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Reducing gadget use intensity in preschool-aged children through storytelling and coloring therapy 通过讲故事和涂色疗法降低学龄前儿童使用小工具的强度
Pub Date : 2024-04-12 DOI: 10.4081/hls.2024.11929
U. Kalsum, Andi Lis Armining Gandini, Sutrisno Sutrisno, Emmy Putri Wahyuni, Rosalin Ariefah Putri, Nyimas Heny Purwati
The use of gadgets in the current era of globalization has become a concerning trend, especially among preschool children, leading to addiction and detrimental effects on their physical, psychological, and emotional health. It has also resulted in increased social isolation and hindered development. The impact of this trend is significantly influenced by the roles of parents, family, and the surrounding environment. This study aimed to determine the effectiveness of health education using modules on the benefits of storytelling and coloring therapy in enhancing parents' knowledge, attitudes, and behaviors regarding prudent gadget use in preschool children. The research design was a pre-post quasi-experiment without a control group. The population comprised parents with preschool children attending 11 public kindergartens in Samarinda City. A total sampling method was utilized, resulting in 303 respondents. Health education intervention occurred after the pre-test, followed by one month of assistance and a subsequent post-test. The research instrument was a questionnaire adapted from the theory of planned behavior, assessing parents' knowledge, attitudes, and behaviors related to providing gadgets to children. Data analysis included univariate and bivariate analyses using the Wilcoxon test. The results indicate a significant influence of health education using modules on the benefits of storytelling and coloring therapy on parents' wise gadget use in preschool children (p-value < 0.005). Thus, health education for parents on prudent gadget use in preschoolers is highly recommended, particularly during parent meetings at school.
在当今全球化时代,使用小工具已成为一种令人担忧的趋势,尤其是在学龄前儿童中,这会导致他们沉迷于小工具,并对他们的身体、心理和情感健康产生不利影响。它还导致社会隔离的加剧和发展受阻。这一趋势的影响在很大程度上受到父母、家庭和周围环境作用的影响。本研究旨在确定利用讲故事和涂色疗法的益处模块开展健康教育对提高家长在学龄前儿童谨慎使用小工具方面的知识、态度和行为的有效性。研究设计为前-后准实验,不设对照组。研究对象包括萨马林达市 11 所公立幼儿园的学龄前儿童家长。研究采用总体抽样法,共有 303 名受访者。健康教育干预在前测之后进行,随后是一个月的援助和随后的后测。研究工具是一份根据计划行为理论改编的问卷,用于评估家长在为儿童提供小工具方面的知识、态度和行为。数据分析包括使用 Wilcoxon 检验进行的单变量和双变量分析。结果表明,关于讲故事和涂色疗法的益处的健康教育模块对家长明智使用学龄前儿童小工具有重大影响(P 值 < 0.005)。因此,强烈建议对家长开展有关学龄前儿童谨慎使用小工具的健康教育,尤其是在学校召开家长会期间。
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引用次数: 0
Buerger-Allen exercises' effectiveness for improving lower limb circulation 布格尔-艾伦运动对改善下肢血液循环的效果
Pub Date : 2024-04-12 DOI: 10.4081/hls.2024.11965
Hesti Prawita Widiastuti, Rahmawati Paonganan, Diah Setiani, Arsyawina Arsyawina, Joko Sapto Pramono, Hilda Hilda
Impaired peripheral perfusion in the legs is the most common complaint experienced by patients with type 2 Diabetes Mellitus (DM). One nursing intervention in the form of physical exercise that can be administered to DM patients to prevent peripheral perfusion disorders and increase vascularization of the lower extremities is the Buerger-Allen Exercise (BAE). The goal of this study was to analyze the effectiveness of BAE in improving lower extremity circulation. The population consisted of patients with type 2 DM. The research design employed a quasi-experiment with pre-test and post-test, including a control group. A sample of 24 respondents was divided into an intervention group and a control group. The sampling technique used was purposive sampling. Data were obtained through direct Ankle-Brachial Index (ABI) measurement using a Doppler ultrasound and an aneroid sphygmomanometer, temporary blood sugar level measurements using a glucometer, and leg sensitivity measurements using a monofilament tool. Paired T-tests and independent T-tests were used as statistical tests. The results of the Paired T-test for lower limb circulation in the intervention group yielded a p-value of 0.000, indicating a significant difference in the circulation of the lower extremities before and after the intervention. The results of the independent T-test also showed a p-value of 0.000, indicating significance. Thus, BAE can improve lower limb circulation in patients with type 2 DM.
