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2020 Vol. 27, No. 2
Published: 2020-04-25
 
 
97 Application of multiple seasonal ARIMA model in forecasting the incidence of brucellosis in Qingzhou
Liu Jie1, Wu Qinfa, Li Weiguo, Xiao Yufei, Mao Qian, Shi Fuyan, Wang Suzhen.
DOI: 10.3969/j.issn.1006-5253.2020.02.001
Objective To predict the monthly incidence of brucellosis in Qingzhou by multiple seasonal ARIMA model of autoregressive integrated moving average (ARIMA), and to construct a prediction model for the monthly incidence of brucellosis in Qingzhou so as to provide scientific basis for prevention and control measures of brucellosis in Qingzhou. Methods The monitoring data of brucellosis in Qingzhou from 2011 to 2017 were collected, ARIMA time series model was established with SPSS 25.0  statistical software, the model was tested to predict the monthly incidence of brucellosis in 2018, and the prediction effect of the model was evaluated by the actual monthly incidence of brucellosis in 2018. Results The normalized BIC value of ARIMA(0,1,1)(1,1,0)12model is the smallest, the Box-Ljung  test statistic is as follows: Q=23.746, P>0.05, the residual sequence is white noise, thus it is determined to be the optimal model. Conclusion Multiple seasonal ARIMA model is effective in short-term prediction of monthly incidence of brucellosis in Qingzhou.
2020 Vol. 27 (2): 97-100 [Abstract] ( 65 ) HTML (1 KB)  PDF (1314 KB)  ( 230 )
101 Using GM (1, 1) to predict the missing values of primary physical development of children in nine suburban areas of China in 2015
Li Hongbin, Qian Zhijuan, Gu Jianming, Feng Haijuan, Wang Jie.
DOI: 10.3969/j.issn.1006-5253.2020.02.002
Objective To predict the missing values of primary physical development of children in nine suburban areas of China in 2015. Methods The original sequence based on birth body mass, length and head circumference of suburban children from 1975 to 2005 was established in nine cities of China, or introduced the average weakening buffer operator, and the missing values of primary physical development in 2015 were predicted by the mean GM (1,1) model. The accuracy level of the models were judged by absolute degree of incidence(σ), mean relative error(α), mean square deviation ratio(C), and small error probability(P). Results The development coefficient of GM (1,1) for the birth body mass of rural boys was a=-0.015 3, grey action quantity was b=3.146 3, σ=0.999 7, α=0.004 5%, C=0.004 0, P=1.00, and the predicted value of boy′s birth body mass in 2015 was 3.371 2 kg; the girl′s model introduced the 2 order weakening buffer operators, the development coefficient of GM (1,1) for the birth body mass of rural girls was a=-0.001 7, grey action quantity was b=3.172 4，σ=0.999 5，α=0.039 1%， C=0.185 0，P=1.00, and the predicted value of girl′s birth body mass in 2015 was 3.196 2 kg. The development coefficient of GM (1,1) for the birth length of rural boys was a=-0.002 0, grey action quantity was b=50.050 3, σ=0.999 9, α=0.000 1%, C=0.000 5, P=1.00, and the predicted value of boy′s birth length in 2015 was 50.500 3 cm; the development coefficient of GM (1,1) for the birth length of rural girls was a=-0.002 0, grey action   quantity was b=49.450 1, σ=0.999 9, α=0.000 1%, C=0.000 6, P=1.00, and the predicted value of 〖JP2〗girl′s birth length in 2015 was 49.900 3 cm. The boy′s model introduced the 2 order weakening buffer operators, the development coefficient of GM (1,1) for the birth head circumference of rural boys was a=-0.000 3, grey action quantity was b=34.164 9, σ=0.998 4, α=0.014 4%, C=0.299 4, P=1.00, and the predicted value of boy′s birth Head circumference in 2015 was 34.214 8cm; the girl′s model introduced the 4 order weakening buffer operators, the development coefficient of GM (1,1) for the birth head circumference of rural girls was a=0.000 3, grey action quantity was b=33.732 0，σ=0.999 3, α=0.004  9%, C=0.198 1, P=1.00, and the predicted value of girl′s birth head circumference in 2015 was 33.692 4 cm. Conclusion The Mean GM (1,1) has high accuracy and reliable prediction results.
