1.Clinical Study on Postpartum Depression and its Related Factors
Jing HE ; Xuejun SHANGGUAN ; Zhengping WANG
Chinese Journal of Obstetrics and Gynecology 2000;0(11):-
Objective The prevalence rate, related factors and clinical characteristics of postpartum depression were studied in order to promote obstetrician′s understanding of the disease, and resort to preventive and therapeutic measure earlier. Methods Two hundred and ten puerpera were selected from September to November 1998 for mood study by self rating depression scale, self rating anxiety scale, Hamilton depression scale, and self made questionnaires. Results The prevalence rate of postpartum depression was 37 14% (78/210), of which, 91 03% (71/78) was mild, and 8 97% (7/78) moderate. In addition, 10 48% (22/210) of women got anxiety after delivery. The symptoms, including decreased activity, difficulty in thinking, problems in decision making, difficulty in doing things, feeling of uselessness and hopelessness were chief complaints of postpartum depression patients. Bad social behavior and mood controlling, inadequate psychological preparation for delivery, lack of knowledge of delivery were closely correlated to the onset of postpartum depression, which are the risk factors of postpartum depression. Conclusions Postpartum depression is a spiritual and psychological obstacle with relatively high prevalence rate. Bad social psychological factors can bring out and aggravate postpartum depression. It is important to carry out prenatal psychological care and to propagate the knowledge of delivery, to find out and cure of postpartum depression as soon as possible.
2.Construction and application of a multi-drug resistance bacteria information management system/
Bo WU ; Yuying YAN ; Liying SONG ; Xuan YANG ; Xuejun SHANGGUAN ; Rong LIN
Chinese Journal of Nursing 2024;59(16):1942-1947
Objective To construct and apply a multidrug-resistant bacteria information management system,and evaluate its effectiveness and accuracy in the management of patients with multidrug-resistant bacteria infection.Methods A system construction team was established to develop a multidrug-resistant bacteria information management system,which includes 4 modules:early warning,execution,monitoring,and statistical decision-making.Patients with positive detection of multidrug-resistant bacteria admitted to a tertiary A obstetrics and gynecology hospital in Zhejiang Province from January to December 2022,members of the system construction team,and clinical medical staff were selected as the research subjects.The execution efficiency of multidrug-resistant bacteria management,as well as the system's accuracy,usability,and satisfaction were compared before(January to June 2022)and after(July to December 2022)the application of the system.Results After the implementation of the system,the immediate feedback rate of multidrug-resistant bacteria early warning information increased from 62.87%to 89.78%;the rate of issuing isolation medical orders rose from 61.07%to 93.33%;the accuracy of the implementation of isolation measures for patients increased from 66.67%to 98.01%;all differences are statistically significant(P<0.001).The accuracy rate of the system in making decisions is 88.44%;the usability score given by medical staff for the system is 44.04 points,and the satisfaction score of the system construction team members and medical staff to the system is 121.25 points,both at a high level.Conclusion The multidrug-resistant information management system is equipped with features such as immediate alerts,multi-channel notifications,infection control department supervision,and auxiliary decision-making,which can provide medical staff with accurate decision reports.Preliminary application results show that the system has a high level of accuracy and good usability.