目的了解重症监护病房(intensive care unit,ICU)护士工作家庭冲突现状,探索工作家庭冲突、社会支持和职业倦怠之间的关系。方法采用随机抽样法,于2021年4—6月抽取杭州市4家三级甲等医院203名ICU护士作为调查对象。采用工作家庭冲突量...目的了解重症监护病房(intensive care unit,ICU)护士工作家庭冲突现状,探索工作家庭冲突、社会支持和职业倦怠之间的关系。方法采用随机抽样法,于2021年4—6月抽取杭州市4家三级甲等医院203名ICU护士作为调查对象。采用工作家庭冲突量表(work family conflict scale,WFCS)、社会支持评定量表(social support rating scale,SSRS)和职业倦怠量表(maslach burnout inventory-general survey,MBI-GS)对其进行调查,并对数据进行分析。结果203名ICU护士工作家庭冲突总分为(28.80±7.07)分,社会支持总分为(35.42±9.32)分,职业倦怠的总分为(58.88±16.04)分。工作家庭冲突量表总分与社会支持量表总分呈负相关(r=-0.356,P<0.05),与职业倦怠量表总分呈正相关(r=0.502,P<0.05)。社会支持量表总分与职业倦怠量表总分呈负相关(r=-0.252,P<0.05)。工作家庭冲突、社会支持对职业倦怠具有直接预测作用;工作家庭冲突还以社会支持为中介变量,间接影响职业倦怠,其间接效应为-0.272。结论ICU护士的社会支持在工作家庭冲突和职业倦怠中起着部分中介的作用。护理管理者可以通过合理的人力资源规划和提升社会支持水平,对护士的工作家庭冲突和职业倦怠进行干预。展开更多
Background The incidence of spinal injury with spinal cord contusion is high in developed countries and is now growing in China. Furthermore, spinal cord injury happens mostly in young people who have a long life expe...Background The incidence of spinal injury with spinal cord contusion is high in developed countries and is now growing in China. Furthermore, spinal cord injury happens mostly in young people who have a long life expectance. A large number of patients thus are wheelchair bound for the rest of their lives. Therefore, spinal cord injury has aroused great concern worldwide. Despite great efforts, recovery from spinal cord injury remains unsatisfactory. Based on the pathology of spinal cord contusion, an idea of early neurosurgical intervention has been formulated in this study. Methods A total of 30 patients with ＂complete＂ spinal cord injury or classified as American Spinal Injury Association （ASIA）-A were studied. Orthopedic treatment of the injured vertebra（e）, internal fixation of the vertebral column, and bilateral laminectomy for epidural decompression were followed directly by neurosurgical management, including separation of the arachnoid adhesion to restore cerebrospinal fluid flow and debridement of the spinal cord necrotic tissue with concomitant intramedullary decompression. Rehabilitation started 17 days after the operation. The final outcome was evaluated after 3 months of rehabilitation. Pearson chi-square analysis was used for statistical analysis. Results All the patients recovered some ability to walk. The least recovered patients were able to walk with a wheeled weight support and help in stabilizing the weight bearing knee joint （12 cases, 40%）. Thirteen patients （43%） were able to walk with a pair of crutches, a stick or without any support. The timing of the operation after injury was important. An optimal operation time window was identified at 4-14 days after injury. Conclusions Early neurosurgical intervention of spinal cord contusion followed by rehabilitation can significantly improve the locomotion of the patients. It is a new idea of a therapeutic approach for spinal cord contusion and has been proven to be very successful.展开更多
文摘目的了解重症监护病房(intensive care unit,ICU)护士工作家庭冲突现状,探索工作家庭冲突、社会支持和职业倦怠之间的关系。方法采用随机抽样法,于2021年4—6月抽取杭州市4家三级甲等医院203名ICU护士作为调查对象。采用工作家庭冲突量表(work family conflict scale,WFCS)、社会支持评定量表(social support rating scale,SSRS)和职业倦怠量表(maslach burnout inventory-general survey,MBI-GS)对其进行调查,并对数据进行分析。结果203名ICU护士工作家庭冲突总分为(28.80±7.07)分,社会支持总分为(35.42±9.32)分,职业倦怠的总分为(58.88±16.04)分。工作家庭冲突量表总分与社会支持量表总分呈负相关(r=-0.356,P<0.05),与职业倦怠量表总分呈正相关(r=0.502,P<0.05)。社会支持量表总分与职业倦怠量表总分呈负相关(r=-0.252,P<0.05)。工作家庭冲突、社会支持对职业倦怠具有直接预测作用;工作家庭冲突还以社会支持为中介变量,间接影响职业倦怠,其间接效应为-0.272。结论ICU护士的社会支持在工作家庭冲突和职业倦怠中起着部分中介的作用。护理管理者可以通过合理的人力资源规划和提升社会支持水平,对护士的工作家庭冲突和职业倦怠进行干预。
文摘Background The incidence of spinal injury with spinal cord contusion is high in developed countries and is now growing in China. Furthermore, spinal cord injury happens mostly in young people who have a long life expectance. A large number of patients thus are wheelchair bound for the rest of their lives. Therefore, spinal cord injury has aroused great concern worldwide. Despite great efforts, recovery from spinal cord injury remains unsatisfactory. Based on the pathology of spinal cord contusion, an idea of early neurosurgical intervention has been formulated in this study. Methods A total of 30 patients with ＂complete＂ spinal cord injury or classified as American Spinal Injury Association （ASIA）-A were studied. Orthopedic treatment of the injured vertebra（e）, internal fixation of the vertebral column, and bilateral laminectomy for epidural decompression were followed directly by neurosurgical management, including separation of the arachnoid adhesion to restore cerebrospinal fluid flow and debridement of the spinal cord necrotic tissue with concomitant intramedullary decompression. Rehabilitation started 17 days after the operation. The final outcome was evaluated after 3 months of rehabilitation. Pearson chi-square analysis was used for statistical analysis. Results All the patients recovered some ability to walk. The least recovered patients were able to walk with a wheeled weight support and help in stabilizing the weight bearing knee joint （12 cases, 40%）. Thirteen patients （43%） were able to walk with a pair of crutches, a stick or without any support. The timing of the operation after injury was important. An optimal operation time window was identified at 4-14 days after injury. Conclusions Early neurosurgical intervention of spinal cord contusion followed by rehabilitation can significantly improve the locomotion of the patients. It is a new idea of a therapeutic approach for spinal cord contusion and has been proven to be very successful.
