三维可视化引导放疗摆位系统的研发及临床应用

目的:开发一种三维可视化技术辅助放疗患者摆位,并对比分析其在乳腺和盆腔放疗中与传统摆位方法的差异。方法:选取2020年6月至2021年4月常州第二人民医院40例放疗患者作为研究对象,其中乳腺、盆腔患者各20例。利用患者定位CT数据进行三维可视化重建,并将三维可视化模型与真实治疗环境融合,通过交互操作使得三维可视化模型位...     

针刺治疗失眠抑郁共病临床研究

目的:观察电项针、头针结合按症取穴针刺治疗对失眠抑郁共病患者的抑郁症状、睡眠质量及躯体症状的影响。方法:将符合诊断标准的失眠抑郁共病患者采用随机数字法分为针刺组与药物组各35例。针刺组采用电项针、头针结合按症取穴针刺疗法治疗;药物组采用盐酸帕罗西汀及艾司唑仑片治疗。观察比较2组治疗前后汉密尔顿抑郁量表(HAMD)评分、匹兹堡睡眠质量指数(PSQI)评分、躯体症状严重程度量表(PHQ-15)评分。结果:2组总有效率比较,差异有统计学意义(P<0.05)。治疗后,2组HAMD评分、PSQI评分及PQH-15评分均较治疗前降低,差异均有统计学意义(P<0.01);2组HAMD评分治疗前后差值比较,差异无统计学意义(P>0.05);2组PSQI评分、PQH-15评分及各评分治疗前后差值比较,差异均有统计学意义(P<0.01)。结论:电项针、头针结合按症取穴针刺疗法对失眠抑郁共病患者有较好的疗效,对伴有的躯体症状有改善作用。     

根本原因分析行动在糖尿病住院患者卫生间死亡事件中的应用

目的 分析找出患者卫生间意外死亡的根本原因.方法 运用根本原因分析行动对我院1例患者卫生间意外死亡进行分析,找出根因,采取以下措施:①制定了《临床警示系统管理制度》,建立MEWS风险预警评估机制(并成立RRT团队);②构建和执行SBAR交接班作业标准;③发生紧急抢救事件应急应对程序,并全院进行心肺复苏培训考核;④建立全...     

The Impact of Patient Access to Their Electronic Health Record on Medication Management Safety: A Narrative Review

IntroductionAs the American’s Federal Health Insurance Portability and Accountability Act (HIPAA) stated that patients should be allowed to review their medical records, and as information technology is ever more widely used by healthcare professionals and patients, providing patients with online access to their own medical records through a patient portal is becoming increasingly popular. Previous research has been done regarding the impact on the quality and safety of patients’ care, rather than explicitly on medication safety, when providing those patients with access to their electronic health records (EHRs).AimThis narrative review aims to summarise the results from previous studies on the impact on medication management safety concepts of adult patients accessing information contained in their own EHRs.ResultA total of 24 studies were included in this review. The most two commonly studied measures of safety in medication management were: (a) medication adherence and (b) patient-reported experience. Other measures, such as: discrepancies, medication errors, appropriateness and Adverse Drug Events (ADEs) were the least studied.ConclusionThe results suggest that providing patients with access to their EHRs can improve medication management safety. Patients pointed out improvements to the safety of their medications and perceived stronger medication control. The data from these studies lay the foundation for future research.     

论患者隐私权之法律保护

伴随着医学的飞速发展,人们在享受医学文明带来的各种便利的同时,隐私权却在不断遭受侵犯.对于隐私权的保护并不是一个崭新的话题,但对患者隐私权的保护却是一个需要深入研究的领域.本文的主要内容是对患者这个特定人群隐私权的一些相关问题从法学角度进行一定的阐释和剖析,以期为最终构建和谐的医患关系提供一些理论支持.     

图文式临床路径教育表在高血压病健康教育中的效果评价

目的:探讨图文式临床路径教育表在高血压病健康教育中的应用效果。方法:将102例高血压患者随机分为两组,观察组52例应用图文式临床路径教育表并配合口头健康教育;对照组50例采用传统的随机方法进行单纯口头健康教育。结果:观察组对健康教育内容掌握情况及患者满意度调查明显高于对照组(P<0.01)。结论:对高血压患者应用图文式临床路径教育表进行健康教育,可明显提高患者对健康教育内容的掌握程度、遵医行为及患者满意度。     

Understanding Patient Preference of Providers to Treat Foot and Ankle Disorders

Objective: The purpose of this study is to evaluate patients’ knowledge of the professional training between doctors of podiatric medicine (DPM) and orthopedic surgery doctors (MD or DO), patients’ confidence in understanding these differences, and factors that are important to patients when selecting a provider. Design: A 28-question survey was administered to new patients who were referred to the foot and ankle service in an orthopedic department. Survey questions included data on patient demographics, patient opinion, and knowledge of differences between podiatrists and orthopedic surgeons. Setting: Patient surveys were administered at Froedtert Memorial Lutheran Hospital in Wauwatosa, Wisconsin USA and Mayo Clinic in Jacksonville, Florida USA. Participants: 186 patients completed the survey. Methods: Study population characteristics and survey results were analyzed with variance (ANOVA), Fisher’s Exact test, binomial tests, and chi-square tests. Results: Of the 186 patients who completed the entire survey, 108 chose “orthopedic surgeon” as their provider of preference for any foot or ankle injury. Patients preferred an orthopedic surgeon over a DPM for ankle (65.7% vs. 9.6%, P<0.01) and knee injuries (86.0% vs. 5.0%, P<0.01), while they preferred a DPM for toe pain (29.4% vs. 42.2%, P<0.03). 80.8% of patients thought orthopaedic surgeons and podiatrists undergo the same professional training. Conclusions: Patients have poor understanding of the different provider training between a DPM and orthopedic surgeon. Patients showed a preference based on anatomic location with podiatrist favored for conditions affecting the toes. Those patients that demonstrate a higher level of knowledge of the specialties were more likely to prefer an orthopaedic surgeon. Other factors, such as physician interpersonal skills and provider availability, may be more important for patients than training backgrounds.     

创伤性颅脑损伤患者家属焦虑度与满意度的相关性研究

目的对创伤性颅脑损伤患者家属的焦虑程度与满意度进行调查研究,分析患者家属焦虑度与满意度的关系,以避免由于患者家属焦虑情绪致满意度下降导致的医疗纠纷。方法采用问卷调查法,首先选择廊坊市人民医院脑外科2004年5月~2005年1月收治的颅脑损伤病人家属50例(A组),对一般资料、焦虑状态、满意度进行分析研究,采取有效地护理措施于具体工作中。再选择廊坊市人民医院脑外科2005年5月~2006年1月收治的颅脑损伤病人家属50例(B组),以相同的问卷调查。比较两组结果。结果两组患者家属焦虑度均高于国内常模,B组家属焦虑度明显低于A组(P<0.01)。B组满意度明显高于A组(P<0.01)。结论采取有效的措施可以降低患者家属的焦虑度,提高满意度,从而避免医疗纠纷的发生。     

情境模拟教学法在护理教育中的研究与实践进展

科学技术水平的不断发展和医疗环境的日益复杂,对护士的能力提出了更高的要求,护理教育者也致力于寻求能促进学生临床能力和思维能力的有效教学方法。情境模拟教学法注重实效性,突出操作性,实现了理论与实践的高度结合,