论医务人员的幸福感

分析了影响医务人员幸福感的因素,提出了提升医务人员主观幸福感的几点建议。强调医务人员要树立正确的幸福观,严于律己,救死扶伤。医疗机构要从坚持以人为本,尊重医务人员的价值;建立合理的医务人员评价体系。媒体应坚持正确的社会舆论导向,树立医疗卫生人员的良好形象。要全面提升医务人员素养,充分调动和激发医务人员的工作积极性、主动性和创造性,增加他们的幸福感。     

广州市公务员的性生活质量与幸福感指数的相关性研究

目的:探讨公务员性生活质量对幸福感指数的影响.方法:采用幸福感指数量表以及WHOQOL - 100中关于性生活的评估项目对广州市241名公务员进行抽样调查.结果:90.8％的调查对象自陈存在着某些性生活困难的烦恼,公务员性生活质量得分与常模相比,并不存在着显著的差异;但公务员幸福感指数处于中等水平,明显低于常模.结论:公务员的性生活质量与幸福感指数之间存在显著正相关,改善性生活质量将有助于提高个人的幸福感指数.     

优质护理服务对孕产妇幸福指数的影响

目的探索实施优质护理、落实责任制整体护理对住院孕产妇幸福指数的影响。方法将200例住院孕产妇按抽签法分为研究组和对照组各100例,两组孕产妇均在同等条件下接受治疗护理和健康教育,研究组在此基础上要求全面落实责任制整体护理,提供全程连续无缝隙的优质护理服务。采用自制幸福指数量表进行问卷调查,对两组孕产妇幸福指数进行评价测定。结果两组孕产妇在母婴安全[（9．50±1．00）分比（6．80±1．30）分]、分娩方式[（9．40±1．08）分比（6．80±1．36）分]、新生儿护理技巧[（9．34±1．10）分比（6．32±1．33）分]、风俗文化[（9．22±1．27）分比（6．92±1．59）分]、基础护理[（9．48±1．05）分比（6．14±1．46）分]、专科护理[（9．50±1．08）分比（6．46±1．65）分]、技术操作[（9．08±1．19）分比（6．32±1．47）分]、服务规范[（9．18±1．14）分比（6．40±1．16）分]、交流沟通[（9．38±1．13）分比（8．46±1．33）分]方面比较,差异有统计学意义（,值分别为270．303,223．080,306．907,127．572,346．208,237．124,213．565,190．915,27．894;P〈0．05）;两组孕产妇在母婴保健、母乳喂养、住院环境方面比较,差异无统计学意义（F值分别为1．600,1．348,2．467;P〉0．05）。结论实施优质护理、落实责任制整体护理后,使住院孕产妇幸福指数得到有效提升,提高了护理服务质量。     

Life satisfaction and age: Dealing with underidentification in age-period-cohort models

Recent literature typically finds a U shaped relationship between life satisfaction and age. Age profiles, however, are not identified without forcing arbitrary restrictions on the cohort and/or time profiles. In this paper we report what can be identified about the relationship between life satisfaction and age without applying such restrictions. Also, we identify the restrictions needed to conclude that life satisfaction is U shaped in age. For the case of Germany, we find that the relationship between life satisfaction and age is indeed U shaped, but only under the untestable condition that the linear time trend is negative and that the linear trend across birth cohorts is practically flat.     

长沙市流动儿童幸福感及其影响因素分析

目的考察长沙市流动儿童的幸福感状况和相关的影响因素,为提高和改善流动儿童的生活满意度提供科学依据。方法使用幸福感自我评定量表、自编一般情况问卷、一般自我效能感量表和家庭功能量表,对分层整群抽取的长沙市1 010名流动儿童的主观幸福感状况进行调查。结果流动儿童幸福感平均分为(7.60±2.17),流动时间、父母关系、同学关系、环境满意度、年级、家人不良生活习惯、自我效能感、家庭功能分别进入回归方程。结论长沙市流动儿童主观幸福感处于中等偏上水平,家庭功能是影响流动儿童主观幸福感最主要因素。     

