Objective:The study aimed to assess medication management compliance and mental health in elderly patients with hypertension.Method:The study evaluated medication compliance and mental health status of elderly hyperte...Objective:The study aimed to assess medication management compliance and mental health in elderly patients with hypertension.Method:The study evaluated medication compliance and mental health status of elderly hypertensive patients in China using simple random sampling.Data was collected using the Morisky Medication Compliance Questionnaire,Hospital Anxiety and Depression Scale,and a checklist.Ethical practices were strictly observed.Results:A study of 100 elderly hypertensive patients found poor drug management compliance,with female patients showing worse compliance.Female patients were more vulnerable to anxiety and depression.The study also found no significant association between gender,age,education level,marital status,living standards,and medication compliance.Barriers to medication management included food and daily necessities,lack of awareness about the importance of drug treatment,and basic family needs.The lowest-ranked barriers were lack of support from government health clinics,low income,and lack of family support.Conclusion:Based on the results,the study proposes an educational plan for elderly hypertensive patients and their families,to be evaluated and implemented by the hospital and township community service center.The plan aims to improve medication management and lifestyle modification compliance,encourage active participation,and provide access to medical and mental health clinics,support groups,and counseling services.展开更多
Objective:To discuss the management of safe medication in the treatment of internal diseases in traditional Chinese medicine.Methods:124 patients with medical diseases were divided into experimental group and control ...Objective:To discuss the management of safe medication in the treatment of internal diseases in traditional Chinese medicine.Methods:124 patients with medical diseases were divided into experimental group and control group by random number table method,with 62 cases in each group.The experimental group implemented safe medication management,and the control group implemented routine medication management,all of which were treated for 4 consecutive weeks.The comparison of the improvement of the quality of life,the compliance rate of safe medication and the adverse drug reactions of the two groups after clinical treatment were compared.Results:After 8 weeks of treatment,there was a significant difference in clinical efficacy between the two groups of patients.In terms of quality-of-life scores,the scores of the experimental group were better than those of the control group.The living ability,condition,physical strength and other conditions of patients were significantly different.The t-values were 15.3427,14.0275,and 7.7113,respectively,and P<0.01 was statistically significant.The compliance rates of patients in the experimental group and observation group were 95.16%and 70.96%,respectively,with significant differences(P<0.05).In terms of the incidence of adverse drug events,the experimental group was 3.22%,which was significantly lower than the observation group's 8.06%(P<0.05).Conclusion:The implementation of safe medication management in the clinical treatment ofTCM internal diseases can improve the quality of life of patients to a certain extent,increase their safe medication compliance rate,and reduce the incidence of adverse medication events.The clinical application value is extremely high,and it can be widely promoted and applied.展开更多
Objective: to explore the drug safety management in the nursing work of cardiology department. Methods: select 100 patients admitted to the department of cardiology in our hospital from October 2020 to October 2021 an...Objective: to explore the drug safety management in the nursing work of cardiology department. Methods: select 100 patients admitted to the department of cardiology in our hospital from October 2020 to October 2021 and divide them into control group and observation group. The nursing satisfaction, the incidence of adverse reactions and the incidence of adverse events were compared between the two groups. Results: the total nursing satisfaction of the observation group was significantly higher than that of the control group (P<0.05);The total incidence of adverse reactions in the observation group was significantly lower than that in the control group (P<0.05);The incidence of adverse events in the observation group was significantly lower than that in the control group (P<0.05). <0.05);The quality of life of patients in the observation group after nursing was significantly higher than that in the control group (P<0.05). Conclusion: as far as the nursing work of cardiology department is concerned, the implementation of medication safety management can greatly improve the nursing satisfaction of patients, and because of more emphasis on medication management, the incidence of adverse reactions and the total incidence of adverse events are significantly reduced, and the overall safety is significant improvement, the quality of life of patients has also been significantly improved, so medication safety management has a very high application value in the nursing work of cardiology.展开更多
Objective To explore potential keywords,research clusters,collaborative pattern,and research trends in the field of medical technology management(MTM)through bibliometric analysis,providing insights for researchers,po...Objective To explore potential keywords,research clusters,collaborative pattern,and research trends in the field of medical technology management(MTM)through bibliometric analysis,providing insights for researchers,policy makers,and hospital administrators.Methods A retrieval formula was applied to the title,abstract,and keywords in the Web of Science(WoS)Core Collection,along with system-recommended terms,to identify articles on MTM.A total of 181 articles published between 1974 and 2022 were retained for quantitative analysis.The global trend of research output;total citations,average citations,and H-index;and bibliographic coupling,co-authorship,and keyword co-occurrence were analyzed using VOSviewer.Results The number of articles on MTM has been steadily increasing year by year.The focus of research has shifted from addressing basic medical needs to prioritizing emergency response and medical information security.The United States,Italy,and the United Kingdom emerged as the main contributors,with the United States leading in both volume of publications(60 articles)and academic impact(H-index=21).Authors from the United Kingdom and the United States led the way in cross-border cooperation.The top five institutions,ranked by total link strength among cross-institutional authors,were primarily located in Canada and Spain.Conclusions The field of MTM has experienced stable growth over the past three decades(1993-2022).The shift of research focus has prompted a heightened emphasis on protecting patient privacy and ensuring the security of medical data.Future research should emphasize interdisciplinary and professional collaboration,as well as international cooperation and open sharing of knowledge.展开更多
