25 April 2018, Volume 25 Issue 2

    

• Select all
  |

• Select
  Analysis of job satisfaction and its influence factors among medical staffs in Shaanxi province

  Yao Jinjiang, Xu Yongyong, Guo Lingxia, Yang Liping, Pan Jing, Zhao Qianfou, Tan Zhijun

  journal1. 2018, 25(2): 81-84. https://doi.org/10.3969/j.issn.1006-5253.2018.02.001

  Abstract ( ) Download PDF ( )   Knowledge map   Save

  Objective To analysis the job satisfaction and its influence factors among the medical staffs in Shaanxi Province, and to provide evidence for improving the level of job satisfaction and also the development of human resources. Methods A questionnaire survey was performed to interview the job satisfaction of 4 470 medical staffs. The content of the job satisfaction included overall satisfaction and other seven dimensions, such as colleagues relationship,current job status,payment,work circumstance, promotion chances and equipment condition. Results The overall satisfaction score was 68.2 and the proportion of overall dissatisfaction was 31.1%, which indicated the level of job satisfaction was related low. The satisfaction score and the proportion of dissatisfaction of all dimensions in turn was colleague1relationship, current job status, promotion chances, work circumstance,equipment condition and payment. The job satisfaction was significantly affected by age, gender, marital status, education, type of unit, professional category, type of job, the length of work time, the authorized staff, management position, the length of work time and annual income. Conclusion The government should invest more to speed up infrastructure construction in public medicalinstitutions and develop better practice environment and provide higher salary for medical staffs, andeffective interventions should be adopted to improve the job satisfaction and motivationaccording to the characteristics of medical staff.
     
• Select
  Efficacy of Panax Notoginseng Saponins for deep venous thrombosis in hip arthroplasty: a Meta-analysis

  Xu Jinlong,Yao Lili, Duan Baozhong, Ma Weicheng

  journal1. 2018, 25(2): 85-88. https://doi.org/10.3969/j.issn.1006-5253.2018.02.002

  Abstract ( ) Download PDF ( )   Knowledge map   Save

  Objective To systematically evaluate the efficacy of Panax Notoginseng Saponins for deep venous thrombosis (DVT) in hip arthroplasty. Methods Randomized controlled trials and screening study of Panax Notoginseng Saponins intervention study of deep venous thrombosis (DVT) in hip arthroplasty were searched with computer in the Cochrane Library, and data were extracted for analyzing research quality. And meta-analysis was performed with Revman 5.3 software. Results The decrease of incidence of deep venous thrombosis with Panax Notoginseng Saponins was not inferior to that in the control group (P>0.05), and there were no significant difference in the increase value of APTT, INR and PLT (P>0.05). While there was significant difference in the increase value of PT between two groups (P<0.05). Conclusion The decrease of incidence of deep venous thrombosis with Panax Notoginseng Saponins was not inferior to that in the control group, but there is certain heterogeneity between the studies,so it is necessary to design large scale randomized controlled trial for verification.
     
• Select
  Trend analysis between human resource development and medical services in an affiliated hospital from 2008 to 2016

  Ye Lihua, Wen Jianzhen, Jiang Lifeng, Xu Sumei, Deng Yiyu

  journal1. 2018, 25(2): 89-92. https://doi.org/10.3969/j.issn.1006-5253.2018.02.003

  Abstract ( ) Download PDF ( )   Knowledge map   Save

  Objective To realize the development? between health human resource status and medical services and to provide data for hospital future staffing plan and business development through making a statistical description of the variables in the affiliated hospital from 2008 to 2016. Methods The data of the health manpower basic information questionnaire were collected from the network direct report platform of the hospital at the end of each year between 2008 to 2016, and SPSS16.0 and R software were used for descriptive analysis, dynamic sequence analysis, Pearson correlation analysis and canonical correlation analysis. Results The number of the health manpower resources and the development of medical services were on the rise in this affiliated hospital. There was a strong positive relation between the medical services and the allocation of human resource. Conclusion The human resources developed with the growth of the medical services yet it did not meet the related standard, so the hospital should be equipped with sufficient professional medical workers to prepare for the rapid growth of hospital medical services.
     
