Effect of cognitive behavior therapy training and psychological nursing on the midwifery process in the delivery room

BACKGROUND The severe physical and psychological impact of pain on the physical and mental health of women during labor leads to increased risks and complications during childbirth,presenting a major public health concern.Some studies have shown that cognitive behavioral therapy(CBT)has a positive effect on maternal psychology during delivery,reducing stress and shortening labor time.Thus,CBT training for mothers and delivery room staff may be beneficial in minimizing complications and adverse effects during natural birth.AIM To investigate the clinical effects of CBT training and psychological care during delivery,and their therapeutic effects on women in labor.METHODS This study used a retrospective analysis and included 140 mothers admitted to the maternity ward between January 2021 and January 2023.The study subjects were randomized into two groups:control(n=70)and observation(n=70).Routine care,CBT training,and psychological care were provided to mothers in both groups.Psychological status scores,delivery time,and satisfaction with care pre-and post-delivery were compared,and the incidence of complications after receiving care was analyzed between the two groups.RESULTS Although the psychological state of both groups improved significantly in the late stages of labor,the psychological state scores of the mothers in the observation group were significantly lower than those of the mothers in the control group(P<0.05).The duration of labor and incidence of complications in the observation group were significantly lower than those in the control group(P<0.05).The mothers in the observation group were significantly more satisfied with nursing care during the course of labor than those in the control group(P<0.05).CONCLUSION CBT training and psychological care for mothers in the midwifery process can effectively improve anxiety and depression,shorten labor duration,reduce postnatal complications,and improve nursing satisfaction and nurse-patient relationships.Its clinical application is effective and has popularization value,providing a new way to protect maternal mental health.

Effect of Resistance Training,Aerobic Exercise Before Doula-Assisted Delivery on the Psychological Well-Being and Labor Duration of Parturients

Objective:To investigate the impact of resistance training and aerobic exercise before doula-assisted delivery on the psychological well-being and labor duration of parturients.Methods:105 cases of parturients who gave birth in our hospital from February 2021 to April 2023 were included in this study.The patients were divided into a control group of 52 cases and an observation group of 53 cases.The patients in the control group received no particular intervention before delivery and only received doula assistance.The patients in the observation group received resistance training,aerobic exercise,and doula assistance prior to giving birth.After delivery,the mothers were observed for 2 hours in the delivery room and then returned to the maternal and infant ward.The observation indicators of the two groups were compared.Results:In comparison to the control group,the observation group exhibited shorter durations in the first,second,and third stages of labor,as well as the total delivery time.Additionally,the amount of postpartum blood loss at 2 hours was smaller in the observation group.The rate of cesarean section was lower,and the rate of vaginal natural delivery was higher in the observation group.Following the intervention,both groups of postpartum women showed decreased SAS and SDS scores compared to before the intervention.Moreover,the observation group had lower scores than the control group.These differences were all statistically significant(P<0.05).Conclusion:Resistance training and aerobic exercise before doula-assisted delivery can effectively improve the psychological state of parturients,shorten labor duration,increase the rate of natural vaginal delivery,and reduce pain and postpartum hemorrhage.

Effect and Significance of Comprehensive Training in Infection Prevention and Control on the Psychological Health of Oral Health Staff

Background:Oral health staff have close contact with patients in the process of diagnosis and treatment,and it is inevitable for them to come into contact with patients’secretions.Therefore,oral health staff are at greater risk of infectious diseases in their daily work,and their psychological health is also greatly challenged.Objective:To study the effect and significance of comprehensive training in infection prevention and control on the psychological health of oral health staff.Methods:We selected 400 oral health staff from a tertiary stomatological hospital in Guangzhou,China in this study.The respondents were randomly divided into an intervention group and a control group.After the first round of investigation,the intervention group received comprehensive training in prevention and control of infection for three months,while the control group received no intervention.Results:The comprehensive training in infection prevention and control improved the respondents’psychological health and job satisfaction.Further strengthening infection prevention and control training for oral health staff will increase their self-confidence,improve their mental health,and increase their job satisfaction.Conclusion:For oral health staff,it is particularly important to formulate an effective and operable preventive and control training program and then implement it in a standardized manner.

