1.Practice and experience of group therapy in improving the subjective well-being of elderly patients with long-term hospitalization
Min ZHAO ; Ping YE ; Shuqi HU ; Lingna GU ; Jianhong WU ; Dingmei SHI
Chinese Journal of Modern Nursing 2017;23(8):1102-1104
Objective To investigate the application effect of group therapy in improving the subjective well-being (SWB) of elderly patients with long-term hospitalization. Methods Totally 100 cases of elderly patients admitted in geriatric ward of Ningbo First Hospital for long-time were selected. Newfoundland scale of happiness (MUNSH) scale and the negative life events questionnaire were used to investigate elderly inpatients, and patients with MUNSH ≤12 points received group therapy. Patients were divided into several groups to receive the intervention according to the negative life events. One year after intervention,patients receiving group therapy were evaluated again by using MUNSH scale to evaluate the intervention effect. Results Among 100 elderly patients,there were 32 cases of high SWB,3 cases of low SWB,and 65 cases of medium SWB. 53 cases of patients had sleep disorders,and 62.26% of them had low SWB. After intervention,the scores of negative experience and emotion of elderly patients were lower than those before intervention (P<0.05);the scores of positive emotion and positive experience and the total MUNSH score were higher than those before intervention (P < 0.05). Conclusions According to the different influencing factors,group interventions can significantly improve the SWB level of elderly patients with long-term hospitalization,so as to improve their quality of life.
2.Japan’s stable supply system for pharmaceuticals:its inspiration for enhancing the supply assurance capability of drugs in shortage in China
Linning WANG ; Lingna GU ; Jie YU ; Yun LU
China Pharmacy 2024;35(10):1157-1162
OBJECTIVE To provide insights for enhancing the supply assurance capability of drugs in shortage in China. METHODS By sorting out top-level design ideas for Japan’s stable supply system for pharmaceuticals, this study elaborates on its current policies for stabilizing drug supply. Policy suggestions were proposed for existing challenges in the supply of drugs in shortage in China. RESULTS & CONCLUSIONS To stabilize drug supply, Japan formulated a systematic 3-tier policy framework that ran through pre-prevention, early risk monitoring, and response mechanisms for supply problems. Pre-prevention measures included establishing a graded classification system for stable supply lists, strengthening government control over the drug production process, and implementing a continuous supply system and cessation reporting system for post-market drugs. Early risk monitoring included self-assessing risks in enterprises, disclosing information concerning supply assurance of enterprises, and providing enterprises with price protection and incentives measures. Response mechanisms for supply problems included establishing the mechanism of increasing production and coordinated supply in enterprises, opening fast-track review and approval channels for changes in raw materials, and establishing emergency systems of transferring drugs to supply. To balance supply assurance and strong regulation of drugs in shortage through refining the incentive and regulatory policies for them, it is recommended to refine the criteria for selecting drugs in shortage, strengthen the circulation of information, optimize price management methods, and clarify problem feedback and solving.