某军队医院内科门诊神经症性症状患者医院满意度的影响因素

目的:研究某军队医院内科门诊患者神经症性症状的流行规律和具有此类症状患者的医院满意度及影响因素。方法:从某三家军队医院内科门诊随机抽取502名患者。用Zung焦虑自评表,W akefield抑郁自评表,A lbert惊恐障碍和躯体化障碍评估手册,一般情况调查表评估研究对象。心理科医生、内科医生依据DSM-Ⅳ对502名患者进行鉴别诊断。结果:502名患者中,2/3为躯体疾病不伴有神经症性症状,1/3为有神经症性症状。其中有神经症性症状患者中,已确诊为各种神经症的占34.5%,确诊为躯化障碍的占8.33%,确诊为躯体疾病伴神经症性症状的占57.14%。神经症性症状组自认医院满意度显著低于躯体疾病不伴有神经症性症状组。结论:军队医院内科门诊患者的心理问题严重,神经症性症状患者自认医院满意度低。神经症性症状严重程度,自认疾病程度、特殊检查次数、累积就诊次数、累积医疗费用、药物治疗情况对此类患者的医院满意度影响较大。可以通过采用加强精神卫生服务意识和观念、重视对精神卫生知识的学习和运用等对策干预目前军队医院内科门诊的这一现状。     

云南省龙陵县新型农村合作医疗制度补偿方案研究

目的探讨龙陵县新型农村合作医疗制度补偿方案,以资在云南省范围内全面实施新农合制度时参考.方法采用流行病学现场研究方法进行研究.结果龙陵县新农合制度补偿方案是“家庭账户 住院费用分段补偿”模式.2004年度,在家庭账户方案保持不变的基础上对住院补偿办法做了调整.参合农民与医务人员对新农合制度补偿方案满意度评价分布的差异有统计学意义(P<0.001).结论龙陵县现行新农合制度补偿方案基本可行,社会满意度较高,值得借鉴和推广,建议该县调整家庭账户方案,提高起付线,试行住院费用按比例补偿的办法.     

银叶树的三萜成分研究

我校教学改革的基本思路和做法是，从领导体制、教学计划、经费投入、师资培训、制度设计等方面优化教学的生态环境，强化教学的条件支撑。努力实现教学观念、教学模式、教学方法、考核方法的科学转变，切实加强教学的针对性、科学性和启发性。     

西医高等院校中医教学存在的问题及改革的思考

本文对西医高等院校中医教学中存在问题进行了分析，现行的教学方法很难达到预期的目标。提出了应该编写适合西医高等院校的中医学教材，改革中医学教学方法。理论与实践紧密结合等教学改革的思路与对策。     

A qualitative analysis of patients’ perception of microwave endometrial ablation as a satisfactory treatment for heavy menstrual blood loss

To explore and analyse patients’ views and comments on microwave endometrial ablation (MEA), we designed a simple and concise questionnaire of 10 items that the participants answered by ticking boxes. They were invited to add their own comments and opinions if they wished. The questionnaire survey was posted to 470 patients who were treated with MEA at Derriford Hospital between 1997 and 2003. We received replies from 343 patients (73%), of whom 165 included handwritten comments (48%). These were reviewed using content thematic analysis. This paper describes the findings of this analysis. Of the 343 respondents, 127 expressed their satisfaction, 32 would recommend MEA to others, and 17 claimed that MEA had transformed their lives. They used words such as “delighted,” “grateful,” “fantastic,” “I cannot tell you how wonderful it has been,” “freedom at last,” “I feel so much better within myself,” “I cannot begin to describe the feelings of well-being and relief I have experienced since I had this treatment,” and “it has changed my life from being housebound to never giving my periods a thought.” Thirty-eight patients were not satisfied; of these, 14 were experiencing moderate to severe pain, and six claimed to have developed severe pain de novo. Their comments included “I was disappointed MEA did not work for me” and “I get heavy bleeding and pain each month, [whereas] before I had no period pains at all.” In conclusion, MEA has been a “miracle cure” for many women who responded, with around 77% being satisfied with this treatment. For a small number, MEA was not successful. For some women, pain was a problem that either developed de novo or was preexisting in the form of dysmenorrhoea. In this paper we also mention success rates and figures from quantitative studies, and we recommend including quotes from satisfied patients in patient information leaflets to further help women and their physicians make informed choices about managing heavy menstrual blood loss, particularly when medical treatment is known to be less successful and with some women being concerned about its side effects.Shortly after this paper was submitted, Emad Louis tragically died from complications following surgery, whilst waiting to take up his post as a Consultant at St. Mary’s Hospital, Isle of Wight. We remember him with great affection as a wonderful colleague, who is held in the highest regard by his patients and all who worked with him. He is greatly missed.He leaves a wife and son who are enormously proud that his research has been published.     

