Objective To explore and analyze the training and assessment status of civilian staffs in military hospitals and put forward some targeted suggestions,so as to provide evidences for making and improving relative policies for talents recommendation and cultivation.Methods By cluster sampling,the training and evaluation status of 350civilian staffs with different specialties from 6military hospitals were analyzed.Results The time of pre-job training for civilian staffs was different and the mainly training form was full-time closed military training;The continuing education was to attend the training program performed by whose own hospitals.Assessment indicators on civilian staffs tended to focus on professional skills and job performance.Assessment results are used as the reference of renewal and fire.Conclusion The training and assessment system for civilian staffs in military hospitals has been established.However,it is necessary to standard the content of specification for pre-job training and the on-the-job continuing education to strengthen the examination of personnel training incentive and establish long-effect training mechanism.

Objective To understand the status of extended-care needs and self-care agency in patients with end stage diabetic nephropathy (ESDN), and analyze their correlations. Methods A total of 46 patients with ESDN undergoing hemodialysis were recruited and investigated with Extended-Care Needs in Patients with ESDN Scale and The Exercise of Self-Care Agency Scale (ESCA). Results The score of extended-care needs was 68.66±3.19 and that of self-care agency 85.34+3.93. There was a negative correlation between them (r=-0.190, P<0.05) and among self-care skills, specific nursing, emergency care and health education. There was positive correlation among self-care responsibility, specific nursing and health education. Self-concept was positively correlated with health education, psychosocial support, total score of extended-care needs. Conclusion The lower patients’ self-care agency is, the more extended-care needs are. The more powerful patients’ self-care responsibility and self-concept, the more extended-care needs.

目的 评价延续性护理对终末期糖尿病肾病(ESDN)患者的影响.方法 选择行血液透析治疗的ESDN患者46例,分别在延续性护理干预前和干预后1个月、2个月采用简明健康调查量表测评患者的精神健康状况,采用自我护理能力测定量表测评患者的自我护理能力,收集患者透析过程中的不适反应.结果 干预前和干预后1个月精力、情感职能、自我护理技能、健康知识水平评分及不良反应发生率的差异均有显著性,干预后2个月精神健康总分、自我护理能力总分较干预前明显提高,差异有显著性.结论 延续护理干预有利于改善ESDN患者精神健康状况,提高自我护理能力,促进透析过程中病情平稳.

Objective To establish performance evaluation indexes architecture model and provide theory evidence for scientific,objective and practical performance evaluation index for clinical nurse.Methods Semistroctured interview was conducted to 12 experienced expert nurses.The data was analyzed via qualitative research,established performance evaluation indexes architecture model for clinical nurse.Results Performance evaluation indexes architecture model was established based on " Quality care demonstration project",it contained 3 one class indexes (basic performance,workload performance and quality performance),10 two class indexes and 38 three class indexes.Conclusions Performance evaluation indexes architecture model would play an important role in assessing the performance of nursing staff obiectively and reasonably.

Objective To investigate the structures of non-active duty personnel in military hospitals.Methods 350 non-active duty men and women from 6 military hospitals selected by cluster random sampling were surveyed in regards of position,education background,professional title,age and so on with a self-designed questionnaire.Results Of all the 350 questionnaires,286 were effective(81.7%).The survey found that non-active duty pesonnel is of a younger age,doctor-nurse propotion is not rational,self-cultination needs improving and team echelon construction should be enhanced.Conclusion Under the current cicumstances,it is necessary to adjust the hiring strategy,establish long-effect training mechanism,build stable environment to optimize structures of non-active duty personnel in military hospitals.

Objective To construct a competency model for nurses in operating room.Methods Competency Dictionary for Nurses in Operating Room was compiled based on literature analysis and expert consultation,then a self-designed questionnaire was applied among 255 nurses in operating room for their attitudes toward competency items in the dictionary,finally the competency model for nurses in operating room was established with factor analysis and analytic hierarchy process.Results Competency model for nurses in operating room consisted of four factors: professional basic skills(including items such as professional basic knowledge and technology,knowledge update and application ability,the application of medical instruments and surgical instruments),interpersonal skills(including items such as communication ability,teamwork spirit,interpersonal insight),career development competence(including items such as inquisitiveness,conceptual thinking,awareness of occupational protection,judgment and response capabilities,concerned about the quality and order of work) and individual characteristics(including items such as self-confidence,attention to detail,vigorous and nimble,self-control,sense of responsibility,initiative) and 17 specific competency items.Weights of 4 factors were 0.282,0.272,0.187 and 0.261 respectively.Conclusion Competency model for nurses in operating room including four factors and 17 specific competency items.

