目的 分析整理河北省心理援助热线来电数据,了解当前热线中焦虑、抑郁来电者的特点.方法 采用一般人口学资料调查表收集352例焦虑、抑郁来电者的资料,在两次来电中采用广泛性焦虑量表(GAD-7)、患者健康问卷(PHQ-9)评定来电者的焦虑、抑郁情绪.结果 男性PHQ-9前测评分小于女性(P<0.05);不同年龄、文化程度、职业、婚姻状况以及具有不同问题的来电者在GAD-7、PHQ-9前测评分上比较,差异均具有统计学意义(P<0.05).Logistic回归分析结果显示,性别、文化程度与职业是来电者主要问题的影响因素(P<0.05).GAD-7、PHQ-9前测评分均高于各自后测评分(P<0.05).PHQ-9前测评分与PHQ-9后测评分以及GAD-7前、后测评分均呈正相关(P<0.01),GAD-7前测评分与PHQ-9后测评分、GAD-7后测评分均呈正相关(P<0.01),PHQ-9后测评分与GAD-7后测评分呈正相关(P<0.01).结论 心理援助热线的咨询及干预在一定程度上缓解了来电者的焦虑、抑郁情绪状态,热线随访服务有助于来电者维持情绪稳定,并向来电者提供了积极、有效且及时的求助方式.

目的 通过对出院精神病患者及其家属的回访电话的数据和内容进行分析,总结河北省第六人民医院的满意度指标,并提出相关的优化方案.方法 对41 444例次出院精神病患者的回访电话进行归类总结分析.结果 精神病患者对医风医德和医院技术设备、医生服务满意度最高,分别为99.98％、99.88％、99.95％.封闭病房的患者满意度逐年上升,出院患者复诊率平均为64.37％.结论 进一步整改医疗服务,可以优化医院医疗服务职能,提升医疗服务质量.

引入品管圈活动,遵循PDCA循环,对精神科住院患者卫生合格率进行改进.精神科住院患者卫生合格率由活动前的67.14％提高为活动后的92.86％,达到了活动目标,提高了患者满意度,构建了和谐护患关系,提升了护理服务品质.

<正>近年来,许多国家纷纷以卓越绩效为最终目标,以国家质量奖的形式引导组织追求卓越,促进全面质量管理的普及和企业管理水准的提升。1999年,波多里奇国家质量奖启动了医疗卫生方面的奖项,对于推动美国医疗卫生组织质量管理

Various factors lead to the ethical risks in the daily nursing in clinical psychology division,including insufficient sense of medical security among nursing staff,imperfect system of grading nursing,lack of education for patients' family members,potential dangers in the ward facilities,the complexities in patients' disease conditions,and the side effects of drugs.Therefore,the ethical principles including people-oriented principle,respect for patients,self-restraining in privacy,justice,and informed consent should be applied in daily nursing in clinical psychology division,in order to minimize nursing risks.

目的 探讨氯氮平、利培酮和阿立哌唑治疗住院精神分裂症患者出现药物不良反应的成本-效果.方法 将112例住院精神分裂症患者随机分为氯氮平组、利培酮组和阿立哌唑组,每组又分为有药物不良反应为实验组,元药物不良反应为对照组.治疗前和治疗结束后分别对患者进行阳性与阴性症状量表(PANSS)和副反应量表(TESS)评定,用PANSS减分率评定疗效,并记录患者的一般情况和住院天数.结果 氯氮平、利培酮、阿立哌唑治疗精神分裂症的疗效3个治疗组之间无统计学意义(χ2=4.11,P＞0.05).3个治疗组在心电图、血糖、血脂异常改变方面均无统计学意义(P＞0.05);实验组住院天数长于对照组(P＜0.05).3个组不良反应的治疗费用和住院总费用上均无统计学意义(χ2=2.03,P＞0.05),成本-效果的敏感度分析显示对照组成本效果比低于研究组(P＞0.05).结论 选择不良反应小的抗精神病药物更能减轻精神分裂症患者的治疗成本.

From the ethical point of view,this paper explores to carry out AIDS-related training for nursing staff,to enhance their awareness of self protection and occupational protection for better nursing work,and provides reference for training in AIDS prevention and control and reduce occupational risk among nursing staff.

Objective:To explore the effects of nursing intervention on the life quality,compliance and relapse of patients with recurrence depressive disorder.Methods:One hundred patients with depression were randomly divided into nursing intervention group and control groups with 50 patients respectively.The control group were treated with Paroxetine and normal nursing.The intervention group with Paroxetine adding system nursing intervention for six weeks.Results: The scores of life quality improved in the two groups after six months and one year.The score of intervention group was more than control group,there was significant difference in the two groups(P0.05).The compliance in intervention group was better than the one in control group.The relapse in intervention group was lower than control group,significant difference was found(P0.05).Conclusion: Nursing intervention can improve the life quality and compliance,while reduce the rate of relapse of patients with recurrence depressive disorder.