腿部外周灌注受损是 2 型糖尿病(DM)患者最常见的主诉。布格-艾伦运动疗法(Buerger-Allen Exercise,BAE)是一种以体育锻炼的形式对糖尿病患者进行护理干预的方法,可以预防外周灌注障碍并增加下肢的血管生成。本研究旨在分析布格-艾伦运动在改善下肢血液循环方面的效果。研究对象包括 2 型糖尿病患者。研究设计采用了前测和后测的准实验方法,包括对照组。24 名受访者被分为干预组和对照组。采用的抽样技术是目的性抽样。通过使用多普勒超声波和无压血压计直接测量踝肱指数(ABI)、使用血糖仪测量临时血糖水平以及使用单丝工具测量腿部灵敏度来获取数据。统计检验采用了配对 T 检验和独立 T 检验。干预组下肢血液循环的配对 T 检验结果显示,P 值为 0.000,表明干预前后下肢血液循环存在显著差异。独立 T 检验的结果也显示 p 值为 0.000,具有显著性。因此,BAE 可以改善 2 型糖尿病患者的下肢循环。
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引用次数: 0
The efficacy of implementing family-centered care in child feeding practices 在儿童喂养实践中实施以家庭为中心的护理的功效
Pub Date : 2024-03-29 DOI: 10.4081/hls.2024.11964
Annif Munjidah, Elly Dwi Masita, Hinda Novianti, Uke Maharani Dewi
Nutrition is a basic need for a child to grow optimally. Improper child feeding practices are still found in the community, leading to malnutrition. The incidence of malnutrition has increased sharply in children aged 6 to 18 months in various countries, primarily due to ignorance and/or an inability to prepare food. The family plays a crucial role in the prevention and treatment of child nutrition problems. Families can provide education and practical supervision in addressing nutrition-related issues, including promoting healthy lifestyle patterns. The objective of this study was to determine the effectiveness of implementing family-centered care in changing child feeding practices. The research design employed was true experimental analysis with a pre-posttest group design. The population consisted of 130 respondents, infants aged 6 to 23 months, selected using a probability sampling technique with purposive random sampling. The research was conducted in Wonokromo, Surabaya, Indonesia, from March to June 2023. The measuring instrument utilized was a family-centered care-based child feeding guide. The independent variable in the study was family care, while the dependent variable was the change in the child's feeding practices. Test analysis was performed using the Mann-Whitney test. The results of the Mann-Whitney test indicated a significant difference in feeding practices before and after counseling with the family-centered care approach (p = 0.043). Thus, family-centered care was found to be effective in changing child feeding practices.
营养是儿童最佳成长的基本需要。社区中仍然存在不正确的儿童喂养方式,导致营养不良。在各个国家,6 至 18 个月儿童营养不良的发生率急剧上升,主要原因是无知和/或无法准备食物。家庭在预防和治疗儿童营养问题方面发挥着至关重要的作用。家庭可以在解决营养相关问题方面提供教育和实际监督,包括推广健康的生活方式。本研究旨在确定以家庭为中心的护理在改变儿童喂养方式方面的效果。研究设计采用了真正的实验分析法,并进行了前测-后测分组设计。研究对象包括 130 名年龄在 6 至 23 个月之间的婴儿,采用概率抽样法和有目的的随机抽样法选出。研究于 2023 年 3 月至 6 月在印度尼西亚泗水的 Wonokromo 进行。使用的测量工具是以家庭为中心的儿童喂养指南。研究的自变量是家庭护理,因变量是儿童喂养方式的改变。测试分析采用曼-惠氏检验法。Mann-Whitney 检验的结果表明,在使用以家庭为中心的护理方法进行咨询前后,喂养方式存在显著差异(p = 0.043)。由此可见,以家庭为中心的护理方法能有效改变儿童的喂养方式。
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引用次数: 0
Multidisciplinary nursing practice in a low-resource setting in Southeast Brazil 巴西东南部资源匮乏地区的多学科护理实践
Pub Date : 2024-03-28 DOI: 10.4081/hls.2024.12376
Bruno Henrique Souza Izidório, Kátia Eliane Santos Avelar, Flávia dos Santos Lugão De Souza, Patricia Maria Dusek, A. J. Lopes
