产科集体健康教育模式的实施与评价

目的：探讨产科开展集体健康教育模式的实施效果。方法：对1500例孕产妇建立临床健康教育路径和采用集中播放健康教育录像的方法进行健康教育,对孕产妇的健康教育效果进行评价和满意度调查。结果：接受集体健康教育后,孕产妇和家属对健康教育知识知晓率达90.5%,护理服务的满意度达97%,护士健康教育的时间减少,工作效率提高。结论：集体健康教育模式和临床健康教育路径的实施满足了产科孕产妇对健康教育的需求,保证了健康教育的质量。     

清丰县住院孕产妇实施健康教育路径探讨

目的探讨住院孕产妇开展健康教育模式。方法将164例住院孕产妇随机分为对照组80例和观察组84例,对照组按常规进行健康教育,观察组按护理健康教育路径实施。结果孕产妇掌握产科相关知识以遵医行为及对护理工作满意度两组比较,差异均有显著性意义。结论实施健康教育路径能增强孕产妇对产科相关知识的认识,能提高病人的遵医行为,提高工作满意度。     

2510例孕产妇健康教育实施效果观察

目的 通过实施产科健康教育,以提高产科护理质量.方法 针对附属第二医院2010年1月-2011年1月收治的2 510例孕产妇实施健康教育,进行效果评价、总结.结果 通过实施健康教育,提高了孕产妇对健康保健知识和心理健康的认知,减少了产后抑郁症,增加了母乳喂养率,提高了新生儿的护理质量,密切医患关系,提高了护理人员的整体护理水平.结论 实施健康教育可以提高护理质量,提高围产期的保健质量.     

健康教育路径在HIV感染产妇围产护理中的应用

目的 通过健康教育路径在HIV感染产妇围产护理中的应用,探讨产科健康教育模式,提高感染产妇的护理质量.方法 施行健康教育临床路径,对孕产妇进行系统、动态、连续、规范化的健康知识传授与指导,并对比孕产妇母婴妊娠结局、产后相关并发症发生率和满意度.结果 改进后的健康教育路径可增强健康教育效果,满足孕产妇健康教育需求,提高H...     

产科健康教育内容及效果评价

目的探讨产科健康教育存在问题，以提高护理质量。方法对我院2008年10月-2009年10月年收治入院的1385例孕产妇实施健康教育的情况，进行评价、总结。结果通过实施健康教育提高了孕产妇的认知水平；改善了护患关系；提高了护理人员素质。结论健康教育应引起重视，匹配相应的工作计划，不断更新教育者的专业知识，以提高护理质量、围产期的保健质量，提高护士的整体护理水平。     

产科对孕产妇及家属实施健康教育对患者满意度的影响

目的:探讨在产科对孕产妇及家属实施健康教育对患者满意度的影响。方法:选取在宝安区妇幼保健院分娩的产妇180例随机分为观察组和对照组各90例,观察组实施有针对性的系统健康教育,对照组给予常规接待,统计两组满意度情况。结果:观察组孕产妇及家属满意度明显高于对照组,两组对比差异有统计学意义(P<0.01)。结论:产科中实施健康教育可明显提高孕产妇及家属对产科医护人员的满意度,值得临床推广使用。     

西山区农村1997年～2006年孕产妇死亡情况分析

[目的]为了解和掌握西山区农村孕产妇死亡的主要原因和相关因素，制定相应措施，降低孕产妇死亡率。[方法]按照昆明市统一的调查表格和死亡监测要求，对西山区1997年～2006年10年间的孕产妇死亡情况进行分析评审。[结果]10年间孕产妇死亡率呈逐年下降趋势，死因前三位为产科出血、羊水栓塞、妊娠合并内科疾病，其中，产科出血是造成孕产妇死亡的首要原因。[结论]孕产科死亡与社会医疗保健等因素密切相关，提高医疗保健质量加强健康教育和贫困救助，只有多方面采取综合有效措施才能切实降低孕产妇死亡率。     

产科病房开设孕产妇家属健康教育课堂的体会

随着医学模式与健康观念的转变及生活水平的提高,人们的健康意识在不断的深化和提高.现代产科护理特别强调维持健康、促进健康和自我护理的概念[1].母婴的安康关乎着千家万户的幸福.家庭的支持、亲人的关怀延续着母婴出院后的健康[2].妊娠、分娩虽然是正常的生理过程,但常有各种危险因素威胁到母婴的生命与健康.孕产妇的健康教育是护士对孕产妇在产前、产时、产后各个阶段,从生理、心理、文化及社会适应能力等方面,通过向孕产妇传授有关产科医学知识与护理技能,调动孕产妇积极参与护理活动,并达到恢复与促进孕产妇健康的活动.目前,独生女孕产妇已成为主体,普遍存在生活自理能力欠缺、育儿经验不足而过分依赖父母和家人的现象[3-4].因此,做好孕产妇家属的健康教育更重要.自2010年5月起我院在产科病区开设产妇家属健康教育课堂,收到了较好的效果,现将结果报告如下.     

