综合性医院"关爱使者"团队的做法

目的 随着医学模式逐步转变,为充分发挥护士聪明才智,成立"关爱使者"团队,满足患者多样化需求.方法 通过招募、培训"关爱使者",深入临床一线为患者进行术前关爱、心理援助、社区服务等,不仅使患者受益,也使社区居民受益.结果 成立"关爱使者"团队,提高团队成员对组织的信赖,对医务社工知识的了解,对专业发展的兴趣,对心理学的热爱,提高护患关系和满意度.结论 综合性医院有必要成立"关爱使者"团队,提高患者对"社会工作"的认知度与认可度,提高"关爱使者"的心理素养.     

An Exploratory Study on the Meaning of Using Community Psychiatric Rehabilitation among Persons with Psychiatric Disabilities

This study explores the meaning of the use of community psychiatric rehabilitation (CPR) services to gain knowledge to improve services and shed more light on how to facilitate recovery. The topics explored included: the motivation for participation, perception and expectation towards CPR, the interactions with professionals in the CPR Center, and the feelings towards activities. A qualitative approach was adopted, and 30 consumers were interviewed face-to-face by using semi-structured interview guide. Data were analyzed using the open coding method of grounded theory. The consumer accounts provided information on the eight aspects of CPR services. The findings revealed that the CPR Center created a lifeworld, a friendly place similar to home with structure and activities. Professional relationship was the key change agent for rehabilitation. Most professionals adopted recovery-oriented approach to empower participants by giving opportunities and choices. The essential ingredients of this lifeworld covered rehabilitation goals, physical exercises, psychological impact, social interactions, learning, and economic gains. The services were venues for interpersonal interactions and provided structure for daily life, which helped consumers reach their rehabilitation goals and brought existential meaning to their lives. Yet, the accounts also revealed negative phenomena in the CPR center. Suggestions were made to improve services.     

Contributing to research via biobanks: what it means to cancer patients

Context and objective Biobanks have become strategic resources for biomedical and genetic research. The aim of the present empirical qualitative study was to investigate how patients with cancer perceive and experience the process of donation to biobanks, focussing on the subjective meanings associated with their decisions when they are asked in a routine context to agree to their own biological specimens being used for research projects. Design A qualitative study, using semi‐structured interviews to explore in depth the reasons why patients with cancer agree to participating in biobanking. Participants Nineteen patients (aged 28–82 years) being treated for colorectal cancer or leukaemia at a French cancer centre participated in this study. Results Contributing to biobanks was experienced here as a rewarding and empowering individual experience because of the psychological issues involved, such as feelings of hope associated with research, because it makes the relationship with researchers and clinicians less asymmetrical, revalorization of otherwise ‘wasted’ tissue, and also as an act of solidarity and reciprocity, which makes patients part of a community. Discussion and conclusion Patients seem to regard contributing to biobanks as an act of benevolence, which they are motivated to perform because of societal welfare considerations as well as the hope of subjective benefits. Knowledge about the patients’ perspective and of the psychological rewards associated with tumour donation should be taken into account by physicians and caregivers discussing this topic with their patients.     

A model of resilience and meaning after military deployment: Personal resources in making sense of war and peacekeeping experiences

The aim of the present study was to examine whether the specific personal resources of self-esteem, optimism and perceived control, combined in the latent variable called ‘resilience’, were associated with cognitive processing of war-zone experiences. Data were collected by questionnaires from a sample of 1.561 veterans who had participated in various war or peacekeeping operations. Structural equation modelling was performed to assess the expected relationships between the observed and latent variables. The construct of resilience was well-defined and proved to be strongly associated with both construals of meaning, comprehensibility versus personal significance, after military deployment. According to our model, higher resilience predicted less distrust in others and the world, more personal growth and less intrusions and avoidance after military deployment.     

基层医院创建护理工作流程的现实意义

根据我国临床工作现状,探索适合我国基层医院临床护理的工作流程,重点解决护士团队合作和临床医疗实践工作中的协作问题,以及护理工作标准化的难点,规范护理工作。护理工作流程的设置不仅是医院管理的需要,亦是护理质量控制的需要,更是护理学科发展的需要。创建工作流程的现实意义在于,工作流程优化了临床护理管理,实现了护理工作的科学性、标准化和规范化。     

军队医院综合绩效评价指标的选择及其意义

本文基于《军队医院综合绩效评价指标体系》方案，详细介绍其指标设置及权重，从“服务保障”、“基础实力”、“质量效益”三个方面，概要阐述指标的选择及其意义，并通过全区30所医院的运行实践，归纳其特点。     

超声心动图诊断左室假腱索及其临床意义

目的:探讨超声心动图对左室假腱索的诊断价值。方法:用2.5~4.0MHz超声探头检查341例左室假腱索患者。结果:本组341例患者共检出左室假腱索384条,其中1条301例(88.27%),2条37例(10.85%),3条以上3例(0.88%)。结论:左室假腱索的超声检出率可能与操作技术、观察的仔细程度、仪器的分辨率有关。左室假腱索临床上可能与健康人的心脏杂音及引起室性期前收缩有关。     

医苑丛谈——谈发心

发心,即立志,发愿,发誓。发心是做好任何事情的基础。要想使自己成为高级中医药人才,成为名医,为医者首先应完成自我塑造",发心"、发"五心",而后才有可能成为名医造福众生。