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1.
Int J Nurs Pract ; : e13054, 2022 Apr 05.
Artigo em Inglês | MEDLINE | ID: mdl-35384160

RESUMO

AIM: We aim to investigate the prevalence and associated factors for compassion fatigue among nurses in Fangcang Shelter Hospitals in Wuhan. Studies have shown that compassion fatigue was more common among nurses than other health-care providers, and its predictors were also different. In recent years, most studies have investigated compassion fatigue in emergency and oncology nurses, whereas there is little information on compassion fatigue among nurses from the frontline of Fangcang Shelter Hospitals during the COVID-19 pandemic. METHODS: A descriptive, cross-sectional design was used in this study. An online survey was conducted among nurses (n = 972) of five Fangcang Shelter Hospitals in Wuhan, Hubei province, China, from 6 March to 10 March 2020. A self-administered questionnaire including demographic information, work-related information, General Health Questionnaire, Perceived Stress Scale and Compassion Fatigue Scale was used. RESULTS: The prevalence of compassion fatigue among nurses in Fangcang Shelter Hospitals was moderate, and most cases were mild. There was a significant relationship between compassion fatigue and work-related factors, mental health and perceived stress among nurses working in Fangcang Shelter Hospitals. CONCLUSIONS: Various factors contribute to compassion fatigue, including lower job satisfaction and job adaptability, less praise from patients, more fear of infection and more perceived stress. A good working atmosphere, organizational support and psychological consultation are essential to alleviate nurses' compassion fatigue during the anti-epidemic period.

2.
World J Psychiatry ; 12(2): 338-347, 2022 Feb 19.
Artigo em Inglês | MEDLINE | ID: mdl-35317336

RESUMO

BACKGROUND: Frontline nurses in Wuhan directly fighting severe acute respiratory syndrome coronavirus-2 diseases are at a high risk of infection and are extremely susceptible to psychological stress, especially due to the global coronavirus disease 2019 (COVID-19) pandemic. The psychological after-effects of this public health emergency on frontline nurses will last for years. AIM: To assess factors influencing post-traumatic stress disorder (PTSD) among frontline nurses in Wuhan 6 mo after the COVID-19 pandemic began. METHODS: A total of 757 frontline nurses from five hospitals in Wuhan, China, participated in an online survey from July 27 to August 13, 2020. This cross-sectional online study used a demographic information questionnaire, the PTSD Checklist for the Diagnostic and Statistical Manual of Mental Disorders, the Connor-Davidson Resilience Scale, and the Patient Health Questionnaire-4. The chi-square test and logistic regression were used to analyze the association of demographics, COVID-19-related variables, and PTSD. Logistic regression was also conducted to investigate which variables were associated with PTSD outcomes. RESULTS: A total of 13.5%, 24.3%, and 21.4% of the frontline nurses showed symptoms of PTSD, depression, and anxiety, respectively. The multivariate logistic regression analysis showed that the following factors were strongly associated with PTSD: Having a relative, friend, or colleague who died of COVID-19; experiencing stigma; or having psychological assistance needs, depressive symptoms or anxiety. Showing resilience and receiving praise after the COVID-19 outbreak were protective factors. CONCLUSION: Frontline nurses still experienced PTSD (13.5%) six months after the COVID-19 outbreak began. Peer support, social support, official recognition, reward mechanisms, exercise, better sleep, and timely provision of information (such as vaccine research progress) by the government via social media, and adequate protective supplies could mitigate the level of PTSD among nurses responding to COVID-19. Stigmatization, depression, and anxiety might be associated with a greater risk of PTSD among nurses.

4.
J Nurs Manag ; 30(2): 592-599, 2022 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-34799985

RESUMO

AIM: To explore the family caregivers' experiences and needs of transitional care during the transfer from an intensive care unit to a general ward in China. BACKGROUND: The transfer of patients from the intensive care unit to the ward is a vulnerable time for patients and caregivers, exposing the risk of readmission and death. However, there are few qualitative studies on the family caregivers' views of transitional care for their loved ones in China. METHODS: With a qualitative research design, 15 interviews were conducted with 15 family caregivers of hospitalized patients transferred from the neurosurgery ICU to the general ward. Colaizzi's (1978) method of data analysis was performed using the NVivo 11.0 software. RESULTS: Based on data analysis, four themes were obtained: perception of transfer decision, the experience of transitional care, the obstacles to maintaining care efficiency and demand for transitional care. CONCLUSION: In order to enhance the continuity of care and improve patient safety during the transfer from an ICU to a general ward in China, priorities should be given to the implementation of effective strategies and methods, including providing psychological and emotional support, encouraging active participation of caregivers, and various communication and collaboration procedures. IMPLICATIONS FOR NURSING MANAGEMENT: The findings from this study can be used as a guide to better preparation and awareness among health care professionals to achieve the much-needed demands of family caregivers, as well as the increased quality of transitional care.