Priapism is defined as a prolonged and persistent erection of the penis without sexual stimulation. This is a poorly understood disease process with little information on the pathophysiology of this erectile disorder....Priapism is defined as a prolonged and persistent erection of the penis without sexual stimulation. This is a poorly understood disease process with little information on the pathophysiology of this erectile disorder. Complications from this disorder are devastating due to the irreversible erectile damage and resultant erectile dysfunction （ED）. Stuttering priapism, though relatively rare, affects a high prevalence of men with sickle-cell disease （SCD） and presents a challenging problem with guidelines for treatment lacking or resulting in permanent ED. The mechanisms involved in the development of priapism in this cohort are poorly characterized; therefore, medical management of priapism represents a therapeutic challenge to urologists. Additional research is warranted, so we can effectively target treatments for these patients with prevention as the goal. This review gives an introduction to stuttering priapism and its clinical significance, specifically with regards to the patient with SCD. Additionally, the proposed mechanisms behind its pathophysiology and a summary of the current and future targets for medical management are discussed.展开更多
Objectives Gerontechnology has great potential in promoting older adults’well-being.With the accelerated aging process,gerontechnology has a promising market prospect.However,most technological developers and healthc...Objectives Gerontechnology has great potential in promoting older adults’well-being.With the accelerated aging process,gerontechnology has a promising market prospect.However,most technological developers and healthcare professionals attached importance to products’effectiveness,and ignored older adults’demands and user experience,which reduced older adults'adoption intention of gerontechnology use.The inclusion of older adults in the design process of technologies is essential to maximize the effect.This study explored older adults’demands for a self-developed intelligent medication administration system and proposed optimization schemes,thus providing reference to developing geriatric-friendly technologies and products.Methods A cross-sectional survey was conducted to explore older adults’technological demands for the self-developed intelligent medication administration system,and data were analyzed based on the Kano model.A self-made questionnaire was administered from July 2020 to October 2020 after participants used this system for two weeks.The study was registered with the Chinese Clinical Trial Registry(ChiCTR2000040644).Results A total of 354 older adults participated in the survey.Four items,namely larger font size,simpler operation process,scheduled medication reminders and reliable hardware,were classified as must-be attributes;three items,namely searching drug instructions through WeChat,more sensitive system and longer battery life,as attractive attributes;one item,viewing disease-related information through WeChat,as the one-dimensional attribute;and the rest were indifferent attributes,including simple and beautiful displays,blocking advertisements automatically,providing user privacy protection protocol,viewing personal medical information only by logged-in users,recording all the medications,ordering medications through WeChat.The satisfaction values were between 0.24 and 0.69,and dissatisfaction values were between 0.06 and 0.94.Conclusion This study suggested that older adults had personalized technology demands.Including their technological demands and desire may assist in decreasing the digital divide and promoting the satisfaction of e-health and/or m-health.Based on older adults’demands,our study proposed optimization schemes of the intelligent medication administration system,which may help developers design geriatric-friendly intelligent products and nurses to perform older adults-centered and efficient medication management.展开更多
BACKGROUND Acute cerebral infarction is a severe type of ischemic stroke that can be divided into anterior circulation cerebral infarction and posterior circulation cerebral infarction(PCCI).PCCI affects the structure...BACKGROUND Acute cerebral infarction is a severe type of ischemic stroke that can be divided into anterior circulation cerebral infarction and posterior circulation cerebral infarction(PCCI).PCCI affects the structure of the posterior circulation brain,because posterior part of the brain,which has more complex anatomical structures and more prone to posterior circulation vascular variation.Therefore,improving the prognosis of PCCI patients is necessary.AIM To explore the effect of medical care linkage-continuous management mode(MCLMM)on endovascular interventional therapy(EIT)for PCCI.METHODS Sixty-nine patients with PCCI who received EIT and conventional nursing intervention were selected as the control group,and 78 patients with PCCI who received EIT and MCLMM intervention were selected as the observation group.The incidence of postoperative complications,compliance and disease selfmanagement behavior after six months of intervention,modified Rankin scale(mRS)and Barthel index(BI)scores in the acute phase and after one year of intervention,and recurrence within one year were compared between the two groups.RESULTS The total incidence rate of postoperative complications in the observation group(7.69%)was lower than that in the control group(18.84%)(P<0.05).The scores for medical compliance behavior(regular medication,appropriate diet,and rehabilitation cooperation rates)and disease self-management behavior(self-will,disease knowledge,and self-care ability)in the observation group were higher than those in the control group(P<0.05).After one year of intervention,in the observation group,the mRS score was significantly lower,and the BI score was significantly higher than those in the control group(P<0.05).The recurrence rate within one year in the observation group(3.85%)was significantly lower than that in the control group(13.04%)(P<0.05).CONCLUSION MCLMM can reduce the incidence of complications after EIT for PCCI,improve patient compliance behavior and disease self-management ability,and promote the recovery of neurological function.展开更多
Objective: The aim is to understand the status of rural medical waste management and problems and to make recommendations. Methods: The questionnaire survey, interviews and comparative analysis are used. Results: Comp...Objective: The aim is to understand the status of rural medical waste management and problems and to make recommendations. Methods: The questionnaire survey, interviews and comparative analysis are used. Results: Compared with urban medical waste management, rural medical waste management is weaker in classification, unified recycle, disposals, protect measures of related personnel, regulations and policies of awareness. Conclusion: It is recommended to improve policies and regulations of rural medical waste management, strengthen rural infrastructures and facilities, improve supervision and innovates means of supervision.展开更多
Objective:To strengthen personnel management for a clean operating room and ensure an automatic,intelligent,and scientific workflow.Methods:The medical behavior management system has been implemented to monitor and ma...Objective:To strengthen personnel management for a clean operating room and ensure an automatic,intelligent,and scientific workflow.Methods:The medical behavior management system has been implemented to monitor and manage medical personnel entering and exiting the operating room,so as to meet the standard requirements of the operating room.Results:The flow of personnel has been controlled effectively,the flow in and out of the operating room has been optimized,the management level of the operating room has improved,and the cost has been cut down.Conclusion:With the advent of the information age and the continuous improvement of the management system,the management of operating rooms has become more reasonable and humanized;the management mode,working environment,and the overall quality of nursing work in operating rooms have improved.展开更多