2020 Vol. 27 (2): 101-105 [Abstract] ( 68 ) HTML (1 KB)  PDF (927 KB)  ( 152 )
106 Rationality evaluation of using narcotic drugs in ICU of a hospital from 2017 to 2018
Ye Yingying, Zheng Li′na, Xie Xiaodan
DOI: 10.3969/j.issn.1006-5253.2020.02.003
Objective To explore the rational evaluation of the use of narcotic drugs in ICU of a hospital, and to provide reference for the optimization of the management and rational use of narcotic drugs. Methods Data of the use of narcotic drugs in ICU from 2017 to 2018 were collected. The rationality of the use of narcotic drugs was evaluated by DDDs, DDC and DUI. Results There were records of using eight kinds of narcotic drugs. The top three DDDs were fentanyl injection (3 500.0), remifentanil injection (900.0) and fentanyl transdermal patch (480.0). The top three DDC were codeine tablets (900.9 yuan), propofol (662.0 yuan), and buguizine injection (604.1 yuan). There were 3 kinds of DUI>1: fentanyl injection (6.29), remifentanil injection（1.18) and fentanyl transdermal patch (4.84). Among the diseases in ICU, the dosage of fentanyl injection was still the largest for tumor, accidental injury and sepsis. Conclusion The use of some anesthetics in ICU of a hospital may be unreasonable, and the management and rational use of anesthetics need to be further optimized.
2020 Vol. 27 (2): 106-108 [Abstract] ( 63 ) HTML (1 KB)  PDF (883 KB)  ( 102 )
109 Logistic analysis of risk factors for urinary retention in patients after mixed hemorrhoids
Wang Yan, Luo Xingfang.
DOI: 10.3969/j.issn.1006-5253.2020.02.004
Objective To investigate the risk factors of urinary retention after mixed hemorrhoids and related preventive interventions. Methods Totally 154 cases of patients with mixed hemorrhoids who underwent surgery in our hospital from January 2017 to January 2019 were enrolled in this study. The incidence of postoperative urinary retention was counted and the clinical data of all patients were collected. The single factors of urinary retention and urinary retention were compared and Logistic multivariate analysis was performed. Results Thirtyfour cases of urinary retention occurred in 154 patients with mixed hemorrhoids, and the incidence rate was 22.08%. Logistic regression analysis showed that age (≥60 years old) (OR=5.755, 95% CI:2.541～13.031), constipation (OR=4.459, 95% CI: 1.950～10.197) and postoperative pain (>5 points) (OR=3.955, 95% CI:1.774～8.817) were risk factors for urinary retention after mixed hemorrhoids. Conclusion Age greater than 60 years, constipation, postoperative pain score greater than 5 points is a risk factor for urinary retention in patients after mixed hemorrhoids. Clinically, timely targeted interventions should be taken to reduce the occurrence of urinary retention and improve the quality of life of patients after surgery.
2020 Vol. 27 (2): 109-111 [Abstract] ( 38 ) HTML (1 KB)  PDF (890 KB)  ( 482 )
112 Analysis of related factors of acute illness during root canal treatment
Xiang Guangfei.
DOI: 10.3969/j.issn.1006-5253.2020.02.005
Objective To investigate the related factors affecting the occurrence of acute illness during root canal treatment. Methods Totally 500 patients who underwent root canal therapy in our hospital from January to January 2019 were enrolled. According to the patients′ EIAE condition, Univariate analysis and multivariate logistic regression analysis were used to analyze differences in age, gender, tooth position, sinus tract, total flushing dose, disinfecting drug, root filling method, and root filling and the influencing factors inducing the occurrence of acute illness during root canal treatment. Results EIAE occurred in 168 of the 500 patients, with an incidence of 33.6%. Univariate analysis found that EIAE patients had differences in sinus tract, total flushing dose, root filling method, and root filling (P<0.05), compared with non-EIAE patients. There was no difference in age, gender, tooth position and disinfection drug (P>0.05). Multivariate logistic regression analysis showed that the risk factors of EIAE were: no sinus tract, 2 mL of total drug washing and below, multiple root filling and overcharging. And the goodness of fit of this model indicated an outstanding fitting (AUC=0.917).Conclusion Thoroughly cleaning the root canal, improving the filling quality, and improving the disposable root canal treatment method can reduce the occurrence of EIAE.
2020 Vol. 27 (2): 112-114 [Abstract] ( 66 ) HTML (1 KB)  PDF (936 KB)  ( 450 )
115 Study on the influencing factors of postoperative stress disorder in patients with severe multiple abdominal trauma
Lei Guihua, Ye Lizhen, Wang Yan, Wu Xiaoqing.
