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排序方式: 共有2096条查询结果,搜索用时 15 毫秒
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目的:构建外科医护人员加速康复外科认知量表并检验其效度及信度。方法:采用文献回顾法和德尔菲法(Delphi)形成初始版量表;采用方便抽样法抽取335名外科医生与外科护士为研究对象,进行量表条目筛选与量表效度及信度检验。结果:“外科医护人员加速康复外科认知量表”由4个维度、19个条目构成。量表水平的内容效度指数为0.88,条目水平的内容效度指数为0.86~1.00;验证性因子分析因子载荷系数为0.69~0.95,χ2/df为3.97、比较拟合指数为0.91、修正拟合指数为0.91、Tucker-Lewis指数为0.89、相对拟合指数为0.86、简约赋范拟合指数为0.75、近似均方根误差为0.12;量表Cronbach'sα系数为0.97,维度的Cronbach'sα系数为0.89~0.96;量表Spearman-Brown系数为0.89,维度的Spearman-Brown系数为0.89~0.95;量表重测信度系数为0.88,维度的重测信度系数为0.70~0.86。结论:外科医护人员加速康复外科认知量表具有良好的效度及信度。 相似文献
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Lars L Andersen Sannie V Thorsen Mona Larsen Emil Sundstrup Ccile RL Boot Reiner Rugulies 《Scandinavian journal of work, environment & health》2021,47(1):15
Objectives:The demographic changes in Europe underline the need for an extension of working lives. This study investigates the importance of physical work demands and psychosocial work factors for working beyond the state pension age (65 years).Methods:We combined data from three cohorts of the general working population in Denmark (DWECS 2005 and 2010, and DANES 2008), where actively employed workers aged 55–59 years replied to questionnaires about work environment and were followed until the age of 66 years in the Danish AMRun register of paid employment. Using logistic regression analyses, we calculated prevalence ratios (PR) and 95% confidence intervals (CI) for the association between physical and psychosocial work factors and working beyond state pension age, adjusted for age, sex, cohort, cohabiting, sector, income, vocational education, working hours, lifestyle, and previous sickness absence.Results:Of the 2884 workers aged 55–59 years, 1023 (35.5%) worked beyond the state pension age. Higher physical work demands was associated with a lower likelihood (PR 0.69, 95% CI 0.58–0.82) and a good psychosocial work environment was associated with higher likelihood (average of 7 items: PR 1.81, 95% CI 1.49–2.20) of working beyond state pension age. Stratified analyses did not change the overall pattern, ie, a good overall psychosocial work environment – as well as several specific psychosocial factors – increased the likelihood of working beyond state pension age, both for those with physically active and seated work.Conclusion:While high physical work demands was a barrier, a good psychosocial work environment seems to facilitate working beyond state pension age, also for those with physically active work. 相似文献
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Julie Elbk Pedersen Katrine Strandberg-Larsen Michael Andersson Johnni Hansen 《Scandinavian journal of work, environment & health》2021,47(2):154
Objective:The aim of this study was to explore the association between occupational exposure to diesel exhaust and polycyclic aromatic hydrocarbons (PAH), respectively, and breast cancer subtypes.Methods:The study included 38 375 women <70 years with incident breast cancer, identified in the Danish Cancer Registry, and 5 breast cancer-free controls per case who were randomly selected from the Danish Civil Registration System and matched on year of birth. Full employment history was obtained for all study subjects from a nationwide pension fund, and exposure to diesel exhaust and PAH was assessed using a job exposure matrix. Conditional logistic regression was used for estimation of odds ratios (OR) with adjustment for reproductive factors and socioeconomic status.Results:No noteworthy associations were observed for overall breast cancer in women exposed to diesel exhaust. However, diesel exhaust modestly elevated the risk of estrogen receptor negative breast tumors before age 50 [OR 1.26, 95% confidence interval (CI) 1.09–1.46]. Duration– and dose–response relationships were further observed for this subtype in this age group. No notable risk patterns were generally observed for PAH exposure.Conclusion:Occupational exposure to diesel exhaust may increase the risk of early-onset estrogen receptor negative breast tumors in women. Future studies exploring this association are warranted. 相似文献
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目的 探索护士、医务社工、志愿者“三位一体”护理服务模式在先天性心脏病患儿中的应用效果。
方法 护士、医务社工、志愿者组成护理团队,对住院先天性心脏病患儿及家庭开展游戏治疗服务、心理关爱服务、慈善救助服务、健康宣讲服务及主题活动服务。
结果 2018年1月至2021年12月,游戏辅导2 897例患儿,心理关爱服务764个家庭,慈善救助1 897例患儿,健康宣讲服务2 149例次。2018~2021年住院患者体验与满意度调查满意率分别为98.47%、98.59%、98.67%、98.79%。护士、医务社工、志愿者均认为提高了沟通能力。
结论 护士、医务社工、志愿者“三位一体”护理服务模式从心理、经济、健康教育等方面为患儿及家属提供服务,有效提高了服务对象满意度。 相似文献
