The purpose of this study were to find out the practical way to enlarged child-raising knowledge and to enhance their satisfaction with out-patient care by evaluating how effectively the education is done by nurses for mothers with ill-child and how their satisfaction with out-patient care changed. This study was designed as a Nonequivalent Control Group study. The subjects studied were consisted of the experimental and control group. Each consisted of 50 mothers with ill-child in pediatric department at one university hospital in Seoul. The period of this study is from May 20, 1996 to June 28, 1996. The first data were collected fro both of experimental and control groups in which mothers with ill-child come to the hospital for the first time. After this being done, the experimental group had been educated by the planned program and then the second data were collected from them. On the contrary, as for the control group, there had been no education and the second data were collected on the same method. The data analysis was done by SPSS program. The results of this study are as follow, 1. The child-raising knowledge level of mothers with education was higher than that of with no education.(t=18.84, df=49, p=0.000) 2. The satisfaction with out-patient care level of mothers with education was higher than that of no education.(t=10.51, df=49, p=0.000) Based on these results, I suggest as follow, 1. The research on the patients and their family should be made not only in pediatric department, but in every out-patient department. 2. For more effective education, it is required for all out-patient nurses to research the education demand of patients and their family. 3. To increase the effect of education, there must be the consultation room in out-patient department. 4. The meetings with the mothers with ill-child of the same illness have to be established and periodical education must be executed. 5. Audio-visual education programs like video tapes are needed to make use of waiting time for the medical treatment. 6. On-line consulting program are needed.
Education ; Humans ; Mothers* ; Outpatients* ; Seoul ; Statistics as Topic ; Child Health

OBJECTIVEThe present situation of clinical indications of acupuncture in China is investigated in this article which provides clinical evidence for the establishment of acupuncture indications.

METHODSOut-patients of acupuncture departments of 31 Chinese provinces in the year 2008 were investigated through the method of cluster random sampling. And the analysis was made on diseases sorting and distribution based on Pareto principle and with EpiMap software.

RESULTSInformation of 31 858 out-patients of the first treatment from 36 hospitals were collected which referred to 368 diseases of 16 disease systems. Among them, there were 57 most commonly-encountered diseases, 60 commonly-encountered diseases and 251 rare diseases.

CONCLUSIONThere are totally 368 acupuncture clinical indications at present according to the investigation with disproportional distribution in administrative districts. It is held that indications of acupuncture have high centralization degree. Thus, the populariza tion and promotion on application of acupuncture indications should be strengthened.

Acupuncture Therapy ; statistics & numerical data ; China ; Humans ; Outpatients ; statistics & numerical data

Ambulatory Care Facilities ; statistics & numerical data ; Animals ; Bites and Stings ; epidemiology ; China ; epidemiology ; Dogs ; Humans ; Outpatients ; statistics & numerical data

OBJECTIVETo explore the eyelid's characteristics of outpatients who visited the plastic surgery clinic in 3rd Hospital of Peking University.

METHODSFrom Jan. 2007 to Feb. 2011, we collected facial images and general data of 2,183 outpatients, and divided them into groups according to their genders. The eyelid images were analyzed and epicanthus or foldless eyelid were recorded. Then the incidence rates of epicanthus and foldless eyelid were calculated.

RESULTSIn 2,183 patients (4,366 eyes), the incidence rate of epicanthus is 86.1% (3,760/4,366), and the incidence rate of foldless eyelid is 35.3% (1,541/4,366). In 178 males (356 eyes) and 2,005 females patients (4,010 eyes), the incidence rates of epicanthus are 78.4% (279/356) and 86.8% (3,481/4,010), respectively. The incidence rates of foldless eyelid are 48.0% (171/356) and 34.2% (1,370/4,010), respectively.

CONCLUSIONSThe incidence rates of epicanthus and foldless eyelid are relatively high for the outpatient population in the plastic surgery clinic of Third Hospital of Peking University.