DOI: 10.3969/j.issn.1006-5253.2020.02.006
Objective To analyze the influencing factors of postoperative stress disorder and the related nursing intervention strategies in patients with severe multiple trauma of the abdomen. Methods Totally 257 patients with severe abdominal trauma who underwent surgery in our hospital from January 2016 to February 2019 were enrolled in the study. The medical records were retrospectively analyzed and the incidence of postoperative stress disorder was statistically analyzed to explore the influencing factors of stress disorder. Results In 257 patients with severe multiple trauma to the abdomen, 64 patients had postoperative stress disorder with an incidence rate of 24.9%. Multivariate analysis found that the patients′ gender (OR=2.646), fear of injury (OR=2.675), and ISS score (OR=0.818), personality (OR=1.536), previous history of severe trauma (OR=2.535), SSRS score (OR=0.616), CD-RISC score (OR= 0.696), VAS score (OR=4.549), and HAD The score (OR=1.579) werethe influencing factors of postoperative complications of stress disorder in patients with severe multiple abdominal trauma, with significant statistical difference (P<0.05). Conclusion Patients with being female, with fear when hurt, introverted personality, history of severe trauma at the time of injury, ISS score>35, SSRS score≤32, CD-RISC score≤45, VAS score>5, or HAD score>12 need to be supplemented with psychological support, familysocial support and cognitive behavioral interventions to reduce postoperative stress disorder.
2020 Vol. 27 (2): 115-118 [Abstract] ( 59 ) HTML (1 KB)  PDF (897 KB)  ( 203 )
119 Analysis of 6 833 death cases in a tertiary hospital from 2003 to 2018
Chen Danfen, Wen Jianzhen, Xu Sumei.
DOI: 10.3969/j.issn.1006-5253.2020.02.007
Objective To review and analyze the death cases from 2003 to 2018 in a tertiary hospital, to find out the basic situation of the death cases, the main causes of death and  the related expenses, in order to provide reference for diagnosis and treatment of the disease , and reduce the case fatality rate. Methods The total number of inpatients from 2003 to 2018 was collected from the hospital medical record information system, and the data of 6 833 inpatients who died in the hospital were analyzed by using Excel 2007 and SPSS 19.0 softwares. Results From 2003 to 2018, the total number of inpatients was 404 076, and 6 833 patients died, with the case fatality rate 1.69%. The death cases have been increasing year by year in the past 16 years, but the fatality rate has been decreasing year by year. The highest mortality rate was 6.18% in the group aged over 81, followed by 4.06% in the group aged 71～80, and the highest mortality ratio was 21.04% in the group aged 61～70, followed by 21.03% in the group aged 71～80. There was a significant difference in mortality among different age groups (χ2=4071.81, P< 0.01). The mortality rate of male (2.16%) was significantly higher than that of female (1.22%) with significant statistical difference (χ2=540.16, P<0.01). Tumors, cardiovascular diseases, respiratory diseases, gastrointestinal diseases, poisoning and external causes were the main causes of death, accounting for 89.56 % of the total number of deaths. The top 10 leading causes of death were lung cancer, liver cancer, stomach cancer, brain hemorrhage, breast cancer, colon cancer, brain injury, pneumonia, cerebral infarction and nasopharyngeal carcinoma. The total cost of hospitalization has increased 31.46% in the past 16 years. The hospital stays and rescue times have impacted the total cost, and the proportion of drugs has decreased every year since 2011. Conclusion From 2003 to 2018, most of the patients who died in the hospital were middle-aged and elderly male patients. Tumor and cardiovascular disease were the main disease causes of death. Lung Cancer, liver cancer and stomach cancer were the main disease types causing death. The average hospitalization cost increased every year, and in proportion to the hospital stays and rescue times. The relevant departments of hospitals should rationally allocate medical resources, strengthen the subject construction of tumor, circulatory system and respiratory disease, to reduce the mortality rate of patients, control the hospital stays, carry out reasonable rescue and control the total hospitalization expenses.
