手术室护士疲劳综合征的原因及相关性分析

目的探讨手术室护士易患过度疲劳综合征的原因及其与心理健康水平、工作压力之间的关系。方法利用抑郁自评量表(SDS)和焦虑自评量表(SAS)、工作压力源量表和疲劳综合征量表对我市12家县级以上综合医院的157名手术室护士进行调查分析。结果手术室护士抑郁及焦虑发生率分别为35.5%和27.2%;工作压力源总分1.76±0.36;疲劳综合征与心理健康状况及工作压力源正相关。结论手术室工作的特点使护士患疲劳综合征的易感性增加,医院管理者应注重护士的行为心理管理,帮助其提高排解心理压力的能力,保证护士心身健康,提高手术室护理质量。     

二胎妊娠晚期孕妇焦虑状态及影响因素分析

目的探讨二胎妊娠晚期孕妇焦虑状态及其影响因素。方法应用一般资料调查表、焦虑自评量表、社会支持评定量表对441名二胎妊娠晚期孕妇进行问卷调查。结果二胎妊娠晚期孕妇焦虑发生率为9.75%,此次怀孕并发症/合并症、对胎儿性别的期望、与公婆关系、睡眠情况以及主观支持为二胎妊娠晚期孕妇焦虑的影响因素。结论二胎妊娠晚期孕妇存在焦虑情绪,需针对其焦虑状态以及不同的影响因素加强产前心理关怀,使孕妇平稳度过妊娠期。     

急诊科护士妊娠相关焦虑及影响因素分析

目的:调查急诊科护士妊娠相关焦虑现状,并对其影响因素进行探讨。方法:通过横断面调查,对南昌市27所三级医院的急诊科妊娠期护士进行问卷调查,了解妊娠相关焦虑状况,并通过单因素和多因素分析探讨其影响因素。结果:266名急诊科妊娠期护士中,106名(39. 85%)妊娠相关焦虑阳性;年龄、晚班个数、居住环境及工作压力等是初产护士妊娠相关焦虑的影响因素;年龄、晚班个数、居住环境、工作压力、长子女年龄和对长子女照顾的担忧等是二胎护士妊娠相关焦虑的影响因素。结论:急诊科护士发生妊娠相关焦虑较普遍,其中初产护士和二胎护士妊娠相关焦虑的影响因素有所不同,应采取针对性措施缓解护士妊娠期产生的负性情绪,保障护士的心理健康。     

急诊科护士工作焦虑性的相关性因素分析

目的 探讨急诊科护士工作压力源等与焦虑情绪的相关性因素.方法 应用焦虑自评量表、护士压力源量表对330名急诊科护士进行测查,并对其相关性进行统计学分析.结果 急诊科护士SAS总得分(49.2±12.7)分,焦虑发生率为56.0％;焦虑与工作压力总分呈正相关(r =0.715,P＜0.01).结论 急诊科护士工作压力源与焦虑情绪的产生关系密切,运用有效的人力资源管理对于缓解急诊科护士的焦虑情绪,提高其生活质量至关重要.     

肿瘤医院护士疲劳综合征的相关性研究

目的探讨护士疲劳综合征与职业压力及心理健康水平之间的关系.方法应用抑郁自评量表(SDS)和焦虑自评量表(SAS)、护士工作压力源量表及疲劳综合征量表对257名肿瘤医院护士进行调查分析.结果肿瘤医院护士SDS和SAS均值为44.90±9.69和39.77±8.26;工作压力源总分1.76±0.360;疲劳综合征与压力源及心理健康状况的相关分析显示正相关.结论护士由于职业特征易罹患疲劳综合征,管理者应注重护士的行为心理管理,促进护士身心健康,保证护理质量.     