通化市2000～2006年孕产妇死亡及原因分析

目的:为进一步提高产科质量,降低孕产妇死亡率。方法:对2000~2006年通化市孕产妇死亡人数40例进行回顾总结分析。结果:通化市孕产妇死亡率平均为38.29/10万,其主要原因是:产科出血、妊高征、妊娠合并症、羊水栓塞。结论:降低孕产妇死亡率要提高产科质量,加强孕产妇系统管理,普及健康教育,加强基层医务人员进行适宜技术的再培训。     

陵水县2000～2008年孕产妇死亡情况分析

目的:进一步提高产科质量,降低孕产妇死亡率。方法:对2000～2008年陵水县死亡的14例孕产妇进行回顾性分析。结果:陵水县孕产妇死亡率平均为26.64/10万,其主要原因是产科出血、妊娠合并症、妊娠期高血压疾病、子宫破裂、羊水栓塞。结论:降低孕产妇死亡率的关键是提高产科质量,加强孕产妇系统管理,普及健康教育,加强基层医务人员适宜技术的再培训。     

20th Lenna Frances Cooper Memorial Lecture: Nutrition: an integral aspect of medical education

Meaningful and effective clinical nutrition must be solidly rooted in the concept that nutrition is an essential component of health, health care, and life itself. During the past decade a variety of factors have contributed to a definite movement toward greater emphasis on nutrition in medical education. More and more registered dietitians are involved in professional collaboration with physicians in nutrition education. In accepting the challenges of the 1980s, we have come to realize the positive and dynamic role that is ours to play in the movement of increased emphasis on nutrition education for physicians and other health care professionals.     

主要网络平台对长生疫苗事件的报道框架及健康教育对策分析

目的 了解长生疫苗事件发生后主要网络平台的新闻报道框架,为突发公共卫生事件的健康教育应对提供参考。方法 采取典型抽样,检索7个主要网络平台在2018年7月15日 - 2018年8月31日所有关于“长生疫苗事件”的新闻报道,共358篇。采用内容分析法对报道时间、网站分类、报道体裁、报道主题等进行分析。通过百度指数平台,分析负性信息分布情况。结果 公共网站的报道体裁以消息类为主,占64.4%（123/191）,商业网站以评论类和消息类为主,分别占32.9%（55/167）和30.5%（51/167）。正面信息报道时间滞后于负性信息,且数量少、强度弱、内容针对性不强,专业公共卫生机构未积极发挥引导作用。结论 网络平台对处理突发公共卫生事件发挥了积极作用。但无论是公共网站还是商业网站对健康教育信息的传播都不够充分、及时、准确,且二者没能形成良性互动,特别是对负性信息的反应比较被动。建议加强对突发公共卫生事件处理中健康教育的重视和应用。     

Communicating with healthcare providers

Studies of risk communication have identified healthcare providers, especially physicians, as the source of information most trusted by the public on issues of environmental health. Nothing in medical, nursing or most healthcare provider training actually prepares practitioners to play this role and healthcare providers are generally more oriented toward treatment and medical care than prevention and public health. Healthcare providers require education in order to play this role but rarely seek it. Gaps in the knowledge of professional on the issue of Cryptosporidium illustrate the problem. For members of the professional water community, communicating with healthcare providers is best done when messages are delivered in familiar settings, such as hospital Grand Rounds (a universal format for teaching conferences) and provided in a narrative (case-based) form but gaining access is difficult if the topic is not obviously clinical in nature. In addition to being a critically important target group itself, public health professionals are easier to reach and may mediate good working relationships with medical practitioners. We suggest a strategy for water utilities based on partnerships with academic public health and providing education through well-recognized formats in continuing medical and nursing education.     