Assuntos
Cuidadores , Cuidado Transicional , Cuidadores/psicologia , Família/psicologia , Humanos , Unidades de Terapia Intensiva , Quartos de Pacientes , Pesquisa Qualitativa
5.
Rev Assoc Med Bras (1992) ; 67(7): 1010-1014, 2021 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-34817515

RESUMO

OBJECTIVE: This study analyzes the suboptimal health status (SHS) and influencing factors of nurses in Wuhan Hospital, China during the coronavirus disease 2019 (COVID-19) outbreak. METHODS: This study was conducted through an online survey, from March 1-7, 2020, in Wuhan, China. The data collection tools, such as Suboptimal Health Status Questionnaires, Generalized Anxiety Disorder, and Chinese version of the Perceived Stress Scale, were used. RESULTS: The average value of suboptimal health status was 28.44 (standard deviation=15.15). The overall prevalence of SHS was 35.1%. Suboptimal health status of the nurses was significantly different based on their gender, age, whether they directly care for COVID-19 patients, anxiety level, and stress perception expect education. Multivariate analysis found that average sleep times per day, female, age, directly participate in the rescue of COVID-19, self-infection, and anxiety were the influencing factors of suboptimal health status. CONCLUSIONS: First-line nurses have poor suboptimal health status in Wuhan.


Assuntos
COVID-19 , Enfermeiras e Enfermeiros , Ansiedade , China/epidemiologia , Estudos Transversais , Depressão , Surtos de Doenças , Feminino , Nível de Saúde , Humanos , SARS-CoV-2 , Inquéritos e Questionários
6.
J Clin Nurs ; 30(17-18): 2654-2664, 2021 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-33497526

RESUMO

AIMS AND OBJECTIVES: To investigate the present status of anxiety among nurses fighting the spread of COVID-19 and its association with perceived stress and insomnia. BACKGROUND: With the outbreak of COVID-19, nurses have been caring for infected patients for a considerable length of time in Wuhan, China. Previous COVID-19 studies generally focused on patients' medical treatment, but few considered healthcare workers' psychological needs while working with a pandemic involving an unfamiliar infectious disease. Numerous nurses have experienced mental health problems, such as anxiety. DESIGN: The STROBE guidelines for a cross-sectional questionnaire were implemented. METHODS: An online survey of 643 frontline nurses working with COVID-19-infected patients was conducted from 3-10 March 2020. Sociodemographic data were collected, and the Generalized Anxiety Disorder Scale, the Chinese Perceived Stress Scale and the Athens Insomnia Scale were administered. RESULTS: One-third (33.4%) of participants reported anxiety, which was associated with perceived stress and insomnia among Chinese frontline nurses in Wuhan during the COVID-19 pandemic. Significant associations were found between anxiety, perceived stress, insomnia, working four-night shifts per week, experience working during more than two epidemics and fear of COVID-19. CONCLUSIONS: This study found that a substantial proportion of frontline nurses caring for COVID-19-infected patients experienced anxiety. We recommend that nurse managers focus on working conditions and cultivate safe and satisfactory work environments. Meanwhile, frontline nurses should foster awareness of mental health and rely on online resources for psychological training to alleviate anxiety. RELEVANCE TO CLINICAL PRACTICE: The findings of this study could facilitate better understanding of anxiety among frontline nurses; more importantly, healthcare authorities and nursing managers need to pay more attention to ensuring intervention training to reduce anxiety for frontline nurses worldwide.