2020 Vol. 27 (2): 119-123 [Abstract] ( 89 ) HTML (1 KB)  PDF (906 KB)  ( 171 )
124 Pareto chart analysis on the disease composition of inpatients in a hospital in 2018
Wu Xuezhi
DOI: 10.3969/j.issn.1006-5253.2020.02.008
Objective To analyze the characteristics of disease composition of inpatients in a tertiary hospital in 2018, and to provide basis for disease prevention, rational allocation of medical resources and further research. Methods The first page information of all inpatients′ medical records in 2018 was extracted by using the hospital medical record information management system. According to the ICD-10 standard, disease classification and statistics were carried out based on the main diagnosis, and the composition of the disease was analyzed by Pareto chart. SPSS 22.0 statistical software was used for data collation and analysis. Results In 2018, there were 38 149 inpatients, 20 859 males and 17 290 females, with a male to female ratio of 1.21 ∶1; there were 21 269 elderly patients, accounting for 55.75%; the first seven main diseases accounted for 76.05% of the total, in turn were respiratory system diseases, circulatory system diseases, digestive system diseases, urogenital system diseases, etc; the distribution of diseases was different in different sex and age groups (P<0.05). Conclusion The disease composition of hospitalized patients in this hospital has its own characteristics. We should strengthen the diagnosis and treatment level of the top diseases, strengthen the construction of key specialties, and focus on the chronic diseases of elderly patients.
2020 Vol. 27 (2): 124-127 [Abstract] ( 53 ) HTML (1 KB)  PDF (2243 KB)  ( 365 )
128 Analysis on disease spectrum of discharged patients in the Gynecology Department from 2014 to 2018
Sun Hongxia, Wang Fang.
DOI: 10.3969/j.issn.1006-5253.2020.02.009
Objective To analyze disease constitution of inpatients in the Gynecology Department of our hospital from 2014 to 2018, so as to provide reference basis for future planning of gynecological prevention and medical care. Methods A retrospective analysis was conducted on patients discharged from the Gynecology Department of our hospital from 2014 to 2018.Results The top three systematic diseases were diseases during pregnancy, childbirth and respiratory (40.59%), diseases of the genitourinary system (33.56%), and neoplasms (16.63%). The top 5 diseases during pregnancy, childbirth and respiratory were ectopic pregnancy, abortion，missed abortion, threatened abortion, spontaneous abortion. The top 5 diseases of the genitourinary system were polyp of female genital tract, other noninflammatory disorders of uterus, endometriosis, salpingitis and ophoritis. The top 5 diseases of neoplasms were uterine leiomyma, benign neoplasm of ovary, cervical carcinoma, cervical malignant tumour and corpus uteri malignant tumour.Conclusion Ectopic pregnancy, abortion, uterine leiomyma and uterine polyps etc, are commonly-seen in this department. Based on commonly-seen gynecological diseases, we should strengthen education and physical screening for women in order to reduce the incidence rates of gynecological diseases.
2020 Vol. 27 (2): 128-131 [Abstract] ( 76 ) HTML (1 KB)  PDF (893 KB)  ( 211 )
132 Analysis on hospitalization costs and its influencing factors of hospitalized patients with chronic hepatitis B in Nantong City
Wu Junxia, Li Yumei.
DOI: 10.3969/j.issn.1006-5253.2020.02.010
Objective To analyze the influencing factors and cost structure of hospitalization expenses for patients with chronic hepatitis B in Nantong City, and to provide evidence for medical decision-making of relevant departments. Methods The main information of the medical records of the first-grade diagnosis of ICD-10 coded as B18.1 was collected from a tertiary hospital for infectious diseases in Nantong City in 2017. The main influencing factors of hospitalization expenses were analyzed with the use of single factor method and stepwise multiple linear regression method. And the difference in the composition of hospitalization expenses was analyzed. Results 1)Hospitalization days, clinical features, surgical procedures and complications were the main influencing factors of hospitalization expenses for patients with chronic hepatitis B. The standard partial regression coefficients were 0.545, 0.414, 0.133 and 0.125, respectively. 2) The weighting factors for medicine and inspection fees were relatively high, with 0.52 and 0.22, respectively. Conclusion Active treatment can prevent or delay further deterioration of the disease, and the shortening of the length of hospital stay is the fundamental method to reduce the hospitalization cost of patients with chronic hepatitis B. Rational use of drugs and the prevention of over-examination are also effective ways to control hospitalization costs.
2020 Vol. 27 (2): 132-135 [Abstract] ( 69 ) HTML (1 KB)  PDF (892 KB)  ( 196 )
136 Analysis on the causes of death and cost of inpatients in a hospital from 2015 to 2018
Zhang Pu.
DOI: 10.3969/j.issn.1006-5253.2020.02.011
Objective To investigate the cause of death of inpatients in a hospital in recent four years and change of per capita cost of the dead patients, in order to strengthen the prevention and treatment of diseases and reduce the mortality rate of inpatients.  Methods According to the ICD-10 international classification of diseases, the first page of inpatient medical records of a hospital in recent four years was classified, the top ten causes of inpatient were sequenced, and the change of the average cost of the top ten deaths was analyzed. Results The number of patients treated increased 3.64% in the past four years. The case fatality rate increased by 0.09% and the per capita cost of hospitalized death increased by 11.78%. The number of deaths of male was significantly higher than that of female, and the highest number of deaths was those over 60 years old. Among the causes of death, circulatory diseases ranked first, malignant tumor diseases ranked second, respiratory diseases, injuries and poisoning ranked third and fourth.Conclusion We should strengthen the prevention and treatment of diseases, improve people's quality of life and reduce the mortality of inpatients.