临床护士幸福进取感在工作满意度与职业认同中的中介效应

目的 探讨临床护士积极心理健康在职业认同与工作满意度中的中介效应.方法 采用幸福进取者调查问卷、工作满意度调查表及护士职业认同调查问卷对300名临床护士护士进行调查.结果 临床护士工作满意度程度为57.30％,工作满意度不同程度的临床护士的幸福进取感及职业认同感存在显著性差异（P＜0.01）,幸福进取感不满意得分为（2.31±0.26）,低满意得分为（3.68±0.42）,高满意得分为（4.59±0.38）,各维度得分比较差异有统计学意义（F=7.68,P＜0.01）;护士职业认同问卷不满意得分为（55.24 ±6.37）,低满意得分为（63.35 ±5.46）,高满意得分为（82.49 ±7.62）,各维度得分差异有统计学意义（F=9.34,P＜0.01）,幸福进取感各维度与工作满意度及职业认同感存在正相关性（r =0.226 ～0.337,P＜0.01）.结论 临床护士工作满意度不高,工作满意度及职业认同受积极心理健康的影响.     

老年患者的自尊和幸福感调查及护理对策

目的 调查老年患者的自尊和幸福感水平.方法 应用自尊量表(SES)和纽芬兰纪念大学幸福度量表(MUNSH)对92人60岁以上的老年患者进行问卷调查.结果 (1)老年患者SES量表总体评分为26.01±4.29分,其中得分在平均数以下的36人,占39.1％;(2)老年患者MUNSH量表总体评分为23.39±9.90分,其中得分在平均数以下的51人,占55.4％;(3)SES和MUNSH量表相关系数r=0.535,P＜0.0001.结论 (1)SES和MUNSH量表呈正相关关系;(2)老年患者的自尊和幸福感总体评分均呈中等水平,为提高老年患者的自尊和幸福感水平,医院、家庭、社区应为老年患者提供综合的干预措施,改善他们的生活质量.     

Measures of self-perceived well-being

As people lead longer and generally healthier lives, aspirations and expectations of health care extend to include well-being and enhanced quality of life. Several measurement scales exist to evaluate how well health care reaches these goals. However, the definitions of well-being or quality of life remain open to considerable debate, which complicates the design, validation, and subsequent choice of an appropriate measurement.

Objective

This article reviews nine measures of psychological well-being, tracing their origins in alternative conceptual approaches to defining well-being. It compares their psychometric properties and suggests how they may be used.

Methods

The review covers the Life Satisfaction Index, the Bradburn Affect Balance Scale, single-item measures, the Philadelphia Morale scale, the General Well-Being Schedule, the Satisfaction With Life scale, the Positive and Negative Affect Scale, the World Health Organization 5-item well-being index, and the Ryff's scales of psychological well-being.

Results

Scales range in size from a single item to 22; levels of reliability and validity range from good to excellent, although for some of the newer scales we lack information on some forms of validity.

Conclusion

Measures exist to assess several conceptions of psychological well-being. Most instruments perform adequately for survey research, but we know less about their adequacy for use in evaluating health care interventions. There remains active debate over how adequately the questions included portray the theoretical definition of well-being on which they are based.     

从城市病谈大众健康与幸福指数

随着城市化进程的加快，城市病开始在中国爆发。未来城市的规划和发展应该围绕人和人的生活质量为中心展开，有节制地发展城市规模，以适于人居，便于人行，达于尊严为目的，帮助大众在城市生活中提高对健康的认知和对幸福的把握能力。     

快乐工作微笑服务在护理管理中的作用探讨

目的:探讨快乐工作、微笑服务在护理工作中的作用。方法:选择120例患者为对照组,另选择120例患者作为观察组,对照组采用传统的整体护理模式,观察组将护士通过针对性的培训,贯穿快乐工作、微笑服务的理念。结果:两组在护理工作质量、患者满意度及护理不良事件发生率等方面差异有统计学意义(P<0.05)。结论:将快乐工作、微笑服务理念贯穿于护理工作中有利于提高病区护理工作质量、患者满意度、并有效降低护理不良事件发生率。