ObjectiveTo study the effects of quality control circle (QCC) activities on improving the revisiting rate in discharged patients with chronic hepatitis B,so as to supervise patients to return visit regularly and improve medical compliance.Methods To investigate the revisiting situation of chronic hepatitis B patients discharged from infection department from January to March 2016 through QCC activities,in which the causes of the missing revisits were analyzed,and goals for improvement and corresponding measurements were set up. Corresponding measures were taken from April to October,2016. Statistical analysis was made to compare the revisiting rate before and after QCC activities.Results After taken the measures,the revisiting rate of discharged chronic hepatitis B patients was raised from 30.56% to 63.22%.Conclusions QCC activity can improve the revisiting rate and satisfaction of discharged patients with chronic hepatitis B.

Objective To explore the demands of health education on artificial liver support in chronic liver failure patients, and to discuss the appropriate methods of health education, in order to provide the basis for the health education of chronic liver failure patients with artificial liver support. Methods A total of 60 in-patients with artificial liver support from January 2012 to January 2013 were tested by questionnaires, from different aspects such as physical need, safety need, informational communication, emotional support, self-esteem and self-actualization, using multiple methods of one-on-one tutoring, multimedia, health brochures, lectures and bulletin boards, in order to investigate their demands of health education. Results Chronic liver failure patients with artificial liver support had demands on health education in many ways. The demand of different content and methods of health education, emotional support and one-on-one tutoring were the most. Patients with college degree or above needed health brochures more than patients with secondary education. Conclusions Chronic liver failure patients with artificial liver support have demands of health education in many ways, and patients with different educational levels have different demands. We should apply specific health education according to the different features of patients, in order to make patients cooperate and assure the treatment of artificial liver support to enhance the patients′recovery.

Objective To investigate the effects of nursing intervention on self-management ability and quality of life of patients with chronic hepatitis B in antiviral treatment. Methods A total of 160 patients with chronic hepatitis B antiviral treatment were randomly divided into control group and observation group on average. The patients of control group were given routine care based on their own condition, while the patients of intervention group were assessed their self-management ability and quality of life by the self-management scale and quality of life evaluation questionnaire, and they were given specific nursing intervention based on the analysis of assessment, and then completed one year follow-up after discharge. Results The self-management ability of patients in the intervention group was higher than that of control group, while quality of life score in the intervention group was (66.43 ±5.94) compared (62.45 ±6.89) in the control group (t=2.48,P<0.05). Conclusions Nursing intervention can improve patients′self-management ability as well as quality of life.

Objective To investigate the application effects of bedside billing integration based on human factors integration theory in hospitalized patients.Methods Selected 322 patients from November 2012 to February 2016 the department of our hospital,according to the hospital bedside settlement time they were divided into observation group (March 2014-February 2016,settle account at bedside)and control group (November 2012-February 2014,settle account regularly),and the effects of nursing management,discharge waiting time,nurse′s satisfaction and patient′s satisfaction were compared.Results In observation group, nurse-patient relationship,nursing responsibility,and up-to-date hospital information were significantly better than that of control group;however,the discharge waiting time was significantly lower than that of control group (P <0.05 ).In 37 nurses,the work environment satisfaction,level of business satisfaction,interpersonal satisfaction,and nursing error rate were 91.89%,86.49%,89.19%,0.00% in observation group,while in 46 nurses of control group,they were 76.09%,76.09%,67.39%,4.35%.A total of 162 patients in observation group,discharged flow satisfaction,satisfaction with the quality of care,care attitude satisfaction and complaint rates were 98.15%,93.83%,91.98%,0.00%,they were 88.13%,81.88%,78.13%, 2.50% in 160 patients of control group.Conclusions Bedside billing integration based on human factors theory can obviously improve nurse′s and patient′s satisfaction,shorten the hospital waiting times,optimize discharge processes,so it is worthy of promotion.

