OBJECTIVE: To probe into the development trend of outpatient pharmacy in primary hospitals, and to provide reference for the improvement of pharmaceutical care in outpatient pharmacy of primary hospitals. METHODS: The status quo of outpatient pharmacy in primary hospitals were investigated and analyzed based on practical work and professional requirement of outpatient pharmacy. RESULTS: The work of outpatient pharmacy was heavy and complex. Main function of it was drug dispensary. There was few training for pharmaceutical staff. CONCLUSION: Outpatient pharmacy should establish and improve quality management system, promote drug dispensary and service and enhance training of pharmaceutical staff to meet rising public medical service.

Objective:To explore the clinical training needs for postgraduates with master's degree in oral nursing based on job competency, so as to provide a basis for improving the postgraduate training system and enhancing the job competency of postgraduates with master's degree in oral nursing.Methods:This study was descriptive and qualitative. From March to April 2023, purposive sampling was used to select 8 postgraduates with master's degree in oral nursing for semi-structured in-depth interviews. The targeted content analysis method was used for data sorting and analysis.Results:The clinical training needs for postgraduates with master's degree in oral nursing based on job competency were summarized into four themes and 13 sub-themes, namely self-awareness (understanding of oral nursing, understanding of postgraduates with master's degree in oral nursing, understanding of the current training model for postgraduates with master's degree in oral nursing), ability traits (self-learning ability, reform and innovation ability, interpersonal communication ability), learning motivation (self-improvement, career development, serving society), and clinical training needs (theoretical knowledge, skill operation, scientific research and innovation ability, evidence-based practice ability) .Conclusions:Universities should collaborate with hospitals to develop clinical training plans and carry out theoretical and practical education for postgraduates with master's degree in oral nursing, and pay attention to the cultivation of the research innovation and evidence-based practice abilities of postgraduates with master's degree in oral nursing, in order to help them further improve their job competency.

Objective:To analyze the current status, development trends, and gaps in studies on symptom clusters in patients with head and neck tumors using bibliometric methods.Methods:Relevant literature on symptom clusters in patients with head and neck tumors was retrieved from databases including China National Knowledge Infrastructure, WanFang data, China Biology Medicine disc, Web of Science Core Collection, PubMed, and Scopus. A visual analysis of the literature content was conducted.Results:A total of 37 studies were included. The studies primarily focused on patients with nasopharyngeal carcinoma. Symptom clusters in patients with head and neck tumors demonstrated dynamic variability. Emerging trends in this field include nutrition-related symptom clusters, symptom interventions, and the identification of core symptoms. However, current studies still exhibit limitations, such as using singular research tools and clustering methods and a lack of exploration of internal mechanisms.Conclusions:Future research should focus on improving study design through multidisciplinary collaboration, utilizing data mining techniques to systematically explore the internal mechanisms of symptom clusters in patients with head and neck tumors, identifying symptom intervention targets, and conducting high-quality intervention studies to verify the reliability and effectiveness of these targets and interventions.

Objective This study aimed to investigate the incidence and severity of surgical fear in patients with oral and maxillofacial tumors.Methods The survey participants were composed of patients with oral and maxillofacial tu-mors,who were scheduled to undergo surgery.A general information questionnaire,the Surgical Fear Questionnaire(SFQ),the Patient Health Questionnaire(PHQ)-9,and the Generalized Anxiety Disorder(GAD)-7 score were used for the investigation.Results A total of 203 patients were investigated.Among them,85.22%had fear of surgery.The me-dian score of SFQ was 20,and the quartile was(6,36).The patients were categorized into none,mild,moderate,and severe groups according fear level.Gender,diabetes,obvious discomfort before surgery,PHQ-9,and GAD-7 scores were the variables with statistical difference in each fear level.Multifactor analysis showed that women were more likely to have moderate and severe fear than men(OR=2.19,P=0.03;OR=2.72,P=0.01),patients with obvious preoperative discomfort symptoms were more inclined to have no fear(OR=4.73,P=0.02),and patients with diabetes were more likely to have severe fear(OR=3.33,P=0.02).The incidence rates of depression and anxiety were 31.03%and 24.63%,respectively.The incidence of anxiety and de-pression in patients with severe fear was 40.00%.Surgical fear was moderately positively correlated with anxiety(r=0.491,P<0.001)and depression(r=0.514,P<0.001).Conclusion The fear of surgery in patients with oral and maxillo-facial tumors is common and distributed in all levels.Medical staff can screen and assess patients with moderate and se-vere fear of surgery in accordance with the influencing factors and implement targeted interventions to reduce fear of sur-gery,anxiety,and depression on the basis of the source of fear.