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Hubungan Komunikasi Terapeutik dan Risiko Perilaku Kekerasan pada Pasien Skizofrenia di Rumah Sakit Jiwa Provinsi Bali 巴厘岛省精神病院精神分裂症患者的治疗沟通与暴力行为风险之间的关系
Pub Date : 2020-05-29 DOI: 10.33088/jkr.v2i1.485
Dewa Gd Putra Jatmika, K. Y. Triana, Ni Komang Purwaningsih
Violent behavior is one of symptoms that can be demonstrated by patients with schizophrenia which it can cause injury to the patient and others. Therapeutic communication is one of the nursing intervention for patients with violent behavior. This study aimed to identify the relationship of communication and risk of violent behavior in schizophrenic patients. This study used a descriptive correlational with a cross-sectional design, which involved 68 patients with schizophrenia who were selected by consecutive sampling technique. The instrument in this study used a therapeutic communication checklist and observation sheets for changes in violent behavior. The results showed that as many as 35 patients (51.5%) who received good therapeutic communication from nurses, and 37 (54.4%) patients showed moderate risk of violent behavior. The results of the analysis by the Gamma ordinal by ordinal test found that there was a significant relationship between therapeutic communication and the risk of violent behavior with p value= 0.001 (<0.05). It showed that the better therapeutic communication applied, the lower of the incidence of violent behavior in schizophrenic patients. Thus it is expected that nurses can practice therapeutic communication techniques to improve the patient's condition so that violent behavior in patients can be reduced.
暴力行为是精神分裂症患者可能表现出的症状之一,它会对患者和他人造成伤害。治疗性沟通是针对暴力行为患者的护理干预措施之一。本研究旨在确定沟通与精神分裂症患者暴力行为风险之间的关系。本研究采用描述性相关横断面设计,通过连续抽样技术选取了 68 名精神分裂症患者。研究使用的工具是治疗沟通核对表和暴力行为变化观察表。结果显示,多达 35 名患者(51.5%)得到了护士良好的治疗沟通,37 名患者(54.4%)表现出中度的暴力行为风险。伽马序数检验分析结果发现,治疗沟通与暴力行为风险之间存在显著关系,P 值= 0.001(<0.05)。这表明,治疗沟通运用得越好,精神分裂症患者的暴力行为发生率就越低。因此,希望护士能够通过治疗性沟通技术来改善患者的病情,从而减少患者的暴力行为。
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引用次数: 1
Pengaruh Slow Stroke Back Massage Terhadap Kualitas Tidur Ibu Post Sectio Caesarea di RS. Bhayangkara Bengkulu 巴扬卡拉班古鲁医院剖腹产后母后睡眠质量的缓慢中风影响
Pub Date : 2020-05-29 DOI: 10.33088/jkr.v2i1.427
Anninah Anninah, A. Asmawati, S. Pardosi
Mother with sectio caesarea needs sleep for recovery and treatment. Mother with sleep disorders have a negative impact on quality of maternal health. Purpose of this research to determined effect of slow stroke back massage on quality of post-sectio caesarea mother's sleep. This study used quasi experimental with pre-test and post-test with control group design. Samples were taken mother with sectio caesarea at RS. Bhayangkara Bengkulu with 2 groups  of consecutive sampling technique and each group obtain 15 respondents. The analysis used independent sample t-test at α <5%. The result of  intervention group and control group before being given a slow stroke back massage were each average of sleep quality scores 10.27 and 8.00, meanwhile the result of intervention group and control group after being given a slow stroke back massage were each average of sleep quality scores 8.80 and 7.60. The  slow stroke back massage teraphy need to restore the quality of post-sectio caesarea mother's sleep in RS. Bhayangkara Bengkulu.