Anorexia nervosa(AN)is a disabling,costly and potentially deadly illness.Treatment failure and relapse are common after completing treatment,and a substantial proportion of patients develop severe and enduring AN.The ...Anorexia nervosa(AN)is a disabling,costly and potentially deadly illness.Treatment failure and relapse are common after completing treatment,and a substantial proportion of patients develop severe and enduring AN.The time from AN debut to the treatment initiation is normally unreasonably long.Over the past 20 years there has been empirical support for the efficacy of several treatments for AN.Moreover,outpatient treatment with family-based therapy or individual psychotherapy is associated with good outcomes for a substantial proportion of patients.Early intervention improves outcomes and should be a priority for all patients.Outpatient treatment is usually the best format for early intervention,and it has been demonstrated that even patients with severe or extreme AN can be treated as outpatients if they are medically stable.Inpatient care is more disruptive,more costly,and usually has a longer waiting list than does outpatient care.The decision as to whether to proceed with outpatient treatment or to transfer the patient for inpatient therapy may be difficult.The core aim of this opinion review is to provide the knowledge base needed for performing safe outpatient treatment of AN.The scientific essentials for outpatient treatment are described,including how to assess and manage the medical risks of AN and how to decide when transition to inpatient care is indicated.The following aspects are discussed:early intervention,outpatient treatment of AN,including outpatient psychotherapy for severe and extreme AN,how to determine when outpatient treatment is safe,and when transfer to inpatient healthcare is indicated.Emerging treatments,ethical issues and outstanding research questions are also addressed.展开更多
An ectopic pregnancy (EP) is defined as any pregnancy that occurs outside the uterine cavity. The most common site of ectopic pregnancy is the fallopian tube. The goal of this retrospective study is to address medical...An ectopic pregnancy (EP) is defined as any pregnancy that occurs outside the uterine cavity. The most common site of ectopic pregnancy is the fallopian tube. The goal of this retrospective study is to address medical and conservative surgical management of unruptured fallopian tube EP as an effective manner to preserve tubes to prevent secondary infertility. This study was conducted between January 1, 2010, and April 30, 2024, in Ponni Hospital, Madurai. It included 319 women, out of 6248 pregnant women diagnosed with ectopic pregnancy by using an Inexecreen kit, trans-abdominal scan, trans-vaginal scan, and doubling of beta-human chorionic gonadotropin (β-HCG) in 48 hours and Magnetic Resonance Imaging (MRI). Medical and conservative surgical management were given to those patients effectively. Out of 319 patients, 62 patients (19.4%) had a ruptured ectopic pregnancy and underwent surgical treatment;257 patients (80.6%) had an unruptured ectopic pregnancy. The conservative medical management was provided to 257 patients. Out of 257 patients, 235 patients were treated by injecting methotrexate and folic acid rescue when the criteria were met. 14 patients had salpingostomy and injection methotrexate (Inj. Methotrexate) and inj. Prostaglandin F2 alpha was administered into the tubal wall to preserve tubes. 8 patients had a live ectopic pregnancy;for those patients, Inj. Methotrexate was injected into the gestational sac through ultrasound guidance. 225 out of 257 patients reached out to us to seek fertility treatment;the remaining 32 patients were not seeking fertility. All fertility-seeking patients had successful pregnancies. We lost follow-up of 12 patients in this study. Out of 213 patients who came for fertility treatment, a 76.1% success rate was achieved with live birth, the recurrent ectopic pregnancy rate was 13.6%, the miscarriage and stillbirth rates were 10.3%. 32 patients, who were not seeking fertility, had quality life without surgical scars for ectopic pregnancy and cost-effective treatment. 25 patients out of 32 had laparoscopic sterilization later, and 7 patients followed temporary contraception as per our advice. This clinical data was retrieved from medical records.展开更多
In this paper, the advantages and disadvantages of the existing ultrasonic image management system are analyzed, and also a multi-functional color Doppler ultrasound image-text management system is researched and deve...In this paper, the advantages and disadvantages of the existing ultrasonic image management system are analyzed, and also a multi-functional color Doppler ultrasound image-text management system is researched and developed in combination with the experience of color Doppler ultrasound doctors. With this system, the related operations such as color Doppler ultrasound images acquisition, processing, preservation, and medical records are implemented. In the design of the system, a professional acquisition card is used for implementing the acquisition of ordinary video signals. In the meantime, DICOM interface is designed using DICOM3.0 protocol for implementing multi-mode acquisition.展开更多
Objective:Neuro-endocrine tumors(NET)resulting in syndromes of serotonin excess can lead to cardiac involve-ment,and substantial mortality and morbidity.This article is aimed at reviewing the pathophysiology,diagnosis...Objective:Neuro-endocrine tumors(NET)resulting in syndromes of serotonin excess can lead to cardiac involve-ment,and substantial mortality and morbidity.This article is aimed at reviewing the pathophysiology,diagnosis and management of carcinoid heart disease(CHD).Results:The pathophysiology of CHD stems from chronic exposure to circulating vasoactive compounds.Frequent clinical evaluations,monitoring of biomarker levels and cardiac imaging play critical roles in screening and early recognition.The complexity of the disease necessitates a multidisciplinary approach,medical management and timely surgical intervention.Conclusion:Outcomes of CHD have improved,owing to advances in medical management and increased surgical expertise.Surgical valvular intervention is the only definitive therapy for the treatment of symptomatic CHD.展开更多
With the gradual development of social economy,the social function of medical institutions is becoming more and more important.Strengthening the efficiency and quality of medical management can alleviate the contradic...With the gradual development of social economy,the social function of medical institutions is becoming more and more important.Strengthening the efficiency and quality of medical management can alleviate the contradiction between doctors and patients and improve the level of medical service.Promoting the sustainable development of medical institutions plays a key role.Under the background of the development of science and technology,the theoretical research and practical application of block chain technology are becoming more and more mature,which can not only store and transmit information effectively,but also strengthen the security of information storage.The effective combination of block chain technology and medical management can create a new operation mode and train of thought for medical management and promote the overall improvement of medical management quality and efficiency.It is very helpful to optimize the social service function in medical field.This paper mainly expounds and probes into the concept characteristics of block chain technology,its concrete application in medical management,application effect control strategy and so on.It aims to further strengthen the depth and breadth of application of block chain technology in medical management,provide strong power support for the improvement of medical management service level and promote the sustainable development of medical and health industry.展开更多
