Survey on the status quo of nursing service quality in tumor patients / 中国实用护理杂志

Objective To understand a cancer hospital inpatient care Ningxia quality of service perceived status quo.Methods Servqual model-based,self-designed Expect Inpatient Nursing Service Quality Perception Questionnaire was used to investigate 160 hospitalized patients and expected to build expectations oncology inpatients quality of care and services-dimensional perception matrix (IPA matrix).Results By analyzing sensible quality (SQ) value and IPA matrix of the Servqual questionnaire,all items except for treating equally and recommend the hospital showed SQ＜0,that was,the actual feelings of patients were less than expected,and there was statistical difference between the actual feelings and expected feelings in the quiet ward,health guide,care level (t=2.963,2.020,2.020,P ＜0.05).IPA matrix showed that ward quiet,health guidance,care level was the priority problems for the hospital.Life Care,protection of privacy,psychological care,level of service,pay the money reached care were the minor priority problems.Conclusions Servqual Model and IPA matrix combination can help to understand the gap between expectations and perception of nursing service,identify problems improvement priorities,identify weaknesses in care for hospital managers,and develop fine effective theory.

Programa nacional de infecciones respiratorias agudas y síndrome bronquial obstructivo en Chile / The Chilean National Program for Acute Respiratory Infections and Bronchial Obstructive Syndrome

En Chile, las infecciones respiratorias agudas (IRA), constituyen un importante problema de salud pública. Durante la década del 80’, la tasa de mortalidad infantil por neumonía subió y las investigaciones operacionales demostraron que en muchos de estos fallecidos, el deceso ocurría en domicilio o trayecto al hospital. Estos estudios identificaron los factores de riesgo aplicándose un puntaje de riesgo de fallecer por neumonía, y además de esto, demostraron que la etiología era preferentemente viral. Considerando estos antecedentes y el tipo de organización del sistema de salud chileno, se elaboró una propuesta de Programa de IRA, que posteriormente fue adoptada como oficial por el Ministerio de Salud. Este programa consiste en disminuir la morbimortalidad y mejorar la capacidad resolutiva de la patología respiratoria del niño en el nivel primario de atención de salud. Se incorpora el manejo moderno del Síndrome Bronquial Obstructivo (SBO), primera causa de consulta y de hospitalización en Pediatría y factor de riesgo de neumonía, agrega Kinesiólogos y transfiere tecnología a los centros de atención primaria para mejorar su capacidad resolutiva. En la actualidad el Programa nacional de IRA cuenta con 630 salas de hospitalización abreviada o “salas de IRA” en todo el territorio nacional. Se implementó un monitoreo epidemiológico en 8 centros centinelas que permite conocer diariamente todas las consultas de IRA en APS y tomar medidas adicionales para satisfacer momentos de elevada demanda de atención (Campaña de Invierno).Entre los resultados sanitarios más importantes destaca la reducción de las hospitalizaciones por SBO y especialmente el reiterado quiebre hacia el descenso de la mortalidad infantil por neumonía, en particular de su componente domiciliario. Las evaluaciones independientes han mostrado un alto rendimiento costo beneficio de los recursos usados en este campo...

In Chile, ARIs are major problem in heath. During the 80s the infant mortality rate for pneumonia rose, with studies demonstrating that many of the deaths occurred at home or on route to the hospital. These studies identified risk factors and that the predominant etiology was viral. Taking these facts in account an the type of organization of the Chilean Health Service a program of ARI was elaborate which was later adopted as the official Health Ministry program, This incorporated the modern management of obstructive bronchitis, including physiotherapist and the transfer of technology to primary health care centers to improve their operational capacity. The National ARI Programmed has 630 units throughout the country and has brought about a fairer distribution of health care services and a better technical quality to the poorer populations of our country. Amongst the more important results that the program have achieved, we emphasize the reduction in hospitalizations for obstructive bronchitis, the repeated lowering of infant mortality for pneumonia, especially in death at home. Independent evaluations have demonstrated a highly efficient cost-benefit ratio used in the program. With the lowering mortality for pneumonia we must stress the need to improve the quality of life for Chilean children, especial when we consider the increasing number of children with chronic respiratory disease.

Avaliação dos cuidados com a saúde oral de crianças hospitalizadas / Evaluation of oral health care in hospitalized children

O objetivo deste estudo foi conhecer os cuidados administrados com relação à saúde bucal de crianças hospitalizadas, verificando a dieta alimentar e a utilização de medicamentos com potencial cariogênico, assim como a higienização oral ou os métodos alternativos empregados durante o tempo de hospitalização. Foi feito um estudo descritivo com a aplicação de um formulário aos acompanhantes de 100 crianças internas nas enfermarias de Pediatria de um hospital público de referência no atendimento infantil em Recife, Brasil, num período de 3 meses. Foram utilizadas técnicas de estatística descritiva através da elaboração de tabelas, incluindo distribuições absolutas e percentuais e da apresentação de medidas estatísticas para a variável numérica tempo de hospitalização. As crianças apresentaram uma dieta cariogênica, como consumo de alimentos açucarados entre as refeições; medicamentos com potencial cariogênico eram administrados em horários de risco para o desenvolvimento de lesões de cárie; a higiene bucal das crianças hospitalizadas não ocorria de forma sistemática e orientada durante a internação. Verificou-se que se faz necessária a participação efetiva de um cirurgião-dentista integrado à equipe de saúde nos hospitais infantis, visando à promoção da saúde bucal. A hospitalização deve surgir como uma possibilidade de conhecer e tratar doenças, e não de propiciá-las.

This study aimed to examine oral health care of hospitalized children, verifying presence of cariogenic potential in eating habits and medication use, as well as dental brushing or the use of alternative methods during hospitalization. This descriptive study used a form applied to companions of 100 children hospitalized in the pediatric outpatient department of a reference public hospital in Recife, Brazil, during 3 months. Techniques of descriptive statistics including tables, absolute and relative distributions were used, so as presentation of statistic measures to the numeric variable time of hospitalization. Children presented a cariogenic diet which included sugar between main meals, medication with cariogenic potential in hours of risk to develop caries; oral care of hospitalized children did not occurred in a systematic and oriented way. It was verified that it is necessary an effective participation of a dentist integrated to health team in infant hospitals, aiming to promote oral health. Hospitalization must happen as a possibility of knowing and treating diseases, not causing them.