济南市三级甲等医院肿瘤科护士疲劳现状及相关影响因素

目的 调查济南市三级甲等医院肿瘤科护士疲劳现状并分析其影响因素。方法 选取2020年6—9月山东省济南市4所三级甲等医院215名肿瘤科护士为调查对象,采用一般资料问卷、疲劳评定量表、护士工作压力源量表、社会支持量表对护士进行问卷调查。采用单因素分析及多重线性回归分析肿瘤科护士疲劳的影响因素。结果 肿瘤科护士疲劳总分为144.12±28.58分。单因素分析显示,年龄、肿瘤科护理工作年限、婚姻状况、有无子女、职称、所属护士层级、每天工作时间、月收入、工作压力及社会支持是影响肿瘤科护士疲劳的相关因素(P<0.05);多重线性回归分析显示,工作压力、月收入是肿瘤科护士疲劳的独立影响因素(P<0.05),共同解释疲劳总变异的38%。结论 肿瘤科护士疲劳受工作压力、月收入的影响,护理管理者应综合采取措施减轻护士的疲劳。     

二胎产后返岗护士工作压力现状与护士群体同事支持的相关性研究

目的调查二胎产后返岗护士的工作压力及其感知到的护士群体同事支持水平现状,探究两者之间的相关性。方法采用方便抽样的方法抽取国内1 136名二胎产后返岗护士,采用一般资料调查问卷、中国护士压力源量表及护士群体同事支持量表进行网络调查。结果二胎产后返岗护士工作压力总均分为(93.45±17.50)分。二胎产后返岗护士感受到的护士群体同事支持整体总均分为(70.80±19.80)分,护理管理者支持得分(2.57±0.86)分,同事支持得分(2.26±0.66分)。在工作压力方面,职务、科室、值夜班、一孩年龄、月收入不同的护士存在差异(P0.05);在护士群体同事支持方面,不同职务、医院性质、科室、值夜班、月收入的护士存在差异(P0.05)。逐步回归分析结果显示:值夜班、月收入会对压力总分产生显著的负向影响关系,而护理管理者支持、同事支持(结果)维度的得分会对压力总分产生显著的正向影响关系。结论二胎产后返岗护士工作压力得分呈较高水平,其感受到的护士群体同事支持呈一般水平,二胎产后返岗护士感知到的护士群体同事支持水平越高其工作压力越小。     

二胎孕妇妊娠晚期压力现状及影响因素

[目的]了解二胎孕妇妊娠晚期压力现状及影响因素。[方法]采用妊娠压力量表对626例二胎妊娠晚期孕妇进行问卷调查。[结果]二胎妊娠晚期孕妇总体压力得分为0.30分(0.13分,0.60分);为确保母子健康和安全而引发的压力感为主要压力源;影响孕妇压力的主要因素有与公婆关系、对胎儿性别的期望、孕期是否服用药物以及孕期睡眠情况。[结论]二胎妊娠晚期孕妇心理压力处于轻度水平,医务人员以及家庭成员应针对孕妇不同的压力源,提供针对性措施,使孕妇平稳度过妊娠期。     

二胎孕妇产前抑郁发生现状及相关因素研究

目的：探讨二胎孕妇产前抑郁的发生现状及其影响因素。方法2014年7月—2015年1月,对601名符合纳入排除标准的二胎孕妇进行问卷调查,采用爱丁堡产后抑郁量表（ EPDS）评估抑郁状况,采用一般资料调查问卷、妊娠压力量表、社会支持量表测量其影响因素。结果抑郁的发生率为29.7％。 Logistic回归分析结果显示,二胎孕妇产前抑郁的影响因素为：妊娠压力因子1（ OR：8.71,95％CI：2.73~77.84）、家庭月收入3001~5000元（OR：3.52,95％CI：1.58~7.84）、妊娠压力因子4（OR：2.31,95％CI：1.28~4.17）、客观支持（OR：0.88,95％CI：0.81~0.96）、配偶的父亲期待孩子性别（OR：0.44,95％CI：0.26~0.75）、职业-机关及企事业管理人员（OR：0.05,95％CI：0.01~0.51）。结论二胎孕妇孕期抑郁的发生现状不容乐观,影响因素是多方面的,应多关注二胎孕妇妊娠压力状况和社会支持状况,及时发现不利因素,进而采取有效措施,以减少产妇抑郁的发生。     