The various specializations available to nurses represent an investment geared toward providing more qualified patient care. However, little is known about the attitudes of specialized nurses toward multidisciplinarity. The purpose of this study was to investigate nurses' perceptions of multidisciplinarity in the field of specialist nurses, as well as to determine how specialization is associated with improved patient care and nurses' age in a low-resource setting in Southeast Brazil. This cross-sectional study included 70 nurses aged ≥18 years with at least one nursing specialty working at the Regional Health Superintendence of Manhuaçu, Minas Gerais, Brazil. The study participants responded to questions about specialization and its importance in the field of health care. The majority of nurse specialists (84.3%) were between the ages of 20 and 40, and 31.4 percent worked in family health. Eighty percent of nurse specialists agreed that nursing specialization was important. More than 75% agreed that specialization promotes higher quality care and that multidisciplinarity is critical for improving patient care. Seventy percent of participants distrusted online health information. There is a relationship between the importance of having a specialty and better patient care (τb=0.293, p=0.002), and between being a specialist nurse and age (τb=-0.272, p=0.004). Nurses have embraced the concept of multidisciplinarity as a way to improve healthcare. However, they were concerned about the qualifications for nursing specialties.
护士可以选择的各种专科是一种投资,旨在为病人提供更高质量的护理。然而,人们对专科护士对多学科性的态度知之甚少。本研究旨在调查专科护士对多学科性的看法,并确定在巴西东南部资源匮乏的环境中,专科化与改善病人护理和护士年龄之间的关系。这项横断面研究包括在巴西米纳斯吉拉斯州曼华苏地区卫生监督局工作的 70 名护士,他们的年龄都在 18 岁以上,至少有一个护理专业。研究参与者回答了有关专业化及其在医疗保健领域的重要性的问题。大多数专科护士(84.3%)的年龄在 20 岁至 40 岁之间,31.4% 从事家庭保健工作。80% 的专科护士认为护理专业化很重要。超过 75% 的人认为,专业化能提高护理质量,多学科性对于改善病人护理至关重要。70% 的参与者不信任在线健康信息。专科的重要性与更好的病人护理之间存在关系(τb=0.293,p=0.002),专科护士与年龄之间存在关系(τb=-0.272,p=0.004)。护士们接受了多学科概念,认为这是改善医疗保健的一种方式。然而,她们对专科护士的资质表示担忧。
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引用次数: 0
Illness duration and quality of sleep among people living with HIV: a cross-sectional study 艾滋病病毒感染者的患病时间和睡眠质量:一项横断面研究
Pub Date : 2024-03-25 DOI: 10.4081/hls.2024.12289
Ahmad Ikhlasul Amal, Tintin Sukartini, Ninuk Dian Kurniawati, Indah Sri Wahyuningsih, Suyanto Suyanto, Inayatul Ulya
HIV is a chronic condition that requires ongoing medical management, and sleep disturbances are common among individuals living with the virus. By examining the relationship between the duration of illness and sleep quality, healthcare professionals can gain insights into the unique challenges faced by HIV patients and develop targeted interventions to address their specific sleep-related needs. This study aims to find out the relationship between the illness duration and the quality of sleep among people living with HIV/AIDS. This research used an observational research design using a cross-sectional approach. 128 HIV patients on Balai Kesehatan Masyarakat Wilayah Semarang were involved in using purposive sampling techniques. The data was gathered with medical records and the Pittsburgh Sleep Quality Index (PSQI). Spearman rank correlations were used to analyze the data. This study has been declared ethically appropriate by the Health Research Ethics Committee faculty of Nursing Universitas Islam Sultan Agung. The results found a relationship between the illness duration and quality of sleep where a p-value of 0.019 < α (0.05) with a contingency coefficient value of 0.208. The length of diagnosis and sleep quality have a strong correlation. Nurses and other healthcare providers need to provide interventions for PLHIV to improve sleep quality.