“健康融于所有政策”在美国加州的实践和启示

“健康融于所有政策”的理念和策略,在世界各国的健康政策制定中已经实践多年。世界卫生组织对其进行了定义,并制定“国家行动框架”推动各国实施。《健康中国“2030”规划纲要》明确提出“把健康融入所有政策,加快转变健康领域发展方式,全方位、全周期维护和保障人民健康。”本文对世界卫生组织有关“健康融入所有政策”的定义及内涵原则,美国加州推进该政策要求的实践进行了梳理和剖析,以期在政策建议的角度对我国推进健康中国建设提供参考。笔者建议我国应以WHO确定的策略为基础,在形成共识、确定模式、明确内容、追踪评估4个维度形成合力,推动“健康融于所有政策”更好地发挥作用。     

Communicating with healthcare providers

Studies of risk communication have identified healthcare providers, especially physicians, as the source of information most trusted by the public on issues of environmental health. Nothing in medical, nursing or most healthcare provider training actually prepares practitioners to play this role and healthcare providers are generally more oriented toward treatment and medical care than prevention and public health. Healthcare providers require education in order to play this role but rarely seek it. Gaps in the knowledge of professional on the issue of Cryptosporidium illustrate the problem. For members of the professional water community, communicating with healthcare providers is best done when messages are delivered in familiar settings, such as hospital Grand Rounds (a universal format for teaching conferences) and provided in a narrative (case-based) form but gaining access is difficult if the topic is not obviously clinical in nature. In addition to being a critically important target group itself, public health professionals are easier to reach and may mediate good working relationships with medical practitioners. We suggest a strategy for water utilities based on partnerships with academic public health and providing education through well-recognized formats in continuing medical and nursing education.     

医学教育与生存质量

本文介绍了健康相关生存质量的产生背景及其在现代医学中的应用情况，认为生存质量概念的提出对现代医学模式，医学观念和教学模式提出了挑战，现代医学教育必须站在生存质量的高度，适应新的医学观念，更新教学模式和充实教学内容。     

爱母分娩工程初探——产程系列服务模式

爱母分娩工程的核心是产时分娩的管理，除医疗技术水平为重要因素外，改善产科系列服务模式，加强孕妇夫妇有关培训与健康教育，加强保健与临床的结合，对爱母分娩工程的作用亦是举足轻重的。广东省妇幼保健院试运行产时分娩管理新模式、产科系列服务新模式，提高了产科质量和社会效益及经济效益。     

安庆市社区健康教育现状分析

目的分析社区健康教育现状,为更有效地实施国家基本公共卫生服务提供理论依据。方法随机抽取安庆市32所乡镇卫生院和11所社区卫生服务中心,针对《国家基本公共卫生服务规范2011》规定的社区健康教育的内容、形式和服务要求,自行设计调查表开展现状调查,运用EpiData3．02、SPSS13．0软件进行数据库的建立和统计处理。结果社区健康教育内容不全面、形式较单一、缺乏健康教育的专职人员和专业指导。结论要重视社区健康教育,内容要针对性、形式要多样化,并加强评估和考核工作。     

Obstetric care practice in Birbhum District, West Bengal, India.

BACKGROUND: The study area is the Birbhum district of the State of West Bengal in India. It is one of the backward districts in India. OBJECTIVE: The paper investigates the existing pattern of obstetric health care practices and the factors associated with the utilization of such care. METHOD: The present analysis includes 495 adult married women of both rural and urban areas of nine Blocks of Birbhum district. Besides performing chi2 tests to see the association of the relevant individual and household characteristics, logistic regression was also carried out to measure the effect of these characteristics on the use of obstetric health care. RESULTS: In Birbhum district of West Bengal 65 percent mothers go to doctors for antenatal check-up during their pregnancy, but only 26 percent mothers deliver their babies in institutions and 30 percent mothers get the help of professional health assistants during delivery. Educated women have emphasized role in the practice of obstetric health care. Husband's education and the standard of living of the family also have some effect on the practice of antenatal check up, place of delivery and assistance of health professional. While most of the family background variables have significant effect on the practice of antenatal check up, these variables do not have much effect on the choice of delivery or seeking assistance of health professionals. Contrary to the popular belief the working status of women does not have favourable influence on the obstetric health care practices. In developing countries like India, it is the poverty, which compels the women to take jobs-that too in low paid jobs especially in rural backward areas. CONCLUSION: The status of literacy of mothers and standard of living of the family are of prime importance in improving the obstetric health care practices.