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Objective To systematically evaluate the compliance and correct rate of hand hygiene(HH) among doctors and nurses in secondary and above hospitals in mainland China,and provide data support for HH promotion.Methods Literatures about study on HH in mainland China after 2015 were retrieved from Chinese and English databases,researchers evaluated the literatures according to the relevant standards,screened the qualified literatures and extracted the data strictly according to the inclusion and exclusion criteria,Meta analysis was adopted to analyze the compliance and the correct rate of HH of doctors and nurses in different levels of hospitals and at different departments.Results The overall compliance rate of HH of nurses was higher than doctors,compliance rates of HH of doctors and nurses were 55.9％ (95 ％CI:45.9％,65.8％) and 66.0％ (95％CI:58.8％,73.1％) respectively;HH correct rates of doctors and nurses were 65.2％ (95％CI:53.6％,76.9％) and 67.9％(95％CI:56.9％,78.9％) respectively.Compliance rates of HH of doctors and nurses in tertiary hospitals were both higher than secondary hospitals,compliance and correct rates of HH of doctors and nurses in intensive care unit were both higher than general departments.Conclusion The compliance and correct rate of HH in mainland China need to be further improved,especially the promotion in primary hospitals and general departments.
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Objective To understand the awareness level of iodine deficiency (ID) impairments and the attitude on edible iodized salt,and its consumption among doctors and nurses in cities,in order to provide scientific evidence for health education on iodine deficient disorders (IDD) in the future.Methods The questionnaire was self-designed,and spread through the web page of Wenjuanxing,an online server company,from May 6 to June 6,2017.At the end of the survey,a total of 481 valid questionnaires were reclaimed,in which ratio of gender was female 63.8％ (307/481),male 36.2％ (174/481).The data were analyzed by SPSS 22.0,including logistic regression analysis with backward according to the statistical significant level of P ＜ 0.05.Results Among doctors and nurses,90.4％ (435/481) knew ID impairments;72.8％ (350/481) answered intelligent disability as the most serious problem of ID;55.5％ (267/481)misunderstood that the areas in which they lived were not ID areas,although all cities surveyed were ID areas;41.0％ (197/481) of doctors and nurses misunderstood that coastal residents did not need to consume iodized salt.About the evaluation of iodine nutrition status of current population,15.6％ (75/481) of respondents judged as iodine excess.About consuming edible salt,76.3％ (367/481) selected iodized,9.6％ (46/481)non-iodized,and 14.1％ (68/481) both iodized and non-iodized.The results of logistic regression analysis showed the factors that prevents health care workers from choosing iodized salt were:"living in coastal areas","think him or her as iodine adequate","know that iodine deficiency can affect the development of children but still adhere to the consumption of non-iodized salt";the factors that promoted the choice of iodized salt for medical staff were "insist on buying iodized salt,and do not choose non-iodized salt",and 75.8％ (238/314)of them knew that intelligent disability as the most serious problem of ID.Conclusions Most doctors and nurses have high level of knowledge on ID and its control.But lack of information,as well as misunderstanding of "coastal areas iodine adequate" and worry about "excess iodine causes thyroid diseases and cancer",which would hinder the active consumption of iodized salt.Health education for them should be conducted through professional ways,stressing on the threaten of ID environment,sharing the information about national and local progress on control of IDD and iodized salt safety,and clarifying the relationship between iodine salt or iodine and thyroid cancer and nodules.
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Objective To describe and analyze the status quo of the doctor and nurse configuration in Heilongjiang Province,and to study their cultivation condition while predicting the number of medical staff.Methods Through the health workforce database of Heilongjiang Province in 2014,using Excel 2007 statistical software,the status quo of doctor and nurse configuration was analyzed.The grey prediction model was also used to analyze the number of medical staff in Heilongjiang province from 2004 to 2014,and the number of medical staff in Heilongjiang province from 2016 to 2018 was predicted.Results Up to 2015,the number of doctors and nurses in Heilongjiang Province accounted for 0.42％ of the total population,composed of mainly young and middle-aged staff and mostly with bachelor's degree and junior college certificate.Doctor-to-nurse ratio was 1:0.96.The grey prediction model indicated that the number of medical staff in Heilongjiang Province would increase year by year,and the inversion of doctor-to-nurse ratio would be eased.Conclusion The reform and development of medical education in Heilongjiang Province has promoted the optimization of the professional title structure and educational structure.It is expected that by 2016 Heilongjiang medical care ratio inversion problem will be completely resolved.
