活体肾移植供者的心理状态及影响因素分析

肾移植是目前治疗终末期肾病的最理想方法之一,但供肾短缺制约了肾移植的发展。活体肾移植在一定程度上解决了供肾短缺的问题,极大地缩短了肾移植受者等待供肾的时间。目前,对活体肾移植的大量研究和临床指南均聚焦于肾移植受者移植肾的预后和潜在供者的筛查,近年来开始提倡对活体供者进行术后随访,但仍缺乏对活体供者的心理状态的关注,本文将就此问题做一综述。

生活的滋味——法国心理类图书透视

以心理慰藉、个人成长为主题的图书在2000年以来持续成为了法国社会阅读的焦点。这些看似平淡的书籍,使出版社的销售业绩取得了迅速而持续的增长。

乳房肿块切除等待病理结果期间的心理干预

目的探讨心理干预对乳房肿块局麻下切除病人等待病理结果期间心率、血压的影响。方法对局麻下乳房肿块切除等待病理结果的患者60例,随机分为干预组和对照组,各30例。干预组对病人进行心理干预,对照组给予常规护理,观察其心率、血压的变化。结果两组心率、血压比较有显著性差异(P<0.01)。结论心理干预可减轻乳房肿块局麻下切除等待病理结果期间病人的焦虑,尤其对心脏病及高血压病病人更为有益。

关于体育实践课的评价策略

一、教学设计的评价教学设计其实就是备课,它是教师"事先"对教学活动的预测和设想,是体育课教学的具体实施方案。应该说教学设计愈充分,教学成功的可能性就愈大,所以,广大体育教师也形成了"备好课是上好课的前提"的共识。教学设计主要从以下三点进行评价:

“中国城市0-6岁儿童身心发展评估标准体系”正式启动 告诉你孩子发育得好不好?

"宝宝发育得好吗?您了解自己的孩子吗?"面对呱呱坠地的孩子,新手父母欢喜多多,但也难免疑虑重重。儿童时期是人一生中最重要的时期,这一时期,良好的身心发展将是一个人终生身心健康的基础,要尤其重视。

心理干预用于减轻肾穿刺活检术患者恐惧心理的效果观察

目的:探讨心理干预对行肾穿刺活检术患者术前、术中和术后恐惧心理的影响。方法:将95例行肾穿刺活检术患者随机分为干预组(50例)和对照组(45例),对照组行常规治疗护理,干预组术前24 h及术中术增加心理干预。结果:干预组术中恐惧心理程度显著轻于对照组(P<0.05)。结论:心理干预可减轻肾穿刺活检术患者的恐惧心理。

Psychological controversies in gastroparesis: A systematic review

To systematically review literature addressing three key psychologically-oriented controversies associated with gastroparesis.METHODSA comprehensive search of PubMed, CINAHL, and PsycINFO databases was performed to identify literature addressing the relationship between gastroparesis and psychological factors. Two researchers independently screened all references. Inclusion criteria were: an adult sample of gastroparesis patients, a quantitative methodology, and at least one of the following: (1) evaluation of the prevalence of psychopathology; (2) an outcome measure of anxiety, depression, or quality of life; and (3) evidence of a psychological intervention. Case studies, review articles, and publications in languages other than English were excluded from the current review.RESULTSPrevalence of psychopathology was evaluated by three studies (n = 378), which found that combined anxiety/depression was present in 24% of the gastroparesis cohort, severe anxiety in 12.4%, depression in 21.8%-23%, and somatization in 50%. Level of anxiety and depression was included as an outcome measure in six studies (n = 1408), and while limited research made it difficult to determine the level of anxiety and depression in the cohort, a clear positive relationship with gastroparesis symptom severity was evident. Quality of life was included as an outcome measure in 11 studies (n = 2076), with gastroparesis patients reporting lower quality of life than population norms, and a negative relationship between quality of life and symptom severity. One study assessed the use of a psychological intervention for gastroparesis patients (n = 120) and found that depression and gastric function were improved in patients who received psychological intervention, however the study had considerable methodological limitations.CONCLUSIONGastroparesis is associated with significant psychological distress and poor quality of life. Recommendations for future studies and the development of psychological interventions are provided.