Physical and psychological condition of senior people in a residential care facility. The effects of an aerobic training

The present study is aimed at investigating the changes between pre-test and post-test, after having introduced an aerobic programme of physical activity (one session, each of 45’ per week for 15 weeks, over a span of roughly four months, delivered by specially trained instructor), in the psychological situation (perception of general health, feelings of geriatric depression) and physical condition (activities of daily living, physical performance in terms of balance and gait, weight, and body mass index–BMI) of a group of senior citizens slightly compromised at Mini Mental State Examination (MMSE: median 23) and living in a residential care facility in northern Italy. The 36-Item Short Form Health Survey Questionnaire (SF-36), the Geriatric Depression Scale (GDS), the Italian short version of Barthel's Index of Activities of Daily Living (BADL), the Tinetti Assessment Tool were administered to 18 old men and women (median age 85.50 years). The findings (we used non- parametric statistical techniques) showed that: 1) general health perception, feelings of depression, and activities of daily were stable;2) general physical performance, and particularly the balance, increased between pre-test and post-test, while weight, BMI and waist circumference decreased. These results underline the importance, especially in the case of women, of participating at an aerobic training delivered by experienced instructors for the physical condition of senior citizens, also when they are slightly cognitively compromised.

Effect of Psychological Education Combined with Progressive Muscle Relaxation Training on the Symptom Cluster and Rehospitalization Rate of Elderly Patients with Coronary Heart Disease

Objective:To investigate the effect of psychological education combined with progressive muscle relaxation training on the symptom cluster and rehospitalization of elderly patients with coronary heart disease.Methods:This study is a longitudinal randomized controlled study involving 140 elderly patients with coronary heart disease.The patients were divided into two groups:an intervention group and a control group,with 70 cases in each group,via random number table.The patients in the control group received routine nursing,whereas those in the intervention group received psychological education combined with progressive muscle relaxation training for 4 weeks on the basis of routine nursing.The effect of the intervention was evaluated before intervention,at the end of 1 month,3 months,and 6 months after intervention.Results:At the end of 1 month,3 months,and 6 months,the sleep,fatigue,anxiety,and functional status of the patients in the intervention group were significantly better than those of the control group,with statistical significance difference(P<0.05).The rehospitalization rate of the intervention group was lower than that of the control group,and the difference was statistically significant(X2=10.685,P=0.001).Conclusion:Psychological education combined with progressive muscle relaxation training is effective in alleviating the symptom cluster of elderly patients with coronary heart disease and reducing their rehospitalization rate;thus,it should be popularized.

A Missing Step: The Value of Psychological Mindedness Training during Psychiatry Residency

Psychiatry residents, who lack psychological mindedness, struggle to understand the multiple determinants of behavior, or the numerous meanings of a single symptom. This is unfortunate because most psychiatry resident interns feel that they are finally among the group where they belong… like-minded physicians who share a fascination with human nature and a desire to grasp all the nuances and complexities of human behavior. This paper provides a framework for psychiatry departments to train residents along a continuum of psychological mindedness. The authors explain the concept of psychological mindedness, explore the pros and cons of acquiring psychological mindedness, and a scientific basis for its use in general psychiatry. A new model is included to capture any resident’s ability to become psychologically minded, with direction for Program Director’s to possibly develop growth in a resident’s psychological mindedness over four years of training.