剖宫产的母亲需要睡眠来恢复和治疗。患有睡眠障碍的母亲会对产妇的健康质量产生负面影响。目的探讨慢中风背部按摩对剖宫产后产妇睡眠质量的影响。本研究采用准实验,采用前测和后测,对照组设计。采用连续抽样两组方法,每组15名被调查者。分析采用独立样本t检验,α <5%。干预组和对照组在接受慢中风背部按摩前睡眠质量得分均值分别为10.27分和8.00分,干预组和对照组在接受慢中风背部按摩后睡眠质量得分均值分别为8.80分和7.60分。慢冲程背部按摩疗法对恢复RS剖宫产后产妇睡眠质量的需要。
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引用次数: 0
Efektifitas Akupresure dalam Menurunkan Skala Nyeri Pasien Hipertensi Diwilayah Kerja Puskesmas Perumnas 腹绞痛有效降低腹绞痛患者在胃绞痛地区的高强度疼痛量表
Pub Date : 2020-05-29 DOI: 10.33088/jkr.v2i1.491
S. Haryani, Misniarti Misniarti
Acupressure is a non-pharmacological therapy that can be used to reduce blood pressure in hypertensive patients and can be included in the nursing care plan. Hypertension in Indonesia is 44.1% and the mortality rate due to hypertension is 34.1%. Hypertension data in Perumnas Public Health Center are 790 cases. This study aimed to determine the effect of acupressure on pain scales in hypertensive patients. This study used a quasi-experimental design with a sample size of 55 respondents with pre-post intervention. The results showed that there were differences in average pain scores between before and after acupressure intervention. Acupressure can be used to reduce pain better with a p value of 0.001. Acupressure therapy has many functions for physical health, one of which is to reduce acute and chronic pain. Pain occurs due to an imbalance of “qi” energy flow in the body. Acupressure will balance the body's “qi” energy flow so that it will relieve pain while curing diseases. This study recommended that health promotion measures be carried out on families and patients so that they can carry out routine blood pressure measurements and alternative treatments with acupressure therapy to reduce complaints due to hypertension.
穴位按压是一种非药物疗法,可用于降低高血压患者的血压,可纳入护理计划。印度尼西亚的高血压发病率为44.1%,高血压导致的死亡率为34.1%。Perumnas公共卫生中心的高血压数据为790例。本研究旨在探讨穴位按压对高血压患者疼痛量表的影响。本研究采用准实验设计,样本量为55人,采用前后干预。结果显示,穴位按压干预前后患者的平均疼痛评分存在差异。穴位按压能更好地减轻疼痛,p值为0.001。指压疗法对身体健康有许多功能,其中之一是减轻急性和慢性疼痛。疼痛的发生是由于体内“气”能量流动的不平衡。指压会平衡身体的“气”能量流动,从而在治疗疾病的同时减轻疼痛。本研究建议对家庭及病人采取健康促进措施,使他们可以进行常规血压测量和穴位按摩替代治疗,以减少因高血压引起的投诉。
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引用次数: 1
Pengetahuan Ibu dan Pengelolaan Demam Anak di Satu Rumah Sakit Swasta di Indonesia Barat 印度尼西亚西部一家私人医院的母亲知识和儿童发烧管理知识
Pub Date : 2020-05-29 DOI: 10.33088/jkr.v2i1.506
A. Rachmawati, Lia Kartika
Child's fever become a special consideration for mothers because of the adverse effects that arise if the fever is not treated. Mothers can experience anxiety so that independent treatment is the most effort made. Unaccountable information can lead mothers to inappropriate fever management. Preliminary data taken randomly in the outpatient unit showed that 9 out of 15 mothers did not understand the understanding and management of children's fever. The purpose of the study was to determine the relationship of maternal knowledge about child fever with the management of child fever in a private hospital in Western Indonesia. This descriptive correlational quantitative study using a cross-sectional approach was conducted in February - March 2020. The incidental sampling technique obtained 191 respondents from the initial population ie all child clients in the outpatient unit. Data collection using a questionnaire about maternal knowledge and management of children's fever owned by Widyastuti, 2016 with a content validity index of 0.88. The reliability of the mother's knowledge questionnaire reached Cronbach Alpha 0.527 and the children's fever management questionnaire reached 0.724 with the KR-20 technique. Chi Square analysis showed a significant relationship between mother's knowledge and management of children's fever (p = 0.001). Providing education about comprehensive fever management is very much needed in the outpatient unit setting. The next recommendation is to conduct research to determine the perceptions and attitudes of mothers about child fever and its management.
