1.Experience of frontline medical workers in COVID-19 quarantine points: a qualitative study
Cuicui LU ; Hui ZHAO ; Huiyue ZHANG ; Wen ZHANG ; Xuemei ZHAO
Chinese Journal of General Practitioners 2021;20(5):540-544
Objective:To study the experience of frontline medical workers in COVID-19 quarantine points.Methods:Purposive sampling method was employed and 12 frontline medical workers in COVID-19 points of Zhaoyuan City were selected for semi-structured and in-depth interview. Colaizzi′s seven-step analysis method was adopted to analyze and categorize the data.Results:The real experience of frontline medical workers in quarantine points were classified into five themes: professional mission and pride, inadequate initial response in dealing with public health emergencies (shortage of personal protective equipment,inadequate preparation of medical workers and imperfect settings of quarantine points), having some negative emotions (worrying about being infected and feeling fearful for family members), facing complex and diverse working difficulties (repugnance and diversified demands of people quarantined, heavy workload, discomfort from personal protective equipment and occupational exposure), and gaining support and appreciation (getting support from epidemic control and prevention departments as well as medical systems and winning appreciation from people quarantined).Conclusions:The frontline medical workers are lack of experience in dealing with public health emergencies and have some psychological and working pressure. Administrative department should further complete the emergency plan of centralized isolation medical observation, strengthen the contingency management of public health emergencies, attach importance to the mental health of medical workers, optimize management methods and establish flexible work schedules.
2.Empolder and application of micro-lecture in the clinical nursing specialty courses
Huiyue JIANG ; Haiyan LIU ; Guiying LIU ; Liping LIU ; Lili ZHANG
Chinese Journal of Practical Nursing 2015;31(23):1717-1719
Objective To investigate the methods and application effectiveness of micro-lecture in the clinical nursing specialty courses.Methods The micro-video was empoldered with camera tool to record,record the screen software production,PPT directly method,etc.The micro-video was applied in teaching practice of clinical nursing specialty courses.Seven class students in 2013 in Nursing of Guangxi Medical University were selected as teaching object randomly and were divided into the experimental group and the control group with 49 cases cach.The experimental group was used micro-lecture aided teaching,the control group was used traditional teaching.After the class,the teaching effect was evaluated by the examination,clinical probation appraisal and evaluation questionnaire of the experimental group students.The data were statistically analyzed by SPSS 11.5.Results The results of theory examination in the experimental group was (87.20 ± 6.50) scores and in the control group was (75.30 ± 7.89) scores,there was significant difference,t=3.20,P < 0.01.The qualified result of clinical probation appraisal in the experimental group was 93.88% (46/49),and in the control group was 81.63%(40/49),there was significant difference,x2=6.712,P< 0.01.The teaching satisfaction of micro-lecture in the experimental group was better.Conclusion The microlecture which based on the micro video as the main carrier used in teaching can effectively improve the effect of teaching,and is a valuable teaching method as a supplementary of the traditional teaching.
3.Research progress on interprofessional collaboration in care management for cancer patients
Huiyue ZHANG ; Min YIN ; Nan BAI ; Zheng LI
Chinese Journal of Modern Nursing 2023;29(34):4711-4716
The paper summarizes the concept of interprofessional collaboration (IPC) and its application in the team composition and cooperation methods of cancer patients. The paper mainly reviews the application of IPC in pain management of cancer patients, introduction of early palliative treatment, psychological nursing of cancer patients, and other care management fields of cancer patients, in order to provide new thinking for cancer patient management in China.
4.Research progress of predicting model of medication adherence of patients with cardiovascular disease
Huiyue ZHOU ; Ruofei DU ; Xiang CHENG ; Kexin ZHENG ; Jizhe ZHU ; Haoning ZHANG ; Tao WANG
Chinese Journal of Practical Nursing 2022;38(4):310-316
Patients with cardiovascular diseases have poor medication adherence, which seriously affects the prognosis of their diseases. This article reviewed the prediction model of medication compliance for patients with cardiovascular diseases, analyzed its predictive factors, model efficacy and application, and put forward opinions on the construction of relevant prediction models, which could provide reference for the clinical development of targeted intervention programs.
