目的:探究行为阶段-交谈方式对应式心理引导对手部烧伤患者身心健康的影响。方法:选择2015年1月-2018年1月到四川大学华西医院就诊的手部烧伤患者110例,根据随机数表法分为对照组及观察组,对照组给予常规护理,观察组给予行为阶段-交谈...目的:探究行为阶段-交谈方式对应式心理引导对手部烧伤患者身心健康的影响。方法:选择2015年1月-2018年1月到四川大学华西医院就诊的手部烧伤患者110例,根据随机数表法分为对照组及观察组,对照组给予常规护理,观察组给予行为阶段-交谈方式对应式心理引导,两组患者均护理至出院并随访6个月。统计两组患者手指关节总活动度,通过焦虑自评量表(Self-rating anxiety scale,SAS)和抑郁自评量表(Self-rating depression scale,SDS)评估焦虑、抑郁情况,采用Michigan手功能问卷表(Michigan hand outcome questionnaire,MHQ)评估手部功能,采用简明烧伤健康量表(the Abbreviated burn specific health scale,BSHS-A)评估生存质量。结果:观察组干预后手指关节总活动度优于对照组,SAS、SDS评分均低于对照组,差异有统计学意义(P<0.05)。观察组干预后总体功能、日常活动、工作情况、外观及满意度评分均高于对照组,疼痛评分低于对照组,差异有统计学意义(P<0.05)。观察组干预后BSHS-A评分均高于对照组,差异有统计学意义(P<0.05)。结论:行为阶段-交谈方式对应式心理引导可促进手部烧伤患者手部功能恢复并改善负性情绪。展开更多
Objectives To analyze the correlations between family care,coping strategies and the subject well-being(SWB)of patients with coronary heart disease(CHD)after percutaneous coronary intervention(PCI).Methods From Novemb...Objectives To analyze the correlations between family care,coping strategies and the subject well-being(SWB)of patients with coronary heart disease(CHD)after percutaneous coronary intervention(PCI).Methods From November 2019 to October 2020,264 CHD patients who had undergone PCI were enrolled in this questionnaire survey.The research tools applied included General Information Questionnaire,the Adaptation,Partnership,Growth,Affection and Resolve,Medical Coping Modes Questionnaire,and the General Well-being Schedule.SPSS 24.0 and Amos 23.0 software packages were used for statistical analysis.Results The mean scores for family care,confrontation,avoidance,acceptance-resignation and SWB,were 7.59±2.24,20.03±3.78,16.49±2.70,10.42±2.01,and 73.31±11.63,respectively.Subgroup analysis showed that the path coefficient between family care and subjective well-being was higher in males than females.Family care was directly related to coping strategies.The coping strategies were directly related to SWB,while family care showed an indirect association with SWB via coping strategies.Conclusions Family care can improve CHD patients’SWB post-PCI,and coping strategies are important for the link between family care and SWB.Also,men received more family care than women.Based on a patient's characteristics,healthcare providers can promote patients’positive coping strategies,increase their perceived family care,and improve the patient's SWB.展开更多
Objectives:This study aimed to explore the level of stress,types of stressors,type of coping styles,and factors influencing stress levels and coping styles among nursing students during the initial period of the clini...Objectives:This study aimed to explore the level of stress,types of stressors,type of coping styles,and factors influencing stress levels and coping styles among nursing students during the initial period of the clinical practicum.Methods:A cross-sectional survey design was used.In September 2017,participants were recruited from a tertiary hospital in Zhejiang Province,China,using a convenience sampling method.A demographic characteristics questionnaire,the Intern Nursing Student Stressor Scale,and the Simple Coping Style Questionnaire were used to collect data.Data were analyzed using descriptive analysis,independent sample t-tests,one-way analysis of variance,Pearson’s correlation analysis,and multiple linear regres-sion analysis.Results:A total of 158 nursing students were recruited,most of whom were female,undergraduates,and from rural areas.The nursing students perceived a moderate level of stress during the initial period of the clinical practicum.The need for knowledge and skills was the most common source of stress.Positive coping styles were most commonly adopted.Nursing students who were undergraduates,only children,and chose nursing major involuntarily experienced higher stress levels than those who were junior college students,not only children,and chose nursing major voluntarily.Nursing undergraduates were more likely to use positive coping styles than junior college students.Male nursing students and those experiencing higher stress levels related to the“environment and equipment of the wards”and the“nature and content of the work”were more likely to use negative coping styles.Conclusion:Nursing educators should offer targeted guidance based on the stress reported during the clinical practicum and the demographic characteristics of the nursing students.Guidance should be provided to encourage nursing students to adopt effective coping strategies and reduce stress.展开更多
