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The Effectiveness of a Caring Program to Reduce Occupational Burnout of New Nurses: A Pilot Study
背景:護理人員有高度工作負荷,是職業疲勞高盛行率的族群,護理管理者需要發展策略以降低工作職業疲勞,以改善執業環境。目的:本研究目的為探討關懷方案對於降低新進護理人員職業疲勞的成效。方法:以類實驗研究設計,對照組為原先的新進護理人員訓練,共30位;實驗組為接受關懷方案之新進護理人員,共20位;分別在報到後第1、3、6個月測量職業疲勞得分。結果:以無母數單變量分析發現實驗組和對照組新進護理人員第三個月比第一個月職業疲勞分數皆上升,實驗組的第六個月職業疲勞已下降,對照組卻沒有下降。以廣義估計方程式分析發現實驗組和對照組職業疲勞的時間變化趨勢,沒有達到顯著性差異。結論:在單變量分析關懷方案能減少新進護理人員第六個月的職業疲勞,但仍需要擴大樣本數,才能進一步推論本研究結果,做為護理管理者的參考,以降低新進護理人員職業疲勞
Impacts of Fatigue, Stress, and Perceived Health Status on Women With Rheumatic Diseases: A Comparison Study
Background
Rheumatic conditions, which increase in prevalence as populations age, are a growing public health problem that disproportionately affects women. Understanding the influences of rheumatic diseases (RDs) on fatigue, stress, and perceived health status is deemed important to the improvement of physical and mental health for women with RDs.
Purpose
This study was designed to compare the fatigue, stress, and perceived physical and mental health status of women with RDs (RD group) with those of peers who did not have chronic illnesses (comparison group).
Methods
A cross-sectional, purposive sample and comparative design was used. Four hundred forty-three women with a mean age of 46.2 years participated in this study. Those with physician-diagnosed RDs (n = 212) were enrolled in the RD group, and those without chronic disease were enrolled in the comparison group (n = 231). Measures used included a demographic datasheet, Fatigue Severity Scale, Perceived Stress Scale, and Short Form-12 Items Health Survey. Analysis of covariance was used to examine the intergroup differences for major variables based on demographic covariates.
Results
The RD group reported significantly more fatigue and stress than the comparison group. Moreover, the RD group reported significantly poorer perceived physical health status, significantly poorer physical functioning and general health, and greater bodily pain compared with the comparison group. Conversely, the RD group reported significantly better perceived mental health status, significantly lower vitality, and better role emotional status than the comparison group.
Conclusions/Implications for Practice
The findings support the theory that RDs have a negative impact on perceived stress and fatigue in women. Physical function, bodily pain, and general health may be the most significantly affected domains of perceived physical health in women with RDs. Of note, with the exception of the vitality subscale, RDs did not adversely affect the perceived mental health of participants with RD in this study. Healthcare professionals should cooperate with clinical rheumatologists, psychologists, and physiotherapists to provide comprehensive care that includes long-term education to help patients with RD self-manage stress, restore vitality, relieve pain, and increase physical function
The effectiveness of a health promotion intervention on the meaning of life, positive beliefs, and well-being among undergraduate nursing students: One-group experimental study
Nursing educators have a responsibility to value undergraduate nursing students' physical, psychological, spiritual, and social health promotion.The purpose of the study was to examine the effectiveness of a health promotion intervention concerning meaning of life, positive beliefs, and well-being among undergraduate nursing students in a health promotion curriculum.The study was adopted a pretest, posttest, and post post-test design in 1-group experimental study with a purposive sample of 112 undergraduate nursing students who attended in a health promotion curriculum and voluntarily completed a reliable 3-part questionnaire (content validity index = 0.95; Cronbach's αs = meaning of life, 0.97; positive beliefs, 0.94; and well-being 0.96).Undergraduate nursing students showed significant (all P < .001) improvements on the meaning of life, positive beliefs, and well-being immediately after the intervention, which were sustained over time.Nursing educators should incorporate these variables into the health promotion curriculum to enhance undergraduate nursing students' physical, psychological, spiritual, and social health promotion
Effectiveness of elders' knowledge and skills about strength training through group health education
Inhibitory Effect of Soybean Peptide on Enterovirus 71 Infection
指導教授林雅菁腸病毒71型是一種重要的人類致病性病毒,其併發症包括腦膜炎、急性心肺衰竭、急性肢體麻痺症候群等。目前尚未開發出有效的疫苗及治療腸病毒71型的標準方法,因此,平時做好預防就成為最重要的課題。大豆是一種營養價值高又普及的豆類食品,其胜肽據研究顯示具有抗癌、降高血壓、抗糖尿病、降膽固醇、抗氧化、抗肥胖及免疫調節等功能。本研究利用高營養價值的大豆胜肽進行抑制腸病毒71型感染力之探討。在研究中,利用鹼性蛋白酶與米麴菌蛋白酶製備大豆胜肽,所獲得之胜肽液以單獨或混和的方式進行抑制腸病毒71型感染效用之測試。結果顯示,大豆胜肽具有抑制腸病毒71型感染之效用
Application of bacterial celluloseon laccase immobilization
指導教授吳聲祺固定化酵素所選擇的載體是關鍵之一,本研究採用的是細菌纖維素(Bacterial Cellulose)BC為載體,不同載體會呈現不同成效,本實驗室利用醋酸菌(Acetobacter xylium)產生胞外多醣體-細菌纖維素為BC載體,細菌纖維素具有高水量特性,具有高度的生物相容性被應用於許多商業產品上,如:生醫面膜、醫療用品、食品添加物等。將漆?(Laccase)固定於BC載體上,依照結果進行探討固定化漆?最佳反應,比較工業化上的經濟效益