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Effects of Occupational Stress on the Mental Health of Nurses in the Limbe and Buea Regional Hospitals, Cameroon 职业压力对喀麦隆林贝和布埃亚地区医院护士心理健康的影响
Pub Date : 2024-03-16 DOI: 10.47672/ajhmn.1880
Binwi Florence, Mezatio Tsopbeng Maina
Purpose: Nursing is an extremely stressful job, and high levels of occupational stress are believed to have negative effects on nurses. The aim of this study was to evaluate the prevalence of occupational stress, factors contributing to occupational stress on nurses and effects of occupational stress on nurses’ mental health. A cross-sectional study design was used. The study duration was five months. A sample of 102 nurses was purposively selected to take part in the study from the Limbe and Buea Regional Hospitals, Cameroon and distributed by probability proportionate to size. Data was collected using a well structured questionnaire and entered into an excel spreadsheet then analyzed using the Weiman Occupational Stress Scale(WOSS). Materials and Methods: Data was presented using tables. A cut off point of 43.6 was used to determine the level of stress. Anyone above 43.6 had severe and anyone below 43.6 had mild effects. Findings: The study found out that nurses of the hospital were found to experience above average levels of occupational stress with the mean score and individual average score of 59.93 and 3.40 indicating a 51% higher than the established Weiman Occupational Stress Scale mean score of 33.75 and individual average of 2.25. The study found out that 61% of the nurses had severe stress while 39% had mild stress. The study also found that the most common stressors were Long work hours, handling a large number of patients alone and insufficient salary whilst the effects of occupational stress on mental health include: poor appetite, insomnia, depressive mood, trouble falling asleep, staying asleep or sleeping not too much, forgetfulness. Implications to Theory, Practice and Policy: Nurses should identify and use mechanisms that help them to better cope with stress.
目的:护理是一项压力极大的工作,高水平的职业压力被认为会对护士产生负面影响。本研究旨在评估职业压力的发生率、造成护士职业压力的因素以及职业压力对护士心理健康的影响。研究采用横断面研究设计。研究为期五个月。研究人员从喀麦隆的林贝和布埃亚地区医院有目的性地抽取了 102 名护士作为样本,按人数比例进行概率分布。数据收集采用结构合理的调查问卷,并输入 excel 电子表格,然后使用魏曼职业压力量表(WOSS)进行分析。材料与方法:数据以表格形式呈现。以 43.6 为分界点来确定压力水平。高于 43.6 的为重度,低于 43.6 的为轻度。研究结果研究发现,该医院护士的职业压力高于平均水平,平均得分和个人平均得分分别为 59.93 分和 3.40 分,比既定的魏曼职业压力量表平均得分 33.75 分和个人平均得分 2.25 分高出 51%。研究发现,61% 的护士有严重压力,39% 有轻微压力。研究还发现,最常见的压力因素是工作时间长、独自处理大量病人和工资不足,而职业压力对心理健康的影响包括:食欲不振、失眠、情绪低落、难以入睡、无法入睡或睡得不多以及健忘。对理论、实践和政策的影响:护士应确定并使用有助于更好地应对压力的机制。
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引用次数: 0
Effectiveness of Chest Physiotherapy in Broncho Pulmonary Clearance in Respiratory Distress Neonates 胸部物理治疗对呼吸窘迫新生儿支气管肺通畅的效果
Pub Date : 2024-02-09 DOI: 10.47672/ajhmn.1767
Sana Farooq, Syed Amjad Hussain, Nida Rizvi, Syed Hasan Abbas Rizvi