文摘目的:探究行为阶段-交谈方式对应式心理引导对手部烧伤患者身心健康的影响。方法:选择2015年1月-2018年1月到四川大学华西医院就诊的手部烧伤患者110例,根据随机数表法分为对照组及观察组,对照组给予常规护理,观察组给予行为阶段-交谈方式对应式心理引导,两组患者均护理至出院并随访6个月。统计两组患者手指关节总活动度,通过焦虑自评量表(Self-rating anxiety scale,SAS)和抑郁自评量表(Self-rating depression scale,SDS)评估焦虑、抑郁情况,采用Michigan手功能问卷表(Michigan hand outcome questionnaire,MHQ)评估手部功能,采用简明烧伤健康量表(the Abbreviated burn specific health scale,BSHS-A)评估生存质量。结果:观察组干预后手指关节总活动度优于对照组,SAS、SDS评分均低于对照组,差异有统计学意义(P<0.05)。观察组干预后总体功能、日常活动、工作情况、外观及满意度评分均高于对照组,疼痛评分低于对照组,差异有统计学意义(P<0.05)。观察组干预后BSHS-A评分均高于对照组,差异有统计学意义(P<0.05)。结论:行为阶段-交谈方式对应式心理引导可促进手部烧伤患者手部功能恢复并改善负性情绪。
基金This study was provided by The Scientific Research Foundation of Liaoning Provincial Education Department,China(grant no.LZ2020039).
文摘Objectives To analyze the correlations between family care,coping strategies and the subject well-being(SWB)of patients with coronary heart disease(CHD)after percutaneous coronary intervention(PCI).Methods From November 2019 to October 2020,264 CHD patients who had undergone PCI were enrolled in this questionnaire survey.The research tools applied included General Information Questionnaire,the Adaptation,Partnership,Growth,Affection and Resolve,Medical Coping Modes Questionnaire,and the General Well-being Schedule.SPSS 24.0 and Amos 23.0 software packages were used for statistical analysis.Results The mean scores for family care,confrontation,avoidance,acceptance-resignation and SWB,were 7.59±2.24,20.03±3.78,16.49±2.70,10.42±2.01,and 73.31±11.63,respectively.Subgroup analysis showed that the path coefficient between family care and subjective well-being was higher in males than females.Family care was directly related to coping strategies.The coping strategies were directly related to SWB,while family care showed an indirect association with SWB via coping strategies.Conclusions Family care can improve CHD patients’SWB post-PCI,and coping strategies are important for the link between family care and SWB.Also,men received more family care than women.Based on a patient's characteristics,healthcare providers can promote patients’positive coping strategies,increase their perceived family care,and improve the patient's SWB.
基金supported by Wenzhou Medical University School-level Educational Reform Project(No.YBJG2019006).
文摘Objectives:This study aimed to explore the level of stress,types of stressors,type of coping styles,and factors influencing stress levels and coping styles among nursing students during the initial period of the clinical practicum.Methods:A cross-sectional survey design was used.In September 2017,participants were recruited from a tertiary hospital in Zhejiang Province,China,using a convenience sampling method.A demographic characteristics questionnaire,the Intern Nursing Student Stressor Scale,and the Simple Coping Style Questionnaire were used to collect data.Data were analyzed using descriptive analysis,independent sample t-tests,one-way analysis of variance,Pearson’s correlation analysis,and multiple linear regres-sion analysis.Results:A total of 158 nursing students were recruited,most of whom were female,undergraduates,and from rural areas.The nursing students perceived a moderate level of stress during the initial period of the clinical practicum.The need for knowledge and skills was the most common source of stress.Positive coping styles were most commonly adopted.Nursing students who were undergraduates,only children,and chose nursing major involuntarily experienced higher stress levels than those who were junior college students,not only children,and chose nursing major voluntarily.Nursing undergraduates were more likely to use positive coping styles than junior college students.Male nursing students and those experiencing higher stress levels related to the“environment and equipment of the wards”and the“nature and content of the work”were more likely to use negative coping styles.Conclusion:Nursing educators should offer targeted guidance based on the stress reported during the clinical practicum and the demographic characteristics of the nursing students.Guidance should be provided to encourage nursing students to adopt effective coping strategies and reduce stress.