Assuntos
COVID-19 , Enfermeiras e Enfermeiros , Distúrbios do Início e da Manutenção do Sono , Ansiedade/epidemiologia , China/epidemiologia , Estudos Transversais , Humanos , Pandemias , SARS-CoV-2 , Distúrbios do Início e da Manutenção do Sono/epidemiologia , Estresse Psicológico/epidemiologia
7.
Curr Med Sci ; 40(4): 625-635, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-32767264

RESUMO

Nurses' work-related fatigue has been recognized as a threat to nurse health and patient safety. The aim of this study was to assess the prevalence of fatigue among first-line nurses combating with COVID-19 in Wuhan, China, and to analyze its influencing factors on fatigue. A multi-center, descriptive, cross-sectional design with a convenience sample was used. The statistical population consisted of the first-line nurses in 7 tertiary general hospitals from March 3, 2020 to March 10, 2020 in Wuhan of China. A total of 2667 samples from 2768 contacted participants completed the investgation, with a response rate of 96.35%. Social-demographic questionnaire, work-related questionnaire, Fatigue Scale-14, Generalized Anxiety Disorder-7, Patient Health Questionnaire-9, and Chinese Perceived Stress Scale were used to conduct online survey. The descriptive statistic of nurses' social-demographic characteristics was conducted, and the related variables of work, anxiety, depression, perceived stress and fatigue were analyzed by t-tests, nonparametric test and Pearson's correlation analysis. The significant factors which resulted in nurses' fatigue were further analyzed by multiple linear regression analysis. The median score for the first-line nurses' fatigue in Wuhan was 4 (2, 8). The median score of physical and mental fatigue of them was 3 (1, 6) and 1 (0, 3) respectively. According to the scoring criteria, 35.06% nurses (n=935) of all participants were in the fatigue status, their median score of fatigue was 10 (8, 11), and the median score of physical and mental fatigue of them was 7 (5, 8) and 3 (2, 4) respectively. Multiple linear regression analysis revealed the participants in the risk groups of anxiety, depression and perceived stress had higher scores on physical and mental fatigue and the statistically significant positive correlation was observed between the variables and nurses' fatigue, the frequency of exercise and nurses' fatigue had a statistically significant negative correlation, and average daily working hours had a significantly positive correlation with nurses' fatigue, and the frequency of weekly night shift had a low positive correlation with nurses' fatigue (P<0.01). There was a moderate level of fatigue among the first-line nurses fighting against COVID-19 pandemic in Wuhan, China. Government and health authorities need to formulate and take effective intervention strategies according to the relevant risk factors, and undertake preventive measures aimed at reducing health hazards due to increased work-related fatigue among first-line nurses, and to enhance their health status and provide a safe occupational environment worldwide. Promoting both medical and nursing safety while combating with the pandemic currently is warranted.


Assuntos
Betacoronavirus , Infecções por Coronavirus/enfermagem , Fadiga/etiologia , Enfermeiras e Enfermeiros , Doenças Profissionais/etiologia , Estresse Ocupacional/etiologia , Pandemias , Pneumonia Viral/enfermagem , Adulto , COVID-19 , China/epidemiologia , Infecções por Coronavirus/epidemiologia , Estudos Transversais , Fadiga/epidemiologia , Fadiga/psicologia , Feminino , Humanos , Modelos Lineares , Masculino , Fadiga Mental/epidemiologia , Fadiga Mental/etiologia , Fadiga Mental/psicologia , Pessoa de Meia-Idade , Enfermeiras e Enfermeiros/psicologia , Doenças Profissionais/epidemiologia , Doenças Profissionais/psicologia , Estresse Ocupacional/epidemiologia , Estresse Ocupacional/psicologia , Pneumonia Viral/epidemiologia , Prevalência , Fatores de Risco , SARS-CoV-2 , Inquéritos e Questionários , Centros de Atenção Terciária , Carga de Trabalho/psicologia , Adulto Jovem
8.
J Nurs Manag ; 28(7): 1525-1535, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-32657449

