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Objective:To construct an evaluation index system for the core competence of hospital specialist service operation assistants and provide reference for the evaluation of such competence.Methods:From January to March 2022, literature analysis and behavioral event interviews were used to initially establish a core competence evaluation index system of hospital specialist service operation assistants, based on the Donabedian model. Subsequently, the Delphi expert consultation method was applied to conduct correspondence consultation, inviting experts to evaluate the contents and importance of the index system, using analytic hierarchy process to determine the weights of the indexes at all levels.Results:Two rounds of expert consultation were carried out, and the valid recovery rate of the questionnaire was 100%. The familiarity coefficient of the second round of correspondence was 0.87, the basis of judgment coefficient was 0.90, and the authority coefficient was 0.89. The final evaluation index system for core competence of hospital specialist service operation assistant consisted of 3 first-level indexes, 13 second-level indexes and 81 third-level indexes. The weight of the first-level index structure index was 0.266, and the highest weight among the second-level indexes was the operational development ability (0.083), while the highest weight among the third-level indexes of operational development ability was the comprehensive coordination ability (0.193); The weight of the first-level index process index was 0.405, and the corresponding second-level and third-level indexes with the highest weight were department operation practice work (0.157) and reasonable resource allocation (0.303), respectively; The weight of the first-level index result index was 0.329, and the corresponding second-level and third-level indexes with the highest weight were the weight of medical quality and safety (0.103) and drug adverse reaction reporting rate (0.237), respectively.Conclusions:The evaluation index system constructed in this study proves scientific and reasonable in weight assignment, proving a reference for the management of the specialist service operation assistants.
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Neonatal neutropenia is classified into early-onset and late-onset neutropenia.Causes of neutropenia include decreased production,increased destruction,margination in the microvascular endothelium,sequestration in the spleen,or a combination of mechanisms.Neutropenia often accompanied by an increased risk of bacterial infection,and sometimes it may be a hint of some rare severe diseases.In this article,we review advances in classification,pathogenesis,diagnosis and treatment of neonatal neutropenia.
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Neonatal neutropenia is classified into early-onset and late-onset neutropenia. Causes of neutropenia include decreased production, increased destruction, margination in the microvascular endothelium, sequestration in the spleen, or a combination of mechanisms. Neutropenia often accompanied by an increased risk of bacterial infection, and sometimes it may be a hint of some rare severe diseases. In this article, we review advances in classification, pathogenesis, diagnosis and treatment of neonatal neutropenia.
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@#ObjectiveTo explore the effect of constraint-induced movement therapy (CIMT) for motor function of upper extremity after stroke.Methods28 stroke patients with upper-limb hemiparesis were divided into two groups, 14 cases in each group. The observation group received constraint-induced movement therapy, treated with intensive shaping training with constraint of the unaffected arms. While the control group received routine rehabilitation with no constraint of the unaffected arms. The effect was evaluated by The Fugl-Meyer Asseseement(FMA).ResultsThe scores of FMA is higher after than before treatment in the observation group, (P<0-05). The flexibility of upper extremity of the observation group improved more significantly than that of the control group after treatment (P<0-05).ConclusionCIMT can enhance the effect of rehabilitation in the function of upper extremity and the activities of daily living of hemiplegia patients.
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@#ObjectiveTo observe the effect of motor relearning programme(MRP) training on lower Limbs function of stroke patients.MethodsSixty patients were randomly and equally allocated to training group (30 patients) and control group (30 patients). The control group was prescribed Bobath therapy while the training group received the MRP training. The lower limbs function was then assessed by the Fugl-Meyer Assessment Scale.ResultsLower limbs function improved significantly in both groups while the training group was better than the control group after three months(P<0-05). ConclusionMRP training can promote the recovery of lower limbs function of patients with stroke.