Effect of psychological nursing interventions on effectiveness and quality of life in schizophrenia patients receiving modified electroconvulsive therapy

BACKGROUND Schizophrenia is a common and severe mental disorder characterized by severe thought disturbances,hallucinations,delusions,and emotional instability.For some patients,conventional treatment methods may not effectively alleviate symptoms,necessitating the use of alternative therapeutic approaches.Modified electroconvulsive therapy(MECT)is an effective treatment modality for schizophrenia,inducing anti-depressive and antipsychotic effects through the stimulation of brain electrical activity.AIM To explore the impact of psychological nursing intervention(PNI)before and after MECT on the efficacy and quality of life of patients with schizophrenia.METHODS Eighty patients with schizophrenia who received MECT treatment from 2021 to 2023 were randomly divided into two groups:The intervention group(n=40)and the control group(n=40).The intervention group received PNI before and after MECT,while the control group received routine nursing care.The efficacy of MECT was evaluated by the Positive and Negative Syndrome Scale(PANSS)and the Clinical Global Impression Scale(CGI)before and after the treatment.The quality of life was assessed by the Short Form 36 Health Survey(SF-36)after the treatment.RESUITS The intervention group had significantly lower scores of PANSS and CGI than the control group after the treatment(P<0.05).The intervention group also had significantly higher scores of SF-36 than the control group in all domains except physical functioning(P<0.05).CONCLUSION PNI before and after MECT can improve the efficacy and quality of life of patients with schizophrenia.It is suggested that nurses should provide individualized and comprehensive psychological care for patients undergoing MECT to enhance their recovery and well-being.

Evaluation of Psychological Changes on Women Following Coordination Exercises: Immediate Effects of Life Kinetik® Implementation

Objective: This study aimed to evaluate the immediate psychological effects of coordination exercises on women in Japan. Methods: The subjects were 17 adult women (height, 160.1 ± 5.1 cm;weight, 54.3 ± 10.5 kg;age, 57.8 ± 8.3 years) living in the community and attending a fitness club. The subjects performed a coordination exercise called Life Kinetik®. The subjects responded to the Two-Dimensional Mood Scale–Short Term before and after performing 30 minutes of Life Kinetik®. The results were tabulated and four psychological states were calculated (i.e., vitality, stability, pleasure, and arousal). The pre- and post-implementation results were statistically analyzed using a corresponding t-test. Results: Significant differences were found in activation and arousal levels, but not in stability and comfort levels. Conclusion: The coordination exercise, Life Kinetik®, was found to be an exercise program with potential psychological benefits, as it could change women’s psychological condition to active and excited states.

Effects of nursing care in fast-track surgery on postoperative pain, psychological state, and patient satisfaction with nursing for glioma

BACKGROUND The brain is the most complex organ in the human body.Treatment for a glioma always involves a multi-disciplinary team.Nursing care in fast-track surgery or enhanced recovery after surgery is such kind of work implemented by an interdisciplinary team to provide services to patients to improve their outcomes.AIM To explore the effects of nursing care in fast-track surgery on postoperative pain,psychological state,and patient satisfaction with nursing for glioma.METHODS From June 2018 to June 2020,138 patients who underwent operation for glioma at Cancer Hospital Affiliated to Chongqing University were selected.They were categorized into groups according to different nursing care that they received.Of them,69 patients receiving nursing care in fast-track surgery were included in an experimental group,and 69 patients receiving conventional postoperative nursing were included in a control group.Visual analogue scale was used to evaluate postoperative pain in the two groups immediately after the operation and at 3 d after the operation.Self-rating anxiety scale(SAS)and self-rating depression scale(SDS)were used to evaluate the psychological status of patients immediately after operation and on the 3rd postoperative day.A self-made satisfaction scale for patient satisfaction with nursing was used to evaluate and compare patient satisfaction with nursing between the two groups.RESULTS Time to excretion,time to out-of-bed activities,and length of hospital stay were significantly shorter in the observation group than in the control group(P<0.05).There was no significant difference in duration of operative time or intraoperative bleeding between the two groups(P>0.05).There was no significant difference in postoperative pain score between the two groups(P>0.05).The pain score was significantly lower in the observation group than in the control group at 3 d after the operation(P<0.05).There was no significant difference in postoperative SAS or SDS score between the two groups(P>0.05).SAS and SDS scores were significantly lower in the observation group than in the control group at 3 d after operation(P<0.05).The rate of patient satisfaction with nursing was 94.2%in the observation group,which was significantly higher than that(81.2%)of the control group(P<0.05).CONCLUSION Nursing care in fast-track surgery can relieve postoperative pain,anxiety,and depression,and improve patient satisfaction with nursing in patients with glioma,which is worthy of clinical application.