儿童发烧成为母亲的一个特殊考虑,因为如果发烧不治疗会产生不利影响。母亲可能会经历焦虑,所以独立治疗是最努力的。不可靠的信息可导致母亲采取不适当的发烧管理。在门诊随机抽取的初步数据显示,15名母亲中有9名对儿童发热的认识和管理不了解。本研究的目的是确定在印度尼西亚西部的一家私立医院,母亲对儿童发烧的知识与儿童发烧的管理之间的关系。这项使用横断面方法的描述性相关定量研究于2020年2月至3月进行。随机抽样技术从初始人群中获得191名受访者,即门诊单元的所有儿童客户。数据收集采用Widyastuti公司2016年出版的《孕产妇对儿童发热的了解与管理》问卷,内容效度指数为0.88。采用KR-20技术,母亲知识问卷信度达到Cronbach Alpha 0.527,儿童发热管理问卷信度达到0.724。卡方分析显示母亲对儿童发热的知识与管理之间存在显著关系(p = 0.001)。提供全面的发热管理教育是非常需要在门诊设置。下一个建议是开展研究,以确定母亲对儿童发烧及其管理的看法和态度。
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引用次数: 1
Hubungan Pola Asuh Orangtua terhadap Kejadian Obesitas pada Anak Usia Sekolah 父母与学龄儿童肥胖的关系
Pub Date : 2020-05-29 DOI: 10.33088/jkr.v2i1.500
K. Y. Triana, N. Lestari, Ni Made Ririn Anjani, Ni Putu Pristha Dewi Yudiutami
Obesity had known as a condition of excessive levels of fat in a person's body which is can result in the emergence of chronic diseases. Currently the problem of obesity has been experienced by many children. One of the main actions to deal with obesity on childhood is through the closest person, they were the family. This study aimed to determine the relationship of parenting style applied by parents to the incidence of children obesity that occurs in the elementary school of Badung Regency, Bali Province. The research method in this research was crossectional study with a total sampling technique. This research was conducted at two elementary school in Badung Regency involving 96 students from grades 5 and 6. The analysis of this study used the Chi Square test which shows the results of p value = 0.03 <α. It means that there was a significant relationship between parenting style to the incidence of obesity in school-age children in the Badung regency. Thus, parents are expected to be able to apply good parenting style by not being too permissive or forcing children in order to build the character of children and support proper nutritional status according to the child's age.
肥胖被认为是人体内脂肪含量过高的一种状态,它会导致慢性疾病的出现。目前,许多孩子都经历过肥胖的问题。应对儿童肥胖的主要措施之一是通过最亲密的人,他们是家人。本研究旨在探讨家长教养方式与巴厘省巴东县小学儿童肥胖发生率的关系。本研究采用全抽样横断面研究方法。本研究在巴东县的两所小学进行,涉及96名五年级和六年级的学生。本研究的分析采用卡方检验,p值= 0.03 <α。这意味着在巴东摄政区,父母教养方式与学龄儿童肥胖发生率之间存在显著的关系。因此,父母应该能够运用良好的养育方式,不要过于纵容或强迫孩子,以建立孩子的性格,并根据孩子的年龄提供适当的营养状况。
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引用次数: 3
Pengaruh Nafas Dalam dan Posisi Terhadap Saturasi Oksigen dan Frekuensi Nafas Pada Pasien Asma 哮喘患者的内呼吸和位置影响氧饱和度和呼吸频率
Pub Date : 2019-05-29 DOI: 10.33088/jkr.v1i1.398
A. Yulia, Dahrizal Dahrizal, W. Lestari
Asthma is a disorder of chronic inflammation of the airways which causes shortness of breath so that in clinical conditions there will be a decrease in oxygen saturation. One intervention that can be done in asthma patients to maximize pulmonary ventilation is diaphragmatic breathing exercises. This study aimed to determine the effect of deep breath and position on the  oxygen saturation  (SpO2) and respiratory rate (RR)in asthma patients. This study used a quasi-experimental design with pretest-posttest with control group. In this study the sample was taken using consequtives sampling with 15 people in one group and the entire study sample was 30 people. Measuring the SpO2 value of patients using Oxymetri and the frequency of breathing using a stopwatch for one minute. Intervention of deep breathing techniques and positioning and after observation for 30 minutes. The analysis used the Mann Whitney test. The results of the study showed the influence of deep breathing intervention and position on the SpO2 value of asthma patients (P Value = 0.001) and there was influence of deep breathing intervention and position on the RR value of asthma patients (P Value = 0.001). Asthma can be realized by proper management of asthma. Appropriate management includes making lung function close to normal, preventing recurrence of the disease to prevent death.
