护理人员失眠相关因素调查

目的探讨护理人员失眠现状以及失眠的影响因素。方法对97例护理人员就失眠的相关问题进行开放式的问卷调查。结果调查对象中过去1年里出现不同程度睡眠问题的有62例,睡眠问题发生率达63.91%。已婚者较未婚者高,所在科室不同,失眠发生率和失眠程度也不同。结论护理人员失眠的发生率与婚姻状况及所在科室有关;失眠程度与工作压力大小以及值夜班频率有关。     

四川省三级甲等综合医院骨科护士腰痛特征的调查研究

目的 调查四川省三级甲等综合医院骨科护士腰痛的患病特征.方法 应用自行设计的调查问卷和Roland-Morris功能障碍调查表,对四川省所有三级甲等综合医院的797名骨科护士进行问卷调查.结果 四川省三级甲等综合医院骨科护士腰痛的发作具有一定的特征.首次发生腰痛的平均年龄为(30.7±8.2)岁,最早的于20岁第1次发生.疼痛性质主要表现为不定时、断断续续的胀痛,疼痛程度以轻、中度为主,功能障碍以轻度障碍为主.结论 四川省三级甲等综合医院骨科护士腰痛已成为普遍现象,需加强腰痛的疼痛管理和功能障碍的预防,提高骨科护士的职业满意度.     

护理人员输血相关知识问卷调查

目的了解临床护理人员输血相关知识认知程度,发现输血护理中存在的问题。方法对152名临床护士进行问卷调查,运用SPSS17.0软件、t检验、方差分析及两两比较等统计方法分析数据。结果输血相关知识正确率为35.1%;护龄≤5年组成绩低于护龄>20年组(P<0.05);本科学历组好于大专学历组和中专学历组(P<0.05)。结论应加强对临床护士输血相关知识培训,优化临床输血护理技术操作流程,实施输血护理路径管理。     

ICU护士腰痛的调查分析及对策

目的调查、分析ICU护士腰痛原因,探讨相应的对策,以促进ICU护士的身心健康,提高工作效率.方法随机对成都市73名ICU护士进行腰痛的问卷调查.结果 ICU护士腰痛总发病率为76.7%,其中工作<3年的护士为47.6%,3～5年的为66.7%,≥6年的为93.0%,P<0.005,我院发病率为86.8%,其他医院为65.7%,P<0.005.结论 ICU护士是患腰痛的高危人群.通过了解ICU护士腰痛的原因,提出加强工作技能培训,坚持自我保健、适当的组织管理调整等对策,以降低ICU护士腰痛的发病率.     

护理人员心理健康及相关影响因素调查

本文通过调查分析护士在应对工作时产生的心理感觉,为护理人员接受心理保健和心理治疗提供信息.     

护士腰痛的研究现状

腰痛是一种职业相关性疾病，人群中的发生率为85％，主要症状表现为：腰部肌肉的持续性酸胀、疼痛感，长时间维持同一种姿势时会加重，改变姿势后可以缓解。随着病情的发展，最终可以演变成腰椎间盘突出等疾患。研究表明，护士是腰痛的高危人群之一，腰痛的发病率可以达到90％。     

北京市三级医院医护人员腰痛患病率调查及相关因素分析

目的调查北京三级医院临床医护人员腰痛的患病率及分析相关因素。方法采取横截面研究,面对面问卷调查及查体获得原始数据,采用SPSS 22.0对数据进行统计学分析。结果489例医务人员接受调查,402例出现腰痛,患病率为82.4%,女性患病率(84.7%)高于男性(73.7%),差异有统计学意义(P<0.05);从来不参加体育活动的人出现腰痛的人数比例(86.1%)高于参加体育锻炼的人数比例(1~2次/周:76.1%;3~4次/周:74.3%;>5次/周:50.0%);差异有统计学意义(P<0.05);过去一年出现过腰痛的研究对象每天站立工作时间(4.85±3.21)h高于未出现腰痛人员(3.48±2.66)h,其差异有统计学意义。结论北京三级医院医护人员腰痛的患病率高,腰痛与站立时间、性别有关,女性患病率高于男性,教育程度和体育锻炼是腰痛的保护性因素。     