A prob of the effect of psychological suggestion in Track and Field Sports

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麻醉科住院医师职业倦怠现状调查与研究

目的采用调查问卷收集国内麻醉科住院医师的职业倦怠现状,分析影响职业倦怠的相关因素。方法选择全国218家医院的麻醉专科共2651名在职在岗的麻醉科住院医师为研究对象。通过问卷星设计和发放电子问卷,收集人口统计学特征、职业相关特征、心理弹性评分(康纳-戴维森复原力量表)。采用职业倦怠量表(MBI-HSS)对医师职业倦怠情况进行评估。对发生职业倦怠和非职业倦怠的医师进行组间比较,并采用多因素Logistic回归分析医师职业倦怠的危险因素。结果本次问卷有效回收1990份,回收率77.7%。住院医师职业倦怠发生率为53.4%(1063/1990)。与未发生职业倦怠的住院医师比较,职业倦怠的医师女性比例、三级医院比例、未婚比例、遇到有挑战的病例频率、参与值班和有科研任务比例明显升高,每周工作时间明显延长(P<0.05)。多元Logistic回归分析结果显示,女性(OR=1.58,95%CI 1.28~1.97,P<0.01)、工作时间延长(OR=1.62,95%CI 1.45~1.81,P<0.01)、遇到有挑战的病例频率延长(OR=1.11,95%CI 1.11~1.40,P<0.01)是职业倦怠的危险因素,心理弹性评分升高是职业倦怠的保护因素(OR=0.86,95%CI 0.84~0.88,P<0.01)。结论麻醉科住院医师职业倦怠发生率偏高,应重点关注并针对提升心理弹性且设计切实可行的预防规范措施,保证住院医师群体的身心健康。

精神心理方向护理硕士专业学位研究生临床实践培养方案的构建

目的 构建精神心理方向护理硕士专业学位研究生临床实践培养方案。方法 基于文献回顾和专家讨论,形成精神心理方向护理硕士专业学位研究生临床实践培养方案初稿。选取来自北京、长沙、武汉、南京、上海、广州、成都、合肥、南昌的13名专家作为函询对象,于2022年10月—12月采用专家函询法对其进行2轮函询。结果 2轮专家函询的专家积极系数均为100%;专家权威系数分别为0.94、0.96;肯德尔协调系数分别为0.251和0.418(P<0.001)。最终构建的精神心理方向护理硕士专业学位研究生临床实践培养方案由7个模块(培养目标、培养内容、培养方式、培养时间、考核内容及占比、带教师资、实践基地)、36个一级条目、67个二级条目、103个三级条目构成。结论 本研究构建的精神心理方向护理硕士专业学位研究生临床实践培养方案科学、可信,可为我国精神心理方向护理硕士专业学位研究生临床实践能力的培养提供参考。

多感官刺激联合多领域认知训练对阿尔茨海默病患者精神行为症状的影响

目的探讨多感官刺激联合多领域认知训练对阿尔茨海默病患者(Alzheimer’s disease,AD)精神行为症状的影响。方法便利抽样选取2023年2-4月某医院神经内科病房收治的AD患者共94例,对照组予常规护理,试验组在此基础上实施多感官刺激联合多领域认知训练。干预前后采用神经精神量表(neu-ropsychiatric inventory,NPI)、科恩-曼斯菲尔德激越行为量表(Cohen-Mansfield agitation inventory,CMAI)、汉密尔顿焦虑量表(Hamilton anxiety scale,HAMA)和汉密尔顿抑郁量表(Hamilton depression scale,HAMD)评价两组患者的精神行为、情绪变化。结果试验组患者在接受干预后的NPI、CMAI、HAMA和HAMD评分明显低于对照组(均P<0.05)。结论对AD患者实施多感官刺激联合多领域认知训练,可有效降低其激越行为的发生率,改善焦虑和抑郁等负面情绪。

四川省精神专科护士系统培训对提升护理人员一般自我效能感及心理弹性的效果评价

目的评估四川省精神专科护士培训对其一般自我效能感、心理弹性及其各维度(坚韧、自强和乐观)的提升效果。方法采用自身前后对照试验设计,对2023年9—11月参加四川省精神专科护士培训班的57名护士进行系统培训,包括理论教学、临床实践、团体督导、主题沙龙等多个模块,共500学时。在培训前和培训后采用一般自我效能感量表(GSES)和中文版Connor-Davidson心理弹性量表(CD-RISC)对精神专科护士进行测量。结果与培训前比较,培训后护士的GSES得分和CD-RISC得分差异有统计学意义(P<0.05),其中坚韧、自强和乐观3个维度差异有统计学意义(P<0.05)。结论本研究通过系统培训,提升了精神专科护士的自我效能感和心理弹性,证明培训方案有效。