Purpose: Globally, the mortality rate of respiratory distress has been quite high due to unability to maintain oxygenation and overcome abnormal work of breathing. Chest Physical therapy, apart from providing advantageous outcomes to the adults, chest physical therapy is pivotal for newborns too but differs in terms of physiology and anatomy. Various chest physiotherapy techniques including percussions, vibrations, and compressions are quite effective in reducing mortality rate in neonates.Many studies has been conducted worldwidely, but still there has been limited data in Pakistan about the effect of bronchopulmonary clearance in neonatal intensive care unit, so this study was conducted to find the effectiveness of chest physiotherapy in neonatal intensive care unit Materials and Methods: This was the non-randomized controlled trial study conducted in tertiary care hospital of karachi , Pakistan. Total 40 samples collected through convenient based sampling were included in this study . The inclusion criteria including gestational age more than 37 weeks with atelactasis, mucous plugging, airway compromised, intubated or extubated, hospital admission, and chest complications where as exclusion criteria included cardiopulmonary instability, post surgery, pre term, intra ventricular hemmorage, fits or epilepsy, failure to thrive, and on consistent feed. Bronchopulmonary Clearance techniques such as Percussions , Compressions, and Vibrations along with suctioning and postural drainage were performed routinely twice daily session one in morning and one in evening was performed for total 14 days which means total 28 sessions of chest physiotherapy was implemented and chest xray, sp02, Heart rate, and respiratory rate was measured pre and post the sessions. Findings: The mean age of the participants were 37.050±5.57, out of which 20(52.5%) were females and 19(47.5%) were males. Result showed that post chest xray after chest physiotherapy was .2500±.49355 and post session spo2 was 2. .075 ± 4.56513. The chest physiotherapy was statistically significant in mucociliary clearance, lung expansion, preventing atelectasis, airway clearance, and other chest complications (0.008). Implications to Theory, Practice and Policy: Limitations of this study were that small sample size was taken, and data was collected from one tertiary care hospital of Karachi so it doesn’t showed generalization. Further studies in terms of large sample size are required for validity and reliability of this research.
目的: 在全球范围内,由于无法维持氧合和克服异常呼吸,呼吸窘迫的死亡率一直相当高。胸部物理疗法除了为成人提供有利的治疗效果外,对新生儿也至关重要,但新生儿的生理和解剖结构不同。世界各地已开展了许多研究,但巴基斯坦关于新生儿重症监护室支气管肺清除效果的数据仍然有限,因此本研究旨在了解新生儿重症监护室胸部物理治疗的效果:本研究是在巴基斯坦卡拉奇的三级护理医院进行的非随机对照试验研究。本研究通过方便抽样法共收集了 40 个样本。纳入标准包括胎龄超过 37 周、有乳汁淤积、粘液堵塞、气道受损、插管或拔管、入院和胸部并发症,而排除标准包括心肺功能不稳定、手术后、足月前、心室内淤血、抽搐或癫痫、发育不良和持续喂养。每天两次,早晚各一次,共进行 14 天,即总共进行 28 次胸部物理治疗,并在治疗前后测量胸部 X 光、Sp02、心率和呼吸频率。研究结果参与者的平均年龄为(37.050±5.57)岁,其中女性 20 人(52.5%),男性 19 人(47.5%)。结果显示,胸部物理治疗后的胸部 X 光片结果为(0.2500±0.49355),治疗后的 spo2 结果为(2.075±4.56513)。胸部物理治疗在粘液纤毛清除、肺扩张、防止肺不张、气道通畅和其他胸部并发症方面具有统计学意义(0.008)。对理论、实践和政策的启示:本研究的局限性在于样本量较小,且数据收集自卡拉奇的一家三甲医院,因此不具有普遍性。为了保证本研究的有效性和可靠性,需要进一步开展大样本研究。
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引用次数: 0
Effectiveness of Chest Physiotherapy in Broncho Pulmonary Clearance in Respiratory Distress Neonates 胸部物理治疗对呼吸窘迫新生儿支气管肺通畅的效果
Pub Date : 2024-02-09 DOI: 10.47672/ajhmn.1767
Sana Farooq, Syed Amjad Hussain, Nida Rizvi, Syed Hasan Abbas Rizvi
