重庆市第九人民医院响应国家促进西部大发展中西医并重政策,探索并形成低成本支撑下欠发达地区中等规模医院差异化高速发展模式.介绍了重庆市医院成本管理研究中心创建及其对医院成本管理的创新贡献,重点阐释了重庆九院以战略性医院成本管理为抓手,成立医院成本管理研究中心;以差异化发展为导向,在国有资源重组、医院分配机制、健康教育模式、三甲医院直接兴办社区卫生服务、平衡计分卡管理工具运用、创建研究平台等方面进行的一系列理论与实践探索,以及取得的卓越成效.

Objective To explore the effects of the simulated teaching method applied in the course of professional ethics and vocational guidance for nursing students.Methods Totally 213 nursing students in 2 classes were divided into 2 groups,an experimental group(n=103,in one class) and a control group(n= 110,in another class).The control group received routing teaching method with more emphasis on theory instruction,while the experimental group received the simulated teaching method on the basis of teacher's instruction and demonstration.The data relevant to teaching effects were collected and compared between the two groups.Results Compared with the control group,the students in the experiment group had significantly higher positive evaluation to the simulated teaching method.Conclusion The simulated teaching method is more effective to stimulate students' learning enthusism study and enhance the quality of professional ethics education.It plays an active role on the cultivation of students' morality.

Objective To study the clinical effects of comprehensive care and psychological intervention on the postpartum depression.Methods 200 cases of lying-in mothers(May 2009 ~ May 2010-)in two communities were randomly selected for the study.The lying-in mothers were divided into two groups,an experimental group(n=300,accepted as an integrated,comprehensive nursing care and psychological intervention)and a control group(n=300,accepted as routine care).The effects of comprehensive care and psychological intervention on postpartum depression were evaluated by HAMD score(used in prenatal state)and EPDS score(used in postnatal state)methods.Results Compared with the control group,the scores HAMD and EPDS in the experimental group were significantly reduced(P<0.05),and the degree of satisfaction with hospital care was remarkably raised(P<0.05).Conclusion The results shows that comprehensive care and psychological intervention have better effects on preventing lying-in mothers from suffeving postpartum depression.

1 病例介绍 患者,男,42岁,因右侧腹股沟包块3月余,于2006年7月16日来本院就诊并收住院,查体见右侧腹股沟区可触及一约7 cm×3 cm×2 cm大小包块,质硬、压痛、局部红肿、周围浅表淋巴结未及肿大,腹软,无压痛及反跳痛,肝、脾肋下未触及,肝、肾区无扣击痛,移动性浊音(一),肠鸣音正常.

本文把对一例糖尿病伴多器官并发症的服刑病人的心理护理进行报道,期待与同行共同关注这类病人的护理.