• Select
  Investigation analysis on clinical features and risk factors of brain injury of neonatal hypoglycemia

  Zhou Cailing, Dai Jin, Ye Meiling

  journal1. 2018, 25(2): 93-95. https://doi.org/10.3969/j.issn.1006-5253.2018.02.004

  Abstract ( ) Download PDF ( )   Knowledge map   Save

  Objective To summarize the clinical features and study correlated risk factors of neonatal hypoglycemia. Methods Totally 192 definite cases of neonatal hypoglycemia were studied and summarized, and these pediatric patients were divided into the case group (36 cases) and the control group (156 cases) according to whether or not with brain injury. Correlated influencing factors were collected, and the higher risk factors were screened through single factors and multiple factors methods. Results The incidence rate of neonatal hypoglycemia brain injury was up to 18.8% (36/192). Multiple factors Logistic regression analysis result showed that the factors of gestational diabetes (OR=3.040), neonatal convulsions (OR=5.982), infection of newborn (OR=4.963), blood sugar level (OR=8.529) and persistence time of hypoglycemia (OR=5.200) were the risk factors of neonatal hypoglycemia brain injury. Conclusion The incidence rate of neonatal hypoglycemia brain injury is still high. We should early monitor blood sugar of the newborn, timely deal with complications and carry out blood sugar intervention, in order to reduce the incidence rate of neonatal hypoglycemia brain injury.
     
• Select
  Investigation on current situation and influencing factors of breastfeeding knowledge of pregnant women in a hospital from 2012 to 2016

  Kong Hongyan

  journal1. 2018, 25(2): 96-98. https://doi.org/10.3969/j.issn.1006-5253.2018.02.005

  Abstract ( ) Download PDF ( )   Knowledge map   Save

  Objective To understand the situation of breastfeeding knowledge of pregnant women in our hospital, and to investigate the influencing factors. Methods Totally 1 220 pregnant women were selected randomly from 2012 to 2016 in our hospital, a self-made questionnaire was used to investigate the breastfeeding knowledge, and the influencing factors were analyzed. Results In the survey of breastfeeding knowledge of pregnant women, the average score from 2012 to 2016 was (8.41±5.94) points, (8.86±6.14) points, (10.10±6.32) points, (13.5±6.86) points, and(14.8±6.88) points, and there was a trend of increasing year by year. Logistic regression analysis showed that the education, type of pregnant women, access to knowledge were the main factors affecting the breastfeeding knowledge of pregnant women (P<0.05). Conclusion The level of breastfeeding knowledge of pregnant women in our hospital is increasing year by year. Education, type of pregnant women, and access to knowledge are the main factors affecting the breastfeeding knowledge of pregnant women. Targeted measures should be taken to further improve the breastfeeding knowledge of pregnant women.
• Select
  Relationship between the incidence of hyperuricemia and age in patients with coronary heart disease

  Liu Jiaming, Lin Hailing

  journal1. 2018, 25(2): 99-100. https://doi.org/10.3969/j.issn.1006-5253.2018.02.006

  Abstract ( ) Download PDF ( )   Knowledge map   Save

  Objective To investigate the correlation of the incidence of hyperuricemia and age in patients with coronary heart disease. Methods Totally 100 patients with coronary artery disease who were admitted to our hospital between January 2015 and December 2017 were selected as study subjects. Complete data were included in the subjects and they were willing to cooperate with the study. Their clinical data were analyzed retrospectively and grouped according to their age. We compared the level of serum uric acid and the incidence of hyperuricemia in patients of different ages. Results According to age, they were divided into five groups, 30 years old and below group, 31 to 39 years old group, 40 to 49 years old group, 50 to 59 years old group, and 60 years old and above group. The results showed that the older the patients, the higher the blood uric acid level, with the difference significant (F=10.904, P<0.001). The higher the incidence of hyperuricemia was, the higher the difference was (r=0.986,t=10.353,P<0.001). Conclusion As the age of patients with coronary heart disease increases, the blood uric acid level also shows a significant increase, and the occurrence of hyperuricemia is also higher. The positive correlation trend between the incidence of hyperuricemia and age in patients with coronary heart disease can be seen, so Attention should be paid to the trend for clinical practice.
     
• Select
  Analysis of mortality and cause eliminated life of esophageal cancer in Taian in 2015

  Wang Jie, Zhou Yuan,Chen Shangmin, Du Weiping, Zhang Qinfeng

  journal1. 2018, 25(2): 101-103. https://doi.org/10.3969/j.issn.1006-5253.2018.02.007

