论著

广州市海珠区学生结核病知信行调查

Practice survey of knowledge-attitude-behavior model about tuberculosis among the students in Haizhu district of Guangzhou

:60-63
 
目的 了解广州市海珠区在校学生结核病核心知识知晓率现状、对结核病态度及相关行为,为进一步加强学校结核病健康教育工作提供依据。方法 采用分层整群随机抽样的方法随机选取海珠区内6所学校268名学生进行问卷调查,采用描述性分析、卡方检验。结果 学生结核病知识总知晓率为76.4%,女生结核病知识知晓率比男生高,高中生比大学生和初中生高,市内学生比市外学生知晓率高;户籍是市内的学生更愿意去了解结核病,女生比男生高,市内比市外的学生更加愿意成为志愿者;对于出现结核病疑似症状,大学生更为主动地寻求医生帮助,女学生在自己得了肺结核后会更加主动提醒周围人去检查。结论 学生对结核病的总知晓率仍偏低,以后的结核病健康教育应进一步针对学生的不同特征采取更合适的方式进行宣传,提高学生对结核病的知晓率,促使其形成正确的态度和行为。
Objective To understand the status of the awareness rate of tuberculosis knowledge,attitude and behavior among students in Haizhu district, Guangzhou, and to provide evidence for further strengthening the work of tuberculosis health education in schools. Methods Applying stratified random sampling method to choose 268 students from 6 schools for questionnaire investigation and used descriptive statistical analysis method, Chi-square test to assess related indicators. Results The awareness rate of TB knowledge was 76.4%, female students' was higher than male students', high school students' was the highest, Guangzhou household registers was higher than that no householder in Guangzhou; the students of householder in Guangzhou were more willing to learn about TB, female students' and the students of householder in Guangzhou were more willing to become a volunteer; College students were more active to seek medical help, female students after they had pulmonary tuberculosis would more active to remind the people around to have a check. Conclusion The level of knowledge about tuberculosis among students in the district was still lower than the standard. The health education of tuberculosis knowledge should further make publicity according to the different features of the students, to improve the students the awareness of TB and to promote the formation of correct confidence and behavior
论著

药学本科生在毕业实习前的观念及心态调查

Investigation of overall concept and attitude before graduation practice for pharmacy undergraduates

:57-59
 
目的 调查药学本科大学三年级学生在毕业实习前对实习的整体观念及心态。方法 采用问卷表方式调查,将回收问卷表进行数据统计并分析结果。结果 占总比63.2%学生对未来实习方向较模糊,并期望获得相关指导;72.8%学生认为药学专业知识对实习有帮助;90.0%学生认为实习是为即将就业打基础;对于寻找实习单位的方式,三分之一以上学生比较倾向于药学专业老师介绍推荐,大约三分之一的学生有意自己联系实习单位。结论 该调查结果较为真实反映某高校药学本科生实习前的心态及其对实习整体观念,为高校实习管理及学生工作部门了解学生的实习想法提供可靠数据依据,也为教务部门制定“以人为本”实习计划提供了科学依据。
Objective To investigate the overall concept and state of mind of the undergraduates in the grade three undergraduate students before internship. Methods The questionnaire was used to investigate the form of the questionnaire, and the data were collected and analyzed. Results 63.2% of the students for the future practice direction was fuzzy, and hope to get the guidance;72.8% of the students thought pharmacy specialized knowledge is helpful to practice; 90.0% students thought practice was foundation for employment; To find the internship units, more than one third of the students tend to get recommend by pharmacy professional teachers. About one third of students wished to contact their internships by themselves. Conclusion The survey results showed mentality and the overall concept in practice of pharmacy students in our school. It can provided reliable data basis for the practice of management to understand the students practice idea, and also for the educational administration department to develop the “people-oriented” internship program.
医院管理

某医院临床试验用药品规范管理体系的构建与实践

Construction and practice of standardized management system of drugs for clinical trials from a hospital

