Establishment of assessment scale based on the Omaha system with Delphi method for hospital stroke patients / 中国实用护理杂志

Objective To establish an assessment scale for hospital stroke patients with Delphi method,by using it to help the nurses evaluate patients' existing and potential problems,and to provide foundations for specific assessment on different patient groups.Methods The first-level indicators and second-level indicators were developed on the basis of the Omaha system.210 nursing records of hospital stroke patients were then combined with to form concrete items.Totally 22 nursing specialists were interviewed with two rounds in order to further collect the opinions and suggestions about the assessment scale.Results 4 first-level indicators,35 second-level indicators and a number of items were included in the assessment scale.Conclusions The assessment scale for hospital stroke patients established by Delphi method comprehensively shows the environmental,physical,mental and behavioral condition in hospital,and it could be used as a tool to assess the hospital stroke patients.

The impact of dispositional optimism on nurses' mental health / 中华行为医学与脑科学杂志

Objective To explore nurses' dispositional optimism and mental health and disscuss the impact of dispositional optimism on nurses' mental health in order to provide evidences for promoting the level of nurses' mental health. Methods Adopting Revised Life Orientation Test (LOT-R) and Symptom Checklist 90 (SCL-90) ,the researchers carried on the questionaire investigation to a total of 240 nurses. Results Unmarried nurses were more optimistic than married ones(15.53 ± 3.48,14.39 ± 2.88) ,and the difference had statistic significance(P ＜ 0.01). The positive detection rate of nurses' psychological symptoms was 6.7% ～ 26.5%. Compulsion, interpersonal sensitivity and depression were nurses' main psychological symptoms. Compared to the national female norm, the somatization, depression, anxiety, psychosis factor scores, total score and the number of positive items of SCL-90(1.49±0.45,1.70±0.42, 1.55 ±0.43,1.46±0.38,1.40±0.37,1.50±0.35,37.23±22.02)were higher, and the difference had statistic significance(P＜ 0.05). Dispositional optimism postively correlated with the level of nurses' mental health(P＜ 0. 001). Conclusions The general condition of nurses' mental health is not good enough, and dispositional optimism has good forecast function to nurse's mental healthy. Therefore, maintaining positive and optimistic attitude will be helpful to nurses' mental health.