社区全科护士焦虑与情绪智力水平状况及其相关性

目的探讨社区全科护士焦虑与情绪智力水平状况及其相关性。方法应用焦虑自评量表(self-rating anxiety scale,SAS)和情绪智力量表(emotional intelligence scale,EIS),对本市20家社区健康服务中心的92名全科护士进行问卷调查。结果社区全科护士SAS得分为(40.18±7.26)分,明显高于全国常模(29.78±10.07)分,组间比较,P0.001,差异具有统计学意义;焦虑检出率54.35%,其中轻度焦虑39名(42.39%),中度焦虑10名(10.87%),重度焦虑1名(1.09%);情绪智力得分为(3.49±0.47)分,处于中等水平,得分最高的维度为他人情绪管理,最低的维度为情绪知觉;他人情绪管理与焦虑呈正相关,情绪利用与焦虑呈负相关(均P0.05)。结论社区全科护士焦虑水平较高,情绪智力水平处于中等水平,情绪智力影响焦虑水平,改善情绪智力可能是减少社区全科护士焦虑的方法之一。     

ICU护士安宁疗护核心能力现状及影响因素分析

目的探讨ICU护士安宁疗护核心能力现状, 并分析其影响因素。方法本研究为横断面研究。采用便利抽样法, 于2022年1—3月选取张家口市2所三甲医院的148名ICU护士为研究对象, 采用一般资料调查问卷、安宁疗护护士核心能力问卷及中文版死亡态度描绘量表(修订版)对其进行调查。采用Pearson相关分析、多重线性回归分析探讨ICU护士安宁疗护核心能力的影响因素。本研究共发放问卷148份, 回收有效问卷为143份, 有效回收率为96.62%(143/148)。结果 143名ICU护士的安宁疗护核心能力总分为(77.28±16.95)分, 中文版死亡态度描绘量表(修订版)得分较高的前2个维度分别是自然接受[(4.40±0.34)分]、逃离接受[(3.34±0.49)分]。Pearson相关性分析结果显示, ICU护士安宁疗护核心能力与死亡恐惧呈负相关(r=-0.214, P<0.05), 与自然接受死亡、逃离接受死亡均呈正相关(r值分别为0.171、0.221;P<0.05)。多重线性回归分析结果显示, 性别、年龄、职称、是否参加过安宁疗护相关培训、自然接受死亡、逃离接受死亡是IC...     

工作资源在ICU护士自我效能与工作重塑行为间的中介效应分析

目的探讨工作资源在ICU护士自我效能与工作重塑行为间的中介效应。方法采用整群抽样法, 于2022年3—5月选取中国医学科学院阜外医院的629名ICU护士为研究对象, 采用一般资料调查问卷、工作重塑量表(JCS)、短版哥本哈根社会心理问卷、一般自我效能感量表(GSES)对其进行调查。采用Pearson相关分析探讨ICU护士工作资源与自我效能、工作重塑行为间的相关性;采用AMOS软件建立中介效应模型, 并应用Bootstrap法检验探讨中介效应。本研究共发放问卷629份, 回收有效问卷555份, 问卷有效回收率为88.24%(555/629)。结果 555名ICU护士JCS得分为(77.58±12.53)分, 工作资源得分为(74.35±13.37)分, GSES得分为(27.16±5.90)分。Pearson相关分析结果显示, ICU护士工作重塑行为与自我效能、工作资源呈正相关(P<0.01)。Bootstrap中介效应分析结果显示, 工作资源在ICU护士自我效能与工作重塑行为之间存在部分中介效应(β=0.128, 95%CI:0.086～0.177), 占总效应的18.7%。结论...     