艾滋病是一种需要持续医疗管理的慢性疾病,睡眠障碍在病毒感染者中很常见。通过研究患病时间与睡眠质量之间的关系,医护人员可以深入了解艾滋病患者所面临的独特挑战,并制定有针对性的干预措施来满足他们与睡眠相关的特殊需求。本研究旨在了解艾滋病病毒感染者/艾滋病患者的病程与睡眠质量之间的关系。本研究采用横断面观察研究设计。采用有目的的抽样技术,对三宝垄市Balai Kesehatan Masyarakat医院的128名艾滋病患者进行了调查。数据通过医疗记录和匹兹堡睡眠质量指数(PSQI)收集。斯皮尔曼等级相关性用于分析数据。这项研究已被伊斯兰苏丹阿贡护理大学健康研究伦理委员会宣布为符合伦理要求。结果发现,病程与睡眠质量之间存在关系,P 值为 0.019 < α (0.05),或然系数为 0.208。诊断时间的长短与睡眠质量有很强的相关性。护士和其他医疗服务提供者需要为艾滋病毒感染者提供干预措施,以改善睡眠质量。
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引用次数: 0
Prevalence of hypertension and its associated risk factors among secondary school students in Duhok City 杜霍克市中学生高血压患病率及其相关风险因素
Pub Date : 2024-03-21 DOI: 10.4081/hls.2024.12073
Ayoub Abid Abdul Majeed, A. Haleem
Hypertension can develop in early childhood and go unnoticed unless it is screened for specifically during this developmental stage. Detecting potential hypertension risk in children is critical to avoiding the serious, long-term complications associated with the condition. The purpose of this study was to investigate the prevalence of hypertension among schoolchildren aged 13 to 18, as well as the risk factors associated with it. A cross-sectional study included 565 students aged 13 to 18 from the Duhok region. The analysis used Chi square testing and logistic regression with JMP Pro 14.3.0 software. Of the 565 students from 32 schools chosen, 242 (42.80%) were male and 323 (57.2%) were female. Notably, 5.84% (n=33) were hypertensive. A significant correlation was found between hypertension prevalence and body mass index, as well as gender. There was no significant relationship found with other variables. Logistic regression revealed that high blood pressure was significantly associated with excess weight, obesity, and age. We concluded that there was an increase in the incidence of hypertension among high school students. Lifestyle changes appeared to play a role in hypertension development among this population. Routine school surveys are recommended to detect potential hypertension cases in children and adolescents, allowing for timely preventative interventions.
高血压可在儿童早期发病,除非在这一发育阶段进行专门筛查,否则不会被发现。发现儿童潜在的高血压风险对于避免与该疾病相关的长期严重并发症至关重要。本研究旨在调查 13 至 18 岁学龄儿童中高血压的患病率以及与之相关的风险因素。这项横断面研究纳入了杜霍克地区 565 名 13 至 18 岁的学生。使用 JMP Pro 14.3.0 软件进行了 Chi Square 检验和 Logistic 回归分析。在来自 32 所学校的 565 名学生中,有 242 名男生(42.80%)和 323 名女生(57.2%)。值得注意的是,5.84%(33 人)患有高血压。研究发现,高血压发病率与体重指数和性别之间存在明显的相关性。与其他变量之间没有发现明显的关系。逻辑回归显示,高血压与超重、肥胖和年龄有明显关系。我们的结论是,高中生的高血压发病率有所上升。生活方式的改变似乎是导致这一人群患上高血压的原因之一。建议通过常规学校调查发现儿童和青少年中潜在的高血压病例,以便及时采取预防性干预措施。
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引用次数: 0
Parenting strategies: applying basic psychological needs to children at risk of Internet Gaming Disorder in Indonesia 育儿策略:将基本心理需求应用于印度尼西亚面临网络游戏障碍风险的儿童
Pub Date : 2024-03-21 DOI: 10.4081/hls.2024.11972
Nur Hidaayah, E. Yunitasari, Hanik Endang Nihayati, Khamida Khamida, Ratna Yunita Sari
Every parent desires their child to engage in both play and learning. Often, parents find themselves attributing any challenges to perceived shortcomings in their parenting and struggle to leverage digital media effectively. This research endeavors to examine the fundamental psychological needs - autonomy, competence, and relationship - in relation to parenting strategies for children vulnerable to Internet Gaming Disorder. Employing an analytical cross-sectional design, the study focused on parents with children aged 8 to 12 years in Gresik City, East Java, Indonesia. A purposive sample of 125 participants was selected. The research employed the satisfaction and frustration of the Basic Psychological Needs (BPN) questionnaire along with a parenting strategy scale. Descriptive statistical tests and multiple linear regression were utilized to analyze the BPN and parenting strategies. Simultaneously, BPN significantly influenced parental strategies (p=0.026, which is ≤0.05). In terms of effective contributions, autonomy, competence, and relationship collectively accounted for 7.3%, with individual effects of 1.82%, 5.56%, and 0.04%, respectively. Parents whose BPN were fulfilled exhibited effective parenting strategies, reducing the risk of Internet Gaming Disorder. Consequently, there is a crucial role for nurses and healthcare professionals in educating parents about preventing Internet Gaming Disorder in children.