2020 Vol. 27 (2): 136-138 [Abstract] ( 94 ) HTML (1 KB)  PDF (894 KB)  ( 211 )
139 Analysis of the basic characteristics and hospitalization expenses of the first hospitalized nasopharyngeal carcinoma in a hospital
Ye Qing.
DOI: 10.3969/j.issn.1006-5253.2020.02.012
Objective To analyze retrospectively basic features and economic burden of new nasopharyngeal carcinoma patients in a tertiary hospital from 2014 to 2018, and to provide relevant basis for prevention and treatment of nasopharyngeal carcinoma. Methods The case data came from 1 671 patients admitted to a tertiary hospital in Jiangmen City. Excel 2007 was used to establish a database of new nasopharyngeal cancer patients, and SPSS 17.0 was used to carry out statistical analysis. Results The affected population was mainly male, and the 50 to 59-year-old age group had the highest proportion; rural patients accounted for a relatively high proportion; the type of payment was based on the new rural cooperative; the main factors affecting hospitalization expenses for patients with nasopharyngeal carcinoma were hospitalization days, type of payment, and source of patients. Conclusion According to the epidemiological characteristics of nasopharyngeal carcinoma, hospital managers should formulate relevant policies to prevent nasopharyngeal carcinoma, simultaneously control hospitalization expenses and reduce economic burden.
2020 Vol. 27 (2): 139-141 [Abstract] ( 71 ) HTML (1 KB)  PDF (884 KB)  ( 261 )
142 Development and testing of patient satisfaction questionnaires
Wang Dan, Liu Chang.
DOI: 10.3969/j.issn.1006-5253.2020.02.013
Objective At present, there is a lack of consensus on the study of patient satisfaction questionnaires in China. The questionnaires designed by different scholars are quite different, which makes the results of different questionnaires encounter problems when comparing horizontally or vertically. Based on the existing research, this paper develops a new set of satisfaction mea surement questionnaire. Therefore, this paper summarizes the existing scales at home and abroad, invites domestic experts and scholars to conduct three rounds of discussions, forms a questionnaire for outpatient and inpatient satisfaction, and uses the survey data of the former National Health and Family Planning Commission for statistical analysis and testing. The test showed that the questionnaire had high reliability and validity. The questionnaire developed in this paper provides a scientific and effective measurement tool for future satisfaction surveys.
2020 Vol. 27 (2): 142-146 [Abstract] ( 62 ) HTML (1 KB)  PDF (896 KB)  ( 369 )
147 Application of award and punishment mechanism in medical record recycling management
Ma Jinhuo.
DOI: 10.3969/j.issn.1006-5253.2020.02.014
Objective To explore the mechanism of reward and punishment in solving the problem of medical record recovery in the actual work of the hospital, improve the efficiency of medical record recovery, and ensure the timeliness of medical record information utilization. Methods The actual effect of the reward and punishment mechanism on the management of the recovery of medical records was determined through the modification and implementation of the assessment regulations on the reco-very-of medical records and rewards and punishment from 2014 to 2018 in a hospital, as well as the statistical analysis of specific data. Results Work appraisal regulations were established in 2014 and adjusted annually in 2015, 2016, 2017 and 2018. The 3-day filing rate of discharged medical records increased from 7.62% in 2014 to 53.62% in 2018, and the 7-day filing rate increased from 44.45% in 2014 to 95.76% in 2018. The expenditure in 2018 was 218 670 yuan less than that in 2017, with a decrease of 47.24%.Conclusion The reward and punishment mechanism is an effective way to improve the efficiency of hospitalization of medical records. The improvement of medical record management level and utilization level has higher requirements for the improvement and implementation of hospital medical record management system, as well as the importance of hospital management and the departments.
