助产士的职业性危害及防护

助产士因为工作的特殊性，经常会接触较多的危险因素，从而导致与工作有关的疾病。近年来，越来越多的人开始关注职业性危害。为了将各种危害降至最低，最大限度地保障助产士的身心健康，助产士应通过学习接受更多教育，了解这种危害，并且在日常工作中加强自身防护。     

助产士职业危险因素分析及预防措施

医院是具有潜在职业危害的工作场所,医护人员常暴露于多种职业危害因素之中,助产士作为产科分娩室的护理工作者,是在特殊环境中为特殊人群护理服务的人群,其特殊的工作性质决定助产士经常会接触较多的危险因素。因此,如何充分做好助产士日常工作中的职业防护十分重要,现就助产士的职业危险因素和防护对策讨论如下。     

产房助产士心理压力调查及对策

目的：探讨产房助产士心理压力产生的相关因素及对策。方法：对108例产房助产士进行问卷调查,对产生心理压力的相关因素分析、归纳。结果：产房助产士的心理压力主要来自繁重的工作量、工作完成时间不够以及高质量、高水准的服务要求等五个方面。结论：产房护理工作的特殊性质已给助产士带来一定的心理压力,且受多因素的影响。     

天津市261名助产士核心胜任力现状及影响因素分析

目的 调查天津市助产士核心胜任力现状,分析其影响因素。方法 采用便利抽样法,于2021年8—10月选取天津市23所二级及以上医院的261名助产士作为研究对象。采用一般资料调查表、助产士核心胜任力量表、心理资本量表对其进行调查。采用多重线性回归分析助产士核心胜任力的影响因素。结果 261名助产士的核心胜任力总均分为（4.26±0.57）分;多重线性回归结果显示,自我效能、韧性、参与教学工作、生育进入回归方程（P<0.05）,共解释总变异的48.9%。结论 261名助产士核心胜任力处于中等偏上水平,自我效能、韧性、参与教学工作、生育是助产士核心胜任力的主要影响因素。建议医院管理者从积极心理学的角度,利用心理资本可干预的特点,强化助产士的自我效能与韧性水平,从而提高助产士队伍的核心胜任力。     

产房助产士的职业危害与自身防护

产房是产科工作的中心环节,助产士在产科工作中承担着母婴生命的重责,精神时刻处于高度紧张状态,医院的重点偏重于怎样发挥最大潜力为病人提供优质服务,而职工的职业安全则相对是个薄弱环节,助产士工作在产房第一线,若不注意个人防护容易造成职业性损伤。助产士应了解本职业所存在及潜在危害因素,增强自我防护意识,维护其身心健康,现将助产工作中所存在的危害因素及防护简述如下。     

助产士流失原因探讨

近年来，助产士大量流失已经成为许多医院所面临的重要问题。这些流失的助产士人群主要是参加工作5～15a，既富有临床工作经验又年富力强，是助产专业发展及临床工作中的骨干力量。流失可能永远离开助产岗位，这个问题给助产工作及医院管理者带来了多方面的不利影响，从而引起一系列问题如助产质量下降，在岗助产士人心不稳定，并成为新一轮人员流失的诱发因素，而造成恶性循环。本文针对我院近年来助产士流失情况和原因进行分析，为寻找相应的管理策略提供科学依据     

助产士工作压力源及相关因素的分析

目的 探讨助产士工作压力水平及其相关因素,以期提出减轻助产士工作压力,维护其群体心理健康的有效措施.方法 采用问卷调查法对泉州市两所教学医院产科90名助产士进行问卷调查.结果 助产士的工作压力水平为中度,压力源中担心工作中出现差错事故、医疗纠纷的困扰、病区拥挤、工作量太大、护理质量检查、经常倒班、病人家属不合作、感染等职业危害、与医生发生冲突、护理管理者的理解与支持不够等应激排在压力源的前10位.工作压力源与不同岗位、不同护龄之间呈显著相关.结论 护理工作压力对医院、护士、病人和家庭都有不同程度的影响,建议管理者及助产士本身能采取有效的措施,来减轻工作压力.     