哮喘是一种气道慢性炎症的疾病,它会导致呼吸急促,因此在临床情况下会出现血氧饱和度下降。对哮喘患者最大限度地进行肺通气的一种干预措施是横膈膜呼吸练习。本研究旨在探讨深呼吸和体位对哮喘患者血氧饱和度(SpO2)和呼吸速率(RR)的影响。本研究采用准实验设计,对照组采用前测后测。在本研究中,样本采用结果抽样法,每组15人,整个研究样本为30人。用氧计测量患者的SpO2值,用秒表测量呼吸频率,持续1分钟。干预深呼吸技术及体位,观察后30分钟。分析使用了曼-惠特尼检验。研究结果显示,深呼吸干预和体位对哮喘患者SpO2值有影响(P值= 0.001),深呼吸干预和体位对哮喘患者的RR值有影响(P值= 0.001)。哮喘可以通过适当的管理来实现。适当的治疗包括使肺功能接近正常,防止疾病复发,防止死亡。
{"title":"Pengaruh Nafas Dalam dan Posisi Terhadap Saturasi Oksigen dan Frekuensi Nafas Pada Pasien Asma","authors":"A. Yulia, Dahrizal Dahrizal, W. Lestari","doi":"10.33088/jkr.v1i1.398","DOIUrl":"https://doi.org/10.33088/jkr.v1i1.398","url":null,"abstract":"Asthma is a disorder of chronic inflammation of the airways which causes shortness of breath so that in clinical conditions there will be a decrease in oxygen saturation. One intervention that can be done in asthma patients to maximize pulmonary ventilation is diaphragmatic breathing exercises. This study aimed to determine the effect of deep breath and position on the  oxygen saturation  (SpO2) and respiratory rate (RR)in asthma patients. This study used a quasi-experimental design with pretest-posttest with control group. In this study the sample was taken using consequtives sampling with 15 people in one group and the entire study sample was 30 people. Measuring the SpO2 value of patients using Oxymetri and the frequency of breathing using a stopwatch for one minute. Intervention of deep breathing techniques and positioning and after observation for 30 minutes. The analysis used the Mann Whitney test. The results of the study showed the influence of deep breathing intervention and position on the SpO2 value of asthma patients (P Value = 0.001) and there was influence of deep breathing intervention and position on the RR value of asthma patients (P Value = 0.001). Asthma can be realized by proper management of asthma. Appropriate management includes making lung function close to normal, preventing recurrence of the disease to prevent death.","PeriodicalId":339952,"journal":{"name":"JURNAL KEPERAWATAN RAFLESIA","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115677239","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 9
Pengaruh Kepatuhan Diet, Aktivitas Fisik dan Pengobatan dengan Perubahan Kadar Gula Darah pada Pasien Diabetes Mellitus Suku Rejang 饮食、身体活动和血糖水平变化治疗糖尿病患者的影响
Pub Date : 2019-05-02 DOI: 10.33088/jkr.v1i1.393
Almaini Almaini, H. Heriyanto
Diabetes mellitus (DM) is a chronic disease characterized by blood glucose levels exceeding normal and impaired metabolism of carbohydrates, fats and proteins due to a relative or absolute deficiency of insulin hormones. This study aimed to determine the relationship between dietary compliance, physical activity, and adherence to taking medication with blood sugar levels when in patients with type 2 diabetes mellitus. This type of research was analytical with a cross-specific approach that uses a sample of 46 Rejang tribal diabetes mellitus patients who come to Curup Health Center, Prumnas Health Center and Delima Village Health Center during the period of August to October 2018 which met the criteria for inclusion and exclusion. The instruments used were food recall forms, questionnaires, medical records and glucometers. The results of the study were processed by bivariate analysis using the chi square test and multivariate analysis with logistic regression test. The results of the bivariate statistical test dietary compliance variable p = 0.001 OR = 15,343, CI = 3,327-67,636, and the medication adherence variable p = 0,035, OR = 4,038, CI 1,061-15,370. There was a significant relationship between diet compliance, adherence to taking medication with blood sugar levels when in patients with diabetes melititus Rejang tribe Rejang Lebong District. DM patients are expected to always adhere to diet, physical activity and medication treatment.