Effects of mindfulness meditation on trait mindfulness,perceived stress,emotion regulation,and quality of life in hemodialysis patients:A randomized controlled trial

Objective:This study aimed to examine the effects of mindfulness meditation on trait mindfulness,perceived stress,emotion regulation,and quality of life in end-stage renal disease patients undergoing hemodialysis.Methods:An experimental study with repeated measures design was conducted among a sample of 74 end-stage renal disease patients undergoing hemodialysis between January and May 2021 in the dialysis center at Jahra hospital,Kuwait.The patients were randomly assigned to the experimental(n?37)and control groups(n?37).The experimental group participated in 30-min mindfulness meditation sessions(three sessions a week for five weeks)held during their hemodialysis sessions;the participants in the control group were instructed to sit with their eyes closed and relaxed for 30 min three times a week for five weeks during hemodialysis sessions.The dependent variables of both groups were measured at baseline(T0),middle of intervention(T1),and end of intervention(T2)using the Mindful Attention Awareness Scale(MAAS),Perceived Stress Scale(PSS),Emotion Regulation Questionnaire(ERQ),and Kidney Disease Quality of Life(KDQOL-36)questionnaire.The study was registered in the ClinicalTrial.gov(Identifier:NCT05176730).Results:The repeated measures ANOVA(within-subject)results for the experimental group showed that mindfulness meditation had significantly decreased perceived stress by the end of the intervention.Also,mindfulness meditation improved mindfulness,emotion regulation,and kidney disease-related quality of life in the experimental group,and this improvement occurred significantly at both T1 and T2.The repeated measures ANOVA(within and between-subject)results showed that the experimental group,as compared to the control group,had lower perceived stress,higher trait mindfulness,higher emotional regulation,and higher kidney disease-related quality of life over time.Conclusions:The positive findings of this study offer health policy-makers and hospital administrators a promising tool to use with patients undergoing hemodialysis as a way to manage stress and improve quality of life.However,this study should be replicated in multiple settings with follow-up assessments.

Health-related quality of life of 256 recipients after liver transplantation

AIM:To investigate health-related quality of life(HRQoL) and psychological outcomes in 256 adults who had undergone liver transplantation(LT).METHODS:A stratified random sampling method was used in this follow-up multicenter study to select a representative sample of recipients undergoing either living donor liver transplantation(LDLT) or deceased donor liver transplantation(DDLT).HRQoL was measured by using the Chinese version of Medical Outcome Study Short Form-36(SF-36),and psychological outcomes by using the beck anxiety inventory(BAI) and the self-rating depression scale(SDS).Clinical and demographic data were collected from the records of the Chinese Liver Transplant Registry and via questionnaires.RESULTS:A total of 256 patients were sampled,including 66(25.8%) receiving LDLT and 190(74.2%) undergoing DDLT;15(5.9%) recipients had anxiety and four(1.6%) developed severe depression after the operation.Compared with LDLT recipients,DDLT patients had higher scores in general health(60.33 ± 16.97 vs 66.86 ± 18.42,P = 0.012),role-physical(63.64 ± 42.55 vs 74.47 ± 36.46,P = 0.048),roleemotional(61.11 ± 44.37 vs 78.95 ± 34.31,P = 0.001),social functioning(78.60 ± 22.76 vs 88.16 ± 21.85,P = 0.003),vitality(70.30 ± 15.76 vs 75.95 ± 16.40,P = 0.016),mental health(65.88 ± 12.94 vs 71.85 ± 15.45,P = 0.005),physical component summary scale(PCS,60.07 ± 7.36 vs 62.58 ± 6.88,P = 0.013) and mental component summary scale(MCS,52.65 ± 7.66 vs 55.95 ± 10.14,P = 0.016).Recipients > 45 years old at the time of transplant scored higher in vitality(77.33 ± 15.64 vs 72.52 ± 16.66,P = 0.020),mental health(73.64 ± 15.06 vs 68.00 ± 14.65,P = 0.003) and MCS(56.61 ± 10.00 vs 54.05 ± 9.30,P = 0.037) than those aged ≤ 45 years.MCS was poorer in recipients with than in those without complications(52.92 ± 12.21 vs 56.06 ± 8.16,P = 0.017).Regarding MCS(55.10 ± 9.66 vs 50.0 ± 10.0,P < 0.05) and PCS(61.93 ± 7.08 vs 50.0 ± 10.0,P < 0.05),recipients scored better than the Sichuan general and had improved overall QoL compared to patients with chronic diseases.MCS and PCS significantly correlated with scores of the BAI(P < 0.001) and the SDS(P < 0.001).CONCLUSION:Age > 45 years at time of transplant,DDLT,full-time working,no complications,anxiety and depression were possible factors influencing postoperative HRQoL in liver recipients.

