESULTS:A total of 53,29 and 208 eligible courses were found for India,Nigeria and the UK,respectively.In the UK,the number of courses per 10 million population(31.5)is 79 and 21 times higher than that in India(0.4)and Nigeria(1.5).Course geography is limited to 28%states and one union territory in India,30%states and the Federal Capital Territory in Nigeria.In the UK,the training is offered in all constituent countries,with the highest prevalence in England.Courses are predominantly classroom-based,highly variable in duration,group size and instructors'qualifications.For India and Nigeria,mean cost of participation is exceeding the monthly minimum wage.CONCLUSION:In contrast to the UK,the availability and accessibility of BLS courses are critically limited in India and Nigeria,necessitating immediate interventions to optimize community CPR training and improve bystander CPR rates.