急诊科二胎妊娠护士职业压力与应对方式的相关性研究

目的 调查急诊科二胎妊娠护士职业压力及应对方式的现状并探讨二者的相关性。 方法 采用中国护士压力源量表(Chinese nurses sources scale, CNSS)、特质应对方式量表(trait coping style questionnaire, TCSQ)于2017年1月-2018年8月对福州市5所三甲医院急诊科的70名二胎妊娠护士进行问卷调查。 结果 70名急诊科二胎妊娠护士职业压力总均分为(2.48±0.43)分,在工作量及时间分配问题上感受职业压力最大(2.75±0.45)分。多元线性回归分析显示,年龄、一孩年龄及护龄是急诊科二胎妊娠护士职业压力水平的影响因素(P<0.05);急诊科二胎妊娠护士职业压力总分及5个维度得分与应对方式呈显著相关(P<0.001)。 结论 急诊科二胎妊娠护士职业压力呈中度水平,护理管理者应促进其采取的积极应对方式,降低急诊科二胎妊娠护士职业压力的发生。     

职业接触化疗药物后妊娠并发症及结局流行病学调查

[目的]揭示广东省护理人员职业接触化疗药物后产生的妊娠并发症及妊娠结局的现状。[方法]从广东省的“一甲”“二甲”和“三甲”各10所医院抽取接触化疗药物的已婚护士379名(孕次486次)为接触组;非接触化疗药物的已婚护士399名(孕次454次)为对照组。回顾性调查分析两组护士接触化疗药物情况、妊娠并发症(先兆流产、剧烈呕吐、贫血、妊娠高血压综合征)和妊娠结局(足月产、自然流产、早产、死胎产、宫外孕、先天畸形)。[结果]接触组护士妊娠并发症除妊娠高血压综合征外均显著高于对照组(P<0.001);妊娠结局中足月产率对照组显著高于接触组(P<0.001);自然流产、死胎产、先天畸形接触组显著高于对照组(P<0.05)。[结论]职业接触化疗药物先兆流产、妊娠剧烈呕吐、妊娠贫血及自然流产、死胎产、先天畸形发生的危险性增加。     

Exploring fathers' experiences of pregnancy after a prior perinatal loss

PURPOSE: To explore fathers' experiences of pregnancy after a prior perinatal loss. STUDY DESIGN AND METHODS: This phenomenological study used unstructured, in-depth interviews with four men whose wives were currently pregnant subsequent to previous perinatal loss in the second or third trimester. RESULTS: Regardless of the timing of the loss or their investment in the previous pregnancy, fathers expressed anxiety about the outcome of the subsequent pregnancy, a heightened sense of risk, and a need for increased vigilance. Themes concerning the intensity of the loss experience, dealing with grief, spirituality, supporting their spouse, influence of the previous loss, replacement of the loss, the importance of milestones, and change in world view were described. CLINICAL IMPLICATIONS: This study can provide insight for nurses into the needs of these families during a subsequent pregnancy and can help nurses to better support fathers during this critical time.     

护士不良妊娠的相关因素调查及分析

目的了解基层医院护士妊娠的健康情况，分析出现不良妊娠与所在科室的相关性，为合理人力资源管理提供依据。方法分析30名有医疗证明出现不良妊娠、并请假休息1月及以上的护士资料。结果护士出现不良妊娠与所在科室有密切关系，急诊科、儿科是高危科室。结论护士职业的特殊性对生理健康影响很大，特别对女性安全妊娠影响更大。管理层应重视护士身心健康，加大人力资源的投入并合理调配，护理人员应注意自身防护，预防和减少不良妊娠的发生。     

