The acceptability of computer applications to group practices

Of the 72 identified group practices in a midwest urban environment, 39 were found to use computers. The practices had been influenced strongly by vendors in their selection of an automated system or service, and had usually spent less than a work-month analyzing their needs and reviewing alternate ways in which those needs could be met. Ninety-seven percent of the practices had some financial applications and 64% had administrative applications, but only 2.5% had medical applications. For half the practices at least 2 months elapsed from the time the automated applications were put into operation until they were considered to be integrated into the office routine. Advantages experienced by at least a third of the practices using computers were that the work was done faster, information was more readily available, and costs were reduced. The most common disadvantage was inflexibility. Most (89%) of the practices believed that automation was preferable to their previous manual system.     

延边地区朝鲜族永久性结肠造口患者生存质量状况研究

[目的]探讨延边地区朝鲜族永久性结肠造口患者生存质量现状.[方法]采用欧洲癌症研究与治疗组织生活质量核心量表(EORTC QQL-C30)及大肠癌专用生活质量量表(EORTC QLQ-CR38)对87名延边地区朝鲜族永久性造口3个月以上患者进行问卷调查.[结果]EORTC QLQ-C30调查结果显示,患者总体生存质量得分为57.68±19.64,其中角色功能、情绪功能、社会功能得分间差异均有统计学意义(P<0.05),单项量表中便秘、腹泻和经济困难得分均明显高于常模(P<0.05);EORTC QLQ-CR38调查结果显示,功能量表中性功能及性乐趣得分较低,症状量表中结果显示男性性问题和造口相关症状得分最高.[结论]延边地区朝鲜族永久性结肠造口患者生存质量受各因素影响.     

外伤病人应激障碍的护理措施

目的:探讨外伤病人应激障碍(PTSD)的护理措施. 方法:针对病人出现的应激障碍,进行体位与局部制动护理,镇痛、镇静、心理支持,处理开放性伤口和维护各器官的功能.结果:通过随访发现患者的应激障碍得到很大改善,甚至已经消除,效果明显.结论:应用相关护理措施,消除病人紧张心理,疗效满意.     

Does Canada face a crisis? US considers ending plasma exports

A shortage of intravenous immunoglobulin has caused the US to question its exports of plasma. Since Canada relies on these exports to provide 60% of its plasma, closing the borders could have serious consequences.     

心理剧治疗对抑郁症患者的作用

目的:探讨心理剧治疗对抑郁症患者的影响.方法:将44例抑郁症患者随机分为研究组和对照组,两组均使用抗焦虑、抑郁药物和常规护理,对研究组辅以心理剧治疗,采用抑郁自评表(SDS)、汉密尔顿抑郁量表(HAMD)和简明应对方式问卷(SCSQ)对两组进行效果评定.结果:SDS、HAMD前后比较有统计学意义(P＜0.01),而组间比较差异无统计学意义(P＞0.05).研究组治疗后积极应对因子高于对照组,消极应对因子低于对照组,差异具有统计学意义(P＜0.01).结论:心理剧治疗能改善抑郁症患者负性情绪,提高心理健康水平.     

Computers in the surgery. The patient's view

A postal survey sent to 350 patients from two rural practices confirmed that an appreciable minority of patients (17%) were opposed to doctors using computers. The questionnaire distributed had been carefully designed to identify their opposition more specifically. Most of the general concern was accounted for by the 91 patients (31%) who feared that confidentiality of information would be reduced. The sensitive nature of medical information alerts patients to the possibility of diminished security of records and obliges practices considering acquiring a computer to ensure that these fears are not realised. Smaller proportions of patients were found to oppose computers on other grounds--namely, impersonality, economy, and general anxiety.