Psychological Intervention for Postpartum Depression

Summary： The postpartum depression outcome and the effect of psychological intervention were studied in order to reduce the occurrence and development of the postpartum depression. A survey of 4000 women within 4-6 weeks postpartum in 80 communities in Shenzhen, China was performed using random cluster sampling method. By employing Edinburgh Postnatal Depression Scale （EPDS） as a screening tool, the positive women （defined as EPDS 〉10） were randomly divided into intervention group and control group at a ratio of 1：2. The women in the intervention group were treated by means of mailing postpartum depression prevention and treatment knowledge manual, face-to-face counseling, and telephone psychological counseling interventions aiming at individual risk factors, while those in the control group were treated with conventional methods. EPDS scores were assessed in these two groups again at 6th month postpartum. Totally, 3907 valid questionnaires were obtained. All the 771 positive women were divided into two groups： 257 in the intervention group, and 514 in the control group. At 6th month postpartum, the EPDS scores in the intervention group were decreased significantly, from baseline stage （12.84±3.02） to end stage （3.05±2.93）, while EPDS scores in the control group were reduced from 12.44±2.78 to 6.94±4.02. There were significant differences in the EPDS scores at end stage between the two groups （t=13.059, P〈0.001）. Psychological intervention can reduce postpartum depression, with better maternal compliance. It is feasible and necessary to establish postpartum depression screening and psychological intervention model in community-hospital and include the postpartum depression screening, intervention, and follow-up into the conventional healthcare.

THE INVESTIGATION AND ANALYSIS OF THE PSYCHOLOGICAL DISORDERS OF THE PUPILS（9～12YEARS OF AGE）OF XI＇AN CITY

pupils aged 9～12 years from six primary schools were cross-sectionally investigated on the psychological disorders with Conner Scale and EPQ. The results showed that the incidence of psychological disorders was 18. 2%,with 21. 3% in male and 15. 5% in female. The incidehees were significantly difrerent between male and remal (P<0. 05). The incidences or learning difficulty,hyperactivity and impulsive behavior were 8. 2%, 5. 3%,and 5.3% respectively.The family factors influencing the psychological disorders were the pupils'birth problems,the relationship between the pupils and their parents, and the parents'inappropriate prospect for the pupils.The investigation also found that the pupils with psychological disorders had more poor experiences or their family and school and more of them had obvious personality tendencies towards unstability or emotion,eccentricity and social immaturity as compared with the normal pupils. The effective measures to promote pupils'psychological health were suggested in this article.

Psychological stress and long-term blood pressure variability of military young males:The cardiorespiratory fitness and hospitalization events in armed forces study

BACKGROUND Acute stress might increase short-term heart rate variability and blood pressure variability(BPV);however,chronic stress would not alter short-term BPV in animal models.AIM To examine the association of psychological stress with long-term BPV in young male humans.METHODS We prospectively examined the association of chronic psychological stress with long-term BPV in 1112 healthy military males,averaged 32.2 years from the cardiorespiratory fitness and hospitalization events in armed forces study in Taiwan.Psychological stress was quantitatively evaluated with the Brief Symptom Rating Scale(BSRS-5),from the least symptom of 0 to the most severe of 20,and the five components of anxiety,insomnia,depression,interpersonal sensitivity,and hostility(the severity score in each component from 0 to 4).Longterm BPV was assessed by standard deviation(SD)for systolic and diastolic blood pressure(SBP and DBP),and average real variability(ARV),defined as the average absolute difference between successive measurements of SBP or DBP,across four visits in the study period from 2012 to 2018(2012-14,2014-15,2015-16,and 2016-18).RESULTS The results of multivariable linear regressions showed that there were no correlations of the BSRS-5 score with SDSBP,SDDBP,ARVSBP,and ARVDBP after adjusting for all the covariates[β(SE):-0.022(0.024),-0.023(0.026),-0.001(0.018),and 0.001(0.020),respectively;P>0.05 for all].In addition,there were also no correlations between each component of the BSRS score and the long-term BPV indexes.CONCLUSION Our findings suggest that chronic psychological stress might not be associated with long-term BPV in military young male humans.