糖尿病(DM)是一种慢性疾病,其特征是血糖水平超过正常水平,由于胰岛素激素的相对或绝对缺乏,碳水化合物、脂肪和蛋白质的代谢受损。本研究旨在确定2型糖尿病患者饮食依从性、身体活动和服药依从性与血糖水平之间的关系。这类研究采用交叉特异性方法进行分析,该方法使用了2018年8月至10月期间来到Curup健康中心、Prumnas健康中心和Delima村健康中心的46名Rejang部落糖尿病患者的样本,这些患者符合纳入和排除标准。使用的工具包括食品召回表、调查问卷、医疗记录和血糖仪。研究结果采用卡方检验进行双因素分析,logistic回归检验进行多因素分析。双变量统计检验结果:饮食依从性变量p = 0.001 OR = 15,343, CI = 3,327-67,636;药物依从性变量p = 0,035, OR = 4,038, CI 1,061-15,370。糖尿病患者的饮食依从性、服药依从性与血糖水平之间存在显著关系。糖尿病患者应始终坚持饮食、体育活动和药物治疗。
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引用次数: 1
Faktor – Faktor Yang Berhubungan Dengan Konsumsi Buah-Sayur Pada Remaja Di Daerah Rural-Urban, Yogyakarta 因素——与日惹鲁里尔-城市地区青少年水果消费有关的因素
Pub Date : 2019-04-29 DOI: 10.33088/jkr.v1i1.400
Alfonsa Reni Oktavia, A. Syafiq, Asih Setiarini
Vegetable consumption of the Indonesian population is still low in the teen age group both in rural and urban areas. Consumption of fruits and vegetables in adolescents is important for preventing degenerative diseases. The aim of the study was to determine the factors associated with fruit and vegetable consumption in adolescents in rural-urban areas. This study used a cross-sectional research design in Yogyakarta with 196 rural-urban teens. The analysis used was univariate, bivariate, analysis. The results showed that teenagers in urban areas ate less vegetables. Whereas in teenagers in rural areas, they consume less fruit. There is a significant relationship between vegetable consumption in adolescents in rural areas with father's education level (p = 0.031) and self-image perception (p = 0.041), while in urban areas there is a significant relationship between vegetable consumption and self-image perception (p = 0.049) and education in adolescents (p = 0.047). Fruit consumption in adolescents in rural areas that are significantly related is the perception of body image (p = 0.016), while in adolescents in urban areas that are significantly related is monthly money (p = 0.003). Suggestions that can be given are provide health education about the importance of the benefits of vegetables and fruit.  
