老年神经系统疾病护理团队的决定因素及负担程度

Anna Antczak-Komoterska, Maria Małgorzata Sołtysińska, Natalia Grączewska, Karolina Krajewska, B. Haor, D. Kochman
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摘要

介绍。根据所进行的研究,工作量是由于普遍参与所进行的活动造成的。因此,可以看出,参与越多,负担越大,从而对身心护士/照顾者的健康产生更大的影响。需要注意的是,影响载荷程度的因素很多。进行研究的主要目的是评估护理团队在照顾被诊断患有神经系统疾病的老年人时的工作量程度。材料和方法。这项研究是在Włocławek省专科医院进行的,对象是随机选择的120名护理患有神经系统疾病的老年人的人(护士)。本研究采用诊断性调查方法,采用问卷调查技术。为了回答研究的主要目的,我们构建了一份调查问卷,并使用了标准化的研究工具——生活自理指数(ADL)、日常生活自理指数(IADL)和负面护理影响量表(COPE-index questionnaire)。研究表明,随着年岁的增加,护理人员的身体压力增加,与朋友的关系减弱,对家庭关系的影响显著,对角色的满意度下降。获得的数据表明,一小部分护理团队使用电梯或滚轮等设备进行转移。这项研究清楚地表明,患有神经系统疾病的老年人的独立程度对照顾他们的护理团队的精神和身体健康都有显著的影响。资历和工作满意度之间是有关系的。工作经验最长的人不会感到满足。护理团队在履行照顾老年人的职责时,没有充分利用物质和人力资源,这可能是由于各种原因造成的(缺乏知识,缺乏技能,设备有限,缺乏合作和帮助他人的意愿)。这对护士的身心负担水平产生了影响。病房的独立程度对护士的身心负担水平有显著影响。随着病房依赖度的增加,护理团队的负担程度也随之增加。(JNNN 2022; 11 (4): 167 - 173)
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Determining Factors and the Degree of Burden of Nursing Teams in the Care of an Elderly Person with a Neurological Disease
Introduction. According to the conducted research, the workload results from the general involvement in the undertaken activities. It can therefore be seen that the greater the involvement, the greater the burden, and thus the greater impact on the health of both the physical and mental nurse/caregiver. It should be noted that many factors affect the degree of the load. Aim. The main aim of the conducted research was to assess the degree of workload of nursing teams while caring for elderly people diagnosed with a neurological disease. Material and Methods. The study was conducted in the Provincial Specialist Hospital in Włocławek on a group of 120 randomly selected people (nurses) caring for an elderly person with a neurological disease. The study used the method of diagnostic survey, using the survey technique. In order to obtain an answer to the main objective of the research, a questionnaire was constructed and standardized research tools were used — ADL, IADL and the Negative Care Impact Scale included in the COPE-index questionnaire. Results. The study showed that with the increase in seniority in the role of a nurse/carer in the care of the elderly, there is an increase in physical strain, weakening of relations with friends, a significant impact on family relationships and a decrease in satisfaction with the role. The data obtained indicate that a small percentage of nursing teams use equipment such as a lift or rollers for transfer. The study clearly shows that the degree of independence of an elderly person with a neurological disease has a significant impact on both the mental and physical health of the nursing teams taking care of them. Conclusions. There is a relationship between seniority and job satisfaction. People with the longest work experience do not feel satisfied. Nursing teams do not fully use material and human resources while performing their role of caring for elderly people, which may result from various reasons (lack of knowledge, lack of skills, limited access to equipment, lack of willingness for cooperation and helping others). This has an impact on the level of physical and mental burden of nurses. The degree of independence of the ward has a significant impact on the level of physical and mental burden of the nurse. With the increase in dependence of the ward, the degree of burden on nursing teams increases. (JNNN 2022;11(4):167–173)
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