Objective To study effectiveness of System intervention to occupation burnout of medical staff.Methods Specimens were classified as interventional group and control group by 1:1 partnership rule.Systemic intervention,which came from organization,family and individual,was only applied to interventional group.The objective was to establish requirement and resource mechanism,continually increase response resource,and improve matching state of individual & job.It allowed full play to the first grade prevention(development intervention),the second grade prevention(symptom intervention)and the third grade prevention(burnout intervention).It determined effectiveness of intervention via indexes of occupation burnout,mental health and satisfaction within group or internal groups.Results Before systemic intervention,there was no significant difference between intervention group and control group(P＞0.05).After systemic intervention,the scores of burnout(emotion exhaustion(17.54±9.97)vs(14.30±11.87),P＜0.01;depersonalization(5.29±5.01)vs(4.63±5.65),P＜0.05;low personal accomplishment(6.47±4.89),(5.61±5.10),P＜0.01),check list-90(SCL-90),personal satisfaction in intervention group showed apparent difference compared with that in control group.But there was no significant difference in control group before and after intervention.Conclusion On the whole systemic intervention to health care staff obtains obvious achievement,effectively reduces emotional exhaustion,obsessive symptom and terror emotion,and enhances individual satisfaction.

construction of a comprehensive,multifunctional and theory supported operation system is the organization basis on which occupation burnout can be scientifically and effectively interfered.Interference to occupation burnout is divided into nine subsystems by "participation" dimension which consists of organization,family and individual,and by "functional" matrix dimension which consists of the first grade prevention(development interfere),the second grade prevention(symptom interfere) and the third grade prevention(burnout interfere).Among these subsystems there exist factors of different target,content,mode and method etc.Their operation and interrelation form a complete working system via which an organization interferes occupation burnout.Promote the hospital management more scientificly and hominizaiton's in human resource.

Objective To investigate the main influencing factors on occupation burnout of medical staffs of Guangxi Zhuang Autonomous Region. Methods By means of many phases stratified cluster system for a random sampling, via using the self-organized scale for measuring occupation burnout of medical staffs, 4575 medical staffs were investigated with questionnaire for occupation burnout of medical staffs. The data was processed by single and multiple factors analysis and regression analysis. Results Society environment is the protective factor of occupation burnout, and the regression coefficient is - 0.015. While organization environment, working environment, scale of hospital and working section office are the risk factors for occupation burnout, and the regression coefficient is 0.040 ～ 0.258, P < 0.05. Conclusions Occupation burnout is a composite phenomenon affected by many variables. Occupation burnout of medical staffs is related to organization environment, working eavironment, scale of hospital and section office of working.

Objective To analyse the situation and features of job burnout of nurses in Guangxi. Methods By means of many phases stratified cluster system sampling, a survey of job burnout including 2579 nurses was made . All of the data were dealt with by the software SPSS 13.0. Results The higher the education level of nurses, the higher of the scores of emotional exhaustion and reduced personal accomplishment they obtained. The nurses working in the first class hospital had the lowest scores of emotional exhaustion and the lowest total score of job burnout. The nurses working in the third class hospital had the highest score. Nurses whose length of service was less than or equalled to ten years had the lowest score of emotional exhaustion .The nurses in the departments of internal medicine,surgery,gynecology, and pediatrics had higher scores of emotional exhaustion, depersonalization,and reduced personal accomplishment and their total scores of job burnout were higher than those of the nurses in other departments.Conclusion Factors including educational level, the scale of hospital, length of service, marital status and working in different departments were influencing factors of job burnout of nurses .

Objective To investigate the main influencing of main factors on occupation burnout of medical staffs. Method 4575 medical staffs were investigated with occupation burnout of medical staffs questionnaire. The data was processed by single and multiple factors analysis and regression analysis.Results Society environment is the protective factor of occupation burnout, regression coefficient is -0.015. While organization environment, working environment, scale of hospital and working section office are risk factors, regression coefficient is 0.040～0.258.Conclusion Occupation burnout is a composite phenomenon affected by many variables. Intervention to occupation burnout must be proceeded in terms of the guideline of improving the balance requirement and resource.

Objective To explore the present situation and its characteristics on occupation burnout of medical staffs. Methods Self-made "Questionnaire for Occupation Burnout of Medical Members" is adopted in the analysis and 4575 medical staffs were involved in the questionnaire survey. The data was processed by variance analysis and correlation analysis.Results (1) In general, occupation burnout index of medical staffs is 1.83±1.15. Distributions of slight, moderate and severe burnouts are respectively 9.81%, 3.56% and 1.55% in colony of health care. (2) As to variables of demography such as sex, age, occupation, education background, marital status, economic income, years of work, when compared every two variables in each group, significant difference of various forms and extents came out(P＜0.05 or P＜0.01). (3) As regards section office of working, hospital area, scale of hospital and grade of hospital, when compared every two variables in each group, significant difference of various forms and extents also came out(P＜0.05 or P＜0.01). Conclusion Generally occupation burnout of medical staffs is not severe. Very little people compose occupation burnout of medical staffs, formation causes of which is restricted by a variety of variables. But it should be highly care and improved. Key words: Medical staffs; Occupation burnout; Characteristic

Objective The objective is to understand mental health of Guangxi medical staff and influencing factors. Method The self-report symptom inventory (SCL-90) and self-made genral questionnaire were used to survey 4575 samples with involvement of combination of layered-random and group-random. Results The number of positive items and 9 symptom factors scores in SCL-90 were significantly different from norm ( P < 0.01 ).Educational level, grade of organization, location of organization, occupation, section office of working, working years and status of marriage were relevant factors influencing mental health of medical staff. Logistic regression analysis showed that educational level, section office of working and status of marriage were risk factors ( regression coefficient: -0. 220 ～ 0. 118 ). Conclusion Mental health level of medical staff was lower than that of ordinary person ; and it was suggested that third class protection of mental health should be implemented to medical staff.

