ABSTRACT
Objective To construct integrated service mode of medical care in maternity department and discuss its effect. Methods 160 participants who had been registered and taken periodic inspection in our hospital were divided into two groups: observation group with 80 cases from June to December, 2014 while control group with 80 cases from January to May, 2015. Two groups were offered routine prenatal examination and pregnancy guidance, but observation group was also offered additional integrated service mode (including early pregnant assessment, second-trimester educations, one-to-one late pregnant directives, exchanges during the duration of hospital stay and sustained professional postpartum care). Two groups in mental state, delivery outcome, and pregnancy weight control and satisfaction rate were compared. Results Anxiety and depression score in observation group were (41.89 ± 7.50) points and (42.40 ± 7.40) points, and that in control group were (57.55 ± 9.68) points and (55.00±9.35) points, differences had statistical significance (t=-11.44,-9.42,P<0.05);vaginal delivery cases (48/80) in observation group were higher than control group (33/80) , differences had statistical significance (χ 2=5.63,P < 0.05). Body weight of antepartum and gestation were (67.80 ± 8.18) kg and (12.96 ± 3.44) kg in observation group, and those in control group were (70.98 ± 8.82) kg and (14.28 ± 3.68) kg,differences had statistical significance (t=-2.36,-2.35, P<0.05). Satisfaction rate of observation group was 90.00%(72/80), which was higher than 78.75%(63/80) of control group (U=592.00, P<0.01). Conclusions Integrated service mode of medical care can improve pregnant women′s negative mental state, control pregnancy weight, promote natural labour and enhance satisfaction rate effectively.
ABSTRACT
Objective To understand the correlation between TCM service utilization and health behavior of community residents.MethodsAself-designed questionnaire about TCM service utilization and health behavior status was used to investigate 200 people from 4 communities on random sampling. The items in the questionnaire were evaluated and analyzed to test the correlation of TCM service utilization and health behavior of community residents.Results The two indexes significantly correlated in 0.01 level (bilateral),r=0.674, bilateralP=0.000.Conclusion The correlation between TCM community service utilization and health behavior status is positive. The higher the level of TCM community services utilization is, the higher the index value of health behavior status will be.
ABSTRACT
@#With the highest prevalence of diabetes in the region, Malaysia faces a massive task ahead to care for its people afflicted with the disorder. For a successful Diabetes Care model to work, it requires a well-established functioning multidisciplinary team comprising Endocrinologists/Physicians/Family Medicine Specialist Physicians, Diabetes Nurse Educators, Dietitians, Pharmacists, and others such as Podiatrists are needed to provide broad ranging services. Although we have many such individuals trained and working independently, these services are fragmented. What is required is coordination and integration of these services to enable patients’ access in a timely manner. The Disease Control Division, Ministry of Health continues to play a central role – coordinating and funding these initiatives. What is desperately needed are more certified Diabetes Nurse Educators to manage the overall care of the patients as well as to provide key diabetes education that enable patient-empowerment to improve self-care, compliance, and ultimately result in better lives.