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Objective:To explore the establishment of a surgical complication monitoring mode based on data on the medical record homepage, and analyze its impact on the trend of changes in surgical complication incidence.Methods:A monitoring mode of surgical complication was developed based on the " structure-process-results" framework by using surgical complication rates derived from performance appraisal for a tertiary general hospital in Guangzhou. The number of surgical complications and the number of discharged surgical patients was collected from the hospital from January 2019 to June 2022 through the home page collection system for performance appraisal of national tertiary public hospitals. Descriptive analysis was used to analyze the incidence of surgical complications, and Joinpoint regression was used to analyze the trend of changes in the incidence of surgical complications. Monthly percentage change ( MPC) and average monthly percentage change ( AMPC) were calculated. Results:Since the hospital began implementing the surgical complication monitoring mode in May 2021, the incidence of surgical complications had decreased from 2.55% in June 2021 to 0.82% in June 2022, with an MPC of -5.58% ( P=0.024), which was better than the changes from January 2019 to May 2021 ( MPC=0.18%, P=0.755). Conclusions:The surgical complication monitoring mode constructed by the hospital can effectively reduce the incidence of surgical complications, providing reference for optimizing hospital′s medical quality management process and decision-making mode.
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OBJECTIVE@#To explore the direct relationship between personality (PN) and sub-health status (SHS) and their indirect association mediated by frustration quotient (FQ) and stress event (SE).@*METHODS@#A multiple-stage stratified sampling method was used to choose the participants, and a total of 4517 eligible urban residents were selected.ANCOVA was used to analyze the independent association between personality and SHS after adjusting the demographic characteristics and lifestyle.A structural equation model was used to analyze the associations among personality, FQ, SE and SHS.Bootstrap method was used to test the direct and indirect association between personality and SHS.@*RESULTS@#Personality was independently associated with total sub-health (=75.913, < 0.001), physical sub-health (=23.618, < 0.001), mental sub-health (=101.993, < 0.001) and social sub-health (=48.757, < 0.001).The urban residents with the personalities characterized by anger suppression, anxiety and irritability, and impatience and competitiveness had significantly lower health scores than those with a mature and steady personality ( < 0.05).Personality was associated with FQ and SE, and the indirect association between personality and physical sub-health was mainly mediated by FQ and SE (β=-0.110).Personality showed more a direct association (β=-0.172) with mental sub-health and a slightly less indirect association (β=-0.126) with mental sub-health.Personality showed a more indirect association (β=-0.113) with social SHS and slightly less direct association (β=-0.082) with social sub-health.@*CONCLUSIONS@#A mature and steady personality may help to promote the general health level, while the personalities of anger suppression, anxiety and irritability, impatience and competitiveness can be associated with the occurrence of sub-health.Building a mature and steady personality has positive effects on the health in general of an individual.
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Adolescent , Humans , Asian People , Health Status , Life Style , PersonalityABSTRACT
OBJECTIVE@#To establish the norms of Sub-Health Measurement Scale (SHMS V1.0) for Chinese urban residents.@*METHODS@#Using a multistage stratified sampling method, we conducted a large-scale epidemiological investigation among 15 066 urban residents sampled from 6 regions in China, including Tianjin City (north China), Guangdong Province (south China), Anhui Province (central south China), Sichuan Province (southwest China), Lanzhou City (northwest China) and Harbin City (northeast China). The mean, percentile and threshold norms were established based on the characteristics of SHMS V1.0 scores for Chinese urban residents.@*RESULTS@#The mean and percentile norms of total, physical, mental and social sub-health of Chinese urban residents were established according to gender and different age groups (14-19, 20-29, 30-49, 50-64 and ≥65 years). The threshold norms of SHMS V1.0 divided 5 health states, namely disease, severe sub-health, moderate subhealth, mild sub-health and healthy states according to the ± and ±0.5 of the converted scores.@*CONCLUSIONS@#The norms of Sub-Health Measurement Scale (SHMS V1.0) for Chinese urban residents were established, which provides a reference for rapid screening and diagnosis of sub-health status in Chinese urban residents and facilitates further study of the prevalence and contributing factors of sub-health.