:1000-1005
 
       目的   通过分析广州某三甲医院临床试验用药品规范管理体系构建前后试验用药品超温次数及质控发现缺陷项数量变化情况,为药物临床试验规范开展提供参考。方法   结合某医院临床试验用药品管理实践,以试验用药品超温次数、质控发现缺陷项数量占项目比为评价指标,使用卡方检验进行比较。结果   某医院实施临床试验用药品规范管理体系后,发生试验用药品超温次数由实施前的9次下降至3次,呈明显下降趋势,2018—2020年试验用药品管理方面质控发现缺陷项数量占项目比为70.25%,2021—2023年占项目比为18.90%,实施前后组间比较差异有统计学意义(P<0.001)。结论   构建临床试验用药品规范管理体系,可以减少试验用药品超温次数和试验用药品管理方面质控发现缺陷项数量,从而保证药物临床试验的质量。
       Objective   To analyze the changes in the number of excessive temperature incidents and the proportion of quality control issues in drug management before and after the establishment of construction and practice of standardized management system in a tertiary hospital in Guangzhou,to provide a reference for drug clinical trials standard development.Methods  Based on the management practice of investigational medicinal products from a hospital,the number of excessive temperature incidents and the proportion of quality control issues in drug management were taken as evaluation index and compared using chi-square tests.Results  After implementing the standardized management system for investigational drugs,the number of temperature exceeding incidents decreased from 9 times to 3 times,showing an obvious decreasing trend,and from 2018 to 2020,the  proportion of quality control issues in drug management accounted for 70.25%,while from 2021 to 2023,it accounted for 18.90%.There was a statistically significant difference between the groups before and after the implementation(P<0.001).Conclusions  The establishment of  standardized management  system for investigational medicinal  products can  reduce the  number of excessive temperature incidents and the proportion of quality control issues in drug management,and ensure the quality of drug clinical trials.
人工智能与医学

探讨 DeepSeek 在护理工作中的应用场景及面临的挑战和应对策略

DeepSeek in nursing practice:Exploring applications,challenges and mitigation strategies for domestic AI integration

:591-598
 
      目的  本文聚焦DeepSeek这一国产人工智能技术,结合护理临床实践,系统探讨其在护理场景中的应用潜力、现存问题及应对策略。方法  检索国内外相关文献,与现有通用人工智能技术对比,进行综述,并提出思考和建议。结果  预计DeepSeek在护理文书自动化、个性化护理方案生成、临床决策支持、护理质控及教育培训等提供适配应用路径,针对性的服务和解决方案等。结论  DeepSeek可通过多模态技术整合与跨平台互补策略,推动护理服务向智能化、精准化方向发展,为缓解护理人力短缺、优化资源分配提供新思路。
     Objective  This study focuses on DeepSeek,a domestic artificial intelligence technology,systematically exploring its application potential,existing issues,and targeted strategies in nursing clinical scenarios through integration with practical nursing care contexts.Methods  Relevant literatures from both domestic and international sources were collected,compared with existing Artificial General Intelligence(AGI)technologies,to conduct a review,and  propose  reflections and recommendations.Results  Through literature review and technical comparisons,the  results proposed specific application paths for DeepSeek in scenarios such as automated nursing documentation,personalized care plan generation,clinical decision support,quality control,and education.It further addressed issues including data privacy,ethical risks,and technical limitations.Conclusions  The findings suggest that DeepSeek can integrate multimodal technologies and cross-platform complementary strategies to promote intelligent and precise nursing services,offering innovative solutions to alleviate nursing shortages and optimize resource allocation.
医院管理

智慧医院构建背景下智能采血管理系统的应用实践及故障分析

Application practice and fault analysis of intelligent blood collection management system under the background of intelligent hospital construction

:553-558
 
       目的   面向采血人群的“智慧服务”是智慧医院构建的重要内容,引进智能采血管理系统有助于采血“智慧服务”的实现。文章介绍了广州市属大型三甲医院应用智能采血管理系统的实践,并对于系统出现的问题进行整理及分析,以找出有效解决对策。方法   将采血系统出现故障后的解决对策改良前后分为对照组和观察组,记录采血过程中出现故障的原因及次数,采血故障解决对策改良后的数据为观察组。结果    观察组相较于对照组各项故障的发生率显著降低。结论   在智慧医院构建背景下引进智能采血系统可有助于实现采血“智慧服务”,但在实施过程中应做好新旧采血方式的衔接并落实问题收集和对策制定。
        Objective  Intelligent Service for blood collection crowd is an important content of intelligent hospital,the introduction of intelligent blood collection management system is conducive to the implementation of “Intelligent Service” blood collection.This paper introduces the application of  Intelligent Blood Collection Management System in Guangzhou first-class Hospital,collectis and analyses common systematic problems,to effectively find out the solutions.Materials and methods  The patients were divided into control group and observation group before and after the improvement of the countermeasures after the failure of the blood collection system,the reasons and times of the failure were recorded,and the data after the improvement of the countermeasures were taken as the observation group.Results  The incidence of various faults in the observation group was significantly lower than that in the control group.Conclusions  The introduction of intelligent  blood collection  system  under the background of the construction of smart hospital can help realize the “intelligent service” of blood collection,but in the implementation process,it is necessary to do a good job in the connection of old and new blood collection methods and implement the problem collection and countermeasures.
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