儿科护士情绪智力和工作绩效的相关性研究

目的 通过调查儿科护士情绪智力及工作绩效水平,研究两者的相关性,达到提高护理工作绩效、促进“优质护理服务”的目的.方法 采用情绪智力量表和工作绩效量表对335名儿科护士进行问卷调查,对调查数据进行统计分析.结果 儿科护士情绪智力平均得分为(3.63±0.52)分,其中以经营人际关系维度得分最高,达(3.87±0.69)分,管理情绪维度得分最低,为(3.25±0.90)分;职称、岗位形式及学历对护士情绪智力有一定影响;工作绩效平均得分为(3.65±0.75)分,经Pearson相关分析得出情绪智力总分与工作绩效总分呈正相关,其中自我激励维度与工作绩效正相关最为明显,管理情绪维度与工作绩效相关性最低.结论 护理管理者应根据儿科护士工作性质和服务对象特点,采取科学的管理方式,提升儿科护士情绪智力,提高工作绩效水平,促进儿科“优质护理服务”的有效实施.     

ICU医护合作、护士情绪智力与工作投入的关系研究

目的探讨重症监护病房(Intensive care unit,ICU)护士医护合作、情绪智力、工作投入之间的关系,并分析情绪智力在医护合作与工作投入之间的作用。方法采用一般资料调查问卷、医护合作量表(nurse-physician collaboration scale, NPCS)、情绪智力量表(emotional intelligence scale, EIS)、Utrecht工作投入量表(Utrecht work engagement scale, UWES)对500名ICU护士进行调查,并分析三者之间的相关性。结果 ICU护士NPCS、EIS、UWES总分分别为(72.02±15.33)分、(76.93±13.18)分、(70.12±14.92)分。ICU护士医护合作与情绪智力、工作投入之间均呈正相关关系(P0.01)。情绪智力在医护合作对工作投入的预测中起到部分中介作用,情绪智力的中介效应对总效应的贡献率为20.2%。结论 ICU医护合作状况及护士情绪智力和工作投入处于中等偏上水平,情绪智力在医护合作关系和工作投入之间具有中介作用。建立和谐团结的医护合作关系和提高护士情绪智力,可提高ICU护士工作投入水平,从而提高ICU护理质量。     

护士情绪智力与工作控制感的相关性研究

[目的]调查护士情绪智力和工作控制感现状并分析两者间的相关性。[方法]便利抽取河南省某三级甲等医院469名护士,采用情绪智力量表和工作控制感量表进行调查,采用相关性分析和多元线性回归分析护士情绪智力与工作控制感的关系。[结果]护士情绪智力得分为(79.49±15.48)分,工作控制感得分为(53.24±12.04)分。相关性分析及多元线性回归分析结果显示,科室和子女数量为工作控制感的独立预测因子(P0.005);情绪智力与工作控制感呈正相关(r=0.498,P0.001),其中情绪调节和情绪运用为工作控制感的保护性因子(P0.001)。[结论]护士工作控制感处于中等水平,仍有提高空间,护理管理者应重点提高急诊或重症监护室(ICU)护士、有子女护士及情绪智力水平低的护士的工作控制感。     

ICU护士情绪智力水平对创新行为的影响

[目的]了解ICU护士情绪智力水平对创新行为的影响情况。[方法]随机抽取哈尔滨市4所三级甲等医院的300名ICU护士为研究对象,采用一般资料、情绪智力量表和创新行为量表对ICU护士进行调查。[结果]ICU护士的情绪智力评分为(3.94±0.53)分,创新行为评分为(3.99±0.48)分,均处于中等水平;ICU护士的学历、职称及情绪智力的两个维度(自我情绪运用、自我情绪调整)为创新行为的主要影响因素(P0.05)。[结论]ICU护士的情绪智力水平越高,其创新能力也越强,有利于提高护理服务质量。     