2020 Vol. 27 (2): 147-148 [Abstract] ( 86 ) HTML (1 KB)  PDF (881 KB)  ( 239 )
149 Analysis on the practice and effectiveness for county medical alliance Construction in a pilot hospital

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DOI: 10.3969/j.issn.1006-5253.2020.02.015
Objective To evaluate the effect of county medical alliance within a pilot hospital in Zhejiang Province. Methods By collecting data on relevant medical services, financial operations and referrals from the general hospital and branches for county medical alliance construction in the past year, the development trends of the general hospital and the branches were compared. Results Since the establishment of the medical alliance, the growth rate of emergency department visits, outpatient service, hospital discharges, and total discharge income of the medical alliance branches in 2018 were higher than those of the general hospital. The average cost of outpatient service and the average cost of hospitalization were lower than those of the general hospital. Conclusion The construction of the county medical alliance has improved the overall medical and health service capacity of township hospitals, promoted localization of the center of medical and health work, and moved forward effectively, and alleviated the problem of seeking medical care for people.
2020 Vol. 27 (2): 149-152 [Abstract] ( 77 ) HTML (1 KB)  PDF (889 KB)  ( 303 )
153 Discussion on the management mode of the statistical work of the hospital in the new situation of the medical reform
Shi Wenzong, Liu Ruiji, Yang Yi.
DOI: 10.3969/j.issn.1006-5253.2020.02.016
The new situation of medical reform brings many opportunities and challenges to the hospital′s statistical work. It is necessary to use data to serve decisionmaking and discuss the management mode of hospital statistics in personnel management, data management and quality management under the new situation of medical reform to meet the needs of the data era, improve the quality of hospital information application and help hospital decision-making.
2020 Vol. 27 (2): 153-155 [Abstract] ( 73 ) HTML (1 KB)  PDF (947 KB)  ( 262 )
156 Rapid health technology assessment of Endostar in nonsmall cell lung cancer
Jin Qingzheng, Zheng Caixia, Yu Wangmei.
DOI: 10.3969/j.issn.1006-5253.2020.02.017
Objective To evaluate the effectiveness, safety and economy of Endostar in non-small cell lung cancer patients using rapid health technology assessment, and to provide evidence for clinical drug selection．Methods English databases such as PubMed, the Cochrane Library and Embase, and Chinese databases such as CNKI, Wanfang and CBM were searched with computers, and two reviewers extracted the data results independently. Only the systematic evaluation, meta-analysis, health technology assessment and pharmacoeconomic research of Endostar treatment for NSCLC were included, and descriptive analysis was used to classify and summarize the research conclusions. Results Eight systematic reviews and 1 pharmacoeconomic study were included．Compared with the standard chemotherapy, Endostar combined with chemotherapy could improve the efficiency, disease control rate and clinical benefit rate of NSCLC patients. The safety studies showed that there was no significant difference in adverse events between the two groups. Pharmacoeconomics studies have shown that Endostar combined chemotherapy could improve the quality-adjusted life-year of patients with NSCLC, but was unlikely to be considered cost-effective. Conclusion Endostar is an efficacious and safe choice for non-small cell lung cancer treatment, but only in areas with a high per-capita GDP, Endostar may be a cost-effective treatment option.
2020 Vol. 27 (2): 156-160 [Abstract] ( 73 ) HTML (1 KB)  PDF (1087 KB)  ( 212 )
161 Influence on physical and mental health and prognosis of infertility patients through health education intervention of wechat platform
Li Lanfang, Lu Wenhao, Chen Xuejun.
DOI: 10.3969/j.issn.1006-5253.2020.02.018
Objective To explore the effect of physical and mental health and prognosis of infertility patients through health education intervention of wechat platform. Methods Two hundred and forty infertility patients were randomly divided into the control group and the observation group, with 120 cases in each group. The control group was given routine health education intervention, and the observation group adopted health education intervention of wetchat platform. The indexes of lifestyle, anxiety score, depression score, life quality score, treatment compliance score and conception rate were compared between the two groups after one year. Results After one year intervention, the scores of diet rhythm, diet content, physical understanding and circadian rhythm in the observation group were all lower than those in the control group  (P<0.05), but the score of consciousness of movement in the observation group was higher than that in the control group (P<0.05). The descending scores of SAS and SDS in the observation group were both larger than those in the control group (P<0.05). The elevation scores of physiological function, psychological function, social function and emotional function in the observation group were all larger than those in the control group (P<0.05). The score of treatment compliance in the observation group was higher than that in the control group (P<0.05). The conception rate in the observation group was 73.3%, higher than that in the control group (55.8%, P<0.05). Conclusion Health education intervention of wechat platform could improve lifestyle, cut down bad mood, raise treatment compliance and life quality, and improve prognosis of patients.
