ABSTRACT
Objective:To evaluate the effects of humanistic care on medication compliance and social function of schizophrenic patients. Methods:76 patients with schizophrenia were randomly divided into two groups within two days of hospital admission. The observational group was applied humanistic care but the control group with rou-tine care. All the information related to the present study was collected using unified language. At the time of ad-mission, day 1, day 14, day 28 and day 56 after the intervention, the effect of humanistic care was evaluated by medication compliance, Brief Psychiatric Rating Scale ( BPRS) , Personal and Social Performance Scale ( PSP) and Family Concern Index Questionnaire ( APGAR) . Results:The patient′s medication compliance rate in the obser-vational group was higher than those in the control group, especially, at the time of day 56, the patients in the ob-servational group ( full compliance : 66%, partial compliance: 44%) was significantly better than those in the control group ( full compliance 19%, partial compliance 66%, incompliance 15%) . There were no statistical difference in the two groups of the BPRS scores on day 1 and day 14 of admission, however, the scores of the pa-tients in the observational group was significantly lower than those in the control group on day 28 and day 56 . As for PSP, the result was similar to BPRS on day 1 and day 14, while the PSP score of the patients in the observational group was significantly higher than those in the control group on day 28 and day 56. In terms of APGAR, the score of the patients in the observational group was significantly higher than those in the control study except day 1 of ad-mission. Conclusion:Humanistic care has positive effects on medication compliance and social function of schizo-phrenic patients especially after hospital discharge. The implementation of humanistic care would guide patients to maintain the capacity of life, labor and social communication, enhance the patient's sense of control over life, and improve their confidence to overcome the disease. With humanistic care, patients are more willing to cooperate with treatment, and further to reduce the recurrence and degradation of social function.
ABSTRACT
Objective To investigate relationship between infection rate of Mycoplasma pneumoniae(MP) in children with corresponding gender, age and season. Methods Mycoplasma pneumoniae IgM (MP-IgM) antibody level in serum was measured utilizing method of passive particle agglutination. Results From 2007 to 2009, MP-IgM antibodies among total 1701 children with pneumoniae were detected in the study, of which 569 cases showed MP-IgM antibodies positive (569/1701,33.5%). The MP-IgM positive rate in male and female patients were 30.1% and 37. 8% respectively and the difference was statistically significant (P ＜ 0. 01). The MP-IgM positive rates in 0 ～ 1year-old group,2 ～ 3 year-old group ,4 ～ 6 year-old group and 7 ～ 14 year-old group were 5.8% ,35.3% ,43.3% and 52.9%, respectively. The disparities of MP-IgM positive rate between the groups was statistically significant (P ＜0.01,P ＜ 0.01 and P ＜ 0.05, respectively). The differences of MP-IgM positive rates during the peroid of 2007,2008and 2009 were statistically significant(P ＜ 0.01), but no difference was significantly exhibited during the peroid of 2008 verse 2009 (P ＞ 0.05). As for onset distribution of season, in year 2007, MP infection rates between the individual seasons were not statistically different. Conclusion MP infection was mainly prevailed in those whose ages were over three years old. MP infection was inclined to occur in female children than in male and the prevalent season was the Spring.
ABSTRACT
The establishment of open-loop psychiatric ward is an innovation for mental disease treatment,while new legal and ethical issues become evident.For instance,psychiatric patients with no guardians or agents can not normally sign the informed consent form at hospitalization.It is extremely difficult to make a definite diagnosis in some cases.Informed consent form is refused by certain guardians due to the misunderstanding of psychiatric diseases.This paper explores those legal and ethical issues arising in the medical treatment in open-loop psychiatric ward,and comes up with relevant countermeasures.