With the continuous improvement of people's living standards, people in the hospital service quality and medical safety requirements are becoming higher and higher, at the same time, hospital medical quality manag...With the continuous improvement of people's living standards, people in the hospital service quality and medical safety requirements are becoming higher and higher, at the same time, hospital medical quality management is also playing a more important role. The construction and implementation of hospital medical quality management system improves the effectiveness of the hospital's internal work management, and the effectiveness of the construction of information medical quality management system affects the hospital's service level for patients. Nowadays, the continuous promotion of the application and implementation of hospital medical quality management system also makes the workload of hospital internal medical management more heavy, and the management personnel are facing greater work pressure. Therefore, it is very important to ensure the effectiveness and safety of the implementation of medical quality management system.展开更多
Objective:This study aimed to explore the application and effectiveness of the DRG model in the perioperative management of cholecystectomy.By comparing the DRG model with traditional management methods,this study foc...Objective:This study aimed to explore the application and effectiveness of the DRG model in the perioperative management of cholecystectomy.By comparing the DRG model with traditional management methods,this study focused on evaluating the potential impact of the DRG model in improving surgical efficiency and reducing complication rates and medical costs.Methods:The random envelope method was used to divide patients scheduled for cholecystectomy from January 2021 to October 2023 into two groups:one group underwent surgery under the DRG model(experimental group),and the other group underwent the traditional management model(control group).Data including basic information,surgery-related data,length of stay,complication records,and medical expenses were collected.Data analysis was carried out using a t-test and chi-square(χ2)test.Results:Results showed that the DRG model shortened the average length of stay,decreased the incidence of complications,reduced medical expenses,and increased patient satisfaction.These results demonstrate the effectiveness of the DRG model in the perioperative management of cholecystectomy,especially in improving surgical efficiency,reducing medical costs,and improving patient satisfaction.Conclusion:The DRG model in the perioperative management of cholecystectomy can significantly improve medical service quality and efficiency and enhance patient satisfaction as compared to traditional treatment methods.展开更多
Objective: to analyze the existing problems in the management of medical equipment in hospitals of plateau area, and formulate countermeasures to improve the management level of medical equipment. Methods: from Januar...Objective: to analyze the existing problems in the management of medical equipment in hospitals of plateau area, and formulate countermeasures to improve the management level of medical equipment. Methods: from January 2019 to August 2020, six cases of medical equipment management personnel in plateau area hospitals were selected. The personnel training, equipment and maintenance were analyzed, the existing problems were identified, and the countermeasures were given. The improvement of medical equipment management before and after the implementation of countermeasures was compared. Results: compared with the situation before the implementation of the countermeasures, the mastery level of management knowledge and maintenance knowledge of medical equipment was significantly improved and the difference was statistically significant (P<0.05). Conclusion: there are many problems in the management of medical equipment in hospitals of plateau region, so countermeasures should be made according to the current situation, in order to continuously improve the management of medical equipment, to provide a solid guarantee for medical equipment in hospitals of plateau region.展开更多
Objective:To analyze the effect of sanitary wipes and medical alcohol+gauze disinfection methods on the management and use of medical equipment in hospitals.Methods:From February 2023 to August 2023,80 anorectal surge...Objective:To analyze the effect of sanitary wipes and medical alcohol+gauze disinfection methods on the management and use of medical equipment in hospitals.Methods:From February 2023 to August 2023,80 anorectal surgery medical instruments and equipment were randomly sampled as observation samples,and they were grouped using the random number table method(40 instruments in each group).One group was managed with sanitary wipes and medical alcohol+gauze disinfection method(observation group),and the other group was managed with medical alcohol+gauze disinfection method(control group).The degree of contamination on the surface of instruments and equipment and the staff satisfaction of both groups was noted and compared.Results:After cleaning and disinfection,the relative luminescence luminosity(RLU)value of the surface contamination of the sample instruments and equipment decreased significantly(P<0.05);and after cleaning and disinfection,the relative luminescence luminosity(RLU)of the observation group’s instruments and equipment decreased significantly,and the value was lower than that of the control group,(P<0.05);the results of the nursing job satisfaction questionnaire showed that the scores of each survey item in the observation group were higher than those in the control group,(P<0.05).Conclusion:Integrating sanitary wipes and medical alcohol+gauze disinfection method into the management and use of medical equipment not only improves the disinfection of medical instruments but also improves the job satisfaction of nursing staff.Therefore,this method should be popularized.展开更多
This paper presents the perceptions of health workers (HWs) on medical waste management (MWM) issues in Tanzanian hospitals. The perceived total waste generation rates were lower than the actual measurements. Administ...This paper presents the perceptions of health workers (HWs) on medical waste management (MWM) issues in Tanzanian hospitals. The perceived total waste generation rates were lower than the actual measurements. Administrators perceived lower rates than implementers. The results indicated three categories of medical waste which are given due attention, that is, sharps waste, pathological and infectious waste. Other wastes like radioactive, chemical, pharmaceutical, pressurized containers receive very little attention. Container colour coding and labelling was negligible, while improvised containers are still in use. Medical waste is transported within hospitals manually, with little efforts on mechanized transportation. Poor waste storage was observed, while the prominent medical waste treatment technologies are medium temperature incinerators. Off-site transportation of medical waste is practiced, where the waste is finally dumped or buried. The hospitals are currently utilizing public-private partnership schemes for MWM in only one aspect of off-site transportation. Three main problems which require high attention include: Weaknesses in hospital management, poor MWM infrastructure, and lack of skills and knowledge on MWM among HWs. Knowledge and awareness among HWs on health hazards associated with poor MWM is low (with exception of cholera, HIV and typhoid). Few PPE types are supplied and used in the hospitals, leading to poor diseases prevention. There is also low knowledge among HWs on administrative issues related to MWM in Tanzanian hospitals.展开更多