产房助产士职业性损伤的自我防护

近年来职业安全已成为医务人员,特别是护理人员越来越关注的重要话题。产房助产士工作在临床第一线,若不注意个人防护容易造成职业性损伤(OI)。OI对护理人员的危害已成为不可忽视的问题。现将产房助产士OI相关职业危害因素的种类及防护对策总结如下。1产房助产士OI相关职业危害因素的种类1.1事故性危害(1)锐器伤:锐器作为最常见的事故性危     

助产士工作压力源及相关因素的分析

目的 探讨助产士工作压力水平及其相关因素,以期提出减轻助产士工作压力,维护其群体心理健康的有效措施.方法 采用问卷调查法对泉州市两所教学医院产科90名助产士进行问卷调查.结果 助产士的工作压力水平为中度,压力源中担心工作中出现差错事故、医疗纠纷的困扰、病区拥挤、工作量太大、护理质量检查、经常倒班、病人家属不合作、感染等职业危害、与医生发生冲突、护理管理者的理解与支持不够等应激排在压力源的前10位.工作压力源与不同岗位、不同护龄之间呈显著相关.结论 护理工作压力对医院、护士、病人和家庭都有不同程度的影响,建议管理者及助产士本身能采取有效的措施,来减轻工作压力.     

助产士职业损伤的高危因素分析及防护措施

分娩室工作性质特殊,节奏快,工作人员高度紧张,在观察产程接生过程中,助产士与病人是零距离的接触,与产妇的血液、羊水、阴道分泌物接触密切,使助产士暴露于多种职业性危害因素中,影响助产士的身心健康.因此采取积极有效的防护措施,预防职业损伤的发生.现分析如下.     

Mental health and long-term conditions.1: Physical health

Poor diet, smoking, a lack of physical activity and excessive alcohol intake are just some of the factors that can contribute to a range of debilitating long-term conditions. Lifestyle risk factors can have a disproportionate impact on more vulnerable groups within society, such as people with mental health problems. In the first in a two-part series on mental health and long-term conditions, this article looks at the prevalence of physical illness among this service user group and how this affects mortality and morbidity. It also examines factors influencing physical health, and discusses the role nurses can play in screening for physical conditions in vulnerable groups.     

健康综合门诊部体检客户满意度的影响因素分析

目的探讨健康综合门诊部体检客户满意度的影响因素,并讨论体检者关系管理的相关方法。方法选取2017年1月—2019年10月期间于潮州第一健康综合门诊部200例体检者作为研究对象,采用体检满意度调查表对纳入体检者进行问卷调查。根据调查结果,将满意度评分≥70分的156例体检者作为满意组,将满意度评分<70分的44例体检者设为不满意组。采用单因素及多因素Logistic回归分析影响健康综合门诊部体检者满意度的相关因素。结果单因素分析显示,两组性别、年龄、文化程度、体检方式比较差异无统计学意义(P>0.05),引导体检、体检等待时间、体检人员技术水平、健康教育、报告讲解、体检环境、延续回访情况比较差异具有统计学意义(P<0.05)。多因素Logistic回归分析显示,体检等待时间、体检人员技术水平、健康教育及体检环境是影响体检者满意度的危险因素。结论健康综合门诊部体检者满意度的影响因素较多,应通过建立系统化管理团队和制度,优化体检护理服务,以提高体检者服务满意度。     

Personal characteristics, health status, physical activity, and quality of life in cardiac rehabilitation participants

The purpose of this study was to examine the relationships between personal factors, health status, and adherence to physical activity behavior, and quality of life in cardiac rehabilitation participants. The record of 146 subjects, who met inclusion criteria were obtained from the University Cardiac Rehabilitation Database. Change scores in physical activity were used as a proxy for adherence. Participants who were categorized as not working, female gender, and at high-risk health status had lower means and lower improvement scores from repeated measures analysis of variance. This study found that some personal factors and health status are significant factors influencing the participant's adherence to physical activity recommendations and quality of life in this cardiac rehabilitation program.     

Factors Influencing the Participation of Middle‐Aged and Older Latin‐American Women in Physical Activity: A Stroke‐Prevention Behavior

Despite the known benefits of regular physical activity for preventing stroke and cardiovascular disease, middle‐aged and older Latin‐American women continue to be physically inactive and demonstrate a high incidence of obesity. Ethnographic methodology was used to explore factors that influenced this health behavior in 25 Latin‐American women. Perceptions of health, the health activities in which they engaged, and the factors that influenced their participation in physical activity comprised the three categories of responses. Facilitators and barriers were identified as the two primary categories and were further sorted into intrinsic or extrinsic factors. Conclusions of this study were that these Latin American women, despite multiple role demands and other barriers, participated in some form of physical activity; however, culturally sensitive strategies are needed to promote sustained physical activity in this population.     

