医院感染病例报告系统的开发与应用

本文依据医院感染病例报告需要,按照军队医院感染病例报告卡格式要求,开发了医院感染病例报告系统,并介绍了系统的结构和开发技术.系统的应用,实现了医院感染病例计算机网络化上报、查询与统计.     

Psychosocial impact of sickle cell disease on mothers of affected children seen at University of Ilorin Teaching Hospital, Ilorin, Nigeria

BACKGROUND: Attention paid to psychological disorders of mothers or families of children suffering from sickle cell disease (SCD) in Nigeria has been inadequate. OBJECTIVE: To assess the psychosocial impact of SCD on mothers of affected children and two control samples. DESIGN: A cross-sectional controlled study. SETTING: University of Ilorin Teaching Hospital, Ilorin, Nigeria. SUBJECTS: One hundred mothers of SCD affected children (SCD children) were the study sample while the controls were made of 75 mothers of children with bronchial asthma (asthmatics) and 75 mothers of children with some acute medical illness (AMI). RESULTS: The mothers of children with SCD (SCD mothers) were significantly likely to report burden in the areas of finance, time consumption and hindrance from enjoyment of live and were also more likely to over-protect their children. A total of 28% of SCD mothers were identified as probable cases with psychological problems on SRQ compared to 20% and 25% of mothers of asthmatics and AMI children respectively, this differences were, however, not statistically significant. CONCLUSION: As a result of the prevalent psychosocial impact of this disease on mothers it is strongly suggested that special consideration in terms of routine psychosocial assessment and treatment be incorporated into the various levels of health care system. There is also the need to encourage the establishment of more social organisations like SCD clubs where affected families can interact and counsel one another.     

影响医院感染病例填报质量的原因分析与对策

医院感染病例监测是医院感染监测的重要之一,报告卡填报质量的高低影响到医院感染监测资料的可信度,影响到整个医院的感染管理工作。本文就此问题分析了原因,并提出一些对策建议。     

社区医院全科诊室接诊一例肺血栓栓塞患者的诊治体会

回顾社区全科医生通过心电图、心肌梗死三项等实验室检查确诊的1例肺血栓栓塞患者的病例资料,总结社区医院诊治肺血栓栓塞的经验,分析社区全科医生接诊并及时转诊肺栓塞患者的体会,明确肺栓塞的诊断标准。