Effect of Internet+continuous midwifery service model on psychological mood and pregnancy outcomes for women with highrisk pregnancies

BACKGROUND There are many drawbacks to the traditional midwifery service management model,which can no longer meet the needs of the new era.The Internet+continuous midwifery service management model extends maternal management from prenatal to postpartum,in-hospital to out-of-hospital,and offline to online,thereby improving maternal and infant outcomes.Applying the Internet+continuous midwifery service management model to manage women with highrisk pregnancies(HRP)can improve their psycho-emotional opinion and,in turn,minimize the risk of adverse maternal and/or fetal outcomes.AIM To explore the effectiveness of a midwife-led Internet+continuous midwifery service model for women with HRP.METHODS We retrospectively analyzed the clinical data of 439 women with HRP who underwent prenatal examination and delivered at Shanghai Sixth People's Hospital(affiliated to the Shanghai Jiao Tong University School of Medicine)from April to December 2022.Among them,239 pregnant women underwent routine obstetric management,and 200 pregnant women underwent Internet+continuous midwifery service mode management.We used the State-Trait Anxiety Inventory,Edinburgh Postnatal Depression Scale,and analysis of delivery outcomes to compare psychological mood and the incidence of adverse delivery outcomes between the two groups.RESULTS The data showed that in early pregnancy,the anxiety and depression levels of the two groups were similar;the levels gradually decreased as pregnancy progressed,and the decrease in the continuous group was more significant[31.00(29.00,34.00)vs 34.00(32.00,37.00),8.00(6.00,9.00)vs 12.00(10.00,13.00),P<0.05].The maternal self-efficacy level and strategy for weight gain management were better in the continuous group than in the traditional group,and the effective rate of midwifery service intervention in the continuous group was significantly higher than in the control group[267.50(242.25,284.75)vs 256.00(233.00,278.00),74.00(69.00,78.00)vs 71.00(63.00,78.00),P<0.05].The incidence of adverse delivery outcomes in pregnant women and newborns and fear of maternal childbirth were lower in the continuous group than in the traditional group,and nursing satisfaction was higher[10.50%vs 18.83%,8.50%vs 15.90%,24.00%vs 42.68%,89.50%vs 76.15%,P<0.05].CONCLUSION The Internet+continuous midwifery service model promotes innovation through integration and is of great significance for improving and promoting maternal and child health in HRP.

New Roles for Psychologists in Medical Settings: Direct Services in a Hong Kong Accident and Emergency Department

Study Aim: Descriptions of the direct services of a psychologist (i.e. clinical psychology intern) in an accident and emergency department (AED) are provided as a new and rare area of professional practice. Method: Data were collected in a large, Hong Kong, government hospital over an eighteen-month period. Recipients included 281 patients, 150 medical staff members, and 44 relatives of patients. Results: Interventions with patients and their family members centered on crisis management, diagnostic assessment, psychoeducation, and consultations regarding long-term adjustment to medical infirmities. The majority of staff members sought consultations regarding work related stress such as burnout symptoms and coping with vicarious trauma experiences. Frequency tables provide information on utilization of specific services while case vignettes contextualize psychological interventions. Conclusion: There are many potential benefits of psychological service for AED patients and staff.

Psychological Complaints at Psychological Emergency Service Associated with Referral to Extended Screening in a Psychology School Clinic

The Psychological Emergency Service(PES)at psychology school clinics is an unscheduled and free psychological service to meet urgent demands.From this service,some patients whose complaints require more time for clinical work are referred to the Extended Screening(ES),a modality composed of six extra appointments.This study aims to analyze the sociodemographic profile of patients seen on PES in a Brazilian Psychology School Clinic,and to identify the demands that motivated referral to the ES,for better qualification of the care offered.This is a descriptive analysis research,carried out based on data from the medical records of 46 patients who went through the PES and were referred to the ES at the institution,between the years 2019 and 2021.Sociodemographic data were collected and,from the session reports,a content analysis of the thematic analysis modality was performed to identify the complaints.The participants’age ranged from 18 to 65 years,with a mean of 32.28 years(sd=10.95).There was a predominance of female participants(71.74%),that completed High School(39.14%)and had an income from one to two Brazilian minimum wages(32.61%).The most frequent complaints were depressive symptoms(56.52%)and difficulties in interpersonal relationships(32.61%).The results obtained,besides allowing the survey of the social and demographic profile of the clientele of the PES at the Psychology School Clinic,and demonstrating its social relevance by providing free psychological care,also show to be of great importance for the definition of more accurate criteria for referral to the ES of patients seen on PES.

