ABSTRACT
OBJECTIVE To provide reference for improving the professional identity of clinical pharmacists and the quality of pharmaceutical care ，and promoting the effects of clinical pharmaceutical intervention. METHODS A questionnaire survey was conducted among clinical pharmacists in secondary and tertiary hospitals in 31 provinces（autonomous regions and municipalities ） in 2019 by stratified semi-random sampling. Through descriptive analysis of survey data ，their job satisfaction status was evaluated ； χ 2 test and Logistic regression analysis were used to analyze the influential factors of job satisfaction ；the robustness test of study results by propensity score matching method and replacement regression model ，and grouping Logistic regression of samples from hospital on different levels. Targeted improvement measures were put forward according to the results of survey . RESULTS There was statistical significance in the difference of job satisfaction among pharmacists of different professional titles （P＜0.05）. Results of Logistic regression showed that whether to participate in standardized training ，whether to obtain communication and support from patients ，whether the pharmaceutical management rules and regulations were sound ，whether to set up economic compensation means such as pharmaceutical service fee ，whether to work overload ，and whether to smoothly perform pharmaceutical care duties were significant influential factors for job satisfaction of clinical pharmacists （P＜0.05）. These results showed good robustness as tested by propensity score matching method and replacement regression model. Heterogeneity analysis results showed that the job satisfaction of clinical pharmacists in tertiary hospitals was more significantly affected by economic compensation ，while clinical pharmacists in secondary hospitals were more concerned about training opportunities and workload conditions （P＜0.05）. CONCLUSIONS The job satisfaction level of Chinese clinical pharmacists remains to be improved. Accordingly ，it is compulsory to continue the promotion of standardized training courses ，consummate the pharmaceutical management system ，and fair remuneration structure in order to improve the job satisfaction of clinical pharmacists and build a high-level clinical pharmacist team.
ABSTRACT
OBJECTIVE To sum up the experience of management of button battery foreign body in esophagus in children,and to explore the safety and effective method.METHODS The clinical data of 12 children with button battery foreign body in esophagus in our hospital from April 2014 to December 2016 were retrospectively reviewed.For llcases,foreign bodies were located in first narrow of esophagus,and the other one in the second narrow of esophagus.RESULTS Button battery was removed through esophagoscope in 8 children,through electronic gastroscope in l case.Other 1 case was difficult to remove the foreign body through electronic gastroscope,and turn to remove the foreign body through esophagoscope.The battery was removed through Foley tube in 1 case.The last case could not removed through the Foley tube and turn to remove the foreign body through esophagoscope.9 cases complicated with periesophagitis and esophagus corrosion injury,2 cases presented esophageal perforation,and 1 case presented tracheoesophageal fistula.CONCLUSION Esophageal foreign body in children is a common emergency event.The button type battery can induce great harm to the human body.It contains heavy metals and chemical compounds.It can corrode the esophageal wall,and even cause severe complications such as esophageal tracheal fistula.The longer time of the foreign body in esophagus,the more severe damage to the esophagus.It is important to remove the foreign body in esophagus by choosing reasonable method in time.