Objective To investigate the competency of operating room nurses. Methods Take Basic Competency Dictionary as foundation, operating room nurses competency dictionary was obtained through literature analysis, questionnaire survey and group discussion. The transcripts of behavioral events interview were coded based on the competency dictionary. Results There was no significant difference regarding the time and length of interview between excellent group and ordinary group ( P ＞ 0.05). However, there was significant difference in 17 competency factors such as professional knowledge and skills, team spirit, moral responsibility and initiative between the two groups ( P ＜ 0.05 ). Conclusions Through sorting and group discussions, the competency of operating room nurses includes 4 factor and 15 specific items.

Objective To investigate the job burnout status in non-active-duty civilian nurses in the military hospitals.Methods 700 nurses from 3 Level-three Class A hospitals in the military selected by cluster random sampling were investigated by Maslach Burnout Inventory(MBI) survey.Results Of all 700 questionnaires,631 were retrieved,537 were effective(85.10%).The total detection rate of job burnout was 82.12% among 537 questionnaires,the detection rate of different dimensions of burnout were 83.43% of emotional exhaustion,77.28% of depersonalization and 98.51% of personal accomplishment.Between different departments,the personal accomplishment degree of the survey sample was lower than that of M's sample(P0.01);the degree of depersonalization of married nurses was higher than that of unmarried(P0.05);the degree of depersonalization of nurses with over 5 years of nursing age was higher than that of nurses with less than 5 years of nursing age(P0.05);the nurses from Oncology Department,Emergency Department and ICU had a significantly higher degree of emotional exhaustion and depersonalization than those from the other departments(P0.05);the nurses from Oncology Department and out-patient had a less score of personal accomplishment than that of the other departments(P0.05);the personal accompishment score of nurses from Operating Department and ICU was higher than that of the other departments(P0.05).Conclusion Non-active-duty civilian nurses are among high-risk populations of job burnout,so the hospital management should be targeted to institute countermeasures to alleviate job burnout.

针对当前军队医院多元化护理人员结构的格局,创立了网络环境下军队医院护理人力资源管理模式.依托"军卫一号"工程,我院研制开发了"军队医院护理综合信息系统","护理人力资源基本信息系统"和"动态调配"系统是其中的子系统.系统的应用,实现了军队多元化护理人力资源的有效管理和动态调配,减少了护理管理工作的盲目性,提高了科学管理水平.

护理质量直接关系到患者的生命与健康、关系到医院在社会公众中的形象,加强护理质量管理、提高护理服务质量及患者满意度是护理管理的中心任务,也是医院工作的主要目标;特别是随着医药卫生体制改革的深化、"优质护理服务示范工程"的全面展开,确保患者得到优质、安全、满意的护理服务显得尤为重要.因此,进一步加强护理质量管理工作刻不容缓.本文对我国的护理质量管理现状进行了综述,以期为新形势下对护理质量管理的积极探讨和实践提供依据.

> 《医疗事故处理条例》第46条规定:"发生医疗事故的赔偿等民事责任争议,医患双方可以协商解决,不愿协商或者协商不成的,当事人可以向卫生行政部门提出调解申请,也可以直接向人民法院提起诉讼。"此条规定提出了医患双方解决医疗纠纷的三条基本途径,即自行协商、行政调解、民事诉讼。可见行政调解是解决医疗纠纷的基本途径之一。一、行政调解在解决医疗纠纷中的作用在现行法律框架下行政调解在解决医疗纠纷中有其独

It is an important measurement to employ the civil nurses in the military hospitals for the reform of the human resource in army.Our hospital have selected and trained 178 civil nurses for two years.A scientific management system of civil nurses has been construction.It can strengthen the construction of the whole nursing team and ensure the continued development of nursing quality.