进修医师口腔正畸学教学模式初探

口腔正畸学是集多学科于一体的口腔医学学科.如何在短期内使进修医师迅速掌握口腔正畸学理论知识和提高临床实践能力,是口腔医学教育工作者探讨的问题.第四军医大学口腔医学院采用新的教学方法,实施新的考核标准,培养进修口腔医师,取得了良好的教学效果.     

关于《针灸学》教学中几个常见问题的讨论

笔者结合多年来在<针灸学>教学及临床中的心得、体会,就教材的编排、针刺操作时的指力、快速进针法、重插轻提、轻插重提、守气、穴位针刺深度等方面进行了讨论,以期初学者在<针灸学>的学习过程中,对有关知识的掌握有所帮助.     

医疗服务中顾客满意度的概念与评估

医疗服务市场的开放及医疗费用的上涨使病人在对医疗服务机构的选择上开始给予更多的关注。让顾客满意已成为继质量、价格之后的另一重要竞争因素。文章主要阐述了医疗服务中顾客满意度的含义、测量步骤以及研究顾客满意度的现实意义。     

Catquest-8SF量表分析年龄相关性白内障患者的效果

目的：应用Catquest-8SF量表研究PHACO+SIOL植入术患者主观报告的效果,评估Catquest-8SF量表在中国北方白内障人群的适用性及其对白内障手术的敏感性。

方法：前瞻性临床病例随访研究。泰安市中心医院白内障患者术前和术后3mo完成面对面的Catquest-8SF量表填写。

结果：术前共120例白内障患者完成了Catquest-8SF量表。术前Catquest-8SF量表得分与术前双眼加权logMAR视力及年龄呈显著负相关(P<0.05),与文化程度呈正相关(P<0.001),无全身合并症的患者量表得分高于有全身合并症的患者(P<0.05)。102名(85%)患者完成术后3mo量表,单眼手术组和双眼手术组比较,术后视力均显著提高(t=10.404, P<0.001),术后量表得分均明显提高(P<0.001)。两组在量表得分提高值上差异无统计学意义。92.2%的患者对手术效果满意。满意度与量表得分的提高值显著相关(P<0.05)。

结论：中文版Catquest-8SF量表在我国北方ARC人群中适用性好,简短高效,可以作为白内障常规临床评估的一部分。     

利用微信公众号宣传平台提升门诊服务质量的实践探讨

为深入贯彻落实"互联网+医疗健康"便民惠民活动,不断优化门诊服务流程,提高服务效率与质量,门诊管理者积极探索,创新服务模式,以微信公众号建设为突破口,主动宣传国家医改新政策,落实分级诊疗,提升服务水平。通过线上服务模式,加强与患者的沟通,提供贯穿诊前、诊中、诊后全流程的信息化便民服务,有效缓解了门诊"三长一短"的现象,实现了患者有序就医,患者满意度提高。尤其在疫情防控期间,对于减少人员聚集、保障就医安全等方面起到了积极的作用。