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医院护士的生活方式实践与健康促进环境

Lifestyle practices and the health promoting environment of hospital nurses.

作者信息

Hope A, Kelleher C C, O'Connor M

机构信息

Centre for Health Promotion Studies, National University of Ireland, Galway, Republic of Ireland.

出版信息

J Adv Nurs. 1998 Aug;28(2):438-47. doi: 10.1046/j.1365-2648.1998.00791.x.

Abstract

Lifestyle practices and the health promoting environment of hospital nurses This paper examined the lifestyle practices of hospital nurses and the impact of specific interventions in the hospital environment. The perception of nurse as health promoter and as carer of AIDS patients was also examined. A self-administered questionnaire was used to collect data at two different time periods. The sample represented 729 nurses (at pre- and post-time periods), both qualified and student nurses. Qualified nurses reported the highest stress levels while student nurses reported more negative lifestyle practices such as smoking, alcohol consumption and drug use. A greater number of current smokers (29%) consumed alcohol and used drugs than non-smokers. The impact of intervention strategies around compliance with smoking policy and work-site walk routes reduced exposure to passive smoking at work for qualified nurses and increased exercise participation for both groups of nurses. Workplace was identified as the main source of stress which included relationships at work and demands of the job. Hospital nurses experiencing high work stress were more likely to use professional support and personal coping (discuss problems with friends/family, have a good cry and eat more) than others. Nurses believed in the importance of health promotion as part of their work; however, qualified nurses felt more confident and gave more health related information than student nurses. Student nurses perceived a lower risk of contacting AIDS through work and a higher concern/worry in caring for AIDS patients than qualified nurses.

摘要

医院护士的生活方式行为及促进健康的医院环境 本文研究了医院护士的生活方式行为以及医院环境中特定干预措施的影响。同时还考察了护士作为健康促进者和艾滋病患者护理者的认知情况。在两个不同时间段使用自填式问卷收集数据。样本包括729名护士(前后两个时间段),既有注册护士也有实习护士。注册护士报告的压力水平最高,而实习护士报告了更多诸如吸烟、饮酒和吸毒等不良生活方式行为。与不吸烟者相比,更多的当前吸烟者(29%)饮酒和吸毒。围绕遵守吸烟政策和工作场所步行路线的干预策略,减少了注册护士在工作中接触二手烟的情况,并增加了两组护士的运动参与度。工作场所被确定为主要压力源,包括工作中的人际关系和工作要求。与其他人相比,经历高工作压力的医院护士更有可能寻求专业支持和采用个人应对方式(与朋友/家人讨论问题、大哭一场和多吃东西)。护士们认为健康促进作为其工作的一部分很重要;然而,注册护士比实习护士更有信心且提供更多与健康相关的信息。实习护士认为通过工作感染艾滋病的风险较低,且在照顾艾滋病患者方面比注册护士有更高的担忧。

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