临床护理人员亚健康状况及相关因素的分析

目的 了解临床护士的亚健康状况,分析造成护士亚健康状况的相关因素.方法 采用亚健康筛选表、领悟社会支持量表、简易应对方式问卷、护士工作压力源量表,对136名临床护士进行调查.结果 本组有91.18%的护士处于亚健康状态,亚健康症状得分为(9.12±5.02),最常见的症状为疲劳,占79.41%;年龄、工作年限与护士亚健康状况得分呈正相关;社会支持总分、内支持、外支持以及积极应对均与护士的亚健康得分相关;护理专业及工作方面的压力、工作量及时间分配问题、工作环境及资源方面的问题、病人护理方面的问题以及管理及人际关系方面的问题均与护士的亚健康得分呈正相关.结论 护士群体亚健康状况的发生率较高,年龄越大、工作时间越长的护士亚健康状况越严重;护士的工作压力是影响亚健康的主要原因,社会支持能够改善护士的亚健康状况;管理者应重视维护护士的身心健康,以保证护理质量.     

新护士工作满意度调查及相关因素分析

本文针对新护士工作满意度问题，采用自编工作满意度问卷进行调查，从安徽省合肥市2所三甲医院和2所二甲医院中选取了91名工作年限3年以内的护士，进行了工作满意度调查；通过问卷调查，对比分析了新护士工作满意度现状，并根据各相关因素分析，提出了提高新护士工作满意度的     

某三级甲等医院护士腰痛职业防护的调查研究

目的 掌握临床护士腰痛发病情况以及护士对腰痛相关知识的了解情况,促进护士自身的职业防护.方法 采用自行设计调查问卷对692名护士进行问卷调查.结果 护士腰痛发病率高达97.4%,护士在腰痛相关知识方面有极大欠缺,缺乏应有的职业防护知识.结论 医院有关部门应重视护士腰痛的职业防护,促进护士身体健康.     

改进移动患者方法预防ICU护士职业腰背痛发生

目的 探讨改进移动患者方法在预防ICU护士职业腰背痛中的作用.方法 对20名ICU护士进行改进移动患者方法的培训.对参加培训的护士,工作2个月后,进行调查取样,采用自行设计问卷,了解改进移动患者方法在预防ICU护士职业腰背痛中的作用.结果:年铃、累计监护患者总时间、ICU工作年限与护士职业腰背痛的发生呈正相关,而对移动方法掌握程度、文化程度及对职业腰背痛危害性的认识程度与其呈负相关;应用该方法移动患者后,护士腰背痛的发作频率低于培训前,差异有统计学意义(P<0.05).结论:培训和教育ICU护士掌握改进移动患者方法,可提高其预防职业腰背痛的意识,降低护士职业腰背痛的发生率,提高工作效率.     

Prevalence and risk factors associated with low back pain in Iranian surgeons

Objectives

Low back pain (LBP) is a common and costly occupational injury among health care professionals. The purpose of this study was to investigate the prevalence and risk factors of LBP in surgeons and to analyze how individual and occupational characteristics contribute to the risk of LBP.

Methods

A cross sectional study was conducted on 250 randomly selected surgeons including 112 general surgeons, 95 gynecologists and 43 orthopedists from 21 hospitals at northern Iran. A structured questionnaire including demographic, lifestyle, occupational characteristics as well as prevalence and risk factors of LBP was used. Visual analogue scale and Oswestry low back disability questionnaires were also used to assess the pain intensity and functional disability, respectively.