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Background: Sudan is now facing the reality of double burden disease. Non-communicable diseases constitute a larger burden in terms of morbidity and mortality and the trend is increasing. Behavioral factors are strongly implicated as risk factors and are subject to behavioral change and health education. There Is lack of studies in Sudan relevant to health education activities among doctors and nurses. Aims: To assess Knowledge, Attitude and Practice of doctors and nurses about health education activities and life style changes In Khartoum teaching Hospital. Study Design: Analytical cross sectional hospital based study. Place and Duration: Khartoum Teaching Hospital, between April and July 2013. Methodology: Study sample included graduated licensed doctors and nurses, selected using stratified sampling (probability proportional to size). Sample size 196, in which 100 were nurses and 96 were doctors .data was collected by distributing self administered questionnaires. Ethical approval from any participant has been obtained. Database analysis was performed using the Statistical Package for the Social Science program, version 20. Results: Study revealed that (97%) of both doctors and nurses believed in the importance of health education, but Only (33%) of doctors and (29%) of nurses practice it regularly. Registrars practice more than medical officers (P =.429), males practice more than females (P =.289). Elder nurses practice regularly than younger ones (P=.037). 85% of nurses and 69% of doctors stated resentment of patients as the main hinder of practicing health education. Others mentioned lack of time, work overload, lack of skills and lack of clear protocol to be the cause. Conclusion: In spite of their awareness of the importance of health education only few doctors and nurses practice it regularly, stating patient resentment and lack of time as major hinders.
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Objective To discuss the influences of responsibility administration system by family doctors and nurses on knowledge management and treatment compliance of hypertension patients. Methods Two hunderd hypertension patients (≥40 years old) registered in a community of Shenzhen were selected and randomized into two groups with 100 cases in each group based on the digit random number table. According to the management requirement of Work Manual of Community Comprehensive Prevention and Treatment Project on Hypertension and Diabetes in Shenzhen, patients in the control group were classified for follow-up and management, while the patients in the experiment group signed protocol of family doctor service and were managed by family doctors and nurses in addition to the management by the control group. After 1 year intervention, the two groups were compared in changes of awareness rate of hypertension related knowledge, treatment compliance, blood pressure and BMI. Results The awareness rate of hypertension related knowledge, treatment compliance, blood pressure and BMI in the experiment group after intervention were statistically better than those before intervention (P<0.01). After intervention, those indexes of the experiment group were significantly better than those of the control group (P<0.01). Conclusion Responsibility administration system by family doctors and nurses can effectively improve the awareness rate of hypertension related knowledge and treatment compliance of hypertension patients , thus effectively control the blood pressure.
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Objective To explore the management model of chronic disease like myocardial infarction through the effect of collaborative work pattern of doctors and nurses on acute myocardial infarction patients with percutaneous coronary intervention(PCI) after 1 year follow up.Methods A total of 852 patients from October 1,2011 to September 30,2013 with collaborative work pattern of doctors and nurses were as collaborative work pattern group,and 734 patients without collaborative work pattern of doctors and nurses at the same time were as control group.The patients were followed up for 1 year.The differences of treatment compliance,risk factors control,and the incidence of cardiovasc~ar events were compared between collaborative work pattern group and control group.Results The improvement of treatment compliance in collaborative work pattern group was better than that in control group.The improvement rate of improve lifestyle initiatively,completely medication,check regularly were 83.3％(710/852),97.9％(834/852),75.4％(642/852) in collaborative work pattern group and 63.5％(466/734),93.7％(688/734),59.0％(433/734) in control group,x2=81.02,17.57,26.22,P＜0.01.The control rate of risk factors including hypertension,diabetic mellitus,high blood low density lipoprotein cholesterol were 78.5％ (252/321),68.4％ (214/313),84.8％ (491/579) in collaborative work pattern group and 55.8％ (168/301),58.1％ (168/289),79.9％ (381/477) in control group,x2=36.47,6.79,4.41,P＜0.01 or ＜0.05.The incidence of treatment compliance and total cardiovascular events in collaborative work pattern group were better than those in control group.There were significant differences in the above indices,P＜0.05.Conclusions Collaborative work pattern of doctors and nurses is an effective method and supplement for patients with myocardial infarction after PCI to improve treatment compliance and control risk factors.The prognosis of patients can be improved and this pattern is an effective exploration of chronic disease management.
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Objective:To probe the application and the effect of integration medical health education mode in the care-givers of children with capillary bronchitis. Method:Total 120 cases of capillary bronchitis caregivers were divided into control group (56 cases) and observation group (64 cases) and control group with traditional mode of health education, observing group adopts the integration medical health education mode;Compared two groups of children with hospitaliza-tion days, take care of health education knowledge of cooperation degree, satisfaction and health care work. Results:After implementation the integration medical health education mode, children hospitalization days declined. Caregivers' health education knowledge and satisfaction were obviously improved. The medical work cooperation degree is higher than the control group. Conclusions:The implementation of the new mode is helpful to improve work efficiency, reduce the finan-cial burden on families, and meet the demand of caregivers, health education and the right to know and sublimation of medical humanism philosophy, promoting the comprehensive qualities of nurses, improve patient satisfaction, harmonious relationship between hospital and patients, improve high quality nursing care for patients.