目的提高颈椎病手术患者的健康教育质量。方法将2007年1-12月的135名住院患者分成两组,观察组采用临床护理路径进行健康教育,对照组采用传统方法进行健康教育。观察比较两组患者的健康教育达标率、护理质量满意率、平均住院费用和天数以及症状自评量表(SCL-90)评定。结果观察组患者的健康教育达标率、护理质量满意率高于对照组(P<0.05);平均住院费用少于对照组(P<0.01);除精神病性因子外,SCL-90总分和其余各因子分均大于对照组(P<0.05或0.01)。结论将临床护理路径应用于颈椎病手术患者的健康教育,保证了临床健康教育的连续性和完整性,提高了护理质量;充分调动了患者的主观能动性;有效提高了医院的社会效益和经济效益;加强医护合作,避免了医疗纠纷。

Objective To explore the effect of applying clinical pathway of health education on medica- tion compliance to patients with spinal tuberculosis.Methods One hundred and twenty patients were evenly divided into two groups with 60 cases in each group.Routine health education was provided to patients after admission in the control group and health education based on the clincial pathway was given in the experimental group.Medication compliance of patients in two groups was assessed by Morisky Green Scale 3 months after discharge.Results Medication compliance in experimental group was 91.7%,significantly higher than 53.3% in control group(P0.05). Conclusion Application of clinical pathway enhances the patient's capability of psychological stress endurance,promotes medication compliance of patients with spinal tuberculosis,with the goal of improving controlling rate of spinal tuberculosis and reducing its hazards.

光动力学疗法(PDT)作为一种相对新型的治疗方法,在治疗皮肤恶性肿瘤中,无论原发或转移性皮肤恶性肿瘤,与传统的方法比较,具有不可替代的独特优势,治疗同时可得到美容效果,临床应用愈来愈多,甚至成为一些皮肤恶性肿瘤的标准治疗手段之一[1].

<正>组织部队卫生机构救治能力综合评估,是落实战备工作的一项具体举措。救治能力的评估和检查,主要是检验救治机构的战备水平,及时发现存在问题,提出对策建议,达到以查促管、以查促训的目的,推动卫勤机构形成救治能力。我们通过师、旅、团卫生机构的救治能力评估检查,对存在的主

[目的]研究大豆蛋白对肾损害大鼠钙平衡的影响.[方法]选择3月龄断乳雄性SD大鼠40只,按体质量从小到大排序,采用完全随机化原则分为4组,每组10只.标准饲料对照组:喂食含有14%酪蛋白饲料;大豆蛋白饲料组:喂食含有14%大豆分离蛋白饲料;混合饲料1组:喂食含有7%酪蛋白加7%大豆分离蛋白饲料;混合饲料2组:喂食含有7%酪蛋白加14%大豆分离蛋白饲料.实验期用腺嘌呤灌胃共21 d,建立肾损害大鼠模型,各组大鼠喂养相应饲料6周,测饲料消耗量、24 h尿蛋白、尿钙、钙表观吸收率、储留钙量.[结果]4组实验大鼠饲料摄入量1 d～30 d无统计学差异,大豆蛋白饲料组和混合饲料1组实验结束时与另外两组相比,尿钙排泄量低,钙表观吸收率和储留钙量高,差异有统计学意义(P＜0.05).[结论]蛋白质含量水平在14%条件下,含大豆蛋白的两种饲料对肾损害大鼠钙吸收、钙排泄的影响无统计学差异,有利于促进钙吸收,减少钙排泄.

It reviewed the influence of soybean protein on renal diseases from the aspects of biochemical characteristics, animal experiment study, and clinical study.It narrated simply about the renal protection mechanism of soybean protein.

Objective:To investigate the effects of soybean protein on balance of calcium in rats with renal damage.Methods:40 three-month old male SD rats were divided randomly in four groups with 10 rats in each.The rats in control group were fed with standard forage containing 14% casein;to soybean protein group,rats were fed with the forage with 14% isolated soybean protein;for mixed diet group I,the diet with 7% casein and 7% isolated soybean protein was given;to mixed diet group II, rats were provided with forage containing 7% casein plus 14% soybean isolated protein. During the period of 21 days,intragastric administration of adenine resulted in renal damage in rats of the four groups.All of the rats were fed with the corresponding food for 6 weeks. After this period of time,the following parameters were determined;urine calcium around 24 hours,intake of calcium,fecal calcium,serum creatinine (Cr),blood urea nitrogen (BUN),albumin (Alb),blood calcium and inorganic phosphorus, and bone calcium.Results:There was no significant difference in all the parameters between soybean isolated protein group and mixed diet group I (P0.05);while compared with the other groups,soybean isolated protein group showed low concentrations of Cr,BUN,and blood inorganic phosphorus,and high levels of blood calcium,calcium absorbtion;calcium diet group1 and another two groups,the result shows lower Cr,BUN and higher calcium absorbtion,calcium retention and bone calcium with a statistical difference (P0.05).Conclusions:Diet containing 14% isolated soybean protein was more helpful in promoting balance of calcium.