Plate vs reverse shoulder arthroplasty for proximal humeral fractures:The psychological health influence the choice of device?

BACKGROUND Proximal humeral fractures represent the third most common observed osteoporotic fracture;the treatment in three and four-part proximal humeral fractures in patients over 65 years is still controversial.Among the treatments described in literature,open reduction and internal fixation(O.R.I.F)and reverse shoulder arthroplasty(RSA)are gaining an increasing popularity.AIM To investigate the correct treatment for three and four-part proximal humeral fractures according to psychological aspects.METHODS It was conducted a prospective study with a series of 63 patients treated with O.R.I.F.(group A)and with RSA(group B)for three and four-part proximal humeral fractures according to Neer classification system.A conservative treatment group,as control,was finally introduced.One independent observer performed clinical and a psychological evaluation at one(T0),six(T1)and twelve months(T2)postoperatively.The Constant’s score and The Disabilities of the Arm,Shoulder and Hand(DASH score)were used for clinical evaluation,while General Anxiety Disorder-7(GAD-7)and Caregiver Strain Scale(CSS)were used for psychological evaluation.RESULTS At one month follow up in group A the mean values were DASH score 50.8,Constant score 36.1,GAD-7 score 5.4,CSS 5.0.For the group B,the average values at T0 were:DASH score 54.6,Constant score 32.0;GAD-7 score 6.4,CSS 6.2.At six months in group A the average values were DASH score 42.1,Constant score 47.3,GAD-7 score 4.3,CSS 3.9.For the group B,the average values at T1 were:DASH score 39.1,Constant score 43.2,GAD-7 score 5.7,CSS 5.5.At twelve months in the group A,the mean values were DASH score 32.8,Constant score 60.0,GAD-7 score 3.2,CSS 3.1.For the group B shown these mean values:DASH score 33.6,Constant score 52.9,GAD-7 score 4.3,CSS 4.5.We demonstrated a better clinical and psychological outcome at T2 in the group treated with osteosynthesis compared to the group treated with arthroplasty(Constant P=0.049,GAD-7 P=0.012 and CSS P=0.005).A better clinical and psychological outcome emerged in control group at T2 comparing with surgical group(DASH score P=0.014,Constant score P<0.001,GAD-7 P=0.002 and CSS P=0.001).CONCLUSION Both open osteosynthesis and reverse shoulder arthroplasty are valid treatments for proximal humeral fractures.According to the best osteosynthesis results the authors suggested to perform a psychological analysis for each patient in order to choose the appropriate treatment.

Clinical, Psychological and Socio-Economic Profile of Women Consulting for Couple Infertility in the Yaounde Gynaeco-Obstetric and Paediatric Hospital

Introduction: Infertility is defined as the inability to achieve a pregnancy after at least 12 months or more of regular unprotected sexual intercourse. Our main objective was to describe the clinical, psychological and socio-economic profile of women consulting for infertility in the Yaounde Gyneco-Obstetric and Pediatric Hospital. Methodology: This was a descriptive cross-sectional study with prospective data collection at the Yaounde Gyneco Obstetric and Pediatric Hospital over a period of 7 months from 1st December 2021 to 31st June 2022. Results: We included 171 patients. The mean age was 32.3 ± 5.5 years. The mean duration of infertility was 4.0 ± 3.7 years. Primary and secondary Infertility made up 31.6% and 68.4% of cases respectively. Past medical history was significant for Abortions (50%), Chlamydia and Mycoplasma infections (43.8%), chronic pelvic pain (49.7%) and endouterine manipulations (33.3%) of cases. Majority of our patients were stressed (76.6%). The most represented stress score was severe stress (66.1%). 51% of our patients were mentally depressed and 35.6% were anxious. Majority of them (74.9%) had low socio-economic status. Conclusion: Couple infertility is most often secondary. It triggers the onset of psychological problems like stress, mental depression and anxiety. Most of our patients had a low socio-economic status.