Objective: to study and analyze the value of medical record quality management in the continuous improvement of medical quality. Methods: 30 cases were included in our hospital from May 2021 to June 2022. From May 202...Objective: to study and analyze the value of medical record quality management in the continuous improvement of medical quality. Methods: 30 cases were included in our hospital from May 2021 to June 2022. From May 2021 to May 2021,15 cases and 15 cases from January 2022 to June 2022 were included in the control group;The quality management quality, writing quality and quality control of the two groups were evaluated. Results: study group patients management quality, writing quality, quality control patients management quality score is higher than the control group, patients writing quality assessment of grade A is higher than the control group, patients homepage, admission records, hospital records, discharge records, the incidence of quality control defects are lower than the control group, the difference has statistical significance (P 0.05). Conclusion: the application of medical record quality management has an outstanding value in improving the quality of medical record management, writing quality and quality control quality.展开更多
文摘Objective:The study aimed to assess medication management compliance and mental health in elderly patients with hypertension.Method:The study evaluated medication compliance and mental health status of elderly hypertensive patients in China using simple random sampling.Data was collected using the Morisky Medication Compliance Questionnaire,Hospital Anxiety and Depression Scale,and a checklist.Ethical practices were strictly observed.Results:A study of 100 elderly hypertensive patients found poor drug management compliance,with female patients showing worse compliance.Female patients were more vulnerable to anxiety and depression.The study also found no significant association between gender,age,education level,marital status,living standards,and medication compliance.Barriers to medication management included food and daily necessities,lack of awareness about the importance of drug treatment,and basic family needs.The lowest-ranked barriers were lack of support from government health clinics,low income,and lack of family support.Conclusion:Based on the results,the study proposes an educational plan for elderly hypertensive patients and their families,to be evaluated and implemented by the hospital and township community service center.The plan aims to improve medication management and lifestyle modification compliance,encourage active participation,and provide access to medical and mental health clinics,support groups,and counseling services.
文摘Objective:To discuss the management of safe medication in the treatment of internal diseases in traditional Chinese medicine.Methods:124 patients with medical diseases were divided into experimental group and control group by random number table method,with 62 cases in each group.The experimental group implemented safe medication management,and the control group implemented routine medication management,all of which were treated for 4 consecutive weeks.The comparison of the improvement of the quality of life,the compliance rate of safe medication and the adverse drug reactions of the two groups after clinical treatment were compared.Results:After 8 weeks of treatment,there was a significant difference in clinical efficacy between the two groups of patients.In terms of quality-of-life scores,the scores of the experimental group were better than those of the control group.The living ability,condition,physical strength and other conditions of patients were significantly different.The t-values were 15.3427,14.0275,and 7.7113,respectively,and P<0.01 was statistically significant.The compliance rates of patients in the experimental group and observation group were 95.16%and 70.96%,respectively,with significant differences(P<0.05).In terms of the incidence of adverse drug events,the experimental group was 3.22%,which was significantly lower than the observation group's 8.06%(P<0.05).Conclusion:The implementation of safe medication management in the clinical treatment ofTCM internal diseases can improve the quality of life of patients to a certain extent,increase their safe medication compliance rate,and reduce the incidence of adverse medication events.The clinical application value is extremely high,and it can be widely promoted and applied.
文摘Objective: to explore the drug safety management in the nursing work of cardiology department. Methods: select 100 patients admitted to the department of cardiology in our hospital from October 2020 to October 2021 and divide them into control group and observation group. The nursing satisfaction, the incidence of adverse reactions and the incidence of adverse events were compared between the two groups. Results: the total nursing satisfaction of the observation group was significantly higher than that of the control group (P<0.05);The total incidence of adverse reactions in the observation group was significantly lower than that in the control group (P<0.05);The incidence of adverse events in the observation group was significantly lower than that in the control group (P<0.05). <0.05);The quality of life of patients in the observation group after nursing was significantly higher than that in the control group (P<0.05). Conclusion: as far as the nursing work of cardiology department is concerned, the implementation of medication safety management can greatly improve the nursing satisfaction of patients, and because of more emphasis on medication management, the incidence of adverse reactions and the total incidence of adverse events are significantly reduced, and the overall safety is significant improvement, the quality of life of patients has also been significantly improved, so medication safety management has a very high application value in the nursing work of cardiology.
文摘Objective To explore potential keywords,research clusters,collaborative pattern,and research trends in the field of medical technology management(MTM)through bibliometric analysis,providing insights for researchers,policy makers,and hospital administrators.Methods A retrieval formula was applied to the title,abstract,and keywords in the Web of Science(WoS)Core Collection,along with system-recommended terms,to identify articles on MTM.A total of 181 articles published between 1974 and 2022 were retained for quantitative analysis.The global trend of research output;total citations,average citations,and H-index;and bibliographic coupling,co-authorship,and keyword co-occurrence were analyzed using VOSviewer.Results The number of articles on MTM has been steadily increasing year by year.The focus of research has shifted from addressing basic medical needs to prioritizing emergency response and medical information security.The United States,Italy,and the United Kingdom emerged as the main contributors,with the United States leading in both volume of publications(60 articles)and academic impact(H-index=21).Authors from the United Kingdom and the United States led the way in cross-border cooperation.The top five institutions,ranked by total link strength among cross-institutional authors,were primarily located in Canada and Spain.Conclusions The field of MTM has experienced stable growth over the past three decades(1993-2022).The shift of research focus has prompted a heightened emphasis on protecting patient privacy and ensuring the security of medical data.Future research should emphasize interdisciplinary and professional collaboration,as well as international cooperation and open sharing of knowledge.
