供给特定营养素提高夜班护士工作质量的研究  

The improvement of work quality by supply of specific nutrients to the night shift nurses

作　　者：魏明霞[1] 王雪飞[1] 邓一帼[1] 

机构地区：[1]广州医学院附属深圳沙井医院护理部,518104

出　　处：《中国实用护理杂志（中旬版）》2008年第7期1-3,共3页Chinese Journal of Practical Nursing

基　　金：广东省深圳市宝安区科技局计划项目（医疗卫生类）（2004155）

摘　　要：目的改善频繁夜班对护士身心健康的影响，进一步稳定护理队伍，全面提高护理质量。方法随机选择临床科室夜班护士60例，分为实验组、对照组各30例，实验组在夜班固定时间段内提供咖啡，对照组夜班期间则不供给；根据康奈尔医学指数（CMI）和特质应对方式问卷，结合本项目需要设计调查表进行问卷调查，并测定肾上腺皮质醇及血糖浓度。结果实验组兴奋性增强，积极性增高，有消除困倦作用而不影响下班后睡眠，肾上腺皮质醇浓度和血糖浓度上升明显，与对照组比较差异均有统计学意义。结论通过供给特定营养素，能人为干预、消除夜班护士困倦疲劳状态，降低护理事故发生率，提高护理质量。Objective To improve the influence on physical and mental health of nurses caused by frequent night shifts in order to stabilize the nursing care ranks and sublimate comprehensively the quality of nursing. Methods We selected night shift nurses working at clinical departments at random, divided into the experimental group and the control group.The experimental group was provided coffee and milk at the fixed period of night time, however, the control group was not supplied during the night shift,We designed questionnaire according to the Cornell Medical Index （CMI）, the Trait Coping Style Questionnaire （TCSQ） and the needing of the research, In addition, we determined the concentrations of adrenal cortisol and blood glucose in the experimental group and the control group, Results The experimental group compared with the control group had stronger excitability, more active enthusiasm. Coffee and milk eliminated sleepiness during work without affecting sleep after work, and increased significantly the concentrations of adrenal cortisol and blood glucose, the difference had statistical significance. Conclusions With the supply of specific nutrients to night shift nurses can interfere and eliminate anthropogenicly night shift nurses＂ sleepiness and fatigue, reduce nursing accident rate, and improve quality of care.

关 键 词：特定营养素 夜班护士 护理质量 

分 类 号：R192.6[医药卫生—卫生事业管理] R153.2[医药卫生—公共卫生与预防医学]