Revision of the Parental Psychological Control Scale among Chinese College Students

The study revised the Parental Psychological Control Scale(PPCS)among Chinese college students(N=604)and analyzed its construct validity,criterion-related validity,internal reliability,and test-retest reliability using an exploratory structural equation modeling(ESEM)approach.Results showed that the revised PPCS contained three factors,including nine items.Notably,the three-factor ESEM solution fits the data better than the classical confirmatory factor analysis(CFA)approach.Measurement invariance of the scale was confirmed across gender groups based on ESEM.The criterion-related validity of the PPCS was also investigated within the ESEM approach using self-esteem as a validity criterion.The internal consistency and the test-retest reliability were also examined.Findings showed that the psychometric characteristics of the PPCS were favorable for its use as an assessment tool for parental psychological control of Chinese college students.

食物饱腹感研究及其测试技术进展

饱腹感,即为进食后满足感和不再渴望进食的状态,在维护正常食欲、控制体质量、预防肥胖及改善代谢性疾病方面具有重要意义。文章系统分析影响饱腹感的多种因素,包括食物成分、感官特征、能量密度、心理因素及饮食行为等,并阐述这些因素对饱腹感的作用机制。同时,重点介绍模拟视觉量表、胃肠道激素检测及闪烁扫描等新兴技术在饱腹感测试中的应用,展示这些技术在评估饱腹感方面的科学性和有效性。此外,文章还讨论饱腹感及其测试技术的研究意义与未来展望,旨在为饱腹感相关机制的深入研究、饱腹感测试技术的创新以及高饱腹感食品的开发提供理论支持和实践参考。

针刺联合心理疏导治疗儿童短暂性抽动障碍临床研究

目的:观察针刺联合心理疏导治疗肝亢风动型儿童短暂性抽动障碍的临床疗效。方法:选择2022年4月—2023年10月就诊于温医大附属眼视光医院杭州院区的152例肝亢风动型短暂性抽动障碍患儿,按随机数字表法分为治疗组90例及对照组62例,治疗组予以针刺联合心理疏导治疗,对照组予以硫必利片口服联合心理疏导治疗,共治疗8周。比较2组临床疗效及不良反应发生情况,比较2组治疗前、治疗2周、4周、8周后耶鲁综合抽动严重程度量表(YGTSS)评分的变化。结果:治疗组临床疗效总有效率为95.6%(86/90),对照组临床疗效总有效率为95.2%(59/62),2组比较,差异无统计学意义(P>0.05)。治疗后,2组YGTSS评分均较治疗前下降(P<0.05),治疗2周、4周后,治疗组YGTSS评分均低于同一时间段对照组,差异均有统计学意义(P<0.05),治疗8周后,2组YGTSS评分比较,差异无统计学意义(P>0.05)。2组在治疗过程中,均未产生严重不良反应。结论:针刺联合心理疏导治疗肝亢风动型儿童抽动障碍临床有效,与硫必利片联合心理疏导治疗相比见效更快,安全性高。

Predictors of Falls Efficacy Scale responses among nursing home residents in China

Objectives:The objective of this study was to examine the falls efficacy of older adults in nursing homes and the related predictors of falling.Methods:A sample of 317 older adults was recruited from 18 nursing homes in the Fujian province of China.The Modified Falls Efficacy Scale(MFES)and Kessler Psychological Distress Scale(K10)were employed to collect data.Results:The falls efficacy of older adults was moderate(7.80±1.17).The falls efficacy questionnaire item“Get dressed and undressed”scored the highest(9.12±1.440),while“Crossing roads”scored the lowest(5.77±3.371).Multiple regression analysis demonstrated that mental health status,degree of self-care,age and gender were each predictors of the falls efficacy of older adults.Conclusions:Falls efficacy enhancing programs for nursing home residents should take mental health status,degree of self-care,age and gender into account.

Attitudes towards prescribing psychiatric medicines: Do the views of psychology and medical students differ?