高校本科生参与科研训练的影响因素研究

本科生参与科研训练是提升其学术素养和科研能力的重要途径,也是高校培养创新型人才的重要方式。高校要构建科学有效的本科生参与科研训练生态系统,必须深入分析本科生参与科研训练的关键影响因素及其实现路径。基于阿斯汀的“I-E-O”模型和勒温的“心理场理论”,构建高校本科生参与科研训练的影响因素理论模型,并设计编制调查问卷。调查结果表明:环境支持、心理动机、能力发展对本科生参与科研训练具有正向影响;性别、年级、家庭所在地对本科生参与科研训练无显著影响;专业类型、成绩排名、毕业去向、参与科研经历、学生干部经历对本科生参与科研训练影响显著。在上述研究的基础上提出构建我国高校本科生参与科研训练生态系统的改革行动建议。

乒乓球运动员心理素质培养的策略与方法

随着竞技体育水平的不断提高,心理素质已成为决定运动员竞技表现的关键因素之一。通过理论与实证研究,分析了心理训练在提高运动员适应能力、竞技状态和压力管理方面的作用,并提出了具体的心理训练策略。这些策略不仅有助于优化训练效果,还能显著提升比赛中的心理调控能力。通过案例研究和数据分析,旨在为乒乓球教练员和运动员提供一套科学、实用的心理训练指导方案。

PAC心理弹性理论模型联合运动康复训练对老年原发性高血压患者的影响

目的:探讨PAC心理弹性理论模型联合运动康复训练对老年原发性高血压患者的影响。方法:选取2022年1月—2023年1月于厦门大学附属第一医院就诊的98例老年原发性高血压患者,利用掷硬币法分为研究组与对照组,各49例。对照组采用常规健康教育,研究组在常规健康教育基础上给予PAC心理弹性理论模型联合运动康复训练。评价两组干预前后的血压水平、治疗依从性、心理状态、知觉压力和生活质量。结果:干预前,两组血压水平、心理状态和知觉压力及生活质量比较,差异无统计学意义(P>0.05);干预后,研究组血压水平、心理状态评分和知觉压力评分低于对照组,治疗依从性总分和生活质量评分高于对照组,差异有统计学意义(P<0.05)。结论:PAC心理弹性理论模型联合运动康复训练可降低老年原发性高血压患者的血压水平和知觉压力,调节心理状态,提高治疗依从性和生活质量。

心理疏导对高水平运动员心理健康的影响

竞技体育之下,高水平运动员往往背负较大的心理压力,通过心理疏导提升其心理健康水平十分重要。将高水平运动员的心理健康划分为焦虑水平、睡眠水平、训练满意度、心理幸福度4个维度,通过问卷调查法探究心理疏导对高水平运动员心理健康的影响并提出建议。结果显示,心理疏导对高水平运动员的心理健康具有正向促进作用,能够提升其睡眠水平、训练满意度和心理幸福度,且对缓解焦虑、提升睡眠水平的作用更明显。训练满意度的提升水平相对较差,原因可能在于运动员的训练满意度不仅受心理疏导的影响,还受自身竞技水平、教练员水平、设施设备水平等因素的影响。基于此,可以通过心理疏导来缓解运动员的心理焦虑,结合心理疏导改善运动员的睡眠质量,同时提高运动员的自我认知与接纳能力。

基于产教融合的心理学人才实践技能培养改革与探索

基于产教融合的思想,以团队合作与人际沟通课程为例,分析了心理学人才实践技能培养存在的问题,对新培养模式进行了探索,总结了改革的主要经验和特色,分享了取得的主要成效。