文摘Priapism is defined as a prolonged and persistent erection of the penis without sexual stimulation. This is a poorly understood disease process with little information on the pathophysiology of this erectile disorder. Complications from this disorder are devastating due to the irreversible erectile damage and resultant erectile dysfunction （ED）. Stuttering priapism, though relatively rare, affects a high prevalence of men with sickle-cell disease （SCD） and presents a challenging problem with guidelines for treatment lacking or resulting in permanent ED. The mechanisms involved in the development of priapism in this cohort are poorly characterized; therefore, medical management of priapism represents a therapeutic challenge to urologists. Additional research is warranted, so we can effectively target treatments for these patients with prevention as the goal. This review gives an introduction to stuttering priapism and its clinical significance, specifically with regards to the patient with SCD. Additionally, the proposed mechanisms behind its pathophysiology and a summary of the current and future targets for medical management are discussed.
基金Funding was provided by Chongqing Health Commission,and Chongqing Science and Technology Bureau(grant number 2020MSXM077).
文摘Objectives Gerontechnology has great potential in promoting older adults’well-being.With the accelerated aging process,gerontechnology has a promising market prospect.However,most technological developers and healthcare professionals attached importance to products’effectiveness,and ignored older adults’demands and user experience,which reduced older adults'adoption intention of gerontechnology use.The inclusion of older adults in the design process of technologies is essential to maximize the effect.This study explored older adults’demands for a self-developed intelligent medication administration system and proposed optimization schemes,thus providing reference to developing geriatric-friendly technologies and products.Methods A cross-sectional survey was conducted to explore older adults’technological demands for the self-developed intelligent medication administration system,and data were analyzed based on the Kano model.A self-made questionnaire was administered from July 2020 to October 2020 after participants used this system for two weeks.The study was registered with the Chinese Clinical Trial Registry(ChiCTR2000040644).Results A total of 354 older adults participated in the survey.Four items,namely larger font size,simpler operation process,scheduled medication reminders and reliable hardware,were classified as must-be attributes;three items,namely searching drug instructions through WeChat,more sensitive system and longer battery life,as attractive attributes;one item,viewing disease-related information through WeChat,as the one-dimensional attribute;and the rest were indifferent attributes,including simple and beautiful displays,blocking advertisements automatically,providing user privacy protection protocol,viewing personal medical information only by logged-in users,recording all the medications,ordering medications through WeChat.The satisfaction values were between 0.24 and 0.69,and dissatisfaction values were between 0.06 and 0.94.Conclusion This study suggested that older adults had personalized technology demands.Including their technological demands and desire may assist in decreasing the digital divide and promoting the satisfaction of e-health and/or m-health.Based on older adults’demands,our study proposed optimization schemes of the intelligent medication administration system,which may help developers design geriatric-friendly intelligent products and nurses to perform older adults-centered and efficient medication management.
文摘BACKGROUND Acute cerebral infarction is a severe type of ischemic stroke that can be divided into anterior circulation cerebral infarction and posterior circulation cerebral infarction(PCCI).PCCI affects the structure of the posterior circulation brain,because posterior part of the brain,which has more complex anatomical structures and more prone to posterior circulation vascular variation.Therefore,improving the prognosis of PCCI patients is necessary.AIM To explore the effect of medical care linkage-continuous management mode(MCLMM)on endovascular interventional therapy(EIT)for PCCI.METHODS Sixty-nine patients with PCCI who received EIT and conventional nursing intervention were selected as the control group,and 78 patients with PCCI who received EIT and MCLMM intervention were selected as the observation group.The incidence of postoperative complications,compliance and disease selfmanagement behavior after six months of intervention,modified Rankin scale(mRS)and Barthel index(BI)scores in the acute phase and after one year of intervention,and recurrence within one year were compared between the two groups.RESULTS The total incidence rate of postoperative complications in the observation group(7.69%)was lower than that in the control group(18.84%)(P<0.05).The scores for medical compliance behavior(regular medication,appropriate diet,and rehabilitation cooperation rates)and disease self-management behavior(self-will,disease knowledge,and self-care ability)in the observation group were higher than those in the control group(P<0.05).After one year of intervention,in the observation group,the mRS score was significantly lower,and the BI score was significantly higher than those in the control group(P<0.05).The recurrence rate within one year in the observation group(3.85%)was significantly lower than that in the control group(13.04%)(P<0.05).CONCLUSION MCLMM can reduce the incidence of complications after EIT for PCCI,improve patient compliance behavior and disease self-management ability,and promote the recovery of neurological function.
文摘Objective: The aim is to understand the status of rural medical waste management and problems and to make recommendations. Methods: The questionnaire survey, interviews and comparative analysis are used. Results: Compared with urban medical waste management, rural medical waste management is weaker in classification, unified recycle, disposals, protect measures of related personnel, regulations and policies of awareness. Conclusion: It is recommended to improve policies and regulations of rural medical waste management, strengthen rural infrastructures and facilities, improve supervision and innovates means of supervision.
