Changes in Life Satisfaction as a Function of Stay in a Residential Setting

ABSTRACT

Various authors have argued for the inclusion of well-being measures in order to assess children's quality of life in residential settings. In the present study, twenty-two children admitted to a residential treatment program were administered a multidimensional life satisfaction scale. The children were re-administered the instrument again approximately four months later. Results revealed that the present sample reported positive satisfaction ratings across all life satisfaction domains. Further, significant positive increases on their Global, Friends, Self, and Total satisfaction scores were noted upon re-administration. Implications of the findings, as well as suggestions for future research, are discussed.     

持续质量改进在新生儿皮肤护理中的应用效果

目的 分析持续质量改进在新生儿皮肤护理中的应用效果及其对皮肤损伤发生情况的影响。方法 选择2021年3月-2022年3月于我院产科出生的76例新生儿为本次研究对象,采用随机数字表法分为常规组和观察组,各38例。常规组给予常规皮肤护理,观察组给予持续治疗改进皮肤护理,比较两组皮肤损伤发生情况、临床指标、疼痛情况及护理满意度。结果 观察组皮肤损伤发生率为5.26%,低于常规组的23.38%（P＜0.05）;观察组皮肤损伤愈合时间、住院时间、医疗费用均优于常规组（P＜0.05）;两组住院第1、2天的FLACC评分比较,差异无统计学意义（P＞0.05）;观察组住院第3、4天的FLACC评分低于常规组（P＜0.05）;观察组护理总满意度为97.37%,高于常规组的76.32%（P＜0.05）。结论 持续质量改进在新生儿皮肤护理中的应用效果确切,可有效降低新生儿皮肤损伤发生率,缩短治疗时间,减轻治疗费用,同时可有效缓解疼痛,促进损伤愈合,提高了护理满意度,取得了理想的护理效果。     

早期改善在抗抑郁药治疗重度抑郁症(MDD)中的研究进展

 在第2周未达到早期改善(early improvement)的重度抑郁症(major depressive disorder,MDD)患者继续维持原治疗方案只有3%能达到临床治愈,但尽管早期改善有较高的阴性预测值,阳性预测值却不理想。本综述整理现有的研究中除了17项汉密尔顿抑郁量表总分的减分率外,还有哪些指标能判断早期改善,早期改善的预测效果受到什么因素影响,能否协同这些因素提高早期改善的预测效果。用以指导早期换药,降低患者接受无效治疗的时间,降低治疗费用,增加患者对治疗的信心。     

改良腋臭切除术和小切口顶泌汗腺清除术治疗腋臭51例

目的：探索治疗腋臭较为合理的手术方法。方法：轻、中度腋臭采用小切口顶泌汗腺清除术,重度采用改良腋臭切除术。结果：29例小切口顶泌汗腺清除术,术后8～15个月随访27例,25例痊愈,2例有效。改良腋臭切除术22例,术后8～15个月随访18例均痊愈。结论：小切口顶泌汗腺清除术有效、美观、安全,改良腋臭切除术治愈率高,瘢痕不显,无功能障碍。     

Are all ICUs the same?

The ability to compare intensive care units (ICUs) and determine whether they provide the same level of care with regard to efficacy, efficiency, and quality is a cornerstone of understanding critical care and improving the quality of that care. Without collecting high-quality data, adjusted for severity of illness and analyzed in a comparative fashion, it would not be possible to describe best practices objectively, to identify which ICUs are doing a good job or to learn from those units that are. This review article discusses how and why ICUs are compared. Particular attention is focused on the severity of illness scores, standardized mortality, and comparative reporting. A data collecting network, Virtual Pediatric Systems, limited liability corporation (VPS, LLC), designed for the purposes of determining where differences in critical care can be identified and the value that this adds in improving quality is discussed. Finally, results from this large data sharing collaborative describing the practice of pediatric critical care are included for the purpose of pediatric intensive care units practice benchmarks.     

持续改进护理在预防恶性肿瘤患者化疗期间外周置入中心静脉导管感染的效果观察

目的观察持续改进护理在预防恶性肿瘤患者化疗期间外周置入中心静脉导管（PICC）感染的疗效。方法采用回顾性对照研究,选择2012年1月至2012年12月123例PICC置管化疗的恶性肿瘤患者作为对照组,选取2013年1月至2013年12月129例PICC置管化疗的恶性肿瘤患者为观察组,比较持续改进护理前后护理人员PICC相关知识及处理能力改进情况,同时比较两组患者PICC置管期间感染发生率。结果持续改进护理实施后,本院肿瘤科护士PICC理论知识及感染处理能力均有显著提高,实施后与实施前比较差异具有统计学意义（P均〈0．05）。对照组PICC感染发生率为13．82％,观察组PICC感染发牛率为3．83％,两组比较差异具有统计学意义（x^2=4．100,P〈0．05）。结论应用持续改进护理循环管理模式,有利于减少和消除护理不当导致的PICC相关感染,具有较好的防控作用,为恶性肿瘤患者化疗的顺利完成创造了必要的条件。     

Routine Laboratory Testing Every 4 Versus Every 6 Weeks for Patients on Maintenance Hemodialysis: A Quality Improvement Project

1. Download high-res image (408KB)
2. Download full-size image