无论是在农村还是城市地区,印尼青少年的蔬菜消费量仍然很低。青少年食用水果和蔬菜对预防退行性疾病很重要。该研究的目的是确定城乡青少年水果和蔬菜消费的相关因素。本研究采用横断面研究设计,在日惹市对196名城乡青少年进行调查。所使用的分析是单变量分析,双变量分析。结果显示,城市地区的青少年吃的蔬菜较少。而在农村地区的青少年中,他们消耗的水果较少。农村青少年蔬菜消费与父亲受教育程度(p = 0.031)、自我形象感知(p = 0.041)存在显著相关,城市青少年蔬菜消费与自我形象感知(p = 0.049)、受教育程度(p = 0.047)存在显著相关。农村地区青少年水果消费与身体形象感知显著相关(p = 0.016),城市地区青少年与月收入显著相关(p = 0.003)。可以给出的建议是提供关于蔬菜和水果益处重要性的健康教育。
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引用次数: 6
Pengetahuan dan Sikap Lansia tentang Penggunaan Obat Tradisional Hipertensi 老年服用传统高血压药物的知识和态度
Pub Date : 2019-04-29 DOI: 10.33088/jkr.v1i1.397
A. Awaluddin, P. Purwanto
The used of traditional medicines to decrease hypertension were increased. The used of them were influenced by knowledge and attitude. The purpose of this study was to known the correlation of knowledge and attitude of the elderly in use of the traditional medicine to reducing hypertension in Batang Tumu Health Center, District of Indragiri Hilir. This study was analytical withcross sectionaldesign. The population were all elderly who had hypertension as many as 143 respondent. The number of samples in this study were 59 respondents. The technique of sampling was purposive. Measuring instrument used was questionnairre. The results showed that elderly with well knowledge were 31 respondents (52.2%) and positive attitude were 38 respondents (64.4%). The chi square test results showed that there was a significant correlation between knowledge with the use of traditional medicine to reduce hypertension with p value 0.002
传统降压药物的使用有所增加。它们的使用受知识和态度的影响。本研究的目的是了解因德拉吉里希利尔区巴塘图木保健中心老年人使用传统药物降高血压的知识和态度的相关性。本研究采用横断面设计进行分析。调查人群均为老年高血压患者,调查对象多达143人。本研究样本数量为59人。抽样技术是有目的的。测量工具为问卷调查。结果显示:老年人知识丰富者31人(52.2%),态度积极者38人(64.4%);卡方检验结果显示,知识与使用传统药物降压之间存在显著相关,p值为0.002< alpha 0.05。老年人态度与使用传统药物降压有显著相关(p值0.004 < alpha 0.05)。本研究结果对老年人的护理工作有一定的指导意义,老年人需要有良好的护理知识和积极的护理态度,才能更好地应用高血压传统药物。
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引用次数: 1
Analisis Faktor-Faktor yang Mempengaruhi Penerapan Berpikir Kritis Perawat dalam Melaksanakan Asuhan Keperawatan di Rumah Sakit 分析影响护士在医院执行护理护理计划时的批判性思维的因素
Pub Date : 2019-04-29 DOI: 10.33088/jkr.v1i1.394
Yanti Sutriyanti, M. Mulyadi
Critical thinking skills is a very essential ability in providing services to patients. Factors that can influence critical thinking skills include physical condition, motivation, anxiety, habits, intellectual development, consistency, feelings, and experience. These factors can provide positive support or can reduce critical thinking skills. The purpose of the study was to analyze the factors that influence the application of nurses' critical thinking skills in implementing nursing care to patients. Crossectional research design. The study population was inpatient nurses and a total population sample of 113 nurses. The results of this study (73%) were female, (78%) education was not Ners, (91%) were married, (57%) were civil servants, (53%) were more than 30 years old, (58%) were working long < 6 years. There was a significant relationship between sex factors (p. 005), duration of work (p. 0,045), motivation (p. 0.015), anxiety (p. 0.008), intellectual development (p. 001), and experience (0.002) towards the application of critical thinking nurses in implementing nursing care. There was no significant relationship between factors of age, education, marital status, employment status, physical condition, feelings, habits, consistency in the application of nurse critical thinking in implementing nursing care (p value> 0.005).The intellectual development of nurses can improve critical thinking which is the most dominant in implementing nursing care.  
在为病人提供服务时,批判性思维能力是一项非常重要的能力。影响批判性思维技能的因素包括身体状况、动机、焦虑、习惯、智力发展、一致性、感觉和经验。这些因素可以提供积极的支持,也可以降低批判性思维技能。本研究的目的是分析影响护士运用批判性思维技能对病人实施护理的因素。横断面研究设计。研究人群为住院护士,总体样本为113名护士。本研究的结果为女性(73%),未受教育(78%),已婚(91%),公务员(57%),30岁以上(53%),工作时间< 6年(58%)。性别因素(p. 005)、工作时间(p. 0.045)、动机(p. 0.015)、焦虑(p. 0.008)、智力发展(p. 001)、经验(p. 0.002)对批判性思维护士在实施护理中的应用有显著的影响。年龄、受教育程度、婚姻状况、就业状况、身体状况、情感、习惯、护士批判性思维在实施护理中的一致性等因素之间无显著相关(p值> 0.005)。护士的智力发展可以提高批判性思维,而批判性思维是实施护理的最主要因素。
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引用次数: 8
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