文摘Objective:To strengthen personnel management for a clean operating room and ensure an automatic,intelligent,and scientific workflow.Methods:The medical behavior management system has been implemented to monitor and manage medical personnel entering and exiting the operating room,so as to meet the standard requirements of the operating room.Results:The flow of personnel has been controlled effectively,the flow in and out of the operating room has been optimized,the management level of the operating room has improved,and the cost has been cut down.Conclusion:With the advent of the information age and the continuous improvement of the management system,the management of operating rooms has become more reasonable and humanized;the management mode,working environment,and the overall quality of nursing work in operating rooms have improved.
文摘Anorexia nervosa(AN)is a disabling,costly and potentially deadly illness.Treatment failure and relapse are common after completing treatment,and a substantial proportion of patients develop severe and enduring AN.The time from AN debut to the treatment initiation is normally unreasonably long.Over the past 20 years there has been empirical support for the efficacy of several treatments for AN.Moreover,outpatient treatment with family-based therapy or individual psychotherapy is associated with good outcomes for a substantial proportion of patients.Early intervention improves outcomes and should be a priority for all patients.Outpatient treatment is usually the best format for early intervention,and it has been demonstrated that even patients with severe or extreme AN can be treated as outpatients if they are medically stable.Inpatient care is more disruptive,more costly,and usually has a longer waiting list than does outpatient care.The decision as to whether to proceed with outpatient treatment or to transfer the patient for inpatient therapy may be difficult.The core aim of this opinion review is to provide the knowledge base needed for performing safe outpatient treatment of AN.The scientific essentials for outpatient treatment are described,including how to assess and manage the medical risks of AN and how to decide when transition to inpatient care is indicated.The following aspects are discussed:early intervention,outpatient treatment of AN,including outpatient psychotherapy for severe and extreme AN,how to determine when outpatient treatment is safe,and when transfer to inpatient healthcare is indicated.Emerging treatments,ethical issues and outstanding research questions are also addressed.
文摘An ectopic pregnancy (EP) is defined as any pregnancy that occurs outside the uterine cavity. The most common site of ectopic pregnancy is the fallopian tube. The goal of this retrospective study is to address medical and conservative surgical management of unruptured fallopian tube EP as an effective manner to preserve tubes to prevent secondary infertility. This study was conducted between January 1, 2010, and April 30, 2024, in Ponni Hospital, Madurai. It included 319 women, out of 6248 pregnant women diagnosed with ectopic pregnancy by using an Inexecreen kit, trans-abdominal scan, trans-vaginal scan, and doubling of beta-human chorionic gonadotropin (β-HCG) in 48 hours and Magnetic Resonance Imaging (MRI). Medical and conservative surgical management were given to those patients effectively. Out of 319 patients, 62 patients (19.4%) had a ruptured ectopic pregnancy and underwent surgical treatment;257 patients (80.6%) had an unruptured ectopic pregnancy. The conservative medical management was provided to 257 patients. Out of 257 patients, 235 patients were treated by injecting methotrexate and folic acid rescue when the criteria were met. 14 patients had salpingostomy and injection methotrexate (Inj. Methotrexate) and inj. Prostaglandin F2 alpha was administered into the tubal wall to preserve tubes. 8 patients had a live ectopic pregnancy;for those patients, Inj. Methotrexate was injected into the gestational sac through ultrasound guidance. 225 out of 257 patients reached out to us to seek fertility treatment;the remaining 32 patients were not seeking fertility. All fertility-seeking patients had successful pregnancies. We lost follow-up of 12 patients in this study. Out of 213 patients who came for fertility treatment, a 76.1% success rate was achieved with live birth, the recurrent ectopic pregnancy rate was 13.6%, the miscarriage and stillbirth rates were 10.3%. 32 patients, who were not seeking fertility, had quality life without surgical scars for ectopic pregnancy and cost-effective treatment. 25 patients out of 32 had laparoscopic sterilization later, and 7 patients followed temporary contraception as per our advice. This clinical data was retrieved from medical records.
文摘In this paper, the advantages and disadvantages of the existing ultrasonic image management system are analyzed, and also a multi-functional color Doppler ultrasound image-text management system is researched and developed in combination with the experience of color Doppler ultrasound doctors. With this system, the related operations such as color Doppler ultrasound images acquisition, processing, preservation, and medical records are implemented. In the design of the system, a professional acquisition card is used for implementing the acquisition of ordinary video signals. In the meantime, DICOM interface is designed using DICOM3.0 protocol for implementing multi-mode acquisition.
文摘Objective:Neuro-endocrine tumors(NET)resulting in syndromes of serotonin excess can lead to cardiac involve-ment,and substantial mortality and morbidity.This article is aimed at reviewing the pathophysiology,diagnosis and management of carcinoid heart disease(CHD).Results:The pathophysiology of CHD stems from chronic exposure to circulating vasoactive compounds.Frequent clinical evaluations,monitoring of biomarker levels and cardiac imaging play critical roles in screening and early recognition.The complexity of the disease necessitates a multidisciplinary approach,medical management and timely surgical intervention.Conclusion:Outcomes of CHD have improved,owing to advances in medical management and increased surgical expertise.Surgical valvular intervention is the only definitive therapy for the treatment of symptomatic CHD.
文摘With the gradual development of social economy,the social function of medical institutions is becoming more and more important.Strengthening the efficiency and quality of medical management can alleviate the contradiction between doctors and patients and improve the level of medical service.Promoting the sustainable development of medical institutions plays a key role.Under the background of the development of science and technology,the theoretical research and practical application of block chain technology are becoming more and more mature,which can not only store and transmit information effectively,but also strengthen the security of information storage.The effective combination of block chain technology and medical management can create a new operation mode and train of thought for medical management and promote the overall improvement of medical management quality and efficiency.It is very helpful to optimize the social service function in medical field.This paper mainly expounds and probes into the concept characteristics of block chain technology,its concrete application in medical management,application effect control strategy and so on.It aims to further strengthen the depth and breadth of application of block chain technology in medical management,provide strong power support for the improvement of medical management service level and promote the sustainable development of medical and health industry.
