以老年病医院为依托的医疗护理员培训实践

目的对以老年病医院为依托的医疗护理员培训实践及教学效果进行探讨,为养老护理服务人才的培养提供借鉴。方法成立医疗护理员培训管理小组,编写培训教材,设计21个培训模块对67名医疗护理员进行多元化培训。结果培训后,学员理论知识、操作技能考核成绩显著高于培训前(均P<0.05)。97.0%学员对培训整体评价为非常满意或满意。结论以老年病医院为依托的医疗护理员培训模式,对医疗护理员培训工作发展具有推动作用。

老年病医院临床护士道德勇气现状调查

目的探讨老年病医院临床护士道德勇气的现状,并分析其影响因素,提出护理对策。方法于2020年10月,采用便利抽样法,使用一般资料调查表、安全感量表、护士道德勇气量表对辽宁省老年病医院232名临床护士进行问卷调查。结果护士道德勇气得分为(72.44±13.77)分,处于中等水平;安全感、老年护理工作年限、是否遭受工作场所暴力事件是临床护士道德勇气的影响因素。结论护理管理者应提高对工作年限低、遭受过工作场所暴力的临床护士安全感水平,提升道德勇气,从而更好地为老年患者提供临床护理服务。

THEORETICAL EXPLANATION OF SPIN REORIENTATION IN DyTiFe_(11) COMPOUND

At room temperature,the c-axis is the easy magnetization direction tn DyTiFen compound.However,when we decrease temperature,the thermal magnetic curves show that a spin reorientation takes place at about 175K.The anisotropy constants of Ft sublattice have been determined by measuring the magnetocrystalline anisotropy of YTiFen,We have calculated the anisotropy constants of Dy by using single ion theory.The results demonstrate that the spin reorientation arises from the competition of magnetocrystalline anisotropy between Dy and Fe sublattices.The spin reorientation is explaned by the theo retical calculation.

Magnetic Properties of Sm_(2) Fe_(17) N_(2) and Y_(2) Fe_(17) N_(2)

The crystallographic and magnetic properties of Sm_(2) Fe_(17) N_(2) and Y_(2) Fe_(17) N_(2) have been investigated by using X-ray diffraction techniques and magnetic measurements.The effects of the interstitial nitrogen atoms on the Fe-Fe and R-Fe exchange interactions,iron 3d band structure and magnetocrystalline anisotropy induced by crystal field interactions in these nitride compounds are discussed.

Magnetic Properties of NdTiFe_(11)N_(0.5) and YTiF_(11)N_(0.5)

The structural and magnetic properties of NdTiFe_(11)N_(0.5) and YTiFe_(11)N_(0.5) have been studied.The nitrides retain the tetragonal ThMn_(12) structure and their unit cell volumes slightly increase.The interstitial nitrogen atoms are found to increase the Curie temperature and saturation magnetization of the compounds,and especially have a strong effect on the magnetocrystalline anisotropy.

CONTRIBUTION OF Sm^(3+) ION TO THE MAGNETOCRYSTALLINE ANISOTROPY IN SmTiFe_(11) COMPOUND

The magnetocrystalline anisotropy of SmTiFe_(11) Aas 6een studied.In addition to experimental investigations,the contribution of Sm^(3+) ion to the magnetocrystalline anisotropy of SmTiFe^(11) has been calculated using the single ion theory.The effect of the first excited state of Sm^(3+) has been taken into consideration in the calculations,and the calculated results are consistent with the experimental data.

老年慢性病患者照顾者负担的影响因素分析

目的了解老年慢性病患者照顾者负担及影响因素,为减轻照顾者负担提供依据。方法采用方便抽样法,抽取2020—2021年在辽宁省金秋医院住院治疗的65岁及以上慢性病患者的长期照顾者为调查对象,采用中文版照顾者负担量表(CBI)评估照顾者负担;收集照顾者人口学信息、培训情况及照顾患者的基本资料,采用多重线性回归模型分析老年慢性病患者照顾者负担的影响因素。结果发放调查问卷276份,回收有效问卷261份,问卷有效率为94.57%。照顾者男性48人,占18.39%;女性213人,占81.61%;年龄以45~<60岁为主,166人占63.60%。照顾者负担得分为(26.27±14.93)分,其中社交性负担和情感性负担得分较高,分别为(11.08±5.23)分和(7.81±6.24)分。参加新冠肺炎疫情防护培训354人,占82.38%。老年慢性病患者以男性为主,183人占70.11%;年龄为(89.97±8.26)岁;日常生活活动能力得分M(QR)为20.00(50.00)分;老年综合征数量为(4.10±1.57)种。多重线性回归分析结果显示,照顾者参加新冠肺炎疫情防护培训(β'=0.175)、患者日常生活活动能力(β'=-0.144)、患者老年综合征数量(β'=0.138)和患者年龄(β'=0.162)是照顾者负担的影响因素。结论老年慢性病患者照顾者的社交和情感性负担较重,新冠肺炎疫情防护培训以及患者日常生活活动能力、老年综合征数量和年龄可能影响照顾者负担。