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目的:提升监狱医疗管理水平,保障罪犯健康质量。方法:回顾性分析近3年来本监狱医院的临床资料,总结监狱慢性病的特点,针对性地提出一些管理策略。结果:有些慢性病几乎没有发生,如脂肪肝,胆囊炎,高血脂,痛风等。而慢性消化道病变、高血压、糖尿病、慢性乙肝、肺结核5种疾病发病较多且呈逐年上升趋势。结论:监狱慢性病的管理对策包括一般性管理,如入监体检、监狱普查、定期巡诊、信息管理、健康宣教等;针对性管理,如加强监狱医院队伍建设、鼓励病犯参加力所能及的劳动、重视对传染病的防治工作、治疗措施要落实到位、不断提高监狱医院的整体服务水平等。
Objective: To improve the prison medical management level and ensure the criminals’ health and quality. Methods: A retrospective analysis of the clinical data of the prison hospital in the recent 3 years, summarizing the characteristics of prison chronic diseases, and putting forward some management strategies in a targeted manner. Results: Some chronic diseases almost did not occur, such as fatty liver, cholecystitis, hyperlipidemia, gout and so on. The incidence of chronic gastrointestinal diseases, hypertension, diabetes, chronic hepatitis B and tuberculosis were higher and showed an upward trend year by year. Conclusions: The prison chronic disease management measures include general management, such as medical examination, prison census, regular tour, information management, health education, etc. Targeted management, such as strengthening the construction of hospital staff in prisons and encouraging the sick workers to participate in their work, Prevention and treatment of infectious diseases, treatment measures to be put in place to continuously improve the overall service of prison hospitals and so on.