Beijing ; Eyelids ; anatomy & histology ; Female ; Humans ; Male ; Outpatients ; statistics & numerical data ; Sex Factors ; Surgery, Plastic ; statistics & numerical data

With dwindling number of new antibiotics and inappropriate use of antibiotics, the emergence and spread of antibiotics resistance occurs commonly in healthcare institutions worldwide. In China, antibiotics are commonly over prescribed and misused. This study is to assess the effect of the nationwide special campaign on antibiotic stewardship program (ASP) at specialized hospitals in China by investigating prescription information from 2011 to 2012. Data on the hospital consumption and prescription of systemic antibiotics were obtained from four specialized hospitals, including maternity, children's, stomatological and cancer hospitals. Systematic random sampling was used to select outpatient prescriptions and inpatient cases. A total of 105 specialized hospitals in 2011 and 121 specialized hospitals in 2012 were analysed. The defined daily doses (DDDs) per 100 inpatient days, the percentage of antibiotic use in outpatient prescriptions, and the percentage of antibiotic use in inpatient cases were used as measurements of antibiotic use. The overall antibiotic use density in the selected hospitals decreased between 2011 and 2012 from 39.37 to 26.54 DDD/100 inpatient days (P<0.001). The percentage of antibiotic use in outpatient prescriptions (range: 24.12%-18.71%, P=0.109) and inpatient cases (64.85%-60.10%, P=0.006) also decreased within the two years. Significant changes were observed among regions and different hospitals within the two years. And antibiotic consumption was correlated with the type and size of specialized hospital in 2012, but not with the regions. This analysis of antibiotic consumption of specialized hospitals allows relevant comparisons for benchmarking and shows that national ASP has improved antibiotic rational use in China. The data will assist policymakers in formulating effective strategies to decrease antibiotic overuse and identify areas that require further work.
Anti-Bacterial Agents ; China ; Drug Prescriptions ; statistics & numerical data ; Drug Utilization ; statistics & numerical data ; trends ; Drug Utilization Review ; methods ; statistics & numerical data ; Geography ; Hospitals ; classification ; statistics & numerical data ; Humans ; Inpatients ; statistics & numerical data ; Outpatients ; statistics & numerical data

OBJECTIVETo investigate the variation patterns of the number of outpatient visits in hospitals to provide references for more effective management of general hospitals.

METHODSThe forecasting model of ARIMA(1,0,1)(0,1,1)12 was established using residual error analysis and least squares method according to the sequence stability, long-term trend and seasonal effect after logarithm transformation and differencing.

RESULTSThe residual sum of squares was 2.790, AIC=-178.126, SBC=-170.080. The relative predictive error of the model for predicting the outpatient visits in a general hospital in the year 2008 was 6.11%, smaller than that of exponential smoothing (8.78%). This model predicted a number of outpatient visits of 1,501,200 in this hospital in the year 2009.

CONCLUSIONSThe ARIMA model provides a means for predicting the number of total outpatient visits, its long-term tendency and seasonal variation. The parameters p,d,q in the ARIMA model may vary between different hospitals, and the ACF and PACF charts of the original sequences are helpful for determining these parameters.

China ; Forecasting ; Humans ; Models, Statistical ; Outpatient Clinics, Hospital ; statistics & numerical data ; Outpatients ; statistics & numerical data ; Patient Readmission ; statistics & numerical data ; Seasons

OBJECTIVETo estimate the effect of influenza-like illness (ILI) on outpatient visits and assess its impact on public health.

METHODSWe analyzed the data of weekly number of ILI and outpatient visits in Departments of Internal Medicine, Pediatrics and Emergency at two influenza surveillance hospitals during a period of 137 weeks in Guangzhou. Spectral analysis and time-series analysis were performed to evaluate the variation of outpatient visits over time. The predictive model was fitted with weekly outpatient visits as the dependent variable and weekly number of ILI as the independent variable. The optimal model was established according to the coefficient of determination, Akaike-information criterion and residual analysis. The validity of the model was assessed prospectively using the 31-week data that were not used for the model establishment.

RESULTSThe outpatient visits increased significantly over time and showed significant seasonality (P<0.001). A significant correlation was found between the weekly number of ILI and outpatient visits (r=0.568, P<0.001). The residuals of the fitted autoregression model were white-noise series and the coefficient of determination was 75% for the data used to establish the model and 56% for the subsequent 31-week data.

CONCLUSIONSThe autoregression model can be used to estimate the effect of weekly number of outpatient visits based on the weekly number of ILI and thus assess the effects of influenza on public health.