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Objective To discuss the construction of training model for cooperation between doctors and nurses and evaluate its teaching effect.Methods 101 nursing students and 80 clinical medicine students were involved in an overall training for the purpose of cooperation between doctors and nurses by using of Sim-man and then test and questionnaire were conducted to evaluate the effect of the training.Results Statistics showed that training for cooperation between doctors and nurses had improved in such factors as attitude to the cooperation,communication skills,team work,and adaptability (operant skill was note included).In addition,88％ of the subjects supported the views that this kind of training should be offered before their internship.Conclusions Training for cooperation between doctors and nurses by using Sim-man can cultivate awareness of cooperation between doctors and nurses and improve team work,and set a better foundation for good collaboration between doctors and nurses.
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Objective To explore the effect of collaborative health education by both doctors and nurses on parturition?Methods One hundred and sixty primiparas at uterogestation undergoing analgesic parturition were assigned equally into the control and observation groups according to their admission sequence? The control group received routine nursing intervention and the observation group the collaborative health education by both doctors and nurses? The two groups were compared in terms of analgesic effect,vaginal delivery and post-partum hemorrhage? Result The rates of analgesic delivery and vaginal delivery in the observation group were significantly higher and the volume of postpartum hemorrhage was significantly smaller than those of the control group(all P < 0?05)?Conclusion The collaborative health education may be effective in alleviating mental stress of the preimiparas,enhancing the analgesic effect,increasing the rate of vaginal delivery and decreasing the volume of postpartum hemorrhage?
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This research mainly dealt with sanitation and hygiene related editorials quoted from educational magazines published in Chosun until the Manchurian Incident during the Japanese colonial period. The study revealed that modern Japan became aware of the importance of public sanitation from the late nineteenth century and established modern programs so that schools can comprehensively teach students about sanitation and hygiene so as to enter modern imperial society. Japan particularly introduced and carried out modern physical(gymnastics) education as a means of "complete sanitation and hygiene" to improve students' health. As a result of having two times of war, the Japanese Empire reaffirmed the significance of modern sanitation and hygiene. After colonization of Chosun, Japan organized official educational groups and enlightened the public about sanitation and hygiene through editorials on the educational magazines which the groups had published. In order for schools to promote complete sanitation and hygiene based on modern medicine, Japan actively engaged in suggesting the necessity of physical(gymnastics) education which was critical to human's growth and development. After Japanese Government-General of Korea legislated on school hygiene in 1913, Japanese governments school started hiring school doctors and nurses. They stressed the need of providing sanitation and hygiene education in school to prepare for war in 1910's in advance; highlighted that physical (gymnastics) education should be enforced to help students grow and improve their physical strength from a modern medical point of view. In April, 1919, the Japanese Empire implemented the same instruction to the schools where Chosun people attended. But it was found that the law was not applied well to those schools in effect. The Japanese Empire was seen to proclaim the second educational decree in 1922; proposed international hygienic achievement of the time and comments; enlightened the public by connecting "Fletcherism" of the USA with rice crisis, which was a big social issue back then. In an attempt to complement modern sanitation and hygiene, Japan strongly recommended students appropriate physical gymnastics as the most desirable and complete sanitation method, saying it would help them correct their imbalanced condition-which was found from physical examination - and grow up. They even claimed such an absurd logic that ones whose body did not develop normally tend to become criminals, reflecting the then atmosphere of the society, and considered military gymnastics as one of the most important sanitation and hygiene factors that positively influence growth and development. All the fact that Japan tried hard to apply the practice to students cannot be ignored.
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Humans , Asian People , Atmosphere , Colon , Complement System Proteins , Criminals , Education , Growth and Development , Gymnastics , History, Modern 1601- , Hygiene , Japan , Jurisprudence , Korea , Logic , Military Personnel , Periodicals as Topic , Physical Education and Training , Physical Examination , SanitationABSTRACT
Objective:To explore the relationship between work-family conflict and job burnout of doctors and nurses.Method:218 doctors and nurses were assessed by Work-Family Conflict Scale and Maslach Burnout Inventory.Result:Hierarchical regression indicated that the work-family conflict was a powerful predictor of job burnout beyond demographic variables, 37% variance of Emotional Exhaustion was explained by work-family conflict, 18% variance of Depersonalization and 12% variance of Personal Accomplishment were also explained by work family conflict. Conclusions:The work-family conflict is an important, may be the most influencing factor on job burnout in medical staffs.