每位家长都希望自己的孩子既能玩耍,又能学习。通常情况下,父母会把孩子面临的任何挑战都归咎于他们认为自己在养育方面存在的不足,并努力有效地利用数字媒体。本研究旨在探讨基本心理需求--自主性、能力和关系--与易患网络游戏障碍儿童的养育策略之间的关系。本研究采用分析性横断面设计,重点关注印度尼西亚东爪哇格雷斯克市有 8 至 12 岁子女的父母。研究选取了 125 名参与者作为目的性样本。研究采用了基本心理需求(BPN)满意度和挫折感问卷以及育儿策略量表。利用描述性统计检验和多元线性回归分析了基本心理需求和养育策略。同时,BPN 对养育策略有明显影响(P=0.026,≤0.05)。在有效贡献方面,自主性、能力和关系共占 7.3%,个体影响分别为 1.82%、5.56% 和 0.04%。满足了 "基本养育责任网络 "的父母表现出了有效的养育策略,从而降低了孩子患网络游戏障碍的风险。因此,护士和医护人员在教育家长预防儿童网络游戏障碍方面发挥着至关重要的作用。
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引用次数: 0
Analysis of human resources needs in the outpatient registration unit using the Analisis Beban Kerja Kesehatan (ABK Kes) method 使用 Analisis Beban Kerja Kesehatan (ABK Kes) 方法分析门诊挂号处的人力资源需求
Pub Date : 2024-03-21 DOI: 10.4081/hls.2024.11903
Atika Mima Amalin, Ari Susanti, Nuke Amalia, Devia Rosa Fauzan
Excessive workloads for medical record staff can lead to both physical and mental fatigue, while insufficient workloads may result in boredom. The outpatient registration unit at the hospital faces challenges in the registration process due to a high volume of patient registrations, leading to long queues. This study aimed to analyze the human resource needs of the medical record staff in the outpatient registration unit using the Analisis Beban Kerja Kesehatan (ABK Kes) method. The ABK Kes method involves calculating labor needs based on the workload associated with each type of task performed by staff at health service facilities, aligning with their primary duties and functions. The chosen method for this study was qualitative descriptive. Data collection was conducted through observation and interviews involving five subjects, all of whom were medical record staff in the outpatient unit. The results indicate that, based on the calculations, the human resource needs in the patient registration unit should include seven people, requiring an additional two staff members. The waiting time during registration significantly influences patients' perceptions of hospital service assessments. The addition of two staff members, in accordance with the calculated needs, is expected to enhance the productivity of the registration officers.