Child ; China ; epidemiology ; Emergency Service, Hospital ; statistics & numerical data ; Humans ; Influenza, Human ; epidemiology ; Logistic Models ; Outpatient Clinics, Hospital ; statistics & numerical data ; Outpatients ; statistics & numerical data

PURPOSE: In this study, symptom experience and quality of life(QoL) in patients with Bronchial asthma(BA) and Bronchiectasis(BRC) were examined to develop nursing strategies. METHOD: Data collection was done with 61 outpatients with BA and 43 outpatients with BRC in January and February, 2001. Data analyses were performed using SPSS Win 8.0. RESULT: The mean scores of symptom experience were 11.3 and 10.8 in patients with BA and BRC, respectively. The mean score of QoL was 18.0 in patients with BA and 19.2 in patients with BRC. There were statistically significant differences in the score of the symptom experience according to sex and occupation in patients with BA, and to the religion and occupation in patients with BRC. The mean score of QoL had significant difference according to the income in patients with BA, but had no significant differences in patients with BRC. The score of QoL had significantly correlated with the degree of symptom experience in patients with BA(p=.000) and with BRC(p=.022). CONCLUSION: The degree of symptom experience negatively correlated with QoL. Therefore, symptoms experienced by patients should be considered in development of nursing strategies for patients with BA and BRC.
Asthma* ; Bronchiectasis* ; Data Collection ; Humans ; Lung Diseases* ; Lung* ; Nursing ; Occupations ; Outpatients ; Quality of Life* ; Statistics as Topic

In this study, in- and out-patients, who were treated at Korea University Woo-Sok Hospital (downtown hospital) and a private eye clinic (industrial zone clinic) during the period from January 1, 1969 to December 31, 1973, were statistically analyzed. Regional characteristics in incidence between all and industrial eye injuries were compared with each other. The results obtained were as follows: 1. Among a total of 77,021 patients, eye injures accounted for 18, 100 cases of which 10,699 were due to industrial injury. i) In downtown, eye injuries were 3.2% of all patients and industrial eye injuries 0.2%. ii) In industrial zone, incidence of eye injuries formed 28.3% and industrial injuries 17.1%. iii) Incidence of eye injuries in industrial zone were nine times as high as in that of downtown; industrial eye injuries were 86 times. iv) Industrial eye injuries accounted for 6.5% of eye injuries in downtown and 60.5% in industrial zone; incidence in industrial zone were 9 times as high as in downtown. v) Industrial eye injuries in 1973 increased to twice as high as in 1969. 2. Male accounted for 97.4%; the third decade 49.9%. 3. Monocular injuries accounted for 92.4% of eye injuries. No marked difference in incidence was noted between both eyes. 4. No significant difference in incidence was noted between different seasons or months. 5. The cases received first care between 24 and 48 hours following injury accounted for 43.3%. 6. The first injury accounted for 95.3% of all injuries and repeated injuries 4.7%. 7. Corneal foreign bodies accounted for 59.64% and cornea was the most common site to the injury responsible for 78.76%. Retained foreign bodies formed 66.42% of all eye iujuries. The most common objects to the injury were iron pieces which were responsible for 66.42%. 8. Visual acuity was improved in most cases by prompt and adequate treatment, but corrected vision after treatment was less than 20/200 in 15.4%, which was due mainly to the perforating or thermal injury.
Cornea ; Eye Injuries* ; Foreign Bodies ; Humans ; Incidence ; Iron ; Korea ; Male ; Outpatients ; Seasons ; Statistics as Topic* ; Visual Acuity

PURPOSE: The aim of the study is to determine factors influencing quality of caregiving by caregivers for the elderly with dementia. METHODS: Data were collected from 87 caregivers for elders with dementia who had visited in Busan Metropolitan Center for Dementia and D-University hospital outpatient center from July 10 to September 30, 2015. A self-reported questionnaire was used to assess the severity of the elders' dementia and knowledge of dementia, burdens and quality of caregiving by the caregivers. The SPSS 21.0 version program was used for data analysis. Data were analyzed using descriptive statistics, Pearson's correlation, t-test, ANOVA and multiple regression. RESULTS: Significant predictors of quality of caregiving by caregivers included caregivers' burdens (explanation power 25%), knowledge of dementia (explanation power 4%) and levels of education (explanation power 3%). These factors explained 32.3% of the variances in quality of caregiving. CONCLUSION: Burdens on caregivers were a major factor that decreased quality of caregiving, and knowledge of dementia was a factor that increased it. These findings show that educational programs and intervention for reducing burdens and improving knowledge of dementia are necessary to improve quality of caregiving by caregivers.
Aged ; Busan ; Caregivers* ; Dementia* ; Education ; Humans ; Outpatients ; Quality of Health Care ; Statistics as Topic