住院部孕晚期护士心理状态分析及自我护理

目的了解住院部孕晚期护士的心理状况,并探讨自我护理模式。方法采用症状自评量表（SCL-90）评估厦门大学附属第一医院28名住院部孕晚期护士及28名已婚未孕护士的心理状况。结果孕晚期护士的躯体化（22．3±4．9）分、强迫症状（18．5±4．4）分、人际关系敏感（16．7±3．9）分、焦虑（18．7±4．7）分和恐怖（12．4±2．8）分,因子得分高于已婚未孕护士的（17．3±4．7）分,（15．5±3．5）分,（14．0±3．2）分,（15．1±4．3）分,（8．7±4．6）分,两组比较差异有统计学意义（t分别为3．90,2．82,2．83,2．99,3．64;P〈0．05）。结论住院部孕晚期护士易产生各种心理障碍,应定期监测心理状况并及时自我护理。     

Childhood and teenage pregnancies

Childhood and teenage pregnancy poses a significant social and health problem in the UK and it has implications for nurses across a wide range of disciplines. This article aims to raise awareness of the issue and help nurses to identify the risks of early sexual activity and pregnancy for young people. It includes the views of a group of first year, undergraduate nurses who took part in discussions on the topic while taking a module concerned with current health priorities.     

Oral health during pregnancy

The purpose of this article is to explore how poor oral health affects pregnancy and to review current recommendations for dental care during pregnancy. While nurses are concerned with numerous aspects of the health of pregnant women, the health of maternal and fetal dentition may be overlooked. However, due to recent findings that periodontal disease may be a risk factor for preterm low birthweight, nurses and other maternal healthcare providers are becoming more aware of oral health during pregnancy. It is important to understand that establishing a healthy oral environment is the most important objective in planning the dental care for the pregnant patient. This objective is achieved by adequate plaque control (brushing and flossing) and professional prophylaxis including coronal scaling, root planing, and polishing. Nurses, nurse practitioners, and nurse-midwives should include assessment of maternal dentition and referral for dental problems as part of their prenatal practice. Patients should be encouraged to schedule elective dental treatment during the second trimester but seek prompt care for acute dental problems. Teaching related to oral health during pregnancy should include the importance of proper nutrition to ensure maternal and fetal oral health, including taking prenatal vitamins and eating foods high in protein, calcium, phosphorus, and vitamins A, C, and D. Potential teratogens that may be encountered during dental care should also be discussed. Nurses can be vital in improving perinatal outcomes and maternal/fetal dental health through screening, referral, and education of their pregnant clients.     

Handling Antineoplastic Agents: Urine Mutagenicity in Nurses

Recent investigations have suggested that handling antineoplastic agents may be associated with potential health hazards. Interviews and urine samples were collected from 59 exposed nurses and 64 nonexposed nurses. Urine assays were compared from exposed and nonexposed nurses after working usually 3 to 5 working days, and a period of nonexposure. Demographic characteristics, occupational history, health status, medications, pregnancy history, smoking history, use of protective work practices and number, type and duration of exposures to antineoplastic agents were collected. The results showed that nurses exposed to antineoplastic agents at work were significantly more likely to have urinary mutagenicity, as compared to nonexposed nurses. Those at greatest risk were nurses working in private oncology practices and clinics. A significantly higher proportion of untoward pregnancy outcomes occurred in pregnancies with exposure to antineoplastic agents.     

Medications in pregnancy and lactation

The issue of medication use during pregnancy is of concern because the physiology of pregnancy affects the pharmokinetics of medications used, and certain medications can reach the fetus and cause harm. Studying medication safety in pregnancy and lactation is challenging; thus, the U.S. Food and Drug Administration (FDA) categories of medication risk in pregnancy are limited, especially for the lactating mother. A better understanding of the role of physiologic changes in pregnancy, placental function, effects of medication on the fetus, and the mechanisms of drug transfer into breast milk can help nurses teach their patients both preconceptionally and during pregnancy and lactation. This article provides a review of current literature so nurses can become more aware of the basic principles involved in medication use for pregnant and lactating women.