Quality of life and psychological outcome of donors after living donor liver transplantation

AIM: To investigate the health related quality of life (HRQoL) and psychological outcome of donors after living donor liver transplantation. METHODS: Participants were 92 consecutive liver transplant donors who underwent hepatectomy with- out middle hepatic vein at West China Hospital of Sichuan University between January 2007 and Sep- tember 2010. HRQoL was measured using the Chinese version of the Medical Outcomes Study Short Form-36 (SF-36), and psychological symptoms were measured using the Symptom Checklist-90-Revised (SCL-90-R). Data collected from donors were compared to previ- ously published data from the general population. Clin- ical and demographic data were collected from medical records and questionnaires.RESULTS: The general health score of the SF-36 was significantly lower in females (59.78 ± 12.25) than in males (75.83 ± 22.09). Donors more than 40 years old scored higher in social functioning (85.71 ± 14.59) and mental health (82.61 ± 20.00) than those younger than 40 (75.00 ± 12.13, 68.89 ± 12.98; social func- tioning and mental health, respectively). Donors who had surgery more than two years prior to the study scored highest in physical functioning (P = 0.001) and bodily pain (P = 0.042) while those less than one year from surgery scored lowest. The health of the liver recipient significantly influenced the general health (P = 0.042), social functioning (P = 0.010), and role- emotional (P = 0.028) of donors. Donors with full-time employment scored highest in role-physical (P = 0.005), vitality (P = 0.001), social functioning (P = 0.016), mental health (P < 0.001), the physical component summary scale (P < 0.001), and the mental compo- nent summary scale (MCS) (P < 0.001). Psychological measures indicated that donors were healthier than the general population in obsessive-compulsive behav- ior, interpersonal sensitivity, phobic anxiety, and para- noid ideation. The MCS of the SF-36 was significantly correlated with most symptom scores of the SCL-90-R. CONCLUSION: HRQoL and psychological outcome were favorable in living liver transplant donors after donation. Specifically, gender, age, time since opera- tion, recipient health condition, and employment after donation, influenced postoperative quality of life.

Analysis of the psychological conditions and related factors of breast cancer patients

Sufferers of breast cancer are often plagued by various psychological problems. Mastectomy, which has a serious influence on the female sex characteristics, can bring about especially serious psychological problems. These problems affect not only the patients’ quality of life but also the beginning, development, and end of the disease. This paper reviewed the relationships between the patients’ personal factors, the disease itself, treatment factors, and other socio-psychological factors and psychological conditions so as to provide new ideas for the psychological intervention on breast cancer patients, comprehensive clinical diagnosis and treatment, and prevention and cure.

On Nathaniel Hawthorne＇s Cultural-Political Views in Light of the Psychological Descriptions in The House of the Seven Gables

The House of the Seven Gables （1981）, Hawthorne＇s second romance, is his another masterpiece after The Scarlet Letter （1956）. The achievement of its themes and narrative skills has been greatly complimented by readers, especially its descriptions and analyses of the characters＇ psychological activities and their personalities. The notorious Salem Witch Trials of Hawthorne＇s family has a great effect on Hawthorne＇s formation of his views about the good and evil, the sin and penalty, and the psychological descriptive style in his works. In The House of the Seven Gables, Hawthorne takes this family history as the original writing background. Through exploring modem people＇s spiritual essence, using history as narrative original, Hawthorne＇s theme illustrates the past＇s influence on the present. By exploring the changes of the characters＇ psychologies and values, especially those of Holgrave, the narrator proposes a conception of general love to eradicate the actual contradictions. Hawthorne actually provides an alternative way--a nonpolitical solution to the national problems, which demonstrates not only his artistic pursuit but also his culturally political view in his writing. This paper consists of five parts.

Cult Social Prevention Under Psychological Perspective

The breeding and communication of cult are all realized on the base of psychological activities, psychological factors play an important role in preventing and resisting breeding and communication of cult, and in this paper, it demonstrates respectively at this point, and starts from forming the long-term mechanism of the Chinese cult governance and proposes the conception and specific suggestions accordingly of establishing the national psychological assistance system to prevent and resist breeding and communication of cult

Research and Practice of theoretical framework of College Basketball sports education curriculum system

Education is the combination of basketball education and basketball activity. It is a kind of activity that basketball is as the core form, it is in order to enhance the skills of participants, technology, physical fitness, and promote a comprehensive development of their physical and mental activity, meanwhile basketball is not only a comprehensive gaming activity, but also an integral part of modern competitive sports, in some way, basketball culture is belonging to a particular social and cultural patterns. The quality of the basketball culture can cultivate people＇ s sentiments in the teaching process, and develop human wisdom, so that people grasp different spatial abilities and skills with the laws and govern the movement of the body under the time, the paper analyzes Practice mode theoretical framework of the construction of the basketball sports college education curriculum system.

Disability, Gender and Narratives of Pain： The Caregivers＇ Perspectives

This paper analyzes how caregivers＇ narratives about pain and illness are constructed, and also what narrative identities are formed during the lengthy process of taking care of a woman with cerebral palsy, from the years of 1972 to 2014. Of particular interest is how these voices narrate feelings of struggle in order to cope with their own needs and the needs of a disabled woman. How this situation affected their way of living, their views about life through gender-sex, violent, discriminatory, psycho-social and cultural perspectives （Lamas, 2002）？ This study also draws from Hydrn＇s ideas regarding narratives about illness to identify diverse forms to represent reality by means of creating affective bonds, including aspects such as plot, metaphors and the construction or reconstruction of the Self （1995; 1997）, which can be related to the transformation of the narrative identity （Ricoeur, 1995; 1996） of each caregiver. This study aims to open other scenarios to establish public policies of support for caregivers and for the disabled, and to question the role that government and medical institutional have played in order to benefit the society as a whole.