Results

Point, last month, last six months, last year and lifetime prevalence of LBP was 39.9%, 50.2%, 62.3%, 71.7% and 84.8%, respectively. The highest point prevalence was related to the gynecologists with 44.9%, and the lowest for general surgeons (31.7%). Age, body mass index, smoking, general health, having an assistant, job satisfaction, using preventive strategies and years of practice were found to be correlated with the prevalence of LBP (P < .05 in all instances except for age and job satisfaction). Prolonged standing, repeated movements and awkward postures were the most prevalent aggravating factors (85.2%, 50.2% and 48.4%, respectively). Rest was found to be the most relieving factor (89.5%).

Conclusions

The results of this study demonstrate that the prevalence of LBP amongst surgeons appears to be high and highlights a major health concern. Further large scale studies, including other specialties and health professions such as physical therapy, chiropractic, and general medicine, should be performed.     

Efficacy of spinal manipulative therapy for low back pain of less than three months' duration

OBJECTIVES: To review the efficacy of spinal manipulation for low back pain of less than 3 months duration.Data sources Randomized clinical trials on spinal manipulative therapy for low back pain were identified by searching EMBASE, CINAHL, MEDLINE, and the Physiotherapy Evidence Database (PEDro).Study selection Outcome measures of interest were pain, return to work, adverse events, disability, quality of life, and patient satisfaction with therapy.Data extraction Methodological assessment of the trials was performed using the PEDro scale. Trials were grouped according to the type of intervention, outcome measures, and follow-up time. Where there were multiple studies with sufficient homogeneity of interventions, subjects, and outcomes, the results were analyzed in a meta-analysis using a random effects model.Data synthesis Thirty-four papers (27 trials) met the inclusion criteria. Three small studies showed spinal manipulative therapy produces better outcomes than placebo therapy or no treatment for nonspecific low back pain of less than 3 months duration. The effects are, however, small. The findings of individual studies suggest that spinal manipulative therapy also seems to be more effective than massage and short wave therapy. It is not clear if spinal manipulative therapy is more effective than exercise, usual physiotherapy, or medical care in the first 4 weeks of treatment. CONCLUSIONS: Spinal manipulative therapy produces slightly better outcomes than placebo therapy, no treatment, massage, and short wave therapy for nonspecific low back pain of less than 3 months duration. Spinal manipulative therapy, exercise, usual physiotherapy, and medical care appear to produce similar outcomes in the first 4 weeks of treatment.     

妊娠相关下腰痛预防与管理的最佳证据总结

目的检索并获取妊娠相关下腰痛预防及管理的相关证据,为临床提供参考。方法系统检索相关网站、数据库关于妊娠相关下腰痛预防及管理的所有证据,包括指南、最佳临床实践信息册、证据总结、系统评价及专家共识等,检索时限为建库至2020年9月。由2名研究员独立对文献进行质量评价并通过专家论证会对证据推荐级别进行评定。结果共纳入20篇文献,包括1篇临床决策、2篇指南、12篇系统评价及5篇随机对照试验,总结出27条关于妊娠相关下腰痛预防与管理的最佳证据,包括评估与诊断、日常生活管理、多学科管理、药物管理与非药物管理5个方面。结论该研究总结、形成了多学科合作的妊娠相关下腰痛预防与管理方案,证据转化时应充分结合临床环境、孕妇意愿,有针对性的选择最佳证据,降低妊娠相关下腰痛发生率、减轻疼痛。     

神经肌肉激活技术治疗非特异性下背痛的临床研究

目的探讨神经肌肉激活技术治疗非特异性下背痛的临床疗效。方法 36例非特异性下背痛患者,分为治疗组18例和对照组18例,治疗组使用神经肌肉激活技术进行训练,对照组予以手法治疗。治疗前及治疗后以及4周后对症状及表面肌电进行评定。结果治疗后治疗组症状和肌肉功能的改善结果明显优于对照组(P<0.01)。结论对非特异性下背痛的治疗,神经肌肉激活技术是良好的治疗手段。     

Shoe orthotics for the treatment of chronic low back pain: a randomized controlled pilot study

Objectives

The purpose of this pilot study was to investigate the feasibility of a randomized clinical trial of shoe orthotics for chronic low back pain.

