针刺配合综合干预对缓解心率植入装置焦虑情绪的疗效观察

目的:观察针刺配合综合干预对缓解心率植入装置焦虑情绪的疗效观察及其临床效果。方法:选择我院自2013年以来40例心率植入装置产生焦虑的患者随机分为治疗组和对照组。对照组采取常规药物治疗,综合干预包括药物治疗辅助心理、放松等干预;治疗组在综合干预基层上采用针刺治疗(选穴:百会、四神聪、内关、三阴交、神门、安眠穴),并采用填写焦虑自评量表对疗效进行跟踪观察。结果:治疗组20例患者中,SAS总分及各维度得分效果佳;焦虑患者治愈14例,显效4例,有效3例,愈显率95.12%,对照组治愈8例,显效6例,有效4例,愈显率76.56%;治疗前后焦虑积分比较(P<0.05)。结论:针刺穴位配合综合干预对缓解心率植入装置后患者的焦虑情绪治疗疗效可靠。

老年慢性心力衰竭患者焦虑抑郁现状分析

目的调查老年慢性心力衰竭患者焦虑抑郁情绪现状,分析焦虑抑郁情绪严重程度与患者病情严重程度的相关性,探讨老年慢性心衰患者情绪管理对策。方法纳入2017年1月至2019年1月收治的225例老年慢性心力衰竭患者为研究对象设为观察组,按照1∶1的比例选择同期行健康体检的225例健康老年人设为对照组。采用汉密尔顿抑郁量表(HAMD)和汉密尔顿焦虑量表(HAMA)对所有受试者进行焦虑抑郁情绪测评。比较2组受试者抑郁率、焦虑率及程度,2组受试者的HAMD、HAMA评分结构特点分析老年慢性心衰患者病情指标、对疾病认知水平与HAMD评分、HAMA评分的相关性。结果观察组患者焦虑率、抑郁率显著高于对照组(P<0.05);观察组患者躯体性焦虑因子评分显著低于对照组(P<0.01),而精神性焦虑因子评分低于对照组(P<0.05);观察组患者的焦虑躯体化、阻滞、睡眠障碍、全身症状因子均显著高于对照组(P<0.05),而体重、认知障碍2组间比较差异无统计学意义(P>0.05)。老年慢性心衰患者HAMD评分、HAMA评分与患者NYHA心功能分级呈正相关(P<0.05),与患者6 min步行试验及患者对慢性心衰疾病相关知识的认知水平呈负相关(P<0.05)。结论老年慢性心衰患者焦虑、抑郁情绪较为严重,躯体感受、心衰病情严重程度对患者的焦虑、抑郁情绪影响较大,管理和控制老年慢性心衰患者焦虑抑郁情绪的关键在于降低患者躯体不良感受,进而进行心理干预,达到促进患者身心健康的目的。

我院门诊病人抑郁、焦虑状况调查分析

目的:了解我院门诊病人抑郁、焦虑发病率。方法:随即抽取我院门诊病人500例,按汉密尔顿抑郁量表(HAMD),评定总分大于等于8分为有抑郁,汉密尔顿焦虑量表(HAMA),评定总分大于14分为有焦虑。结果:500例患者中,抑郁患病率为20.6%,焦虑患病率30.6%。结论:我院门诊病人抑郁、焦虑患病率较高,临床医生应重视对其识别及处理能力。

重庆市北碚区普通中学生焦虑抑郁状况初步评估

目的了解中学生的焦虑、抑郁情况,并比较焦虑及抑郁检出率在性别、年级上的差异。方法抽取重庆市北碚区2所中学7年级与9年级308名学生,采用焦虑、抑郁自评量表进行筛查,并对结果进行统计学分析。结果焦虑检出率为31.49%,抑郁检出率为43.51%。焦虑总分标准分性别差异无统计学意义;抑郁总分标准分性别差异有统计学意义(P<0.05),且男生抑郁总分标准分高于女生。焦虑总分标准分年级差异无统计学意义;抑郁总分标准分年级差异也无统计学意义。结论目前普通中学生焦虑及抑郁检出率较高,需要及早进行干预。

Depression, anxiety, and cardiac morbidity outcomes after coronary artery bypass surgery： a contemporary and practical review

Research to date indicates that the number of coronary artery bypass graft （CABG） surgery patients affected by depression （i.e., major, minor, dysthymia） approximates between 30% and 40% of all cases. A longstanding empirical interest on psychosocial factors in CABG surgery patients highlights an association with increased risk of morbidity in the short and longer term. Recent evidence suggests that both depression and anxiety increase the risk for mortality and morbidity after CABG surgery independent of medical factors, although the behavioral and biological mechanisms are poorly understood. Though neither depression nor anxiety seem to markedly affect neuropsy- chological dysfunction, depression confers a risk for incident delirium. Following a comprehensive overview of recent literature, practical advice is described for clinicians taking into consideration possible screening aids to improve recognition of anxiety and depression among CABG surgery patients. An overview of contemporary interventions and randomized, controlled trials are described, along with suggestions for future CABG surgery research.

