ObjectiveTo explore the effects of mental intervention on elderly patients with chronic atrophic gastritis. MethodsFifty elderly patients with chronic atrophic gastritis treated from May 2011 to June 2012 were divided into two groups randomly. The control group (n=25) received conventional therapy, and individual mental intervention was applied only to patients in the treatment group (n=25). Difference of clinical effects between the two groups was observed. Change of SCL-90 symptoms index before and after the treatment in each group was analyzed too. ResultsThe treatment group showed better effects than the control group (total efficiency:80%, 48%; P<0.05), and SCL-90 symptoms index in the treatment group decreased significantly after treatment. ConclusionReasonable mental intervention helps to rehabilitate elderly patients with chronic atrophic gastritis and improve their life quality.
Objective To evaluate the applied value of group psychotherapy intervention in patients with malignant bone tumor. Methods From May 2015 to February 2016, 66 patients with malignant bone tumor were divided into the intervention group (n=30) and the control group (n=36) according to their preference. Patients in the intervention group were treated with psychological intervention and the ones in the control group were only received regular telephone follow-up guidance. The quality of life, mood, social support and other changes were collected and compared between the two groups. Results The patients’ overall health and quality of life scores, emotional function scores and Social Support Revalued Scale scores in the intervention group (75.2±21.4, 59.2±10.5, 39.20±5.60) were higher than those in the control group (68.3±14.7, 51.4±11.4, 35.30±5.30), while the patients’ Self-rating Anxiety Scale scores, Self-rating Depression Scale scores, self-blame, and retreat scores in the intervention group (39.2±8.3, 35.1±6.7, 0.29±0.22, 0.41±0.22) were lower than those in the control group (44.2±7.5, 40.9±7.7, 0.34±0.24, 0.50±0.41), and the differences were all statistically significant (P<0.05). Conclusion The implementation of group psychotherapy intervention in patients with malignant bone tumor can effectively ameliorate the patients’ negative emotions, and improve social support and coping styles status of the patients.
Objective To perform a cross-sectional study on mental situations of parents of student victims in Wenchuan earthquake and analysis the data to produce best evidences for the government on their decision-making. Methods By the use of questionnaires, interviewer, and observation, we performed field study on 225 student victims’ parents selected by simple random sampling to collect their demographic characteristics, economic and mental status. Results (1) Of the 123 student victims the only child of the family account for 91.87%, female account for 50.41%, the pupil and below, the middle school student, and the college account for 48.78%, 50.41%, 0.81% respectively. (2) Mental and behavior differences between fathers and mothers were significant. (3) The parents declining to accept the death of their children are not in a good social support. (4) The parents with good family economics and high education are more likely to accept the death of children. Conclusion (1) We should build a ‘Mutual Aid’ organization to help those parents construct a good social support net. (2) To take the advantage of rural hospitals to build the long-acting mechanism of the psychological intervention. (3) To perform the psychological intervention corresponding to right period and right aimed group.
摘要:目的:探讨手术室护士的精神卫生状态及工作中负性事件对精神卫生状态的影响,为提高手术室护士的身心健康提供参考。方法:采用精神卫生自评量表(SCL90)评估60名手术室护士及60名正常人的精神卫生状态,采用生活事件评定量表(LES)中13项工作相关因子对手术室60名护士进行评估,分析手术室护士与正常人群的精神卫生状态的差异,并分析工作负性事件与手术室护士精神卫生状态的相关关系。结果:正常人群SCL90平均分值为94.6分,手术室护士为126.54分,手术室护士高于正常人群,手术室护士工作负性事件平均得分为12.74分,与SCL90得分呈现正相关关系。结论: 手术室护士心理健康状况较正常人群差,工作负性事件对手术室护士存在较大的心理影响,应采取必要的措施给予心理干预。 Abstract: Objective: To investigate the mental health status and the effect of occupational negative event to mental health,and provid reference for improveing physical and mental health of operating room nurse.Methods:The mental health status of 60 operating room nurse and 60 well adult were evaluated with Symptom Checklist 90 (SCL90),the score of occupational negative event in operating room nurse were evaluated with Life Event Scale(LES),the difference of mental health status between operating room nurse and well aduit were analyzed,then correlation between occupational negative event and mental health status of operating room nurse were analyzed.Results:The score of SCL90 was 94.6 in well adult,126.54 in operating room nurse,the score was higher in operating room nurse, the score occupational negative event in operating room nurse was 12.74,which was a positive correlation with the score of SCL90. Conclusions:The mental health status in operating room nurse was lower to well adoult, occupational negative event had large effect in mental health status,the measure of mental intervention must be take.
目的探讨对达芬奇机器人纵隔肿瘤切除术的患者实行心理干预有无积极的影响。 方法选取沈阳军区总医院胸外科2012年1月至2013年1月行达芬奇机器人纵隔肿瘤切除术患者40例为研究对象，按就诊顺序分为两组。对照组20例，男11例、女9例，平均年龄43.7（32～70）岁；观察组20例，男10例、女10例，年龄45.6（32～68）岁。两组均按照胸外科常规护理，观察组在此基础上加强围手术期的心理干预，使用焦虑自评量表（self-rating anxiety scale，SAS）和抑郁自评量表（self-rating depression scale，SDS）进行评估，比较两组患者干预前后的心理状态差异。 结果观察组和对照组SAS、SDS评分干预前与干预后均有不同程度的降低。与对照组相比，观察组降低较为明显，且差异有统计学意义（SAS干预后44.55±5.33 vs.39.90±2.34，P＜0.05；SDS干预后35.64±4.26vs.33.28±1.93，P＜0.05）。 结论心理干预可有效改善达芬奇机器人纵隔肿瘤切除术患者的心理状态，对提高治疗效果有积极的推动作用。