住院精神病患者合并2型糖尿病的健康教育形式探讨

目的探讨住院精神病患者合并2型糖尿病（T2DM）的健康教育形式。方法自制调查表对147例住院精神病合并T2DM患者随机分成3组进行不同形式的健康教育1个月，A组集体教育64例，B组以小组形式45例，C组单个形式38例，完成健康教育后1个月比较3种健康教育效果，资料经χ^2检验进行统计分析。结果健康教育能增加患者的疾病知识；单个形式优于集体和小组形式，差异具有统计学意义（P〈0．05）。结论对住院精神病合并T2DM患者开展单个形式的健康教育效果好。     

Buprenorphine-associated gastroparesis during in-patient heroin detoxification

BACKGROUND: Buprenorphine is a partial mu receptor agonist used in opiate detoxification. It has been shown to cause delayed gastric emptying in healthy volunteers. CASE DESCRIPTION: We describe a case of clinically severe gastroparesis (delayed gastric emptying due to impaired contraction of the stomach) whose onset coincided with the commencement of buprenorphine-assisted detoxification. CONCLUSION: We review the literature on gastric effects of buprenorphine in healthy volunteers, providing proof of the concept that this was the most probable cause of this patient's gastroparesis.     

武警某部2006年-2010年现役军人住院患者疾病构成分析

目的分析武警某部2006年-2010年现役军人住院患者疾病构成,为提高军队医院为部队医疗服务效能、合理利用卫生资源、完善部队卫勤保障体系及医院服务管理模式提供依据。方法提取取某部队医院2006年到2010年军队现役军人住院患者病案首页信息库,按照ICD-9标准对研究对象进行系统分类,而后再进行顺位排列、年龄分布统计和前20位单病种描述。结果五年中共有14,442名病人因各种疾病住院,其中现役军人为3120例,占同期该医院住院总人数的21.60%,其中2006、2007、2008、2009、2010年军人住院人数及占当年住院总人数比例分别为693(26.50%)、602(27.04%)、633(25.29%)、662(18.30%)和530(15.23%)。系统分类前5位疾病是消化系统疾病、损伤和中毒、泌尿生殖系统疾病、呼吸系统疾病和肌肉骨骼系统和结缔组织疾病,前10位单病种是骨折、阑尾炎、损伤、上呼吸道感染、胃肠炎、腰椎间盘突出症、痔、精索静脉曲张、肿瘤、泌尿系结石。结论摸清了该地区军队住院患者的常见病及其变化趋势,为本医院进一步搞好为兵服务提供了有力依据,同时也为医院今后建设指明了方向。     

1999～2006年大理州囊虫病住院病例流行病学特征分析

目的了解1999～2006年大理州囊虫病住院病例流行病学特征。方法收集并分析大理州血防所1999～2006年住院的所有大理籍囊虫病患者的病历档案。结果共有1792例囊虫病住院病例,其中男性多于女性,以7～15岁组、白族、大理市以及农村患者所占构成比最高,临床以脑型囊虫病为主（1703例,占95.03%）,临床表现以癫痫发作最为常见,其次是高颅压症状。56人有绦虫病史,占3.13%。结论大理州囊虫病感染方式以异体感染为主,并呈现出以大理市和洱源县为中心向周边地区扩散的态势。     

住院老年人跌倒原因分析与应用护理程序干预

目的：探讨有效防止住院老年人跌倒和因此导致医疗护理纠纷发生的应对方法。方法：回顾性分析采用护理程序的方法对有跌倒危险因素的住院老年人进行干预后发生跌倒的原因。结果：有7例发生了跌倒，无医疗护理纠纷发生。结论：应用护理程序能有效预防住院老年人跌倒，从而达到提高老年人的自我防跌倒意识和生活质量。     

Medication overuse headache and applicability of the ICHD-II diagnostic criteria: 1-year follow-up study (CARE I protocol)

Medication overuse headache (MOH) is a growing problem worldwide and a challenge for clinicians and investigators. This study aims to contribute to the ongoing debate surrounding the classification of MOH. Applying the revised diagnostic criteria for MOH contained in the updated International Classification of Headache Disorders (ICHD-II), we enrolled 140 probable MOH (p-MOH) patients. They were submitted to an in-patient detoxification protocol and re-examined 2, 6 and 12 months later to confirm, or otherwise, the diagnosis of MOH and to observe the evolution of their headache. MOH diagnosis was confirmed 2 months after detoxification in 71% of patients, who reverted to an episodic headache pattern and stopped their drug overuse The overall clinical situation at 2 months closely reflected the 1-year trend. The 2-month period after drug withdrawal should be retained as a diagnostic criterion in the ICHD-II because it is useful not only as a diagnostic parameter, but also as predictor of a good outcome of 1-year drug withdrawal. In addition, the present findings point to the need for a more objective criterion to quantify headache frequency after drug withdrawal.     

