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医、护、社工三位一体护理模式对卒中患者自我管理能力和社会卫生服务利用的影响 被引量:4
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作者 梅婷 王明珠 +2 位作者 舒卫丰 侯香传 邱翠竹 《广州医药》 2019年第6期93-97,共5页
目的探讨医、护、社工三位一体护理模式对卒中患者自我管理能力和社会卫生服务利用次数的影响。方法采用便利抽样法,选择2016年7月—2017年7月在佛山市某三级甲等综合医院住院治疗,诊断为脑卒中(首发)康复期的出院患者104例,分为对照组5... 目的探讨医、护、社工三位一体护理模式对卒中患者自我管理能力和社会卫生服务利用次数的影响。方法采用便利抽样法,选择2016年7月—2017年7月在佛山市某三级甲等综合医院住院治疗,诊断为脑卒中(首发)康复期的出院患者104例,分为对照组51例和实验组53例,其中对照组采用社区常规的长期护理模式,实验组实施医、护、社工三位一体的护理服务方案,比较两组患者在干预后3个月、6个月的自我管理能力,同时记录干预期间患者急诊次数、再入院次数等卫生服务利用情况。结果干预3个月、6个月时实验组患者自我管理能力高于对照组,差异有统计学意义(P<0.05)。干预3个月时两组患者卫生服务利用方面比较,差异无统计学意义(P>0.05);干预6个月时实验组患者的卫生服务利用次数少于对照组,差异有统计学意义(P<0.05)。结论医、护、社工三位一体长期护理模式提高卒中患者的自我管理能力,还能减少患者急诊次数和再入院次数,是患者慢性病管理的一种有效方法。 展开更多
关键词 医、护、社工三位一体 理模式 脑卒中 自我管理能力 会卫生服务利用
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医、护、社工三位一体长期护理对卒中康复期患者生存质量的影响 被引量:2
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作者 舒卫丰 《黑龙江医学》 2017年第6期586-587,共2页
目的探讨医、护、社工三位一体长期护理对卒中康复期患者生存质量的影响。方法以2016-01—2016-06间佛山市南海区人民医院神经内科收治的142例缺血性脑卒中康复期患者为研究对象,随机数字表法将其均分为对照组(常规的长期护理模式)和实... 目的探讨医、护、社工三位一体长期护理对卒中康复期患者生存质量的影响。方法以2016-01—2016-06间佛山市南海区人民医院神经内科收治的142例缺血性脑卒中康复期患者为研究对象,随机数字表法将其均分为对照组(常规的长期护理模式)和实验组(医、护、社工三位一体长期护理模式),观察两组护理干预前后生存质量,日常生活能力评分(BADL)、生存质量评分(SQOL)、汉密尔顿抑郁量表评分(HAMD评分)。结果与护理干预前相较,护理干预后差异组BADL评分明显升高,SQOL评分、HAMD评分明显降低,差异有统计学意义(P<0.05);护理干预后与对照组相较,实验组BADL评分升高明显,SQOL评分、HAMD评分降低明显,差异有统计学意义(P<0.05)。结论医、护、社工三位一体长期护理有效提高卒中康复期患者的生存质量并改善患者抑郁症状。 展开更多
关键词 医、护、社工三位一体 长期 卒中康复期
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Self-endangering:A qualitative study on psychological mechanisms underlying nurses’burnout in long-term care 被引量:1
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作者 Lara Luisa Eder Bertolt Meyer 《International Journal of Nursing Sciences》 CSCD 2022年第1期36-48,I0002,共14页
Objectives To develop a more specific understanding of psychological mechanisms in the development of burnout in long-term care as a basis for potential new intervention strategies aiming at improving nurses’mental h... Objectives To develop a more specific understanding of psychological mechanisms in the development of burnout in long-term care as a basis for potential new intervention strategies aiming at improving nurses’mental health.Methods Two qualitative studies with thematic analysis were conducted.In Study 1,we conducted eight group interviews with 110 nurses from May–July 2019 in the context of workshops at eight nursing homes in Germany.In Study 2,we supplemented these with semi-structured interviews with 14 executives at German nursing homes in December 2019.Results The thematic analysis in Study 1 identified three main themes:causes of challenges,employees’opportunities for change,and organisational opportunities for change.Thematic analysis in Study 2 identified three main themes:job motives,reasons for filling in for others,and employee self-care.Further,our results show that the need to stand in for colleagues,in particular,is one of the greatest challenges for geriatric caregivers.In dealing with these challenges we found that self-endangering behaviour—a diminished ability to say no when asked to fill in or to do work overtime—was an important antecedent of nurses’burnout.Further,high levels of altruistic motivation and identification with the team or organisation were associated with self-endangering behaviour in the presence of adverse working conditions.Low levels of self-worth are a further risk factor for self-endangering.Conclusions Our findings are at odds with some core tenets of classic models of job demands and burnout that construe motivation and identification as resources.Our results show the need of a holistic intervention program in nursing including individual coaching,team-based interventions and organisational development processes.Employees themselves should be sensitized to this issue and supported in the long term,and politicians should create structures that do not encourage this behaviour any further. 展开更多
关键词 ALTRUISM CAREGIVERS Health personnel Mental health Nursing homes Professional burnout Social identification WORKLOAD
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"Don't Break Your Caregiver" Campaign 2011 by Tehy--The Union of Health and Social Care Professionals
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作者 Vuoriluoto Irmeli 《Sociology Study》 2013年第9期707-714,共8页
According to several researches and survey findings, violence and the threat of violence are increasingly present at workplaces in the field of healthcare. In 2011, the Finnish Union of Health and Social Care Professi... According to several researches and survey findings, violence and the threat of violence are increasingly present at workplaces in the field of healthcare. In 2011, the Finnish Union of Health and Social Care Professionals--Tehy implemented a poster campaign targeted at the users of healthcare services, as well as healthcare staff. Representatives of local trade unions, as well as safety representatives, reported that the campaign was relevant. Most employers had a favorable attitude toward distributing campaign posters at the workplace. Raising this issue, which increases the mental burden of work and risks occupational safety at the workplace, helps to achieve improvements. Following the poster campaign, Tehy conducted an electronic survey in early 2012 about the impacts of the campaign among representatives of local trade unions (N= 279) and safety representatives (N = 278). The campaign resulted in some working environment improvements, as well as an increase in reporting situations involving violence. On a more worrying note, the provision of workplace-level training on managing violent situations did not increase. 展开更多
关键词 Healthcare workplace violence poster campaign impact occupational safety
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