Objective To explore the effects of self-management intervention on medical waste disposal for patients with viral hepatitis at home.Methods Totally 116 patients with infectious hepatitis who used home injection were selected and divided into the control group (n=54) and the observation group (n=62) according to the order of admission. Patients in the control group were given routine education, while patients in the ob-servation group were given self-management intervention on the basis of routine education. Patients' knowledge about medical waste and self-management status about medical waste disposal in two groups were compared. Results Three months after intervention, the awareness rate of patients on medical waste in the observation group was (13.21±5.31) point and (7.52±3.80) point in the control group (t=6.547,P<0.01). The self-man-agement of medical waste disposal in the observation group was better than that of the control group (χ2=6.640, P<0.01).Conclusions Self management intervention is helpful in improving the standard of medical waste disposal in patients with viral hepatitis at home.

Objective To explore the effects of self-management education on sharp instruments operation behavior of nursing staff. Methods Form January to June 2017, 231 nurses were given the self-management education on sharp instruments operation. The general self-efficacy, the self-management ability and the accuracy of sharp instruments operation behavior of nurses were compared before and after the education. Results After the self-management education, the general self-efficacy, the total score of self-management ability in sharp instruments operation, the control operation, the emotion management, the operation information management, occupational health management, the operation environment management and the accuracy of sharp instruments operation behavior of nurses also improved apparently than before, and the differences were statistically significant (P< 0.05). Conclusions The self-management education can improve the self-management ability and the accuracy of sharp instruments operation behavior of nurses.

Objective To analyze the rules and characteristics of cross-allergy cases related to drug-related medical disputes,and to provide reference for the formulation of cross-allergy prescription review strategy.Methods The judgments of cross-allergy related medical damage liability disputes recorded in the legal document database of Beijing Yingke Law Firm and the Chinese Judgment Document Network database from August 2010 to June 2023 were analyzed,the causes of relevant disputes were summarized and analyzed,and more comprehensive response measures were formulated.Results A total of 65 judgments were retrieved,and seven judgments were included.The main drugs causing cross allergy were antibiotics(penicillins,cephalosporins and sulfonamides).Seven cases of medical disputes,all of which were ruled by the court that the medical party had medical errors due to cross-allergies,and had to bear 30％to 80％of the compensation liability.The main reasons for the punishment were that the doctor did not pay enough attention to the patient's past history of allergy and chose unreasonable drugs.Conclusion Medical institutions can reduce the risk of cross-allergy by means of information technology,and play the role of pharmacists in prescription review and pharmaceutical care.Physicians should pay attention to the patient's past history,earnly inquire,strengthen medication education and monitoring,reduce the threat of adverse reactions to the patient's life safety and related drug disputes,and protect the legitimate rights and interests of both doctors and patients.

Objective:To explore the effects of "5-moment method" on antivirus medication compliance and revisit rate among patients with chronic hepatitis B.Methods:From January 2019 to June 2019, this study selected 120 chronic hepatitis B patients with antivirus therapy in the First Affiliated Hospital of Wenzhou Medical University as subjects by convenience sampling. All patients were divided into control group and observation group according to wards, 60 cases in each group. Control group carried out the traditional intervention including the routine medication education, hepatitis B information push by WeChat and discharged telephone follow-up. Observation group implemented the "5-moment" intervention involving the "5-moment" medication education, guiding patients to actively participate the safe and antiviral self-management through "5-moment" medication knowledge, applying "5-moment method" medication management in family medication management by informationization continuing service. This study compared the medication knowledge and compliance of patients with the self-designed Chronic Hepatitis B Antivirus Medication Knowledge Questionnaire and Morisky Medication Adherence Scale-8 (MMAS-8) as well as the revisit rate between two groups. There were 4 cases loss to follow-up in control group and no case loss to follow-up in observation group. A total of 116 subjects were included.Results:The awareness rate of antivirus medication knowledge and score of MMAS-8 of patients in observation group 6 months after intervention were (76.79±6.57) % and (7.17±0.78) respectively higher than those in control group with statistical differences ( t=19.883, 4.382; P<0.01) . The revisit rates of observation group and control group 6 months after intervention were 88.33% (53/60) and 55.36% (31/56) respectively with a statistical difference (χ 2=15.768, P<0.01) . Conclusions:The "5-moment method" can effectively improve the cognition of chronic hepatitis B patients on antivirus therapy, antivirus medication compliance of patients and revisit rate which is worthy of popularization in antivirus therapy management.