Objective:The paper aims to explore the status of intensive care unit(ICU)nurses'self-esteem,job satisfaction,and subjective well-being and to investigate the relationship among the three elements.Methods:A cross-...Objective:The paper aims to explore the status of intensive care unit(ICU)nurses'self-esteem,job satisfaction,and subjective well-being and to investigate the relationship among the three elements.Methods:A cross-sectional survey of 224 nurses from five teaching hospitals in Tianjin,China,was conducted.Self-esteem scale,job satisfaction scale,and subjective well-being scale were used to explore the status of ICU nurses'self-esteem,job satisfaction,and subjective well-being.Correlation among the three elements was calculated by SPSS 17.0.Results:The scores of three scales(i.e.,ICU nurses'self-esteem,job satisfaction,and subjective well-being)were 27.67±3.41,43.57±9.04,and 69.73±11.60,respectively.The subjective well-being was significantly positively correlated with self-esteem and job satisfaction(r=0.454,P<0.01;r=0.584,P<0.01,respectively).Conclusion:The study shows that the prevalence of subjective well-being and self-esteem with ICU nurses are at a low level,and job satisfaction is at the median level.Associations among self-esteem,job satisfaction,and subjective well-being in ICUs have been confirmed.Self-esteem and job satisfaction positively correlated with nurse subjective well-being.The higher the self-esteem and job satisfaction levels are,the stronger the subjective well-being is.The working pressure in ICUs cannot be alleviated temporarily;hence,to promote a high subjective well-being,managers and ICU nurses increase their self-esteem and job satisfaction through taking strategies that strengthen psychological construction.展开更多
目的系统评价视频探视在重症监护病房(ICU)中的应用效果。方法计算机检索中国知网、万方数据库、维普数据库、PubMed、EMbase、the Cochrane Library、Web of Science数据库中有关视频探视的随机对照研究、非随机对照研究与队列研究,检...目的系统评价视频探视在重症监护病房(ICU)中的应用效果。方法计算机检索中国知网、万方数据库、维普数据库、PubMed、EMbase、the Cochrane Library、Web of Science数据库中有关视频探视的随机对照研究、非随机对照研究与队列研究,检索时限为各数据库建库至2023年2月。由2名研究者依据纳入与排除标准独立筛选文献、提取数据并对纳入文献进行质量评价,采用RevMan5.4软件进行Meta分析。结果最终纳入13个研究。Meta分析结果显示,视频探视组探视后患者焦虑评分变化值(SMD=0.09,95%CI:-0.60~0.78,P=0.79)、患者焦虑发生率(RR=0.52,95%CI:0.11~2.45,P=0.40)、家属焦虑评分(SMD=-0.22,95%CI:-0.69~0.26,P=0.37)、家属焦虑发生率(RR=1.11,95%CI:0.75~1.65,P=0.60)、病房空气细菌培养合格率(RR=1.04,95%CI:0.95~1.14,P=0.39)与非视频探视组比较差异无统计学意义,患者满意率(RR=1.35,95%CI:1.11~1.63,P=0.002)、家属满意度评分(SMD=0.34,95%CI:0.22~0.46,P<0.001)、家属满意率(RR=1.29,95%CI:1.22~1.35,P<0.001)、病房物表采样细菌培养合格率(RR=4.18,95%CI:3.32~5.27,P<0.001)显著高于非视频探视组,患者谵妄发生率(RR=0.71,95%CI:0.54~0.95,P=0.02)、患者感染率(RR=0.35,95%CI:0.15~0.85,P=0.02)显著低于非视频探视组。结论现有证据表明,视频探视减缓ICU患者及家属焦虑情绪的效果与非视频探视相当;视频探视较非视频探视能显著提升ICU患者及家属满意率,显著降低ICU患者谵妄发生率及感染风险。展开更多
文摘Objective:The paper aims to explore the status of intensive care unit(ICU)nurses'self-esteem,job satisfaction,and subjective well-being and to investigate the relationship among the three elements.Methods:A cross-sectional survey of 224 nurses from five teaching hospitals in Tianjin,China,was conducted.Self-esteem scale,job satisfaction scale,and subjective well-being scale were used to explore the status of ICU nurses'self-esteem,job satisfaction,and subjective well-being.Correlation among the three elements was calculated by SPSS 17.0.Results:The scores of three scales(i.e.,ICU nurses'self-esteem,job satisfaction,and subjective well-being)were 27.67±3.41,43.57±9.04,and 69.73±11.60,respectively.The subjective well-being was significantly positively correlated with self-esteem and job satisfaction(r=0.454,P<0.01;r=0.584,P<0.01,respectively).Conclusion:The study shows that the prevalence of subjective well-being and self-esteem with ICU nurses are at a low level,and job satisfaction is at the median level.Associations among self-esteem,job satisfaction,and subjective well-being in ICUs have been confirmed.Self-esteem and job satisfaction positively correlated with nurse subjective well-being.The higher the self-esteem and job satisfaction levels are,the stronger the subjective well-being is.The working pressure in ICUs cannot be alleviated temporarily;hence,to promote a high subjective well-being,managers and ICU nurses increase their self-esteem and job satisfaction through taking strategies that strengthen psychological construction.
文摘目的系统评价视频探视在重症监护病房(ICU)中的应用效果。方法计算机检索中国知网、万方数据库、维普数据库、PubMed、EMbase、the Cochrane Library、Web of Science数据库中有关视频探视的随机对照研究、非随机对照研究与队列研究,检索时限为各数据库建库至2023年2月。由2名研究者依据纳入与排除标准独立筛选文献、提取数据并对纳入文献进行质量评价,采用RevMan5.4软件进行Meta分析。结果最终纳入13个研究。Meta分析结果显示,视频探视组探视后患者焦虑评分变化值(SMD=0.09,95%CI:-0.60~0.78,P=0.79)、患者焦虑发生率(RR=0.52,95%CI:0.11~2.45,P=0.40)、家属焦虑评分(SMD=-0.22,95%CI:-0.69~0.26,P=0.37)、家属焦虑发生率(RR=1.11,95%CI:0.75~1.65,P=0.60)、病房空气细菌培养合格率(RR=1.04,95%CI:0.95~1.14,P=0.39)与非视频探视组比较差异无统计学意义,患者满意率(RR=1.35,95%CI:1.11~1.63,P=0.002)、家属满意度评分(SMD=0.34,95%CI:0.22~0.46,P<0.001)、家属满意率(RR=1.29,95%CI:1.22~1.35,P<0.001)、病房物表采样细菌培养合格率(RR=4.18,95%CI:3.32~5.27,P<0.001)显著高于非视频探视组,患者谵妄发生率(RR=0.71,95%CI:0.54~0.95,P=0.02)、患者感染率(RR=0.35,95%CI:0.15~0.85,P=0.02)显著低于非视频探视组。结论现有证据表明,视频探视减缓ICU患者及家属焦虑情绪的效果与非视频探视相当;视频探视较非视频探视能显著提升ICU患者及家属满意率,显著降低ICU患者谵妄发生率及感染风险。