文摘With the continuous improvement of people's living standards, people in the hospital service quality and medical safety requirements are becoming higher and higher, at the same time, hospital medical quality management is also playing a more important role. The construction and implementation of hospital medical quality management system improves the effectiveness of the hospital's internal work management, and the effectiveness of the construction of information medical quality management system affects the hospital's service level for patients. Nowadays, the continuous promotion of the application and implementation of hospital medical quality management system also makes the workload of hospital internal medical management more heavy, and the management personnel are facing greater work pressure. Therefore, it is very important to ensure the effectiveness and safety of the implementation of medical quality management system.
文摘Objective:This study aimed to explore the application and effectiveness of the DRG model in the perioperative management of cholecystectomy.By comparing the DRG model with traditional management methods,this study focused on evaluating the potential impact of the DRG model in improving surgical efficiency and reducing complication rates and medical costs.Methods:The random envelope method was used to divide patients scheduled for cholecystectomy from January 2021 to October 2023 into two groups:one group underwent surgery under the DRG model(experimental group),and the other group underwent the traditional management model(control group).Data including basic information,surgery-related data,length of stay,complication records,and medical expenses were collected.Data analysis was carried out using a t-test and chi-square(χ2)test.Results:Results showed that the DRG model shortened the average length of stay,decreased the incidence of complications,reduced medical expenses,and increased patient satisfaction.These results demonstrate the effectiveness of the DRG model in the perioperative management of cholecystectomy,especially in improving surgical efficiency,reducing medical costs,and improving patient satisfaction.Conclusion:The DRG model in the perioperative management of cholecystectomy can significantly improve medical service quality and efficiency and enhance patient satisfaction as compared to traditional treatment methods.
文摘Objective: to analyze the existing problems in the management of medical equipment in hospitals of plateau area, and formulate countermeasures to improve the management level of medical equipment. Methods: from January 2019 to August 2020, six cases of medical equipment management personnel in plateau area hospitals were selected. The personnel training, equipment and maintenance were analyzed, the existing problems were identified, and the countermeasures were given. The improvement of medical equipment management before and after the implementation of countermeasures was compared. Results: compared with the situation before the implementation of the countermeasures, the mastery level of management knowledge and maintenance knowledge of medical equipment was significantly improved and the difference was statistically significant (P<0.05). Conclusion: there are many problems in the management of medical equipment in hospitals of plateau region, so countermeasures should be made according to the current situation, in order to continuously improve the management of medical equipment, to provide a solid guarantee for medical equipment in hospitals of plateau region.
文摘Objective:To analyze the effect of sanitary wipes and medical alcohol+gauze disinfection methods on the management and use of medical equipment in hospitals.Methods:From February 2023 to August 2023,80 anorectal surgery medical instruments and equipment were randomly sampled as observation samples,and they were grouped using the random number table method(40 instruments in each group).One group was managed with sanitary wipes and medical alcohol+gauze disinfection method(observation group),and the other group was managed with medical alcohol+gauze disinfection method(control group).The degree of contamination on the surface of instruments and equipment and the staff satisfaction of both groups was noted and compared.Results:After cleaning and disinfection,the relative luminescence luminosity(RLU)value of the surface contamination of the sample instruments and equipment decreased significantly(P<0.05);and after cleaning and disinfection,the relative luminescence luminosity(RLU)of the observation group’s instruments and equipment decreased significantly,and the value was lower than that of the control group,(P<0.05);the results of the nursing job satisfaction questionnaire showed that the scores of each survey item in the observation group were higher than those in the control group,(P<0.05).Conclusion:Integrating sanitary wipes and medical alcohol+gauze disinfection method into the management and use of medical equipment not only improves the disinfection of medical instruments but also improves the job satisfaction of nursing staff.Therefore,this method should be popularized.
文摘This paper presents the perceptions of health workers (HWs) on medical waste management (MWM) issues in Tanzanian hospitals. The perceived total waste generation rates were lower than the actual measurements. Administrators perceived lower rates than implementers. The results indicated three categories of medical waste which are given due attention, that is, sharps waste, pathological and infectious waste. Other wastes like radioactive, chemical, pharmaceutical, pressurized containers receive very little attention. Container colour coding and labelling was negligible, while improvised containers are still in use. Medical waste is transported within hospitals manually, with little efforts on mechanized transportation. Poor waste storage was observed, while the prominent medical waste treatment technologies are medium temperature incinerators. Off-site transportation of medical waste is practiced, where the waste is finally dumped or buried. The hospitals are currently utilizing public-private partnership schemes for MWM in only one aspect of off-site transportation. Three main problems which require high attention include: Weaknesses in hospital management, poor MWM infrastructure, and lack of skills and knowledge on MWM among HWs. Knowledge and awareness among HWs on health hazards associated with poor MWM is low (with exception of cholera, HIV and typhoid). Few PPE types are supplied and used in the hospitals, leading to poor diseases prevention. There is also low knowledge among HWs on administrative issues related to MWM in Tanzanian hospitals.
文摘Objective: to study and analyze the value of medical record quality management in the continuous improvement of medical quality. Methods: 30 cases were included in our hospital from May 2021 to June 2022. From May 2021 to May 2021,15 cases and 15 cases from January 2022 to June 2022 were included in the control group;The quality management quality, writing quality and quality control of the two groups were evaluated. Results: study group patients management quality, writing quality, quality control patients management quality score is higher than the control group, patients writing quality assessment of grade A is higher than the control group, patients homepage, admission records, hospital records, discharge records, the incidence of quality control defects are lower than the control group, the difference has statistical significance (P 0.05). Conclusion: the application of medical record quality management has an outstanding value in improving the quality of medical record management, writing quality and quality control quality.