Concordance has been suggested as a process of the consultation in which prescribing process is based on partnership. The aim of this cross-sectional study was to compare attitudes towards psychiatric medication and concordance in medicine taking between medical and psychology students, as they represent future members of mental health teams. Two hundred and sixteen medical students and 222 psychology students completed the Leeds Attitudes toward Concordance scale (LATCon) and the Beliefs about Medication Questionnaire (BMQ) (both adapted for psychiatric medication). Psychology students saw psychiatric medicines as more harmful and were also most likely to believe that psychiatrists overprescribed these medicines. They also scored higher than medical students on attitudes towards concordance, although this difference remained at the limit of statistical significance.

新医改背景下医共体内护士心理状况调查

目的 研究新医改背景下医共体内护士的心理状况。方法 选取2019年10月—2022年10月杭州市萧山区医共体单位内295名护士为调查对象,对其一般资料、工作情况行调查统计,使用症状自评量表(self-reporting inventory-90,SCL-90)、一般自我效能感量表(general self-efficacy scale,GSES)对其心理健康和自我效能进行评估。结果 工作日平均工作时间>10h护士的SCL-90评分为(164.50±67.35)分,高于> 8~10h、≤8 h护士的(147.61±53.70)、(134.45±40.19)分,差异有统计学意义(P<0.05)。年龄> 40岁护士的GESE评分高于> 30~40岁、21~30岁护士,差异有统计学意义(P<0.05)。三级医院护士的GESE评分高于二级医院、一级医院,差异有统计学意义(P<0.05)。工作时间> 30年、> 20~30年、> 10~20年护士的GESE评分高于> 5~10年、≤5年护士,差异有统计学意义(P<0.05)。工作日平均工作时间≤8 h护士的GESE评分高于> 8~10 h、>10h护士,差异有统计学意义(P<0.05)。结论 医共体内部分护士心理健康问题较为严重,自我效能感处于中等水平,应合理调整护士工作日平均工作时间以提高护士自我效能感、改善护士心理健康。

疫苗接种心理前因5C量表的修订及其效度和信度

目的:对疫苗接种心理前因5C量表(5C Scale)进行修订,并检验其效度和信度。方法:采用中英文回译法和专家评定并结合访谈结果,形成改编版量表的中文版,对1 035名居民进行问卷调查,将其随机分成两组分别进行探索性和验证性因子分析;对其中230人进行间隔2周的重测。用中国大五人格问卷简式版(CBF-PI-B)的神经质分量表检验效标关联效度。结果:5C Scale修订后加入新的困惑维度,形成18个条目的疫苗接种心理前因6C量表(6C Scale),包含信任、自满、限制、计算、集体责任、困惑6个因子,累计方差解释率为67.92%;6因子结构模型拟合良好(χ2/df=1.72,RMSEA=0.04,CFI=0.97,TLI=0.96,NFI=0.92,IFI=0.97);困惑维度总分与CBF-PI-B神经质分量表总分呈正相关(ICC=0.54,P<0.001)。6个维度的Cronbach α系数为0.68~0.77,重测信度(ICC)为0.51~0.82。结论:本研究修订形成的疫苗接种心理前因6C量表(6C Scale)评估居民的疫苗接种心理前因具有良好的效度和信度。

观察多元化术前访视联合手术室保温护理改善患者心理状态及睡眠质量的效果

目的:观察多元化术前访视联合手术室保温护理改善患者心理状态及睡眠质量的效果。方法:选取2023年1月至12月厦门大学附属第一医院收治的手术治疗患者86例作为研究对象,按照随机数字表法分为对照组和观察组,每组43例。对照组给予常规护理干预,观察组给予多元化术前访视联合手术室保温护理干预。采用CD-RISC量表对患者在手术期间心理状态进行评估,采用匹兹堡睡眠质量指数(PSQI)比较2组患者干预前后睡眠质量的变化,并比较2组患者干预前后应激指标肾上腺素、去甲肾上腺素水平的变化。结果:干预后,观察组CD-RISC量表评分显著高于对照组,观察组PSQI量表评分显著低于对照组,观察组肾上腺素、去甲肾上腺素水平均低于对照组,差异均有统计学意义(均P<0.05)。结论:在对手术患者进行护理时开展多元化术前访视联合手术室保温护理,可以有效提升患者睡眠质量,改善患者心理状态,降低手术期间应激反应,值得临床推广应用。