5.A retrospective analysis of the etiological characteristics and infection risks of patients critically ill with multidrug-resistant bacteria in rehabilitation wards
Huaping PAN ; Zhen WANG ; Xiaojiao ZHANG ; Jin GONG ; Jianfeng ZHAO ; Lizhi LIU ; Jiamei LIU ; Huiyue FENG ; Fang LV ; Hui FENG
Chinese Journal of Physical Medicine and Rehabilitation 2024;46(3):205-209
Objective:To explore the microbiological and disease distribution characteristics of multidrug-resistant bacteria in patients hospitalized in a critical care rehabilitation ward, and to analyze the risk factors leading to multidrug-resistant bacterial infections.Methods:Microbiology screening data describing 679 patients admitted to a critical care rehabilitation ward were retrospectively analyzed to divide the subjects into a multidrug-resistant group (positive for multidrug-resistant bacterial infections, n=166) and a non-multidrug-resistant group (negative for multidrug-resistant bacterial infections, n=513). The risk factors were then analyzed using logistic regression. Results:Among 369 strains of multidrug-resistant bacteria observed, 329 were gram-negative bacteria (89.2%), mainly Pseudomonas aeruginosa, Klebsiella pneumoniae and Escherichia coli. They were distributed in sputum (56.9%) and mid-epidemic urine (28.2%) specimens. Patients whose primary disease was hemorrhagic or ischemic cerebrovascular disease accounted for 40.96% and 23.49% of the multidrug-resistant bacterial infections, respectively. Logistic regression analysis showed that albumin level, dependence on mechanical ventilation, central venous cannulation, or an indwelling urinary catheter or cystostomy tube were significant independent predictors of such infections.Conclusion:The multidrug-resistant bacterial infections of patients admitted to the critically ill rehabilitation unit are mainly caused by gram-negative bacteria. Their occurrence is closely related to low albumin levels and mechanical ventilation, as well as to bearing an indwelling central venous catheter, a urinary catheter or a cystostomy catheter.
7.Status risk factors and prevention and control strategies of familial aggregation of Helicobacter pylori infection
Lihua SONG ; Sijing HAN ; Shuqin REN ; Wen YANG ; Sihong DING ; Yixin ZHONG ; Yao QIN ; Huiyue ZHANG ; Yang ZHANG
Journal of Public Health and Preventive Medicine 2024;35(2):148-151
Objective To investigate the status of familial aggregation of Helicobacter pylori (Hp) infection in Jinniu District, Chengdu, and analyze its risk factors so as to provide a basis for developing prevention and control strategies of family aggregation of Hp infection. Methods A total of 172 subjects in the Second Affiliated Hospital of Chengdu Medical College · 416 Hospital of Nuclear Industry from January 2022 to January 2023 were selected as the research subjects. All subjects underwent 13C-urea breath test (13C-UBT) to diagnose whether there was Hp infection. Analyze the current situation of family aggregation of Hp infection in the region, collect general data of survey subjects, analyze the relevant factors affecting Hp family aggregation infection, and develop prevention and control strategies based on this. Results A total of 242 people from 97 households were surveyed, and the Hp family aggregation rate was 29.33%. Univariate analysis showed that there were statistically significant differences in family aggregation of Hp infection in terms of different age groups (χ2=9.719, P=0.008), marital status (χ2=8.496, P=0.014), occupations (χ2=19.462, P<0.001), frequencies of dining out (χ2=5.457, P=0.019), previous Hp test results (χ2 =4.131, P=0.042) and test results after treatment (χ2=12.000, P=0.001), with statistical significance (P<0.05). Multivariate logistic regression analysis showed that the frequency of dining out 2 days or more per week and a positive Hp test results in the past were risk factors for family aggregation of Hp infection, while the occupation of teachers/medical staff/management/technology personnel and a negative Hp results after treatment were protective factors (P<0.05). Conclusion Family aggregation of Hp infection is related to family members' occupation, frequency of dining out, previous Hp test results and Hp test results after eradication, which deserves attention in clinical practice.