IMPROVING THE CONTAINER: WARD COMMUNITY GROUPS AND THE MODERN ACUTE PSYCHIATRIC IN-PATIENT SETTING

Ward community groups have been mostly lost from acute psychiatric in-patient settings in recent years with changes related to care in the community and altered therapeutic expectations. This paper outlines the re-introduction of ward community groups to such a setting and, by using the quantitative measure of patient complaints and qualitative observations, offers evidence for their usefulness as a therapeutic medium, beneficial to the acute psychiatric in-patient ward, and as a container for disturbed states.     

健康教育对住院患者心理健康的影响

目的 探讨护理健康教育对住院患者心理健康的影响.方法 选择接受过心理护理课程和护理健康教育课程培训的护理人员,对患者实施心理护理和护理健康教育.结果 患者在接受心理护理和健康教育培训前、后心理因子分比较(t=4.135、4.012,均P＜0.01),有显著性差异.结论 护理健康教育能有效改善患者的心理状况,对患者心理因子分的改变有显著统计学差异,患者对医院的满意度有显著性差异.     

Smoking cessation interventions for in-patients: a selective review with recommendations for hospital-based health professionals

A selective review of the literature was conducted to provide evidence-based recommendations for the clinical management of hospitalized smokers. The Cochrane library, in particular the Cochrane review of 'Interventions for smoking cessation in hospitalised patients', was the basis for the review and was supplemented with other clinical and non-clinical literature where the review did not inform clinicians sufficiently. Evidence was reviewed on issues considered by the authors to be of importance to health professionals interested in providing a smoking cessation intervention to their patients. The review suggests that effective hospital interventions: incorporate an in-patient intervention lasting greater than 20 minutes in duration with extended post discharge follow-up; consist of at least five intervention contacts; and be delivered over at least a 3-month period. Furthermore, interventions should include in-patient advice and counselling, the provision of nicotine replacement therapy and extended proactive post discharge telephone support. The review also indicates that cessation interventions are particularly effective when delivered to patients with a cardiovascular diagnosis. All health professionals may be effective in providing cessation treatments; however, the addition of a specialist smoking cessation counsellor appears to improve interventions in this setting. Finally, without the development of supportive systems, routine intervention with smoking patients by health professionals is unlikely. Recommendations for the delivery of effective smoking cessation interventions in hospitals are provided. [Wolfenden L, Campbell E, Walsh RA, Wiggers J. Smoking cessation interventions for in-patients: a selective review with recommendations for hospital-based health professionals. Drug Alcohol Rev 2003;22:437 - 452]     

A behavior therapy program combined with liquid nutrition designed for anorexia nervosa

We have introduced behavior therapy as standard in-patient treatment for anorexia nervosa and have modified the treatment program. At first, we used Fukamachi's activity restriction therapy (FT), followed by Token economy therapy (TET), which combined token economy with FT. Finally, we have developed Kyoto Prefectural University of Medicine Behavior Therapy (KPT). According to KPT, only liquid formula is given in the early stages of hospitalization and a target weight is not set at admission. We examined the effect of these three programs with respect to bodyweight gain. Thirty-five anorexic patients participated in these three programs in our hospital: seven completed FT, seven completed TET and 21 completed KPT. We compared the effects of these three programs on body mass index (BMI). Furthermore, the effects of these three programs on BMI were compared at admission, 1 month after admission and at discharge, 6 months after discharge. In addition, the rate of increase of BMI for the following three periods was investigated: 1 month after admission, total hospitalization (from admission to discharge) and from admission to 6 months after discharge. The result is that KPT was the most effective of the three programs with regard to both the amount and the rate of increase of BMI at all points and there is a significant difference between KPT and FT. This effectiveness may be attributable to the use of an oral liquid formula, the setting of target weight at a later stage of hospitalization and the release of activity restriction based on weight gain.