巴林特小组活动对社区医护人员职业倦怠干预效果分析

【目的】探讨通过巴林特小组活动加强对社区医院医护人员心理问题的认识,改善医患关系,缓解职业倦怠。【方法】选取两家社区全科医师各20名、社区护士各10名,采用职业倦怠问卷(MBI)、抑郁筛查量表(SDS)、焦虑自评量表(SAS)、应对方式问卷(CSQ)量表,实验组社区开展为期2年的巴林特小组活动,对照组社区不参与干预活动。在干预前后对两组社区进行测量评分。【结果】实验组社区干预后的职业倦怠总体均分低于基线,差异有统计学意义(P<0.01);干预后焦虑、抑郁总分均低于基线(P<0.01)。【结论】社区医院应引入巴林特小组活动,缓解社区医护人员职业倦怠,提高了医护人员的职业技能,可进一步改善医患关系。

Clinical observation on electroacupuncture at four sacral points for overactive bladder syndrome

Objective： To observe the clinical effect of electroacupuncture （EA） at four sacral points on overactive bladder syndrome. Methods： A total of 120 female patients with overactive bladder syndrome were allocated to a treatment group of 80 cases and a control group of 40 cases on a voluntary basis. The patients in the treatment group received EA at four sacral points, and the treatment was given three times a week for 6 consecutive weeks, while the patients in the control group received oral administration of M-receptor antagonist tolterodine tartrate, which was given 4 mg each time, once a day for 6 consecutive weeks. Then the symptom scores were compared between the two groups before and after treatment. Results： At the end of treatment, the symptom scores showed statistical significant differences in comparing with those before treatment in both groups （both P〈0.02）; the symptom score in the treatment group was lower than that in the control group, showing a statistically significant difference （P〈0.05）. Conclusion： EA at four sacral points is an effective method for overactive bladder syndrome.