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Comparative Study between Whole-course Integrated Care and Traditional Nursing in the Perioperative Clinical Application of Percutaneous Needle Biopsy of the Lung

ObjectiveTo explore the clinical effect of the whole-course integrated care and traditional nursing in perioperative period of percutaneous needle biopsy. MethodsA total of 198 patients treated between May 2012 and March 2013 were randomly divided into the traditional care group (control group) and the whole-process integrated care group (experimental group). Then, we compared between the two groups in terms of pain and anxiety levels, qualified rate of specimen and incidence of postoperative complications. ResultsQualified rate of specimen in the experimental group (97.94%) was significantly higher than that in the control group (85.15%) (χ2=10.312, P=0.001). After surgery, the rates of pneumothorax and bleeding were 3.09% and 4.12% in the experimental group, and 11.88% and 14.85% in the control group; the pain score of the experimental group was 4.25±1.38, and 6.12±1.87 in the control group. One hour before and 8 hours after surgery, the anxiety scores were 11.16±3.29, 8.47±2.52 in the experimental group, respectively, and were 16.26±3.17, 12.12±3.26 in the control group, respectively. There were significant differences between the two groups in all the above indexes (P<0.05). ConclusionWhole-course integrated care can significantly reduce pain and anxiety levels and the incidence of postoperative complications and improve the success rate of percutaneous needle biopsy.

Surveys on Medical Documents Filling Status and Its Influence on Patient Satisfaction

目的　調查醫療文書填寫現狀并探討其對患者滿意度之間的影響。 方法　2012年10月－12月以呼吸內科住院的患者為調查對象，調查其醫療文書完成情況，統計醫療文書缺項數目。同時參考國內外患者滿意度研究，自制滿意度調查表，調查患者對醫務人員滿意度；分析醫療文書缺項數目對患者滿意度的影響。 結果　研究共納入151例患者，共有126份醫療文書存在不同程度填寫缺陷，占83.44%，平均缺項（11.58 ± 11.63）條。總體患者就醫滿意度為6.85分，與醫療文書缺項數目呈現負相關性（R=?0.602，P=0.001）。患者性別、年齡、文化程度、付費方式和住院天數與患者滿意度無相關性。 結論　醫療文書缺項數目較多、完成質量不高。需要加強醫務人員對于醫療文書完成質量的重視程度。

艾滋病并發血小板極度低下一例

艾滋病并發播散性非結核性分枝桿菌感染一例