河南省三级甲等医院ICU护士亚谵妄综合征知识、态度和行为现状

目的:调查河南省三级甲等医院ICU护士亚谵妄综合征知识、态度和行为现状。方法:使用“综合性医院ICU护士亚谵妄综合征知信行量表”通过网络问卷对河南省17个城市20所三级甲等医院的ICU护士进行问卷调查。结果:研究最终纳入733份问卷,ICU护士亚谵妄综合征知信行总分为(101.24±15.32)分。65.3%的护士处于中等水平(≥96分),2.9%的护士处于优秀水平(≥128分)。知识维度得分为(49.64±14.96)分,表明护士知识水平一般;态度维度得分为(15.23±4.57)分,表明护士态度消极;行为维度得分为(36.36±7.92)分,47.9%的护士处于中等水平(≥30分),35.9%的护士处于优秀水平(≥40分),表明多数护士能够按照要求进行临床实践。ICU护士的技术职称、ICU工作年限、学历、婚姻状况和ICU类别是影响护士亚谵妄综合征知信行得分的因素。结论:河南省三级甲等医院ICU护士对亚谵妄知识掌握程度及临床实践水平一般,且存在态度消极的问题,管理者应制定合理的培训策略,并正确引导护士积极看待亚谵妄综合征的评估和管理工作。     

精神科护士情绪智力及影响因素分析

目的了解精神科护士情绪智力现状及其影响因素。方法使用一般资料调查表和情绪智力量表对山东省6所精神病专科医院的813名临床护士进行调查。结果精神科护士情绪智力总均分为(3.85±0.46)分,得分最高的为理解情绪(4.07±0.55)分,得分最低的为情绪知觉(3.68±0.48)分。工作年限、性别、学历为精神科护士情绪智力的影响因素。结论精神科护士的情绪智力处于中等水平,护理管理者应进一步重视护士情绪智力的培养,开展相关干预课程,提高精神科护士的情绪智力和心理健康水平。     

护士情绪智力与创新行为的相关性研究

[目的]了解临床护士情绪智力和创新行为的现状及相关性,为提高护士创新行为提供依据。[方法]采用情绪智力量表(WLEIS)和护士创新行为量表对682名临床护士进行调查。[结果]护士情绪智力得分为3.73分±0.62分,创新行为得分为3.25分±0.64分,均处于中等水平;情绪智力各维度与创新行为各维度得分均呈正相关(P0.01);职务、情绪调节、情绪运用、识别他人情绪是护士创新行为的影响因素。[结论]临床护士情绪智力越高,创新行为表现越突出,护理管理者应采取措施培养护士的情绪智力,从而提高其创新行为水平。     

Measurement of L-carnitine and acylcarnitines in body fluids and tissues in children and in adults

We have developed a reliable and validated radio-enzymatic method for the assay of L-carnitine and acylcarnitines, using a modification of existing methods. The sensitivity of the assay is 10 mumol/l using 10 microliters of plasma or urine. It is also suitable for measurements of carnitine in a 10 mg sample of liver or muscle obtained by percutaneous biopsy. The use of N-ethylmaleimide in the reaction mixture together with an excess of [1-14C]acetyl CoA ensures that the reaction proceeds to completion and a linear response is obtained. Using this method control ranges have been established for plasma and urine carnitine concentrations in healthy children and adults, and for the carnitine content of liver and muscle in adults. No significant difference was found between fasting and post-prandial plasma carnitine levels. An age-related increase was found in urinary total carnitine and acylcarnitine concentration throughout childhood. These data provide a reliable basis for studies of patients with abnormal carnitine and acylcarnitine metabolism, distribution and excretion.     

Rosamicin in Urethral and Vaginal Secretions and Tissues in Dogs and Rats

In animal studies we investigated the distribution of rosamicin in plasma and urethral and vaginal tissues in rats as well as in urethral and vaginal secretions in dogs. We found concentration ratios between urethral secretion and plasma of 1.9 and between vaginal secretion and plasma of 2.4. The rosamicin concentrations in urethral and vaginal tissue significantly exceeded the levels of all other tissues investigated. Because rosamicin could be valuable for the treatment of bacterial urethritis and the colonization of the vaginal introitus with fecal bacteria in women, it should be investigated clinically in this respect.     

