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重症监护护士的健康行为:这些护士能成为患者的好榜样吗?

Health practices of critical care nurses: are these nurses good role models for patients?

作者信息

Connolly M A, Gulanick M, Keough V, Holm K

机构信息

Niehoff School of Nursing, Loyola University Chicago, III, USA.

出版信息

Am J Crit Care. 1997 Jul;6(4):261-6.

PMID:9215422
Abstract

BACKGROUND

Few studies have explored the health practices of critical care nurses. Critical care nurses routinely teach patients about using healthy practices such as low-fat diets, exercise, and routine screening examinations. However, it may be even more important that the nurses themselves have a healthy lifestyle, thus serving as role models for patients. Nurses are selling a product, and that product is health. The best salespersons are those who are genuinely committed to their product and model its benefits. Therefore, critical care nurses' healthful practices can have a profound effect on their patients.

OBJECTIVES

The purpose of this descriptive exploratory study was to examine critical care nurses' responses to three questions about health practices in their daily lives: (1) What are critical care nurses doing currently to stay healthy? (2) Do they anticipate making any changes in their lifestyle in the future? (3) Would they recommend their lifestyle to their patients?

METHODS

One hundred twenty-seven critical care nurses attending a midwestern critical care conference completed a two-part questionnaire designed to produce a health profile. In a man-on-the-street approach, 23 nurses participated in an interview via video camera. Descriptive statistics were used to analyze the data retrieved from the questionnaires. Interviews were transcribed verbatim and analyzed for themes with a constant comparative method.

RESULTS

More than 70% of the critical care nurses who responded engage in exercise and follow a healthy, low-fat diet. Seventy-one percent said that they anticipate making a change in their lifestyle in the future, and 70% said that they would recommend their lifestyle to their patients. Five themes emerged from the videotaped interviews: (1) Heart-healthy practices predominated the responses. (2) Incorporating a healthy lifestyle was easy for some and a struggle for others. (3) Critical care nurses readily listed barriers to healthy living. (4) The nurses had a positive attitude about their healthy lifestyles and felt optimistic about being role models for their patients. (5) Future plans were either singular in focus or limited to maintenance of current health habits.

CONCLUSIONS

The majority of the nurses reported practicing a healthy lifestyle and thought that they were good role models for patients.

摘要

背景

很少有研究探讨重症监护护士的健康行为。重症监护护士经常教导患者采用健康的行为方式,如低脂饮食、锻炼和定期筛查。然而,护士自身拥有健康的生活方式可能更为重要,这样才能为患者树立榜样。护士在推销一种产品,而这种产品就是健康。最好的销售人员是那些真正致力于自己的产品并展示其益处的人。因此,重症监护护士的健康行为会对他们的患者产生深远影响。

目的

这项描述性探索性研究的目的是调查重症监护护士对日常生活中关于健康行为的三个问题的回答:(1)重症监护护士目前为保持健康做了什么?(2)他们预计未来会在生活方式上做出任何改变吗?(3)他们会向患者推荐自己的生活方式吗?

方法

127名参加中西部重症监护会议的重症监护护士完成了一份分为两部分的问卷,旨在生成一份健康概况。采用街头调查的方式,23名护士通过摄像机接受了采访。描述性统计用于分析从问卷中获取的数据。访谈内容逐字记录,并采用持续比较法分析主题。

结果

超过70%做出回应的重症监护护士进行锻炼并遵循健康的低脂饮食。71%的人表示他们预计未来会改变生活方式,70%的人表示他们会向患者推荐自己的生活方式。录像采访中出现了五个主题:(1)有益心脏健康的行为在回答中占主导地位。(2)对一些人来说,融入健康的生活方式很容易,而对另一些人来说则很困难。(3)重症监护护士很容易列出健康生活的障碍。(4)护士们对自己的健康生活方式持积极态度,并对成为患者的榜样感到乐观。(5)未来计划要么只关注单一方面,要么仅限于维持当前的健康习惯。

结论

大多数护士报告称践行着健康的生活方式,并认为自己是患者的好榜样。

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