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Humans , Asian People , China , Health Status , Prevalence , Surveys and Questionnaires , Urban Health , Urban PopulationABSTRACT
ObjectiveTo explore the influencing factors of health seeking behavior of delivery women in Guangdong province.MethodsStratified random sampling method was used,and 1491 delivery women from primary,secondary and tertiary hospitals were investigated with self-made maternal health seeking behavior questionnaire.Logistic regression analysis was used to analyze the impact of environmental factors and population characteristics on health seeking behavior.ResultsDelivery women with qualified health seeking behavior account for 83.4%.Present pregnancy was planned (OR=2.114),prenatal examination was needed when self-feeling good (OR=2.323),social medical insurance system was socialized medicine (OR=2.755) or medical insurance (OR=1.697),hospital level of secondary hospital (OR=1.568) or tertiary hospital (OR=1.800) were independent positive influencing factors of health seeking behavior.ConclusionThe qualified rate of health seeking behavior of delivery women in Guangdong province is low.Delivery women with the following characteristics of low educational level,low family income,uninsured,coming from rural area and delivery in primary hospital need to be guided scientifically at seeking for health.
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Objective To establish the evaluation index system on maternal health seeking behavior with Delphi method.Methods Based on Andersen health service utilization models,literature analysis was used to establish evaluation index system on maternal health seeking behavior,then Delphi method was carried out to revise index system through two rounds questionnaire consulting from 24 experts.Results The confirmed index system of maternal health seeking behavior included 4 first-level index,12 second-level index and 57 third-level index.The average authority degree of experts were 0.869,and the coordination coefficients of expert in the total index were 0.195 and 0.166(P＜0.01).The weight coefficients of the indicators at first level were 0.1529,0.3403,0.2786 and 0.2281,respectively.Condusion The representativeness,authority degree and coordination of expert are good,and the tentatively established evaluation index system on maternal health seeking behavior is scientific and reasonable.
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Objective To investigate the development tendency of behavioral medicine from papers published in domestic and overseas. Methods Using assist decision support system of science and technology (STADS) to form quantitative expression of academic attention to "Behavioral Medicine". Results In last 30 years, behavioral medicine developed and grew rapidly. The number of domestic and international literatures increased remarkably. The growth rates of domestic and foreign literature were respectively 35.7% and 33.7%,some professional journals and more powerful professional scientific research institutions and core authors who acquired patents and cutting-edge scientific and technological achievements were initially developed.Conclusion Behavioral Medicine uses the advantages of interdisciplinary, focusing on pathogenic mechanisms,influencing factors and treatment, rehabilitation mechanism of psychological and behavioral factors, especially on the effect social and family environment on human physical and mental health, to promote health promotion and medical pattern changing.
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Objective To investigate death reasons for China rural and urban children who aged between 5 and 14 years old during 2008.Methods Using the illness or injury causes of death and demographic indicators of China Health Statistics Yearbook 2009 to describe 5 to 14 year-old children' s disease-related indicators and causes of death,compare difference between rural and urban children.Results Hospitalization rates (23.0‰ vs 12.1‰, χ2 = 255.584 ), prevalence of two weeks (79.8‰ vs 63.9‰, χ2= 142.446 ), attendance of two weeks (95.6‰ vs 68.1‰, χ2 = 376.954) and prevalence of chronic diseases (9.0‰ vs 7.0‰, χ2 = 18.941 ) of 5 to 14year-old children in rural were all higher than urban children, with statistically significant difference.Injury and poisoning,cancer,congenital diseases were the top three causes of death for 5 to 14 children.In many diseases which caused injury and poisoning,drowning was the first cause of death ,traffic accidents accounted for the second place;suicide was the fourth cause of death for city children and second cause of death for city girls.Conclusion High-risk death reasons for Chinese 5 to 14 year-old children in 2008 are the same, but disease threat on the death of are in varying degrees ,which shows urban-rural and gender differences.