Similarities and differences in clients treated and in medications prescribed by APRNs and psychiatrists in a CMHC

This study is part of a larger study comparing prescribing practices of psychiatrists and advanced practice psychiatric nurses (APRNs) using the following three groups of patients: patients treated by psychiatrists, those treated by APRNs, and those treated by both APRNs and psychiatrists at different times in 1 year. Demographics for 5507 patients were examined. A subsample of APRNs and psychiatrists prescribed similar total numbers of medications. Psychiatrists prescribed more types of antidepressant medications other than the SSRI antidepressants, and they prescribed more than twice the number of benzodiazepines. APRNs prescribed more SSRIs and spent more time with clients during medication visits.     

Postural strategies and falls in elderly and in parkinsonism]

OBJECTIVE: To use a posture analysis to show the evolution of postural pattern connected with falls.MATERIAL AND METHOD: It is a prospective study on two groups of 16 persons of more than 60 years. A group concerns 16 small disability off drug parkinsonian patients, a group concerns 16 healthy witnesses. All the persons benefited from a posture recording by means of a force platform and were followed during 1 year. RESULTS: Data analysis underlines three groups of persons corresponding to three postural patterns, independently of the presence of Parkinson disease. A group (n = 18) did not contain fallers, the second (n = 10 ) contained 20% of fallers, the third (n = 4) contained 100% of fallers. Differences between the groups were identified on 16 posturographic parameters. DISCUSSION: A group has a good functional value and one does not record any fall. Its characteristics, which correspond to a category of persons who compensate well for the phenomena of ageing, are found in the literature. A group has an intermediate functional value and regrets 20% of fallers. Kinetic profile reveals a tendency to the stiffness of the posture. This group is going to operate rather ankle strategies. A group has an inferior functional value and regrets 100% of fallers. Kinetic profile seems disrupted and not to be able to adapt itself in a satisfactory way to the situation otherwise than by stereotypical reactions. This group is going to operate systematically much less stabilizing hip strategies. CONCLUSION: A close determinism between physiological neuromotor ageing and Parkinson disease does exist. We showed with a prospective follow-up, the arisen of fall and showed the evolution of postural patterns related to fall. It appears as well that evolution mainly follows three stages leading from a small risk of fall gait pattern to a major risk of fall gait pattern.     

Racial differences in oxidative stress and inflammation: in vitro and in vivo

African American race is an independent risk factor for enhanced oxidative stress and inflammation. We sought to examine whether oxidative-stress and inflammatory markers that are typically measured in humans also differ by race in cell culture. We compared levels between African American and Caucasian young adults and then separately in human umbilical vein endothelial cells (HUVECs) from both races. We found heightened oxidative stress and inflammation in the African Americans both in vitro and in vivo. African American HUVECs showed higher nitric oxide (NO) levels (10.8 ± 0.4 vs. 8.8 ± 0.7 μmol/L/mg, p = 0.03), Interleukin-6 (IL-6) levels (61.7 ± 4.2 vs. 23.9 ± 9.0 pg/mg, p = 0.02), and lower superoxide dismutase activity (15.6 ± 3.3 vs. 25.4 ± 2.8 U/mg, p = 0.04), and also higher protein expression (p < 0.05) of NADPH oxidase subunit p47phox, isoforms NOX2 and NOX4, endothelial nitric oxide synthase (NOS), inducible NOS, as well as IL-6. African American adults had higher plasma protein carbonyls (1.1 ± 0.1 vs. 0.8 ± 0.1 nmol/mg, p = 0.01) and antioxidant capacity (2.3 ± 0.2 vs. 1.1 ± 0.3 mM, p = 0.01). These preliminary translational data demonstrate a racial difference in HUVECs much like that in humans, but should be interpreted with caution given its preliminary nature. It is known that racial differences exist in how humans respond to development and progression of disease, therefore these data suggest that ethnicity of cell model may be important to consider with in vitro clinical research.