病历工作人员的工作量过大可能导致身心疲惫,而工作量不足则可能导致厌烦。医院的门诊挂号科在挂号过程中面临挑战,因为病人挂号量大,导致排长队。本研究旨在使用 Analisis Beban Kerja Kesehatan(ABK Kes)方法分析门诊挂号处病历工作人员的人力资源需求。ABK Kes 方法是指根据医疗服务机构工作人员的主要职责和职能,计算与他们所从事的每类任务相关的工作量,从而计算出劳动力需求。本研究选择的方法是定性描述法。数据收集是通过观察和访谈进行的,涉及五名研究对象,他们都是门诊部的病历工作人员。结果表明,根据计算,病人挂号处的人力资源需求应包括 7 人,需要增加 2 名工作人员。挂号过程中的等待时间极大地影响了患者对医院服务评估的看法。根据计算得出的需求,增加两名工作人员有望提高挂号人员的工作效率。
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引用次数: 0
Factors related to nurse compliance in monitoring infusion fluid in hospital 与护士遵守医院输液监测规定有关的因素
Pub Date : 2024-03-19 DOI: 10.4081/hls.2024.11783
Aulia Asman, Y. Yulkifli, Y. Yohandri, Naurah Nazhifah, Teguh Afrianda, Mariza Elvira, Alimuddin Alimuddin, Debby Sivia Dewi, S. Purwanza, Ramaita Ramaita, Auzia Asman
Infusion therapy involves the intravenous administration of drugs, fluids, and blood products to hospitalized clients. This study aimed to identify factors influencing nurse compliance in monitoring infusion fluids according to Standard Operating Procedures (SOPs). The research adopted a quantitative approach with a descriptive correlational design and a cross-sectional approach, focusing on a study population of 50 nurses. Data collection utilized observation techniques and questionnaires as research instruments, with the analysis employing Kendall's Tau B and Kendall's Tau C methods. The findings revealed significant correlations between age (p-value=0.000), education (p-value=0.006), career path level (p-value=0.013), and knowledge (p-value=0.011). However, there was no significant relationship between the length of work experience and nurse compliance in monitoring infusion fluids (p-value=0.257) according to SOPs in this private hospital. To enhance the quality of care, it is recommended that nurses receive additional training provided by the nursing education team at the hospital, focusing specifically on the monitoring of infusion fluids. This targeted training could contribute to reducing instances of complaints related to mismatched patient needs and ultimately improve compliance with established SOPs in infusion therapy.
输液治疗包括为住院病人静脉注射药物、液体和血液制品。本研究旨在确定影响护士按照标准操作程序(SOP)监测输液的因素。研究采用描述性相关设计和横断面定量方法,研究对象为 50 名护士。数据收集采用观察技术和问卷调查作为研究工具,分析采用 Kendall's Tau B 和 Kendall's Tau C 方法。研究结果显示,年龄(p 值=0.000)、学历(p 值=0.006)、职业道路水平(p 值=0.013)和知识(p 值=0.011)之间存在明显的相关性。然而,在这家私立医院,工作经验的长短与护士按照 SOP 监测输液的依从性之间没有明显关系(p 值=0.257)。为提高护理质量,建议护士接受由医院护理教育团队提供的额外培训,特别侧重于输液监测。这种有针对性的培训有助于减少与患者需求不匹配有关的投诉,并最终提高输液治疗中对既定 SOP 的依从性。
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引用次数: 0
Perception of burnout syndrome among nurses providing nursing care in the emergency room at a hospital in Riau Province 廖内省一家医院急诊室护理人员对职业倦怠综合征的看法
Pub Date : 2024-03-07 DOI: 10.4081/hls.2024.11815
Raja Fitrina Lastari, Gusvita Sari, Siska Mayang Sari, Susi Erianti, Rajunitrigo Rajunitrigo
The demands to nurses in the Emergency Room (ER) can lead to stress, potentially causing Burnout Syndrome. This may diminish the effectiveness of the nursing care provided to patients. This study aimed to explore the experience of Burnout Syndrome among nurses in the ER using a descriptive qualitative research design. Ten nurses from the ER participated in the study. All participants provided consistent answers, leading researchers to conclude data saturation through purposive sampling. In-depth interviews with a semi-structured format were conducted for data collection, and the Collaizi technique was employed for analysis. Findings revealed that nurses exhibited signs of Burnout Syndrome, such as physical, emotional, and mental exhaustion, while providing patient care, attributing this to the substantial workload.
急诊室(ER)对护士的要求可能会导致压力,并有可能引发倦怠综合症。这可能会降低为患者提供护理服务的效率。本研究采用描述性定性研究设计,旨在探讨急诊室护士的职业倦怠综合症经历。急诊室的 10 名护士参与了研究。所有参与者都提供了一致的答案,因此研究人员通过有目的的抽样得出了数据饱和的结论。研究人员采用半结构化的深度访谈形式收集数据,并采用科莱齐技术进行分析。研究结果显示,护士在为病人提供护理服务时表现出倦怠综合症的迹象,如身体、情绪和精神疲惫,这归因于工作量巨大。
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引用次数: 0
期刊
Healthcare in Low-resource Settings
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