Objective:Healthcare workers,as a high-stress professional group,face long-term high intensity workloads and complex medical environments,resulting in increasingly prominent mental health issues.In particular,the wide...Objective:Healthcare workers,as a high-stress professional group,face long-term high intensity workloads and complex medical environments,resulting in increasingly prominent mental health issues.In particular,the widespread presence of anxiety symptoms and somatic pain has become a major factor affecting both the quality of care and the career development of healthcare workers.This study aims to investigate the mediating and moderating roles of psychological resilience and sleep in the relationship between somatic pain and anxiety among healthcare workers.Methods:A cross-sectional questionnaire survey was conducted among 1661 healthcare workers.The instruments used included the Generalized Anxiety Disorder-7(GAD-7),item 3 from the Patient Health Questionnaire-9(PHQ-9),the 10-item Connor-Davidson Resilience Scale(CD-RISC-10)for psychological resilience,and the Visual Analogue Scale(VAS)for assessing anxiety,sleep disturbance,psychological resilience,and somatic pain.Results:The detection rate of anxiety symptoms among healthcare workers was 38.95%.Psychological resilience was significantly negatively correlated with anxiety symptoms(r=−0.451,P<0.01),sleep disturbance(r=−0.313,P<0.01),and somatic pain(r=−0.214,P<0.01).Moreover,psychological resilience partially mediated the relationship between somatic pain and anxiety(β=−0.103,P<0.01),and sleep quality moderated the latter part of the mediation model(“somatic pain-psychological resilience-anxiety”).Conclusion:Under high-intensity workloads,healthcare workers generally experience severe anxiety symptoms.Psychological resilience plays an important protective mediating role in their mental health,and sleep quality serves as a moderator in this relationship.Enhancing healthcare workers’psychological resilience and improving their sleep may promote both their physical and mental well-being.展开更多
目的探讨在疾病诊断相应分组(diagnosis related group,DRG)支付制度背景下实施达芬奇机器人手术耗材精细化管理的效果。方法采用回顾性病例对照研究方法,分别在2022年5月—6月和2023年5月—6月选取某三级甲等医院实施达芬奇机器人肺部...目的探讨在疾病诊断相应分组(diagnosis related group,DRG)支付制度背景下实施达芬奇机器人手术耗材精细化管理的效果。方法采用回顾性病例对照研究方法,分别在2022年5月—6月和2023年5月—6月选取某三级甲等医院实施达芬奇机器人肺部切除术患者各100例,分别作为对照组和观察组。对照组未实施DRG付费,而观察者实施了DRG付费,并优化实施了达芬奇机器人手术耗材精细化管理,比较两组住院时间、术中费用和机器人手术的高值耗材使用差异。结果观察组和对照组纳入患者的性别、年龄、是否有医保、手术时间、术中出血量比较无统计学意义(P>0.05)。观察组的住院时间为(8.29±4.13)d;对照组的住院时间为(10.47±4.57)d,差异具有统计学意义(P<0.05)。观察组手术费用为(11366.81±2504.23)元,对照组手术费用为(8716.07.78±256.34)元,差异具有统计学意义(P<0.05)。结论医疗机构在保证医疗质量的前提下实施DRG支付背景下达芬奇机器人手术耗材精细化管理能够缩短住院时间,可有效控制手术成本,降低机器人手术高值耗材的使用,实现患者更低的治疗费支付和优质的医疗技术服务享受,也可促进达芬奇机器人手术技术的可持续发展。展开更多
基金supported by the Natural Science Foundation of Hunan Province,China(2023JJ60076)。
文摘Objective:Healthcare workers,as a high-stress professional group,face long-term high intensity workloads and complex medical environments,resulting in increasingly prominent mental health issues.In particular,the widespread presence of anxiety symptoms and somatic pain has become a major factor affecting both the quality of care and the career development of healthcare workers.This study aims to investigate the mediating and moderating roles of psychological resilience and sleep in the relationship between somatic pain and anxiety among healthcare workers.Methods:A cross-sectional questionnaire survey was conducted among 1661 healthcare workers.The instruments used included the Generalized Anxiety Disorder-7(GAD-7),item 3 from the Patient Health Questionnaire-9(PHQ-9),the 10-item Connor-Davidson Resilience Scale(CD-RISC-10)for psychological resilience,and the Visual Analogue Scale(VAS)for assessing anxiety,sleep disturbance,psychological resilience,and somatic pain.Results:The detection rate of anxiety symptoms among healthcare workers was 38.95%.Psychological resilience was significantly negatively correlated with anxiety symptoms(r=−0.451,P<0.01),sleep disturbance(r=−0.313,P<0.01),and somatic pain(r=−0.214,P<0.01).Moreover,psychological resilience partially mediated the relationship between somatic pain and anxiety(β=−0.103,P<0.01),and sleep quality moderated the latter part of the mediation model(“somatic pain-psychological resilience-anxiety”).Conclusion:Under high-intensity workloads,healthcare workers generally experience severe anxiety symptoms.Psychological resilience plays an important protective mediating role in their mental health,and sleep quality serves as a moderator in this relationship.Enhancing healthcare workers’psychological resilience and improving their sleep may promote both their physical and mental well-being.
文摘目的探讨在疾病诊断相应分组(diagnosis related group,DRG)支付制度背景下实施达芬奇机器人手术耗材精细化管理的效果。方法采用回顾性病例对照研究方法,分别在2022年5月—6月和2023年5月—6月选取某三级甲等医院实施达芬奇机器人肺部切除术患者各100例,分别作为对照组和观察组。对照组未实施DRG付费,而观察者实施了DRG付费,并优化实施了达芬奇机器人手术耗材精细化管理,比较两组住院时间、术中费用和机器人手术的高值耗材使用差异。结果观察组和对照组纳入患者的性别、年龄、是否有医保、手术时间、术中出血量比较无统计学意义(P>0.05)。观察组的住院时间为(8.29±4.13)d;对照组的住院时间为(10.47±4.57)d,差异具有统计学意义(P<0.05)。观察组手术费用为(11366.81±2504.23)元,对照组手术费用为(8716.07.78±256.34)元,差异具有统计学意义(P<0.05)。结论医疗机构在保证医疗质量的前提下实施DRG支付背景下达芬奇机器人手术耗材精细化管理能够缩短住院时间,可有效控制手术成本,降低机器人手术高值耗材的使用,实现患者更低的治疗费支付和优质的医疗技术服务享受,也可促进达芬奇机器人手术技术的可持续发展。