2020 Vol. 27 (2): 161-164 [Abstract] ( 59 ) HTML (1 KB)  PDF (895 KB)  ( 177 )
165 Investigati on onnursing core competency in a grade 2A general hospital
Jiang Jiajia, Zhang Xiaoli.
DOI: 10.3969/j.issn.1006-5253.2020.02.019
Objective To investigate the current situation of the level of nursing core competency in a grade 2A general hospital, and to analyze the influencing factors, so as to provide the scientific basis for the targeted use of effective measures to improve the nursing core competency. Methods Totally 350 nurses from a grade 2A general hospital in Qingdao were investigated with "China Registered Nurse Core Competence Scale" (CIRN), and SPSS 23 software was used for analysis. Results The total score of core competence of nurses was(136.39±36.19), and the mean score of the nursing core competency was(2.48±0.66).The average scores of items in the seven dimensions ranked from high to low were legal/ethical practice(2.57±0.72), leadership(2.57±0.69),interpersonal relation(2.54±0.68),professional development(2.50±0.70), teaching-coaching(2.42±0.73),clinical care(2.42±0.69), critical thinking & research aptitude(2.32±0.72). Multivariate linear regression analysis showed that there was a significant correlation between the working years,departments and core competence of the nurses（P<0.05). Conclusion The core competency of a grade 2A general hospital in Qingdao is at a medium level, and the main influencing factors are working years,age, and departments.Hospital managers should formulate targeted measures to improve the core competence of nurses and improve the quality of nursing services.
2020 Vol. 27 (2): 165-169 [Abstract] ( 62 ) HTML (1 KB)  PDF (918 KB)  ( 205 )
170 Satisfaction survey and analysis of inpatients in internal medicine of a tertiary hospital
Zhu Guiming, Liu Haixia, Hu Naibao, Wang Jiu, Sun Hongwei.
DOI: 10.3969/j.issn.1006-5253.2020.01.020
Objective To understand the feelings of patients when they sought medical treatment in the internal medicine department, to analyze the factors affecting patients′ satisfaction for the hospital,and to provide scientific decision-making gist and suggestions for improving the service quality and the competitiveness of the hospital, through the investigation on the inpatients′ degree of satisfaction in a tertiary hospital in Yantai city. Methods Satisfaction scores of patients were collected by satisfaction questionnaire, which was based on the Likert scale. And the weight of each indicator was determined by an order relation method. Mann-Whitney U test, Kruskal-Wallis H test and logistic regression were performed on SPSS 25.0 to analyze satisfaction scores. Results The average of overall patients′ satisfaction score was 3.994. Weight index showed that medical technology and medical efficiency were the main concerns of internal medicine patients. From high to low, the satisfaction scores of each index were therapeutic environment, medical technology, service attitude, therapeutic efficiency and medical costs respectively. The patients′ addresses and genders also affected satisfaction. Conclusion According to the evaluation of patients′ satisfaction, it is considered that this department needs to control medical expenses,improve medical efficiency and the order of visiting the doctors,continue to put medical technology at the core of the department′s management, and to strengthen communication with low-satisfaction patients.
2020 Vol. 27 (2): 170-174 [Abstract] ( 68 ) HTML (1 KB)  PDF (904 KB)  ( 278 )
175 Investigation analysis on work pressure source, work burnout and mental health status of midwives
Lin Ya, Gu Ronghua, Zhang Xiaofen.
DOI: 10.3969/j.issn.1006-5253.2020.02.021
Objective To explore the levels and correlations of work pressure source, work burnout and mental health status of midwives, and provide basis for improving physical and mental health of midwives. Methods Totally 60 midwives and 60 obstetric nurses were randomly selected to conduct a survey on work stress sources, work burnout, coping styles and scl-90 scales. The indexes of work stress sources, work burnout, positive coping, negative coping and mental health status of the two groups of nurses were compared. Results The score of total work pressure source in the midwife group was 2.66±0.70, higher than that in the maternity nurse group (P<0.05). The scores of emotional exhaustion (28.28±8.60), job apathy (12.39±5.04), no sense of achievement in work (35.74±9.81), negative coping (34.72±4.96) and total score of mental status (1.74±0.61) in the midwife group were all higher than those in the maternity nurse group (23.47±7.35, 8.56±3.18, 28.62±7.45, 30.86±4.50, 1.46±0.50, P<0.05), while positive coping score (29.57±3.36) in the midwife group was lower than that in the maternity nurse group (33.44±4.71, P<0.05). The total scores of work pressure and work burnout in the midwives were both positively correlated with the total scores of mental health status (r=0.687, 0.549, P<0.01). Conclusion In contrast with maternity nurses, midwives have more work pressure, more work burnout, worse coping styles and poorer mental health. We should adopt targeted measures to improve the physical and mental health of midwives.
