浅析护士心理问题的表现形式、成因及对策

近年来护士心理问题已经受到越来越多的关注,阐述了护士容易出现心理问题的表现形式,分析了护士心理问题产生的原因,在此基础上提出了改善管理制度、创造沟通环境和支持系统、提高护士心理素质、提供心理咨询服务4个方面的对策。     

Case Management in the Law Office

Abstract

This study examines the assumption that including Black-Americans with larger samples of White-Americans produce an accurate picture of the predictors of nursing home use by Black-Americans. Using the Longitudinal Study of Aging (1984-1990), Cox proportional hazard models are estimated for Black-Americans and White-Americans. This study finds that in fact the models for Black-Americans are not the same as for White-Americans. For Black-Americans, living below the poverty line, problems of functional status, age, and not having the potential for care for a few weeks from relatives (in or out of the home) are predictive of a higher risk of nursing home use while, for White-Americans, age, lower versus higher income, being female versus male, poor evaluation of self health care, poor functional status, lower levels of community activity, and living alone compared to living with a spouse or children were predictive of a higher risk of nursing home admission. The implications for policy and case management practice are discussed regarding these findings.     

社区互助养老与村办敬老院可持续运营——以福建省晋江市萧下村敬老院为例*

社区互助养老是指在社区组织动员下，社区居民本着志愿互助原则以无偿或低偿形式提供场所、资金与劳务，以支持社区养老事业的发展。本文以晋江市萧下村敬老院为个案，介绍社区互助养老机制在村办敬老院的实践情况，有效降低运营成本，实现村办敬老院可持续发展。萧下村敬老院由村老年协会管理，老年协会与宗祠管委会重合，社区资源动员能力强。     

Sichuan Province Allocated 500 Million Yuan Nursing Subsidies to 650000 Persons with Severe Disabilities

正According to Xinhuanet,persons with severe disabilities and household register in Sichuan Province began to receive nursing subsidies successively.In2014,Sichuan Province planned to allocate 500 million Yuan of nursing subsidies to 650 000 persons with severe disabilities in the province.Sichuan has taken the issuance of nursing subsidies to persons with severe disabilities as one of the newly-added practical deeds for people’s livelihood in 2014.     

社区居家养老的社会支持系统研究——以南京市雨花区为例

随着我国人口老龄化的加剧和家庭保障功能的弱化,社区居家养老服务已经成为社会发展的必然选择?文章基于南京市雨花区的实践,从主体?客体?内容等方面构建多元?互动的社区居家养老社会支持体系,其积极探索居家养老新模式的举措具有一定的借鉴意义?     

Examining Direct Service Worker Turnover in Three Long-Term Care Industries in Ohio

This is the first study to examine direct service worker turnover and its predictors across three provider types: nursing homes, home health agencies, and providers of services for the developmentally disabled. Stratified random sampling procedures were used to select provider types across five geographic regions in Ohio. Data were collected from administrative staff. Findings indicated that annual direct service worker turnover did not significantly vary by provider type (mean = 33%). Predictors of turnover related to job burnout, negative social support, and region. Policymakers can promote practices to lower direct service worker turnover such as addressing burnout and increasing support.     

护理干预对冠状动脉CT检查结果的影响分析

目的：评价护理干预对冠状动脉CTA（computed tomography angiography）检查患者心理状况、检查成功率、图像质量的影响。方法：选取我院2013年1月至2014年12月行冠脉CTA检查的500例患者,随机分为研究组（n=250）和对照组（n=250）,对照组仅进行常规护理,研究组则同时进行心理护理、心室率控制、呼吸屏气训练。结果：487例患者最终完成冠脉CT检查,其中研究组中2例、对照组中11例因严重焦虑恐惧及屏气不佳终止检查。研究组焦虑症状、心率、血压变化明显低于对照组,检查的成功率及图像质量显著提高（P<0.05）。结论：护理干预可减小冠脉CT检查患者的心理应激,提高检查的成功率及图像质量。     

美国老年人社区服务系统的演变和未来发展

本文提供了一个关于美国的旨在关注迅速增长的老年人口的需求的服务系统演化的概述,它也包含了当前美国各级政府讨论的话题:那就是根据美国人口普查,到2030年美国老年人口将达到7千万,65岁以上老年人的数量是2000年的两倍。这不仅影响政府的政治决策,还对家庭、劳动人口以及老年人居住的社区有影响,另外还有不断增长的健康护理需求,对更好的长期的护理项目的需求。     

The probability of nursing home use over a lifetime in Australia

This article further develops the life table models used in the USA by taking advantage of the superior data available in Australia. The probabilities of nursing home use over a lifetime are estimated for various ages for men and women. The results show that over one-third of the members of a female birth cohort will eventually enter nursing homes for long-term care at least once. The corresponding probability for males is one in five. A woman at age 65 faces a probability as high as 39% of using a nursing home for permanent care before her death compared with 25% for a man at age 65.     

老年护理伦理学研究论纲

老年护理伦理学探讨老年护理伦理问题及其发展规律，它具有交叉性、价值性、实践性等特质。人口老龄化社会迫切需要老有所养、养有所护，尤其要给予老年人更多的伦理关怀。老年护理伦理包括：社区老年护理伦理、家庭老年护理伦理、隔代护理伦理、老年营养护理伦理、老年临床护理伦理、老年自我护理伦理、老年相互护理伦理、老年保健护理伦理、老年心理护理伦理等研究内容。