目的:探討眼科病房收治地震傷員期間如何進行醫院內感染的預防及控制。方法：對2008年5月12日至5月27日眼科病房收治傷員期間對醫院感染存在的高危因素進行分析，從人員、物品、病區環境、傷員的衛生處置等方面加強管理。結果：在收治傷員期間，眼科手術同步開展，無1例院內感染發生。結論：加強預防和控制管理是防治醫院感染的關鍵。
Objective To explore the current situation and influencing factors of self-management behavior in patients with primary glaucoma, so as to provide a theoretical basis for formulating intervention strategies to improve patients’ self-management ability. Methods Using convenient sampling method, 400 patients with primary glaucoma visiting the Outpatient Department of Ophthalmology, West China Hospital of Sichuan University between September 2019 and March 2020 were selected. Their current situation of self-management behavior was investigated by self-management behavior questionnaire, and the influencing factors of self-management behavior were analyzed. Results A total of 381 valid questionnaires were recovered. The total score of self-management behavior of patients with primary glaucoma was 51.11±6.22, and the mean scores of life debugging dimension, functional health care dimension, and medical management dimension were 2.66±0.67, 3.02±0.81, and 3.13±0.60, respectively. The results of multiple linear regression analysis showed that age [40-59 vs. <40 years old: unstandardized partial regression coefficient (b)=–2.830, 95% confidence interval (CI) (–4.813, –0.847), P=0.005; ≥60 vs. <40 years old: b=–2.660, 95%CI (–4.820, –0.498), P=0.016], occupation [in-service vs. farmers: b=2.639, 95%CI (0.303, 4.976), P=0.027; unemployed or retired vs. farmers: b=2.913, 95%CI (0.995, 4.831), P=0.003], smoking [smoking vs. non-smoking: b=–3.135, 95%CI (–5.196, –1.075), P=0.003], disease type [primary open-angle glaucoma vs. primary angle-closure glaucoma: b=–2.119, 95%CI (–3.317, –0.921), P=0.001], number of follow-up visits [≤2 vs. >2: b=–1.071, 95%CI (–2.118, –0.024), P=0.045], whether fixed doctor follow-up [unfixed vs. fixed: b=–2.619, 95%CI (–3.632, –1.605), P<0.001] were correlated with the total score of self-management behavior of patients with primary glaucoma. Conclusions The self-management behavior of patients with primary glaucoma is in the middle level. The main factors affecting the self-management behavior level of primary glaucoma patients include age, occupation, smoking, disease type, follow-up times, and fixed doctor’s follow-up. Ophthalmologists should pay attention to the current situation and influencing factors of self-management behavior and take feasible intervention measures to improve the self-management behavior of patients with primary glaucoma.
目的 進行護理服務滿意度調查，比較和評價開展優質護理服務的效果。 方法 對2009年3月－9月和2010年3月－9月眼科住院患者采用問卷調查方式，了解開展優質護理服務前后患者對護理服務的滿意度，并分析相關影響因素。 結果 開展優質護理服務后患者滿意度提高，與未開展前相比差異有統計學意義（P＜0.05）。 結論 開展優質護理服務，夯實基礎護理，強化和改善護理人員的護理服務意識、服務態度，對提高護理質量及患者滿意度有重要意義。