Purpose: Globally, the mortality rate of respiratory distress has been quite high due to unability to maintain oxygenation and overcome abnormal work of breathing. Chest Physical therapy, apart from providing advantageous outcomes to the adults, chest physical therapy is pivotal for newborns too but differs in terms of physiology and anatomy. Various chest physiotherapy techniques including percussions, vibrations, and compressions are quite effective in reducing mortality rate in neonates.Many studies has been conducted worldwidely, but still there has been limited data in Pakistan about the effect of bronchopulmonary clearance in neonatal intensive care unit, so this study was conducted to find the effectiveness of chest physiotherapy in neonatal intensive care unit Materials and Methods: This was the non-randomized controlled trial study conducted in tertiary care hospital of karachi , Pakistan. Total 40 samples collected through convenient based sampling were included in this study . The inclusion criteria including gestational age more than 37 weeks with atelactasis, mucous plugging, airway compromised, intubated or extubated, hospital admission, and chest complications where as exclusion criteria included cardiopulmonary instability, post surgery, pre term, intra ventricular hemmorage, fits or epilepsy, failure to thrive, and on consistent feed. Bronchopulmonary Clearance techniques such as Percussions , Compressions, and Vibrations along with suctioning and postural drainage were performed routinely twice daily session one in morning and one in evening was performed for total 14 days which means total 28 sessions of chest physiotherapy was implemented and chest xray, sp02, Heart rate, and respiratory rate was measured pre and post the sessions. Findings: The mean age of the participants were 37.050±5.57, out of which 20(52.5%) were females and 19(47.5%) were males. Result showed that post chest xray after chest physiotherapy was .2500±.49355 and post session spo2 was 2. .075 ± 4.56513. The chest physiotherapy was statistically significant in mucociliary clearance, lung expansion, preventing atelectasis, airway clearance, and other chest complications (0.008). Implications to Theory, Practice and Policy: Limitations of this study were that small sample size was taken, and data was collected from one tertiary care hospital of Karachi so it doesn’t showed generalization. Further studies in terms of large sample size are required for validity and reliability of this research.
目的: 在全球范围内,由于无法维持氧合和克服异常呼吸,呼吸窘迫的死亡率一直相当高。胸部物理疗法除了为成人提供有利的治疗效果外,对新生儿也至关重要,但新生儿的生理和解剖结构不同。世界各地已开展了许多研究,但巴基斯坦关于新生儿重症监护室支气管肺清除效果的数据仍然有限,因此本研究旨在了解新生儿重症监护室胸部物理治疗的效果:本研究是在巴基斯坦卡拉奇的三级护理医院进行的非随机对照试验研究。本研究通过方便抽样法共收集了 40 个样本。纳入标准包括胎龄超过 37 周、有乳汁淤积、粘液堵塞、气道受损、插管或拔管、入院和胸部并发症,而排除标准包括心肺功能不稳定、手术后、足月前、心室内淤血、抽搐或癫痫、发育不良和持续喂养。每天两次,早晚各一次,共进行 14 天,即总共进行 28 次胸部物理治疗,并在治疗前后测量胸部 X 光、Sp02、心率和呼吸频率。研究结果参与者的平均年龄为(37.050±5.57)岁,其中女性 20 人(52.5%),男性 19 人(47.5%)。结果显示,胸部物理治疗后的胸部 X 光片结果为(0.2500±0.49355),治疗后的 spo2 结果为(2.075±4.56513)。胸部物理治疗在粘液纤毛清除、肺扩张、防止肺不张、气道通畅和其他胸部并发症方面具有统计学意义(0.008)。对理论、实践和政策的启示:本研究的局限性在于样本量较小,且数据收集自卡拉奇的一家三甲医院,因此不具有普遍性。为了保证本研究的有效性和可靠性,需要进一步开展大样本研究。
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引用次数: 0
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American Journal of Health, Medicine and Nursing Practice
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