基于感恩和心理弹性的团体心理训练对大学生生命意义感和幸福感的影响

目的 探讨感恩、心理弹性、生命意义感和心理幸福感之间的关系,以及基于感恩和心理弹性的团体心理训练对大学生生命意义感和幸福感的影响。方法 利用某高校大学生心理健康课,采用整群抽样法抽取某校某学员队学员138人,随机分成干预组(70人)和对照组(68人)。干预组接受连续5周,每周1次,每次2 h的团体心理训练,对照组暂不接受训练(下学期参加同一内容培训)。使用自编人口统计学量表、生命意义感量表(Meaning in Life Questionnaire, MLQ)、感恩问卷(Gratitude Questionnaire, GQ)、简版心理弹性量表(10-item Connor-Davidson Resilience Scale, CD-RISC-10)、心理幸福感量表(Ryff’s Scales of Psychological Well-Being, RPWB),在干预前(T1)、干预结束时(T2)、干预结束后1个月(T3)分别对2组成员进行评估。用T1时数据分析各变量之间的关系。结果 (1)感恩、心理弹性、生命意义感和心理幸福感两两正相关(P<0.01),生命意义感在感恩和心理幸福感之间起中介作用;生命意义感在心理弹性和心理幸福感之间起中介作用。(2)训练前两组人口统计学信息和各项心理指标差异均无统计学意义。干预后感恩、心理弹性、生命意义感和心理幸福感的时间与分组交互效应显著;T2和T3时干预组的感恩、心理弹性、生命意义感和心理幸福感水平均显著高于对照组(P<0.01);干预组T2、T3时的感恩、心理弹性、生命意义感和心理幸福感得分均显著高于T1时(P<0.01);干预组T2和T3时感恩、心理弹性、生命意义感、心理幸福感得分差异无统计学意义。结论 生命意义感能够部分中介感恩和心理弹性对心理幸福感的影响。基于感恩和心理弹性的团体心理训练能显著提升大学生感恩、心理弹性、生命意义感和心理幸福感水平,且具有持续效果。

基于胜任力模型的初级军官团体心理训练方案构建及其效果

目的构建基于胜任力模型的初级军官团体心理训练,并探究其对初级军官的胜任力与心理健康的干预效果。方法采用Delphi法,构建基于胜任力模型的初级军官团体心理训练方案。于2023年10-11月采用方便抽样方法对63名初级军官进行团体心理训练干预,根据随机对照试验设计原则,采用系统随机化法将研究对象分为试验组(n=30)和对照组(n=33)。试验组共参加8次团体心理训练,每周2次,每次团体心理训练时间为90~120 min,对照组不参加训练。分别在训练前、训练结束时使用胜任力测评表、12项一般健康问卷(GHQ-12)、工作绩效量表(Chinese perceived stress scale,CPSS)、大五人格量表(Neuroticism Extraversion Openness Five-Factor Inventory,NEO-FFI)对2组初级军官进行评估。结果①2轮专家咨询结果显示,总回收率为100%,专家权威系数为0.87,2轮专家咨询肯德尔协调系数(ω)分别为0.102(P<0.001)、0.410(P<0.001),变异系数均<0.3,专家咨询结果可靠。②干预后时间主效应结果显示,试验组胜任力总分(P<0.001)、外向性得分(P<0.05)、责任心得分(P<0.01)均显著高于对照组;试验组GHQ-12总分显著低于对照组(P<0.001)。③干预后组别主效应结果显示,试验组外向性得分显著高于对照组(P<0.01)。④干预后时间×组间的交互作用结果显示,试验组胜任力总分(P<0.01)、工作绩效得分(P<0.05)、外向性得分(P<0.05)、宜人性得分(P<0.001)和责任心得分(P<0.01)均显著高于对照组;试验组GHQ-12总分显著低于对照组(P<0.01)。结论基于胜任力模型的初级军官团体心理训练能够显著提升初级军官的胜任力,强化人格特质中的外向性、宜人性和责任心,提升工作绩效。