为培养医德高尚、医术精湛的医学人才,为人民群众提供更优质的医疗服务,针对医学院校医德教育重视度不足、理论脱离实践等问题,我院实施了医德教育改革:完善医德教育体系,建立医教协同机制;将医德理论教育与临床实践一体化,做到知行合一;加强医德校园文化建设,增强医学生的医德意识,并取得初步成效.

目的:探讨医学生与非医学生的完美主义差异,医学生完美主义与大五人格的关系,以及适应不良完美主义对负性情绪预测.方法:抽取217名医学生和157名非医学生,测试两种多维完美主义,前者同时测试大五人格和负性情绪,6个月后,对其117名医学生再测负性情绪.结果:医学生与非医学生的完美主义无差异(Pillai'sTrace=0.001,P=0,776);适应性完美主义与神经质呈负相关(r=-0.147,P＜0.05),与道德感正相关(r=0.211,P＜0.01),适应不良完美主义与神经质呈正相关(r=0.157,P＜0.05),与利他性呈负相关(r=-0.159,P＜0.05),适应不良完美主义与抑郁、绝望呈正相关(r=0.187,0.424;P＜0.01);适应不良完美主义不能对6个月后的抑郁、绝望起预测作用.结论:本研究支持完美主义双重过程模型,且与大五人格中的神经质、利他性、道德感有关,适应不良完美主义与基线的抑郁、绝望水平有关.

Objective:To investigate effective training methods of medical students' occupational protection in the process of clinical practice and observe the effects. Methods:The medical students in the clinical practice were randomly divied into two groups according to time order, 55 in control group and 51 in experimental group. For the control group, the routine teaching were used, while for the experimental group, the occupational protection training was used before the practice, and the occupational protection training and examines were applied during the practice. Results:The experimental group did better than control group in hand hygiene, emer-gency management and report after occupational exposure, the proper use of protective equipment and grasping the knowledge related to the occupational exposure. Conclusions:Inclusion of the occupational protection training into the practice of the medical students can effectively improve the medical protective ability, and reduce injury due to occupational exposure.

目的:探讨人人负责制护理模式在优质护理服务示范病房中的应用效果.方法:培育优质护理服务理念,改善服务态度,转变工作模式,提高技术水平,加强护理质量管理.结果:优质护理服务示范病房的开展,提高了护理质量,达到了病人满意,护士满意,医生满意的效果.

Objective To restructure curriculum design in higher vocational nursing education in order to provide a basis for curriculum reform.Methods Totally 24 experts were chosen to carry on three-round expert questionnaire consultation by Delphi method.All consultation results were analyzed by SPSS 13.0 software.General information,positive coefficient and authoritative degree for the experts were recorded,and the degree of concentration and coordination of the three-round experts' opinions were compared.Results The experts had good authoritativeness and representative(authority coefficient of the experts was 0.8376),and the experts were high enthusiasm for the subject.The experts' opinions were concentrated(Kendall's W0.5).According to the three-round experts' opinions,we restructured curriculum design in higher vocational nursing education.Conclusions Curriculum design was restructured by using Delphi method,which provided a theoretical basis for curriculum reform in higher vocational nursing education.