Determinants of employee participation in physical activity: critical review of the literature.

The purpose of this article is to provide a review of research literature related to factors that influence employee participation in physical activity. Eleven published studies investigating physical activity in samples of adult employees were included in this review. Across these studies, self-efficacy, or belief in personal ability to perform this health behavior, was the best predictor of physical activity among employees. Perceived benefits of physical activity and perceived health status were also found to influence participation in physical activity. Occupational health nurses could offer self-care classes and intervention programs that assist employees in improving their perceptions of self-efficacy to perform physical activity. Additionally, occupational health nurses should continue to reinforce the benefits of physical activity in all health promotion venues.     

Perceived benefits and barriers to physical activity among older Latina women

Evidence of the benefits of physical activity in the health of aging women continues to grow but questions remain about the factors that influence these women's ability to engage in this behavior. The authors used a qualitative design to describe the social and culture-specific perceived benefits and barriers to physical activity among 143 Latina women, ages 40 to 79. Content analysis of these women's responses revealed that perceived benefits (health promotion, physical fitness, improved roles) and barriers (time constraints of women's roles, personal health, internal and external factors) function as competing elements that may explain physical inactivity. Health care providers should emphasize overcoming barriers and promote perceived benefits as clinical interventions that may pose the greatest potential to increase physical activity among aging Latina women. This emphasis holds promise as a feasible and effective primary care intervention for achieving increased physical-activity-related health benefits.     

手术室医护人员健康状况及其影响因素调查分析

目的:了解手术室医护人员的健康状况,分析影响医护人员健康状况的主要职业因素。方法:选择我市3家医院手术室108名医护人员为研究对象,采用自设问卷调查手术室医护人员的一般资料及影响手术室医护人员健康的职业因素,采用欧洲五维度健康量表(EQ-5D量表)测量自评健康得分。结果:≤35岁、低职称及大专学历的手术室医护人员健康自评分高于其他组,均P0.05。对可能影响手术室医护人员健康的职业因素进行分析,筛选出前3位影响因素为:物理因素占90.77%,化学因素占72.31%,生物因素占58.46%。结论:≤35年龄、低职称及大专学历的手术室医护人员其健康状况更加良好,物理、化学及生物因素是影响手术室医护人员健康的主要职业因素。为了提高手术室医护人员的健康状况,需要对上述因素予以有针对地防护。     

Use of the ICF in identifying factors that impact participation in physical activity/rehabilitation among people with disabilities

Many health professionals have expressed difficulty finding ways to keep people with disabilities engaged in community-based physical activity/rehabilitation programs. A major reason for this low adherence may be that the recommended intervention plan does not match well with the specific needs of the individual. Various personal and/or environmental factors along with the person's level of functioning can impede participation in healthful physical activity/rehabilitation. The International Classification of Functioning, Disability and Health (ICF) can be a useful tool for identifying key factors associated with participation in community-based physical activity/rehabilitation. The ICF allows health professionals to identify the level of functioning at the body, person and societal level, as well as understand the person-environment contextual factors that may impede or enhance participation. This paper describes how the ICF can assist health professionals in identifying a broader constellation of factors when prescribing physical activity/rehabilitation programs for persons with varying levels of disability.     

Use of the ICF in identifying factors that impact participation in physical activity/rehabilitation among people with disabilities

Many health professionals have expressed difficulty finding ways to keep people with disabilities engaged in community-based physical activity/rehabilitation programs. A major reason for this low adherence may be that the recommended intervention plan does not match well with the specific needs of the individual. Various personal and/or environmental factors along with the person's level of functioning can impede participation in healthful physical activity/rehabilitation. The International Classification of Functioning, Disability and Health (ICF) can be a useful tool for identifying key factors associated with participation in community-based physical activity/rehabilitation. The ICF allows health professionals to identify the level of functioning at the body, person and societal level, as well as understand the person-environment contextual factors that may impede or enhance participation. This paper describes how the ICF can assist health professionals in identifying a broader constellation of factors when prescribing physical activity/rehabilitation programs for persons with varying levels of disability.