康复护理ADL量表的有效性研究

目的　研究康复护理ADL量表在ADL评测中的有效性。方法　对 6 0例患者采用改良BI指数和康复护理ADL评定两种量表进行测评 ,用pearson分析计算入院、出院、出入院改变值及改变值之间相关性 ,对康复护理ADL量表各项目计算组内相关系数。结果　两量表在出入院评测结果有较高相关性 ,入院时r =0 .94 7,P <0 0 0 1,出院时r =0 .94 4 ,P <0 .0 0 1。出入院改变值呈显著相关 ,r =0 .890 ,P <0 .0 0 1。MBI出入院改变值 32 84± 13.2 4 ,RNADL39.0 3± 14 .2 7。两次测评各项目间相关系数r =0 .92 4～ 0 .96 8,P <0 .0 0 1。结论　康复护理ADL量表重测信度高 ,内部一致性较好 ,是一种有效性较好的ADL评定量表     

Narrow band imaging and multiband imaging

NBI and MBI may enhance the diagnosis and characterization of mucosal lesions in the GI tract, particularly as adjunctive techniques to magnification endoscopy. Standardization of image characterization, further image-to-pathology correlation and validation, and the impact of these technologies on patient outcomes are necessary before endorsing the use of NBI and MBI in the routine practice of GI endoscopy.     

Using the Maslach Burnout Inventory among dentists: burnout measurement and trends

Abstract – Objectives: To extend our knowledge about the applicability of the Maslach Burnout Inventory (MBI) among dentists and to investigate trends in burnout risk among dental professionals. Methods: The structure of the MBI is examined among two independent, representative samples of dentists (n = 493 and 497, respectively). Moreover, results are compared to those of other independently‐practicing health professionals (i.e., general practitioners and physiotherapists). In addition, the percentage of dentists that are at risk for burnout are compared in samples from 1997, 2000, and 2001. Results: Correlations between the Emotional Exhaustion and Depersonalization subscales among dentists were higher than those found elsewhere. Additionally, a considerable increase in burnout risk was found since 1997. Conclusions: It was confirmed that the MBI can be considered a suitable instrument for use among dentists. It is argued that certain specific aspects of entrepreneur‐like occupations are reflected in deviating responses to the MBI. Given the clear increase in burnout risk found, this topic should remain under investigation among dentists.     

Gender differences in burnout among Dutch dentists

OBJECTIVES: Differences between the sexes in the manifestation of burnout have been reported for different occupational groups. Although some gender-specific explanations for this finding have been forwarded, there is a paucity of studies in which the relation with other work-related gender differences is examined. The objective of this study was to analyze gender differences in burnout among dentists and to identify possible concomitant factors. METHODS: Male (n = 411) and female (n = 81) Dutch dentists filled out the Dutch version of the Maslach Burnout Inventory (MBI) together with several health and work-related questionnaires. RESULTS: Results showed male dentists to report a higher score on the depersonalization dimension of the MBI than did female dentists. No gender differences were found on the other dimensions (i.e. emotional exhaustion and personal accomplishment). Moreover, no gender-related differences in experienced work-stress or health-related aspects were found. It was found, however, that male dentists put in working hours and see more patients per week when compared to female dentists. Also, a difference in mean age was found. Our main finding was that the difference in depersonalization disappears when controlling for working hours and age. CONCLUSIONS: Gender differences in burnout among dentists do exist. However, our results indicate that underlying factors, such as working hours, have a profound effect on these differences. These results can have direct practical consequences, for instance, in distinguishing between groups concerning the way burnout scores should be interpreted.     

精神科护士的职业倦怠与职业压力

目的 探讨精神科护士职业倦怠水平及与职业压力的关系.方法 采用Maslach工作倦怠量表—人类服务版和中国护士工作压力源量表对河北省精神病医院的107名护士进行调查.结果 精神科护士存在较高程度的职业倦怠;精神科护士职业倦怠各维度及总分与职业压力各维度间存在不同程度的相关(r=0.184～0.428,P＜0.05);倦怠水平不同的精神科护士在管理及人际关系方面存在显著差异(t=-4.460,P＜0.01).结论 精神科护士职业倦怠较高,并受管理及人际关方面的压力影响.     

Burnout chez les résidents en médecine tunisiens : à propos de 149 cas

Background

Burnout is a professional psychological chronic stress-induced syndrome defined by three dimensions: emotional exhaustion, depersonalization, and low personal accomplishment. This syndrome concerns all professions but especially healthcare staff. Numerous studies have attempted to document the impact of work activities on the doctor's mental health. According to the literature, junior doctors are more vulnerable to develop this syndrome.