Prevalence of depressive and anxiety disorders in Chinese gastroenterological outpatients

AIM:To investigate the prevalence and physicians' detection rate of depressive and anxiety disorders in gastrointestinal(GI)outpatients across China. METHODS:A hospital-based cross-sectional survey was conducted in the GI outpatient departments of 13 general hospitals.A total of 1995 GI outpatients were recruited and screened with the Hospital Anxiety and Depression Scale(HADS).The physicians of the GI departments performed routine clinical diagnosis and management without knowing the HADS score results.Subjects with HADS scores≥8 were subsequently interviewed by psychiatrists using the Mini International Neuropsy-chiatric Interview(MINI)to make further diagnoses. RESULTS:There were 1059 patients with HADS score ≥8 and 674(63.64%)of them undertook the MINI interview by psychiatrists.Based on the criteria of Diagnostic and Statistical Manual of Mental Disorders (4th edition),the adjusted current prevalence for depressive disorders,anxiety disorders,and comorbidity of both disorders in the GI outpatients was 14.39%, 9.42%and 4.66%,respectively.Prevalence of depressive disorders with suicidal problems[suicide attempt or suicide-related ideation prior or current;module C (suicide)of MINI score≥1]was 5.84%in women and 1.64%in men.The GI physicians'detection rate of depressive and anxiety disorders accounted for 4.14%. CONCLUSION:While the prevalence of depressive and anxiety disorders is high in Chinese GI outpatients, the detection rate of depressive and anxiety disorders by physicians is low.

Analysis on the Efficiency of Visual Search of Taekwondo Athletes with Trait Anxiety

In order to discuss the efficiency of visual search of the taekwondo athletes with different kinds of trait anxieties, this article has selected 30 taekwondo athletes with high trait anxieties and another 30 ones with low trait anxieties as the testees so as to conduct respective investigations on their visual search reaction time and accuracy of reaction. The results show that the reaction time of individuals with high trait anxieties is significantly longer than that of the individuals with low trait anxieties; the reaction time under threatening stimuli is significantly longer than that under no conditions of threatening stimuli; the reaction accuracy rate of visual search reaction of taekwondo athletes under threatening stimuli is significantly lower than that under no threatening stimuli.

Analysis of the application of Chinese medicine nursing technology in obstetrics

Objective:To analyze the application value of traditional Chinese medicine(TCM)nursing technology in obstetrics.Methods:204 patients with obstetrics were enrolled in the study and entered into the Chinese medicine group and thereference group according to the random number(n=102).The reference group received routine care,and the Chinesemedicine group received Chinese medicine nursing.The anxiety and depression scores of the two groups of patientsand the patient's nursing satisfaction status were compared.Results:There was no difference in the scores betweenthe pre-treatment groups.The value of the reduction in anxiety and depression scores in the TCM group wassignificantly higher than that in the reference group.The numerical comparison was statistically significant(P<0.05).The comprehensive nursing satisfaction rate of patients in the Chinese medicine group was 99.02%,and the comprehensivenursing satisfaction rate of the reference group was 80.39%.The numerical comparison was statistically significant(P<0.05).Conclusion:The application of TCM nursing technology in obstetrics helps to improve the negativeemotions of patients and improve the overall satisfaction rate of patients.The value of nursing intervention is higher

Spontaneous activity in medial orbitofrontal cortex correlates with trait anxiety in healthy male adults

Medial orbitofrontal cortex （mOFC） abnormalities have been observed in various anxiety disorders. However, the relationship between mOFC activity and anxiety among the healthy population has not been fully examined. Here, we conducted a resting state functional magnetic resonance imaging （R-fMRI） study with 56 healthy male adults from the Nathan Kline Institute/Rockland Sample （NKI-RS） to examine the relationship between the fractional amplitude of low-frequency fluctuation （fALFF） signals and trait anxiety across the whole brain. A Louvain method for module detection based on graph theory was further employed in the automated functional subdivision to explore subregional correlates of trait anxiety. The results showed that trait anxiety was related to fALFF in the mOFC. Additionally, the resting-state functional connectivity （RSFC） between the right subregions of the mOFC and the precuneus was correlated with trait anxiety. These findings provided evidence about the involvement of the mOFC in anxiety processing among the healthy population.