Objective To develop a multi-dimensional occupation burnout inventory of medical staffs.Methods It is on the base of huge domestic and overseas document,information and inventories,and combines similar scales such as Maslach Burnout Inventory.It also contains opinions of medical staff and consultation of experts,considers clinical experience and screens structural inventory of original project.4575 medical members were chosen randomly from first,second and third class hospitals in 5 Guangxi cities of Liuzhou,Nanning,Baise,Guigang,Guilin as test samples.It was identified inventory structure by exploratory factor analysis,and reliability and validity were verified.Results Three factors constitudted occupation burnout inventory for medical staffs ,including emotional exhaustion,depersonalization,reduced personal accomplishment and 18 items.Correlation coefficient of item scorings and factors that item belongs to is 0.694～0.860(P＜0.01),Cronbach's α coefficient of the inventory and factors is 0.942～0.830 and Cuttman Split-Half coefficient is 0.864～0.906(P＜0.01).When the interval is one month,correlation coefficient of two tests is 0.706(P＜0.01),Pearson correlation coefficients of factors of two test are 0.724,0.650,0.624(P＜0.01).When it compares with Maslach Burnout Inventory-General Survey in Chinese version,the correlation coefficient related to total scoring of inventory is 0.709,the correlation coefficients of relative factors are 0.867,0.673,-0.652(P＜0.01).Conclusion Occupation burnout inventory for medical staffs can be regarded as an ideal measure tool for medical staffs.

研究表明,急性心肌梗死(AMI)常规治疗再梗发生率为8.4%～14.0%,再梗或死亡原因多数并非心脏病变严重所致,而在于患者对所患病症缺乏认识所致,早期开展健康教育可降低病死率、缩短住院天数[1].本文对80例老年AMI患者进行了对照观察.

<正>人口老龄化所带来的问题不仅仅是老年人自己的问题,而是给家庭、社会和国家带来前所未有的压力。因此,全面评估老年患者的健康问题,对做好老年患者的护理具有重要的实现意义,可预防脑血管、心血管等老年慢性病的发生。

目的 探讨认知行为技术训练对护士同理心水平的影响.方法 采用中国修订的加利福尼亚心理调查表(CPI-RC)中的心理感受性(Py)分量表作为测量工具,对75名护士进行系统化的认知行为训练,比较训练前后同理心的变化.结果 训练后75名护士同理心水平[(56.12±7.82)分]高于训练前水平[(49.35±10.28)分](P ＜0.01);不同年龄组间的比较,训练后年龄大的一组同理心水平[(57.95±7.34)分]明显高于年龄小的一组[(54.65±7.97)分](P ＜0.05).结论 认知行为技术训练可以有效提高护士的同理心水平,提示医院从职业素质与技能的角度对护理人员的同理心进行管理具有技术上的可行性。

目前我国对老年性痴呆的治疗尚无新的突破[1,2],并缺乏专门的医疗服务机构.为了探讨对老年性痴呆不同阶段的护理,我们运用Orem理论[3]对老年性痴呆患者进行护理,收到好的效果.

在我国随着医护人员从业环境的改变,就业压力加大,加之社会转型期医患纠纷增多,举证责任倒置制度的实施,使得医护人员在承受高负荷工作的同时,又要面对强烈的心理压力,持续的、过于强烈的、高水平的压力可使他们处于疲惫不堪的状态[1],导致职业枯竭.

健康教育不仅是联结卫生知识与行为改变的桥梁,更重要的是一种治疗手段.通过对96例患者进舱前的心理问卷调查,结果表明都存在有心理问题,运用健康教育对患者实施指导,收到了满意效果,现报道如下:

我国糖尿病患病率约1%～2%,正以每年1‰的速度递增,糖尿病正威胁着人们的健康,也使国家的财力承受巨大的压力[1].

如何适应新形势发展的要求,与病人保持良好的护患关系,提高沟通交流能力是当前护理工作中亟待解决的一个问题.

着医学模式的转变,特别是我国加入WTO以后,医疗市场面临新的挑战和机遇,对护理工作提出了更高的要求[1].如何适应形势发展的要求,笔者通过到香港参观学习医院管理,并结合自己多年来从事护理管理工作的实践,就如何提高护理管理水平提出一些看法.

研究报道,脑卒中患者均有不同程度的运动、认知功能及情感障碍.康复时间越长,愈后越差.近年来,国内外康复医学的发展证明,抓住时机康复护理,可减少脑部病变对患者正常生活的影响.

随着我国城镇医药卫生体制的改革,为了使卫生资源配置合理,利用现有卫生资源,使其发挥其最大作用,开展社区护理是必然趋势.居家护理服务不只是技术性的护理措施,还应包含初级、次级与三级的预防保健工作.笔者于1999年7月到香港参观学习,根据香港社区护理的经验并结合当地情况在社区护理中,运用Friedman的家庭评估模式[1]对家庭进行护理,并取得很好的效果.具体做法如下:

神经内科的褥疮发病率相当高,究其原因主要有神经系统功能缺失;长期卧床;老年.褥疮对病人所造成的影响有疼痛、强迫体位的不适、感染发热甚至发生败血症、骨髓炎、致残等,上述情况都不同程度地影响神经内科疾病的转归,使病情恶化甚至致死,因此,做好褥疮的护理显得尤为重要.统计报道:脊髓损伤的褥疮发生率为24%～48%,70岁以上的老年病人的褥疮发生率为70%,其中70%发生在住院开始2周内[1].