目的:探讨职业价值感在心理契约破裂与职业认同之间的缓冲作用,为提升护士职业认同感提供理论依据.方法:采用问卷调查法,对随机抽取的杭州市3家医院的869名护士进行心理契约破裂、职业价值感和职业认同感的调查.结果:心理契约破裂与护士职业认同感呈负相关,相关系数为-0.29-0.64(P<0.05),职业价值感是心理契约破裂与职业认同感之间的缓冲变量,这一缓冲作用主要通过过职业特性、信任2个因素实现.结论:医院护理管理者应注重改善护士心理契约状况,同时注重提高护士职业价值感,以提升护士的职业认同水平.

Objective To evaluate pain education for pain cognitive and pain control effect of patients in perioperative with calcaneal fractures.Methods A total of 174 cases of calcaneal fractures were randomly divided into study group and control group of 87 cases respectively,in 1 +1 formula strengthen pain education and traditional integrated approach to health education,the use of pain and pain control cognitive scale investigation,and the effects of postoperative pain control and satisfaction were compared.Results The study group enthusiasm for pain control,expressed awareness,participation and the degree of attention were significantly higher(P 0.05).Study group on the cognitive and taked pain medication pain treatment more active than the control group(P 0.05).Study group after 1 to 3 days of pain were significantly lower than the control group(P 0.05),the use of painkillers and active expression of pain were significantly higher proportion(P 0.05).Study group education on pain,pain control,assisting families and accompanying satisfaction were significantly higher(P 0.05).Conclusion Pain education could effectively improve the patient's pain and analgesic drug use and improve cognition in patients with pain control enthusiasm and initiative,pain control was improved obviously,conducive to the prognosis of patients recovery.

目的 调查重症监护护士职业倦怠状态以及相关因素.方法 选择我市10所二甲以上级别医院重症监护室护士共269名护理人员作为调查对象,采用护士职业倦怠问卷、护士工作压力量表、一般自我效能感问卷、应付方式问卷等进行调查.结果 ICU护理人员职业倦怠程度高于常模(P＜0.01).常被投诉、参加过专科培训与职业倦怠的情感耗竭维度呈正相关,而参加过沟通培训与其呈负相关(P均＜ 0.05).常被投诉与职业倦怠的去人格化呈正相关(P＜0.01).参加过沟通培训班与个人成就感维度呈正相关,而常被投诉与其呈负相关(P＜0.05).结论 常被投诉影响到职业倦怠的各个维度,而参加过沟通培训则能改善护理人员的职业倦怠.