Methods

The study recruited 50 patients with chronic low back pain through media advertising in a midwestern suburban area. Medical history and a low back examination were completed at a chiropractic clinic. Subjects were randomized to either a treatment group receiving custom-made shoe orthotics or a wait-list control group. After 6 weeks, the wait-list control group also received custom-made orthotics. This study measured change in perceived pain levels (Visual Analog Scale) and functional health status (Oswestry Disability Index) in patients with chronic low back pain at the end of 6 weeks of orthotic treatment compared with no treatment and at the end of 12 weeks of orthotic treatment.

Results

This study showed changes in back pain and disability with the use of shoe orthotics for 6 weeks compared with a wait-list control group. It appears that improvement was maintained through the 12-week visit, but the subjects did not continue to improve during this time.

Conclusions

This pilot study showed that the measurement of shoe orthotics to reduce low back pain and discomfort after 6 weeks of use is feasible. A larger clinical trial is needed to verify these results.     

Development of disease-specific quality indicators for Danish chiropractic patients with low back pain

Objective

The purpose of this study is to develop disease-specific quality indicators for Danish chiropractic patients with low back pain (LBP) as an initial effort to include chiropractors in the Danish Health Care Quality Programme.

Methods

A cross-disciplinary Indicator Group consisting of researchers and clinicians prioritized 9 evidence-based quality indicators and quality performance standards in a systematic consensus process. A feasibility study involving 20 chiropractors in 8 chiropractic clinics and 206 LBP patients was undertaken. Afterward, an audit meeting was held where participating clinicians could voice their opinion and share experiences. After the test and audit, the Indicator Group reconvened and decided on the final set of indicators.

Results

The following quality indicators were chosen: case history, test for discogenic back pain, neurology, radiology, classification, exercise therapy, outcome assessment, and reevaluation. Only the outcome assessment indicators met the standards set by the Indicator Group. Based on the feedback supplied at the audit meeting and after evaluating the test results, the Indicator Group decided to reduce the standards but keep all indicators.

Conclusions

This study showed that it is possible to describe quality indicators for the assessment and treatment of LBP patients, to identify the patient population, and to collect data. The participating clinics did not meet the original quality standards set by the Indicator Group. Reasons for this may include unrealistically high thresholds set by the Indicator Group and the somewhat complex or compound structure of some of the indicators. The Indicator Group and the test clinics recommend future nationwide implementation of the developed quality indicators.     

济南市三级医院护士核心能力的现状调查

目的调查济南市三级医院注册护士核心能力现状,分析人口学变量对护士核心能力的影响,为护士培训提供依据。方法应用一般资料调查表和注册护士核心能力量表,对济南市5所三级医院的513名护士进行问卷调查。结果护士核心能力总均分为(2.79±0.58)分。在各个维度中,评判性思维和科研得分最低,伦理和法律实践得分最高。工作年限、职称、工作满意度、婚姻状况、自评健康状况是其主要影响因素。结论济南市三级医院护士核心能力处于中等偏上水平,在护士培训中需注重评判性思维和科研能力的培养,并加强对年轻、未婚护士的培养,以提升护士的核心能力。     

神经外科护士情绪劳动现状及其影响因素的调查

目的调查神经外科护士情绪劳动现状及其影响因素。方法采用护士情绪劳动量表对不同等级医院神经外科350名护士进行调查。结果收回有效问卷320份,有效率为91．4％。护士情绪劳动能力标准化得分为54．8分,呈中等水平。护士情绪劳动能力受年龄、护龄、婚姻状况、聘用形式和职称因素的影响（F／t分别为13．28,9．57,6．85,2．34,5．24;P均〈0．05）。绪论神经外科护士情绪劳动能力受多方面的影响,护理管理者要对青年未婚和在编护士进行重点情绪干预,加强护理人员情绪劳动教育,从而改善护患关系,提高护理质量。