目的:了解家访护士工作场所暴力现状,并探讨其与工作压力的关系。方法:2024年3~6月,采用便利抽样法选取广东省、广西省13所综合性医院的434名家访护士为研究对象。采用一般资料调查表、工作压力量表、工作场所暴力调查表对其进行调查。...目的:了解家访护士工作场所暴力现状,并探讨其与工作压力的关系。方法:2024年3~6月,采用便利抽样法选取广东省、广西省13所综合性医院的434名家访护士为研究对象。采用一般资料调查表、工作压力量表、工作场所暴力调查表对其进行调查。结果:工作场所暴力的发生率为10.60%,动物威胁是最常见的工作场所暴力。单因素分析结果显示:聘用形式、平均每月家访次数、每周工作时间以及是否单人出访差异有统计学意义(P r = 0.215~0.279, P OR = 2.897, P = 0.021)、患者护理(OR = 3.617, P = 0.040)是工作场所暴力的影响因素,能解释33.0%的变异。结论:尽管家访护士工作场所暴力的发生率相对较低,但在护士的职场中仍普遍存在这种现象。同时,工作压力的增加会提高工作场所暴力发生的风险。因此,医院管理者应对此给予高度重视,并提前采取有效的预防措施。Objective: To investigate the current situation of workplace violence in home visiting nurses and explore its relationship with job stress. Methods: From March to June 2024, 434 home visiting nurses from 13 general hospitals in Guangdong Province and Guangxi Province were selected by convenience sampling method. The general data questionnaire, job stress questionnaire and workplace violence questionnaire were used to investigate them. Results: The incidence of workplace violence was 10.60%. Animal threats are the most common forms of workplace violence. The results of univariate analysis showed that there were significant differences in employment form, average monthly home visits, weekly working hours and whether one person visited (P r = 0.215~0.279, P OR = 2.897, P = 0.021), and patient care (OR = 3.617, P = 0.040) were the influencing factors for workplace violence, explaining 33.0% of the variance. Conclusion: Although the incidence of workplace violence among home visiting nurses is relatively low, it is still prevalent in the nursing workplace. At the same time, increased work stress raises the risk of workplace violence. Therefore, hospital administrators should pay great attention to this and take effective preventive measures in advance.展开更多
目的探讨在线积极心理团体干预方案对已育二孩女护士焦虑、抑郁、心理弹性及职业倦怠的干预效果。方法2023年2—4月将我院符合纳入排除标准的80名已育二孩女护士随机分为对照组和观察组,各40名,干预期间由于样本脱落,最终干预组37名、...目的探讨在线积极心理团体干预方案对已育二孩女护士焦虑、抑郁、心理弹性及职业倦怠的干预效果。方法2023年2—4月将我院符合纳入排除标准的80名已育二孩女护士随机分为对照组和观察组,各40名,干预期间由于样本脱落,最终干预组37名、对照组39名完成本研究。2组均接受为期6周的心理健康教育,干预组在此基础上进行在线积极心理团体干预。采用广泛性焦虑量表(generalized anxiety disorder scale,GAD-7)、健康问卷抑郁量表(patient health questionnaire scale,PHQ-9)、心理弹性量表(connor-davidson resilience scale,CD-RISC)和职业倦怠量表(Maslach burnout inventory human service survey,MBI-HSS)对2组干预前、干预后即刻及干预后3个月的效果进行评价。结果干预结束后,干预组在干预后即刻和干预后3个月的焦虑、抑郁及职业倦怠评分均明显低于对照组(P<0.05),心理弹性得分明显高于对照组(P<0.05)。结论在线积极心理团体干预可有效缓解已育二孩女护士的焦虑、抑郁情绪及职业倦怠感,提升其心理弹性水平,且干预效果在3个月后仍持续存在。展开更多
文摘目的:了解家访护士工作场所暴力现状,并探讨其与工作压力的关系。方法:2024年3~6月,采用便利抽样法选取广东省、广西省13所综合性医院的434名家访护士为研究对象。采用一般资料调查表、工作压力量表、工作场所暴力调查表对其进行调查。结果:工作场所暴力的发生率为10.60%,动物威胁是最常见的工作场所暴力。单因素分析结果显示:聘用形式、平均每月家访次数、每周工作时间以及是否单人出访差异有统计学意义(P r = 0.215~0.279, P OR = 2.897, P = 0.021)、患者护理(OR = 3.617, P = 0.040)是工作场所暴力的影响因素,能解释33.0%的变异。结论:尽管家访护士工作场所暴力的发生率相对较低,但在护士的职场中仍普遍存在这种现象。同时,工作压力的增加会提高工作场所暴力发生的风险。因此,医院管理者应对此给予高度重视,并提前采取有效的预防措施。Objective: To investigate the current situation of workplace violence in home visiting nurses and explore its relationship with job stress. Methods: From March to June 2024, 434 home visiting nurses from 13 general hospitals in Guangdong Province and Guangxi Province were selected by convenience sampling method. The general data questionnaire, job stress questionnaire and workplace violence questionnaire were used to investigate them. Results: The incidence of workplace violence was 10.60%. Animal threats are the most common forms of workplace violence. The results of univariate analysis showed that there were significant differences in employment form, average monthly home visits, weekly working hours and whether one person visited (P r = 0.215~0.279, P OR = 2.897, P = 0.021), and patient care (OR = 3.617, P = 0.040) were the influencing factors for workplace violence, explaining 33.0% of the variance. Conclusion: Although the incidence of workplace violence among home visiting nurses is relatively low, it is still prevalent in the nursing workplace. At the same time, increased work stress raises the risk of workplace violence. Therefore, hospital administrators should pay great attention to this and take effective preventive measures in advance.
文摘目的探讨在线积极心理团体干预方案对已育二孩女护士焦虑、抑郁、心理弹性及职业倦怠的干预效果。方法2023年2—4月将我院符合纳入排除标准的80名已育二孩女护士随机分为对照组和观察组,各40名,干预期间由于样本脱落,最终干预组37名、对照组39名完成本研究。2组均接受为期6周的心理健康教育,干预组在此基础上进行在线积极心理团体干预。采用广泛性焦虑量表(generalized anxiety disorder scale,GAD-7)、健康问卷抑郁量表(patient health questionnaire scale,PHQ-9)、心理弹性量表(connor-davidson resilience scale,CD-RISC)和职业倦怠量表(Maslach burnout inventory human service survey,MBI-HSS)对2组干预前、干预后即刻及干预后3个月的效果进行评价。结果干预结束后,干预组在干预后即刻和干预后3个月的焦虑、抑郁及职业倦怠评分均明显低于对照组(P<0.05),心理弹性得分明显高于对照组(P<0.05)。结论在线积极心理团体干预可有效缓解已育二孩女护士的焦虑、抑郁情绪及职业倦怠感,提升其心理弹性水平,且干预效果在3个月后仍持续存在。
文摘慢性呼吸系统疾病是世界范围内慢性病发病率和死亡率的主要原因,其给患者、家庭及卫生保健系统带来沉重的疾病负担。呼吸专科护士(respiratory nurse specialist,RNS)是呼吸系统疾病患者护理服务的主要提供者,高级实践护士(advanced practice nurse,APN)是专科护士的进一步发展。本文从呼吸APN的起源、概念、角色职能及资格认证等方面综述了国内外呼吸APN的发展现状,并分析了发展呼吸APN的必要性,以期为我国呼吸APN的发展提供参考。