2020 Vol. 27 (2): 175-177 [Abstract] ( 53 ) HTML (1 KB)  PDF (886 KB)  ( 242 )
178 Study on the relationship between the college students′ mental illness stigma and self-efficacy in Yantai area
Tong Jingyao.
DOI: 10.3969/j.issn.1006-5253.2020.02.022
Objective To understand the relationship between medical students′ mental illness stigma and self-efficacy and give suggestions on how to reduce the stigma of mental illness. Methods This study used a self-contamination scale, a perceived devaluation-discrimination scale, and a general self-efficacy scale to survey 350 undergraduate students.  Results In terms of gender, boys′ self-efficacy was higher than that of girls; mental illness stigma was different in terms of birth place, gender and grade; medical students′ self-efficacy was negatively correlated with mental illness stigma. Conclusion Self-efficacy can predict the degree of mental illness stigma to a certain extent.
2020 Vol. 27 (2): 178-180 [Abstract] ( 51 ) HTML (1 KB)  PDF (938 KB)  ( 284 )
181 Inrestigation of related factors affecting gestational diabetes
Xu Jing, Huang Jing, Xu Zhizheng, Jin Meijuan.
DOI: 10.3969/j.issn.1006-5253.2020.02.023
Objective To investigate the risk factors affecting the development of gestational diabetes. Methods Eighty patients with gestational diabetes admitted to our hospital from January 2014 to January 2019 were selected as the research objects, and were set as the observation group. Seventy normal pregnant women admitted to our hospital during the same period were selected as the control group. The incidence of complications during pregnancy (premature rupture of membranes, preterm delivery, hyper amniotic fluid and postpartum hemorrhage) and perinatal complications (neonatal asphyxia, intrauterine distress, macrosomia and neonatal hypoglycemia) were compared between the two groups. Multivariate Logistic regression was used to analyze the risk factors of gestational diabetes mellitus. Results The total incidence of pregnancy complications in the observation group was 16.25%, which was significantly different from that (5.71%) in the control group (P<0.05). The total incidence of perinatal complications in the observation group was 15.00%, significantly higher than that (4.29%) in the control group (P<0.05). Logistic regression analysis showed that aged 35 years old and above, BM 25 kg/m2 and above, having history of GDM and having family history of diabetes were the major risk factors leading to gestational diabetes. Conclusion Age ≥35 years old, BMI≥25 kg/m2, having history of GDM and having family history of diabetes are risk factors for gestational diabetes. Early intervention and treatment should be strengthened to reduce the incidence of gestational diabetes.
2020 Vol. 27 (2): 181-183 [Abstract] ( 82 ) HTML (1 KB)  PDF (891 KB)  ( 144 )
184 Application of R software in customizing the Excel Table
Ye Yunshao, Huang Xuehuan, Han Dong.
DOI: 10.3969/j.issn.1006-5253.2020.02.024
Objective To solve the fine processing of Excel report based on R language, and to improve the efficiency of daily statistics. Methods This paper introduces the functions of openxlsx software package and shows its application in Excel report operation by writing the function of compound header "trilinear table". Results Openxlsx package in R language can refine the output format of Excel file automatically, which can deal with the problem of manual adjustment of form style of reports. Conclusion Using openxlsx software package to write report program can effectively improve the efficiency of repetitive statistical work.
2020 Vol. 27 (2): 184-187 [Abstract] ( 65 ) HTML (1 KB)  PDF (1423 KB)  ( 291 )
188 Progress in the localization of relative value scale compensation system based on resource consumption in public hospitals
Yang Lei, Ma Xianying.
DOI: 10.3969/j.issn.1006-5253.2020.02.025
With the deepening of the reform of public hospitals, the development and management modes of hospitals have been challenged, and the establishment of a feasible and reasonable compensation system that reflects the value of medical personnel's technical labor rather than economic benefits has become the key to the success of the reform. RBRVS-based compensation system plays a significant role in curbing unreasonable medical services, improving the use efficiency of medical resources and activating the vitality of doctors.This paper will systematically explain the origin and development of RBRVS, its concept and method, its application status and the difficulties it faces, etc., in order to provide a reference for the promotion of China's public hospital salary reform.
 
2020 Vol. 27 (2): 188-192 [Abstract] ( 101 ) HTML (1 KB)  PDF (1391 KB)  ( 323 )
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