家庭参与式护理在肝癌经导管动脉栓塞化疗患者中的应用效果

目的:观察家庭参与式护理肝癌经导管动脉栓塞化疗患者中的应用效果。方法:选取2021年3月至2022年3月该院收治的72例肝癌经导管动脉栓塞化疗患者进行前瞻性研究,按照随机数字表法将其分为观察组与对照组各36例。对照组采用常规护理,观察组在对照组基础上采用家庭参与式护理,比较两组营养指标(转铁蛋白、白蛋白)水平、T细胞亚群指标(CD4^(+)、CD4^(+)/CD8^(+))水平、Connor-Davidson心理弹性量表(CD-RISC)评分、汉密尔顿抑郁量表(HAMD)评分和胃肠道不适症状发生率。结果:护理后,两组转铁蛋白、白蛋白等营养指标水平和CD4^(+)、CD4^(+)/CD8^(+)等T细胞亚群指标水平,以及CD-RISC评分高于护理前,且观察组高于对照组,两组HAMD评分低于护理前,且观察组低于对照组,差异均有统计学意义(P<0.05);观察组胃肠道不适症状发生率为2.78%,明显低于对照组的22.22%,差异有统计学意义(P<0.05)。结论:在常规护理基础上采用家庭参与式护理可提高肝癌经导管动脉栓塞化疗患者营养指标水平、T细胞亚群指标水平和CD-RISC评分,以及降其HAMD评分和胃肠道不适症状发生率,效果优于单纯常规护理。

生育动机测量研究综述

生育动机指由个体生育(或不生育)的需要所引发的,维持和导向个体生育(或不生育)行为的内部动力。随着社会的发展,生育决策中的自我选择成分逐渐增多。为了更好地应对当前中国的低生育率问题,有必要考察和评估作为生育行为心理动力的生育动机,而标准化的测量工具是深入广泛地开展研究的必要条件。目前,国外针对生育动机量表的开发已有一定的积累,而国内生育动机量表的开发尚处于起步阶段。因此,研究梳理当前国外测量生育动机的工具,总结国外生育动机测量的发展及特点,并简要介绍国内生育动机测量研究的现状,为国内本土化生育动机量表的编制提供理论基础和经验借鉴。

心理弹性训练提高医学生心理健康水平的研究

目的探讨心理弹性训练提高医学生心理健康水平的作用效果。方法2021年1月—2023年1月按照方便整群抽样方法选择重庆医科大学650名医学生,采用随机数字表法将其分为观察组和对照组,各325名。照组学生给予传统说教模式的心理健康教育,观察组学生给予进行心理弹性训练。采用心理弹性量表(Connor—Davidson resilience scale,CD—RISC)评估学生干预前后的心理弹性水平,采用中国大学生心理健康量表(China college student mental health scale,CCSMHS)评估学生干预前后的心理健康水平并进行统计分析。结果干预后,2组CD-RISC量表各因子评分均有所提高,观察组各因子评分及总分均高于对照组,差异有统计学意义(P<0.05)。干预后,观察组CCSMHS评分低于对照组,差异有统计学意义(P<0.05)。结论心理弹性训练能提高医学的心理弹性水平,有效改善医学生心理健康。

基于系统性评价的我国心理韧性量表编制本土化研究之现状

我国存在诸多本土研制的心理韧性量表,但引证文献数据显示相当部分量表未能得到有效应用,该研究基于系统性评价方法对纳入文献进行整理、描述并评价量表的心理测量学及文化适应性特征,为相关研究者提供必要的参考与借鉴。结果显示53篇被纳入文献中,总分10分的心理测量学评价显示了良莠不齐的结果,其中24份量表评分≥8分,16份量表评分≤5分,心理韧性保护因子及过程清单显示了心理韧性的文化特性,但文化适应性评价提示研究者对本土文化中的韧性资源开发利用不够。在整合现有研究基础上,充分利用本土有关心理韧性的优秀文化资源,构建开发具有中国文化特色的理论模型应为未来的心理韧性测量本土化研究的一个重要方向。