Objective To explore the relation ship between locus of control and anxiety,coping styles of psychiatric nurses.Methods A total of 418 psychiatric nurses were questioned by internal control,other influential and opportunity scale,Zung Self-Rating Anxiety Scale,and coping style questionnaire.A total of 158 nurses whose anxiety scale sores were greater than 50 were categoned as anxiety group,the remaining nurses as non-anxiety group.Results ①The three factors in locus of control scale between groups showed differences and had statistical significance (P<0.01).②The six factor scores in coping style questionnaire showed differences between the anxiety group and non-anxiety group and had statistical significance (P<0.05).③Correlation analysis showed that internal control had positive correlation with solving problems,seeking help and rationalization,and had negative correlated with self-reproach,fantasy and retreat.The influential others and opportunities were on the contrary.Conclusion There is anxiety in most psychiatric nurses,and nursing staff anxiety and immature coping style are related to locus of control.

Through customers and market analysis in a provincial psychiatric specialist hospital,we can understand customer's needs and expectations; identify target markets and customer base; develop customer relationship management strategies to build rapid response in customer consultation and complaint channels; and timely meet customer needs,which aims to enhance customer satisfaction,and to promote hospital's sustainable development.

Based on process approach and process management of performance excellence pattern,the five value creation processes of a provincial psychiatric specialist hospital (the process of health care providers,medical technology service delivery process,the process of care services,hospital infection control process,and customer and the process) were analyzed and countermeasures were put forward for continuing quality improvement.

随着医学科学的迅速发展,医学模式也发生了很大变化,在人类进入生命科学的世纪之时,人们的健康也受到很大困扰,出现了很多精神障碍病人和心理障碍病人,这就对尚在日渐成熟的护理学也提出了很大挑战.同时对精神科的护理人员提出了更高的要求,因为我们从事的护理行为是一种社会行为,它关系到病人的生命安全.要求护士不仅要知道法律赋予病人的权利,而且更应该知道精神科护理行为所涉及的一些法律问题.护理差错和事故一旦发生,后果难以预料,它事关病人的安危,事关疾病的转归,事关医院管理的质量.因此,必须在工作中严加防范[1].

本文针对精神科开放病房护理工作的特点,分析首因效应在护理工作中的作用,提出了精神科护士运用首因效应的措施:包括营造温馨的病房环境;塑造美好的护士形象;运用恰当的沟通技巧;履行充分的告知义务等。

目的:分析精神专科医院护理纠纷的原因、法律责任以及如何采取预防措施避免和减少护理纠纷。方法:对精神专科医院发生护理纠纷的原因、法律责任、预防措施进行全面的探索和总结。结果:了解精神专科医院护理纠纷的原因、法律责任、预防措施有利于促进精神科护理工作者工作态度、技术水平乃至护理质量的提高,从而减少护理纠纷。结论:护理纠纷的最终解决仍需全国《精神卫生法》和相关的护理法律法规的尽快出台和完善,从而使护理纠纷的处理能做到有法可依,妥善解决。

自测血压指在诊所以外测量的血压,1993～1999年WHO/ISH规定成人收缩压≥140mmHg和(或)舒张压≥90mmHg,即为高血压.中华医学会和中国高血压联盟将1999年WHO/ISH高血压诊断标准作为我国高血压诊断标准[1].近几年,随着社区卫生服务的广泛开展,慢性高血压患者在家庭治疗的人数逐年增加.自测血压作为家庭监测血压的一种方法,虽然操作简单,但不准确的操作会产生误差,影响用药量和治疗效果.我们对86例居家自测血压的高血压患者及其家属进行了调查,对自测血压过程中存在的问题进行了分析,结果如下.

精神分裂症病程多慢性迁延,复发率高[1],单纯依靠药物不能解决患者的康复和复发问题.为了更好的对健康教育进行评估,笔者对实施了健康教育的精神分裂症患者与常规护理的精神分裂症患者的服药依从性和社会功能恢复情况进行了对照观察,现报道如下.

目的探讨综合家庭护理干预对精神分裂症患者生活质量影响.方法对本院出院的精神分裂症患者按入组标准随机抽取100例,分为研究组和对照组各50例.对研究组进行干预,在出院时及出院3月末分别进行日常生活能力量表(ADL)、社会支持评定量表和生活质量综合评定问卷(GQOLI-74)评定.治疗依从性问卷3月末进行评定.用统计学方法进行比较.结果社会支持评定量表中主观支持和利用度两组存在极显著性差异(P＜0.01),客观支持存在显著性差异(P＜0.05),即研究组优于对照组.GQOIL-74中躯体功能和物质生活两组无显著性差异(P＞0.05),而心理、社会功能和生活质量总体评价研究组优于对照组(P＜0.05).治疗依从性两组有极显著性差异(x2=14.19,P＜0.01).ADL中两组不存在差异(P＞0.05).结论对精神分裂症患者实施综合家庭护理干预有助于提高其生活质量.