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目的 探讨3D打印导向模板辅助下置入空心钉治疗股骨颈骨折的临床效果。方法 回顾性分析2015年3月至2017年12月在我院诊断为股骨颈骨折且需手术的病人,根据手术方式不同进行分组,每组40例。观察组采用3D打印导向模板植入3枚空心钉,对照组采用传统置钉导向器植入空心钉。两组病人均在骨科牵引床辅助“C”型臂X线机透视下完成手术,比较两组的置钉时间、术中导针穿针次数、术中X线透视次数和术中出血量。测量观察组术中所用置钉长度,并与术前通过3D打印模型测量所得的结果进行比较。结果 80例病人均顺利完成手术,未造成血管、神经损伤。观察组术中所用置钉长度与术前通过3D打印模型测量所得的结果相比,准确率在95%以上;观察组病人的置钉时间明显短于对照组,术中穿针次数、术中平均透视次数、术中出血量明显少于对照组(P<0.05)。结论 3D打印导向模板辅助下置入空心钉治疗股骨颈骨折,有利于缩短手术时间,减少术中出血量,提高手术精度,达到良好的手术治疗效果,值得临床推广。 相似文献
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Lily Yip Mairead Finn Andrea Granados Karren Prost Allison McGeer Jonathan B. Gubbay 《Journal of occupational and environmental hygiene》2019,16(5):341-348
Transmission in hospital settings of seasonal influenza viruses and novel agents such as the Middle East respiratory syndrome coronavirus (MERS-CoV) is well-described but poorly understood. The characterization of potentially infectious bio-aerosols in the healthcare setting remains an important yet ill-defined factor in the transmission of respiratory viruses. Empiric data describing the distribution of bio-aerosols enable discernment of potential exposure risk to respiratory viruses. We sought to determine the distribution of influenza virus RNA emitted into the air by participants with laboratory-confirmed influenza, and whether these emissions had the potential to reach healthcare workers’ breathing zones. Two-stage cyclone bio-aerosol samplers from the Centers for Disease Control and Prevention – National Institute for Occupational Safety and Health were placed 0.5–1.0 m (near field) and 2.1–2.5 m (far field) from infected patient participants, as well as in the corridor immediately outside their rooms. In addition, healthcare worker participants providing care to infected participants were recruited to wear a polytetrafluoroethylene (PTFE) filter cassette in their breathing zones. Viral RNA was detected from the air emitted by 37.5% of the 16 participants infected with influenza virus and distributed both in near and far fields and in all tested particle sizes (<1 µm, 1–4 µm, and >4 µm). Viral RNA was recovered in droplet nuclei and beyond 1 m from naturally-infected participants in the healthcare setting and from the breathing zone of one healthcare worker. There was no correlation between patient participant nasal viral load and recovery of viral RNA from the air, and we did not identify any significant association between RNA detection from the air and patient demographics or clinical presentation. A more substantial study is required to identify patient determinants of virus emission into the air and delineate implications for evidence-based policy for prevention and control. 相似文献
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Leila OstadhashemiMaliheh ArshiMaliheh KhalvatiMostafa EghlimaHamid Reza Khankeh 《Asian Pacific journal of cancer prevention》2019,20(6):1871-1877
Background: As professionals, social workers have a special position in relation to considering the needs ofchildren with cancer and their families. Hence, it is important to recognize the experiences and challenges of socialworkers to improve care of their clients. Method: This study was a qualitative content analysis that aimed to determinea comprehensive understanding of pediatric oncology social workers’ experiences in Iran. In total, 19 social workersparticipated in the study. A purposeful sampling method was applied until reaching data saturation. Data were collectedusing semi-structured interviews and field observations. Then, the gathered data were analyzed through face contentanalysis. The study lasted from 2015 to 2017. Finding: Concepts extracted from social workers’ experiences consistedof the nature of oncology work, lack of professional competence, low organizational support and professional inferioritythat were related to main concept of “exhausting and stressful service”. The results indicated that social workers’involvement in stressful and emotionally demanding situations and facing with professional and organizationalchallenges caused personal exhaustion. Conclusion: In addition to explaining the social workers’ experiences andrelated factors, the results emphasize the importance of taking care of service providers to prevent them becomingstressed and exhausted. It is also important to protect patients from the consequences of stressed and exhausted careproviders so further research is recommended to develop specific intervention. 相似文献