RESUMO

AIM: To investigate the prevalence of insomnia among front-line nurses fighting against COVID-19 in Wuhan, China, and analyse its influencing factors. BACKGROUND: Insomnia is an important factor that can affect the health and work quality of nurses. However, there is a lack of big-sample studies exploring factors that affect the insomnia of nurses fighting against COVID-19. METHOD: This cross-sectional study using the Ascension Insomnia Scale, Fatigue Scale-14 and Perceived Stress Scale took place in March 2020. Participants were 1,794 front-line nurses from four tertiary-level general hospitals. RESULTS: The prevalence of insomnia among participants was 52.8%. Insomnia was predicted by gender, working experience, chronic diseases, midday nap duration, direct participation in the rescue of patients with COVID-19, frequency of night shifts, professional psychological assistance during the pandemic, negative experiences (such as family, friends or colleagues being seriously ill or dying due to COVID-19), the degree of fear of COVID-19, fatigue and perceived stress. CONCLUSION: The level of insomnia among participants was higher than the normal level. Interventions based on influencing factors should be implemented to ensure nurses' sleep quality. IMPLICATIONS FOR NURSING MANAGEMENT: An in-depth understanding of the influencing factors of insomnia among front-line nurses can help nurse managers develop solutions to improve front-line nurses' sleep quality, which will enhance the physical and mental conditions of nurses and promote the quality of care.


Assuntos
COVID-19/enfermagem , Enfermeiras e Enfermeiros/estatística & dados numéricos , Doenças Profissionais/epidemiologia , Distúrbios do Início e da Manutenção do Sono/epidemiologia , Adulto , Fatores Etários , COVID-19/epidemiologia , China/epidemiologia , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Enfermeiras e Enfermeiros/psicologia , Estresse Ocupacional/epidemiologia , Estresse Ocupacional/psicologia , Prevalência , Fatores Sexuais , Adulto Jovem
9.
Opt Express ; 28(8): 11730-11741, 2020 Apr 13.
Artigo em Inglês | MEDLINE | ID: mdl-32403678

RESUMO

We designed a new type of gas sensor, an optical tentacle, made of highly integrated polymer micro-ring resonators in three-dimensional space on the tiny end-facet of a multicore optical fiber. Two pairs of three polymer micro-ring resonators were hung symmetrically on both sides of three suspended micro-waveguides as the sensing units. The micro-waveguides interlace to form a three-layer nested configuration, which makes the multicore optical fiber a "tentacle" for vapors of volatile organic compounds. Both experiments and theoretical simulation confirmed that the symmetrical coupling of multiple pairs of rings with the micro-waveguide had better resonance than the single ring setup. This is because the symmetrical light modes in the waveguides couple with the rings separately. All the optical micro-components were fabricated by the two-photon lithography technology on the end facet of multicore optical fiber. The optical tentacle shows good sensitivity and reversibility. This approach can also be adopted for sensor array design on a chip. Furthermore, optical sensors that can sense vapors with multiple constituents may be achieved in the future by adding selective sensitive materials to or on the surface of the rings.

10.
Chin Med J (Engl) ; 125(23): 4259-63, 2012 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-23217397

RESUMO

BACKGROUND: Venous thromboembolism is known to be an important social and health care problem because of its high incidence among patients who undergo surgery. Studies on the mechanical prophylaxis of thromboembolism after gynaecological pelvic surgery are few. The aim of our study was to evaluate the effect of mechanical thromboembolism prophylaxis after gynaecological pelvic surgery using a combination of graduated compression stockings (GCS) and intermittent pneumatic compression (IPC) or GCS alone. METHODS: The study was performed on 108 patients who were randomly assigned to two groups. The first group received GCS before the operation and IPC during the operation (IPC + GCS group). The second group received GCS before the operation (GCS group). To analyze the effect of the preventive measures and the laboratory examination on the incidence of thrombosis and to compare the safety of these measures, the incidence of adverse reactions was assessed. RESULTS: The morbidity associated with DVT was 4.8% (5/104) in the IPC + GCS group and 12.5% (14/112) in the GCS group. There were significant statistical differences between the two groups. There were no adverse effects in either group. CONCLUSIONS: The therapeutic combination of GCS and IPC was more effective than GCS alone for thrombosis prevention in high-risk patients undergoing gynaecological pelvic surgery, and there were no adverse effects in either group.


Assuntos
Procedimentos Cirúrgicos em Ginecologia/efeitos adversos , Pelve/cirurgia , Tromboembolia/etiologia , Tromboembolia/prevenção & controle , Trombose Venosa/etiologia , Trombose Venosa/prevenção & controle , Idoso , Feminino , Humanos , Dispositivos de Compressão Pneumática Intermitente , Masculino , Pessoa de Meia-Idade , Meias de Compressão
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