  Abstract ( ) Download PDF ( )   Knowledge map   Save

  Objective To understand the death of esophageal cancer in Taian and its impact on life expectancy, and to provide reference for chronic disease prevention and control work, by analyzing death and cause eliminated life of esophageal cancer in Taian in 2015. Methods According to the statistics of esophageal cancer death in Taian in 2015, the standardized rate was calculated by the method of life table and analysis of life expectancy. The standardized rate of population was calculated according to the standard population of 2000 in China. SPSS 20.0 was used to analyze the data, calculate the mortality and proportion. Results 2 221 patients died of esophageal cancer in Taian in 2015, and the death rate was 39.32/10 million. the mortality rate for male was 55.64/10 million, while the female mortality rate was 22.57/10 million, and the male mortality rate was significantly higher than that of female with statistical significance (χ² = 392.91, P<0.01). There was regional difference for distribution of esophageal cancer in Taian, and the mortality difference of esophageal cancer in six counties was statistically significant (χ² = 740.95, P<0.01). The highest mortality rate was 72.18 / 10 million in Ningyang county. In 2015, the overall life expectancy of Taian City was 79.86 years old. Death from esophageal cancer excluded, the life expectancy of the whole population was 80.51 years, and the potential lifetime of esophageal cancer per thousand population was 4.75 years. Conclusion Taian city is the high incidence area of esophageal cancer in China. There is no significant change in mortality between 2012 and 2015. Esophageal cancer is still the second largest cause of cancer death in Taian city. The male mortality rate is significantly higher than that of female and the difference is statistically significant. There was regional difference for the distribution of esophageal cancer, and the difference in mortality is statistically significant in six counties. Esophageal cancer has a greater impact on the life expectancy of Taian residents, and the decrease of esophageal cancer mortality can effectively reduce the loss of life.
     
• Select
  The research of narrative therapy on the quality of life of patients with bipolar depression

  Liu Gang, Zhong Ming, Cui Minghu

  journal1. 2018, 25(2): 104-106. https://doi.org/10.3969/j.issn.1006-5253.2018.02.008

  Abstract ( ) Download PDF ( )   Knowledge map   Save

  Objective To explore the effect of narrative therapy on the quality of life of patients with bipolar depression. Methods Forty-six patients with bipolar disorder and depression were randomly divided into the experiment group and the control group(n=23). The patients in the experimental group were treated with sodium valproate and quetiapine, combined narrative therapy, while the control group was simply given sodium valproate and quetiapine treatment. Before and after treatment, the efficacy was evaluated by the Hamilton depression rating scale (HAMD 17 version), and the quality of life was assessed by the Chinese version of the quality of life scales(QOL) before the treatment and two, four and eight weeks during the treatment. Results There was no statistical significance for the HAMD scale score difference of two groups before treatment (P>0.05). There was statistical significance for the HAMD scale score difference of two groups after treatment (P<0.05). Every field points and the total score of QOL-EREF at each point time were statistically significant (P<0.05). Through multiple comparisons, each point at different time was statistically significant(P<0.05). Conclusion The intervention of narrative therapy in patients with bipolar depression can improve the residual symptoms, and improve the curative effect and quality of life.
     
• Select
  Analysis of seasonal factors of the number of hospital admissions from 2007 to 2016 in a tertiary hospital in Shandong province

  Wu Hongpeng, Zhang Shujing

  journal1. 2018, 25(2): 107-110. https://doi.org/10.3969/j.issn.1006-5253.2018.02.009

  Abstract ( ) Download PDF ( )   Knowledge map   Save

  Objective By analyzing the seasonal factors of the number of hospitalized patients in a tertiary hospital, we can find out the dynamic changes and seasonal variation rules of the number of hospitalized patients in the hospital, and provide the basis for making work plan and clarifying the key points of work. Methods Time series analysis was used to analyze the number of hospital admissions from 2007 to 2016. Seasonal variation analysis was used to analyze the changes of the number of hospitalized patients in the quarter, the month and the week from 2007 to 2016. The seasonal index of various hospitalization numbers was calculated, and the change law of the number of hospitalized patients in time was analyzed. Results The number of hospitalized patients in hospital is increasing year by year. There is an obvious change in the seasonal index of the number of hospital admissions. Conclusion The number of hospitalized patients is increasing year by year, and has obvious seasonal and periodic changes. The seasonal index law of the number of hospitalized patients has a certain reference function for the hospital to do a good job in various medical work arrangements.
     
• Select
  Analysis of prognostic factors of cerebrovascular disease based on the national inpatient sample

  Huang Yanqun, Zhang Hui, Wang Ni, Liu Honglei, Chen Hui

  journal1. 2018, 25(2): 111-114. https://doi.org/10.3969/j.issn.1006-5253.2018.02.010

  Abstract ( ) Download PDF ( )   Knowledge map   Save

  The first page of inpatient medical record is a kind of big medical data with high data quality, and it has great value of data mining. However, the domestic use of the first page of inpatient medical records mainly stays in the simple data statistics summary. The structure and content of National Inpatient Patient Sample (NIS) of the United States are very similar to those of the first page of inpatient medical records in China, and in many studies information of NIS is used to analyze the prognostic factors of many diseases. This paper aimed to conduct a survey of the NIS-based studies on the prognostic factors of cerebrovascular disease, including patients’ demographic characteristics, comorbidities, receiving surgery and other related factors. It is expected to provide helpful advice for the studies based on the first page of inpatient medical records in China.