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高血压伴代谢综合征患者的抑郁症状与不良生活方式相关

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世界核心医学期刊文摘（心脏病学分册） 2005年第11期1卷 51-52页

作者： Bonnet F. Irving K. Terra J.-L. 孟欣 Department of Diabetology-Endocrinology Cardiovascular Hospital Louis Pradel 69394 Lyon France Dr.

Objective: Metabolic syndrome results from a complex interaction between lifestyle and genetic factors. Among this population, adhesion to healthy recommendations is a cornerstone of cardiovascular disease prevention. We examined the association between depression and multiple unhealthy behaviours in hypertensive patients with the metabolic syndrome. Research design and methods: Eight hundred and forty consecutive hypertensive subjects with the metabolic syndrome were studied in our secondary-care centre. Separated scores reflecting unhealthy behaviours(physical inactivity, smoking and unhealthy diet) were combined to produce a global unhealthy lifestyle score. The Hospital Anxiety and Depression scale was used to assess and quantify depression. We performed a separate analysis for each sex. Results: The prevalence of depression(13.0 versus 7.3%, P< 0.001) was greater in women than in men. Presence of depression was significantly associated in both men and women with unhealthy diet(in particular, excessive cholesterol and total caloric intake) but also with decreased physical activity in men and with smoking habits in women. In both sexes, the global unhealthy lifestyle score, reflecting a cluster of unhealthy behaviours, was positively correlated with the depression score. In multivariate analysis, the depression score appeared in both sexes as an independent determinant of unhealthy lifestyle. Conclusions: Among hypertensive subjects with the metabolic syndrome, depressive symptoms along a continuum of severity are independently associated with multiple unhealthy lifestyles. This suggests that even minor forms of depression may impact on adhesion to health behaviours beyond major depressive symptoms and/or psychiatric condition.

关键词：代谢综合征不健康生活方式郁症心血管疾病二级护理饮食习惯不健康行为遗传因素精神疾病体力活动

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医院实施护工制的探讨

广州医学院学报 1993年第2期21卷 97-98页

作者：孔祥澍广州医学院第一附属医院护理部

护工制的实施是医院把陪护制管理进一步专业化,直接为住院患者提供生活性护理服务的一种形式。目前护理人员不足,在护理队伍的层次未能形成的情况下。

关键词：护理人员陪护率生活性护士缺编二级护理三级护理技术性操作护理观念整体护理模式饮食习惯

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责护工作落实单在低年资护士工作中的应用

中日友好医院学报 2019年第4期33卷 259-260页

作者：李妍石玉慧中日友好医院胸外科

为提高护理质量,根据我科实际并结合我院的责护工作流程,设计责护工作落实单,对低年资护士的责护工作实施自我督察及分析效果,对低年资护士完成责护工作,增强岗位胜任感起到推动作用,提高了护理工作质量。现报道如下。

关键词：低年资护士胜任感工作流程护士长二级护理护理文件

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临床输液反应情况分析与对策

齐齐哈尔医学院学报 2005年第5期26卷 587-588页

作者：彭伶杨苏云刘敏谢鸿恩广东省韶关市粤北第二人民医院传染病科 512028

目的分析临床输液过程中发生的输液反应原因。方法对我科近几年发生的输液反应进行回顾性分析。结果热原反应3例,药物反应22例,滴速过快2例,一级护理18例,二级护理9例。经积极抢救,均症状相继消除。结论引起输液反应的原因很多,降低发... 详细信息

目的分析临床输液过程中发生的输液反应原因。方法对我科近几年发生的输液反应进行回顾性分析。结果热原反应3例,药物反应22例,滴速过快2例,一级护理18例,二级护理9例。经积极抢救,均症状相继消除。结论引起输液反应的原因很多,降低发生率有赖于医、药、护密切配合。

关键词：输液反应分析与对策临床回顾性分析输液过程热原反应药物反应滴速过快一级护理二级护理反应原发生率

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离奇失踪者的死亡赔偿金之争

法庭内外 2015年第4期 12-14页

作者：郭燕

2007年9月6日,上海市崇明县某派出所接到报案：船务公司员工何小杰在医院治疗期间离奇失踪。此后,何小杰一直音讯全无。2012年,经其四兄妹申请,何小杰被宣告死亡。2013年10月,何家四兄妹起诉到法院,要求医院、船务公司、船厂承担50%的... 详细信息

2007年9月6日,上海市崇明县某派出所接到报案：船务公司员工何小杰在医院治疗期间离奇失踪。此后,何小杰一直音讯全无。2012年,经其四兄妹申请,何小杰被宣告死亡。2013年10月,何家四兄妹起诉到法院,要求医院、船务公司、船厂承担50%的赔偿责任,支付死亡赔偿金及精神损害抚慰金人民币46万余元。

关键词：死亡赔偿金船务公司宣告死亡上海市崇明县精神损害抚慰金赔偿责任二级护理委托代理人护理记录

英国炎症性肠病费用调查:一项单中心回顾性研究

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世界核心医学期刊文摘（胃肠病学分册） 2005年第3期1卷 40-41页

作者： Bassi A. Dodd S. Williamson P. Bodger K. 杨瑗 University Department of Medicine Clinical Sciences Centre University Hospital Aintree Liverpool L9 7AL United Kingdom Dr.

Background and aims: The potentially high costs of care associated with inflammatory bowel disease (IBD) are recognised but we have little knowledge of the scale, profile, or determinants of these costs in the UK. This study aimed to describe costs of illness for a group of IBD patients and determine factors associated with increased healthcare costs. Setting: A university hospital serving a target population of approximately 330 000. Patients and methods: A six month cohort of IBD patients receiving any form of secondary care was identified, comprising 307 cases of ulcerative (or indeterminate) colitis and 172 cases of Crohns disease. Demographic and clinical data were abstracted from clinical records and individual resource use was itemised for all attributable costs (including extraintestinal manifestations). Item costs were derived from national and local sources. Cost data were expressed as mean six month costs per patient (with 95%confidence interval (CI)) obtained using non parametric bootstrapping. Determinants of cost were analysed using generalised linear regression modelling. A postal survey of patients was undertaken to examine indirect costs, out of pocket expenses, and primary care visits. Results: Inpatient services (medical and/or surgical) were required by 67 patients (14%) but accounted for 49%of total secondary care costs. Drug costs accounted for less than a quarter of total costs. Individual patient costs ranged from ￡73 to ￡33 254 per six months. Mean (95%CI) six month costs per patient were ￡1256 (￡988, ￡1721) for colitis and ￡1652 (￡1221, ￡2239) for Crohns disease. Hospitalisation, disease severity grade, and disease extent correlated positively with cost of illness but costs were independent of age or sex. Comparedwith quiescent cases of IBD, disease relapse was associated with a 2-3-fold increase in costs for non hospitalised cases and a 20-fold increase in costs for hospitalised cases. Survey data suggested average six month costs were<

关键词：炎症性肠病单中心克罗恩病二级护理大学医院费用增加费用问题临床数据患者群临床记录