Impact of age-related comorbidity on results of colorectal cancer surgery

AIM: To analyze the correlation between preexisting comorbidity and other clinicopathological features, short-term surgical outcome and long-term survival in elderly patients with colorectal cancer (CRC). METHODS: According to age, 403 patients operated on for CRC in our department were divided into group A (< 70 years old) and group B (≥ 70 years old) and analyzed statistically. RESULTS: Rectal localization prevailed in group A (31.6% vs 19.7%, P = 0.027), whereas the percentage of R0 resections was 77% in the two groups. Comorbidity rate was 46.2% and 69.1% for group A and B, respectively (P < 0.001), with a huge difference as regards cardiovascular diseases. Overall, postoperative morbidity was 16.9% and 20.8% in group A and B, respectively (P = 0.367), whereas mortality was limited to group B (4.5%, P = 0.001). In both groups, patients who suffered from postoperative complications had a higher overall comorbidity rate, with preexisting cardiovascular diseases prevailing in group B (P = 0.003). Overall 5-year survival rate was significantly betterfor group A (75.2% vs 55%, P = 0.006), whereas no signif icant difference was observed considering disease-specif ic survival (76.3% vs 76.9%, P = 0.674). CONCLUSION: In spite of an increase in postoperative mortality and a lower overall long-term survival for patients aged ≥ 70 years old, it should be considered that, even in the elderly group, a signif icant number of patients is alive 5 years after CRC resection.

Health care exploration work for the military empty nest old cadres

In recent years, the retired veteran cadres have grown older and older, and their numbers have also increased year by year. In this case, how to maintain the physical and mental health of empty nest veteran cadre, and further improve the quality of their life has been a realistic problem many primary health care doctors have to face and solve.

Myocardial enzyme activities of black bears and comparison with those of human beings

According to the principle of enzyme reaction rate, healthy pent black bears’ myocardial enzyme activity is assayed by visual colorimetry and compared with that of healthy human beings. The determination at 37 °C and the statistic analysis of the experimental data work out the following findings. For male black bears, the average CK activity is 163.20 U/L, the confidence interval of its expected value (127.70 to 198.70) U/L, and the coefficient of variation 39.2%; the average CK-MB activity 21.62 U/L, the confidential interval (17.72 to 25.51) U/L, and the coefficient of variation 34.26%; the average LDH activity 604.20 U/L, the confidence interval (524.56 to 683.83) U/L, and the coefficient of variation 23.80%; the average HBDH activity 516.70 U/L, the confidence interval (453.06 to 580.34) U/L, and the coefficient of variation 22.24%; the average GOT activity 69.70 U/L, the confidence interval (60.21 to 79.19) U/L, and the coefficient of variation 24.59%. For female black bears, the average CK activity is 145.50 U/L, the confidence interval (114.59 to 176.21) U/L, and the coefficient of variation 38.27%; the average CK-MB activity 18.84 U/L, the confidence interval (14.64 to 23.04) U/L, and the coefficient of variation 40.34%; the average LDH activity 563.70 U/L, the confidence interval (473.80 to 652.60) U/L, and the coefficient of variation 28.80%; the average of HBDH activity 475.50 U/L, the confidence interval (412.10 to 538.40) U/L, and the coefficient of variation 24.07%; the average of GOT activity is 62.37 U/L, the confidential interval (52.54 to 72.20) U/L, and the coefficient of variation 28.46%. The male black bear’s average myocardium enzyme activities are slightly higher than those of the female. But the statistical results indicate that the difference is not significant.

Enhanced recovery for non-colorectal surgery

In recent years the advent of programs for enhanced recovery after major surgery (ERAS) has led to modifications of long-standing and well-established perioperative treatments. These programs are used to target factors that have been shown to delay postoperative recovery (pain, gut dysfunction, immobility) and combine a series of interventions to reduce perioperative stress and organ dysfunction. With due differences, the programs of enhanced recovery are generally based on the preoperative amelioration of the patient's clinical conditions with whom they present for the operation, on the intraoperative and postoperative avoidance of medications that could slow the resumption of physiological activities, and on the promotion of positive habits in the early postoperative period. Most of the studies were conducted on elective patients undergoing colorectal procedures (either laparotomic or laparoscopic surgery). Results showed that ERAS protocols significantly improved the lung function and reduced the time to resumption of oral diet, mobilization and passage of stool, hospital stay and return to normal activities. ERAS' acceptance is spreading quickly among major centers, as well as district hospitals. With this in mind, is there also a role for ERAS in non-colorectal operations?