基于J2ME和Web Services的移动心理咨询系统设计与实现

为使大学生心理障碍者及时获得咨询帮助,设计了一套移动心理咨询系统.针对资源受限设备利用J2ME和Web services技术从系统总体结构、系统架构、系统总体流程以及移动客户端、服务Web端的主要设计思想和开发技术进行阐述,并展示了移动心理咨询系统最终的实现效果.

Psychological reaction in members of medicine rescue team for Wenchuan earthquake in 2008 and its management

This paper reviews the rescue experience of our medical rescue team during the relief of Wenchuan earthquake in 2008 in Sichuan province, China, and analyzes the psychological reaction of team members. Based on the rescuers' distinctive psychological reaction in different phases of the rescue operation, we aims to propose measures for administration of the team in order to better fulfill the rescue duties and provide references for future medical service in non-war operations such as an earthquake relief.

Collegiate athletes'mental health services utilization:A systematic review of conceptualizations,operationalizations,facilitators,and barriers

Background: While mental health among collegiate athletes is receiving increased attention, research on factors surrounding collegiate athletes' decision to seek mental health services is limited. The goal of the present review was to analyze and synthesize the current literature concerning collegiate athletes' utilization of mental health services, including the facilitators of and barriers to use of these services.Methods: The analysis was guided and organized using a socio-ecological framework, which considered the unique context in which collegiate athletes study and perform. A total of 21 articles, published between 2005 and 2016, which concern U.S. collegiate athletes' mental health services utilization(MHSU) were selected and included for the final analysis. Conceptualizations and operationalizations of MHSU were compared and contrasted. Facilitators of and barriers to athletes MHSU were examined and summarized while appropriately considering the proximity of each factor(facilitator or barrier) to the athletes.Results: Results showed variations in conceptualizations and operationalizations of MHSU in the articles analyzed, which made interpretation and cross comparison difficult. Collegiate athletes are willing to utilize mental health services, but gender, perceived stigma, peer norms—for athletes and coaches—plus service availability impact their MHSU.Conclusion: Key stakeholders, administrators, and public health officials should partner to eliminate MHSU barriers, support facilitators, and generally empower collegiate athletes to actively manage their mental health.

Study on the development of mental health services for the elderly in community

With the aging of the population and the change of family structure, the physical and mental health of the elderly has become the focus of attention at home and abroad. The traditional mental health service in our country is narrow and the form is single, which can not meet the needs of the elderly. This paper based on the analysis of characteristics of community, community mental health services with respect to the unique advantages of Chinese traditional psychological service mode in the maintenance of the mental health of the elderly, with a unique entry point to analyze the problems of psychological services in community elderly, puts forward a sound proposal, summed up the community mental health service is suitable to China＇s national conditions, the practical significance of the road,

Representations of Child Abuse in Quebec Print Media and the Integration of Child Psychological Ill-Treatment into the Youth Protection Act: When Distancing Abusive Families Matters More

The media has played an important role in raising the public awareness and knowledge on child abuse.Yet,we do not know how child psychological maltreatment was presented in the media and how it might colour our common understanding of the problem.This article presents the results of a qualitative research on social representations of child psychological maltreatment in the Quebec media.More specifically,the study aimed to investigate how child abuse and child psychological maltreatment were presented in the Quebec media when psychological maltreatment was formally integrated into the Youth Protection Act in 2006.85 newspaper articles were analyzed.We identified various forms of anchoring and objectivation of social representations,including the emotional anchoring and objectivation of abuse in moral outrage,compassion,and fear,as well as various metaphors,personifications,and antinomies related to the issue.Cross-sectional analysis of the data revealed the thematic anchoring of representations of child maltreatment in the thêmata self/other and justice/injustice.This article discusses the implications of these results regarding social exclusion and the othering process of marginalized groups.Finally,we will address the repercussions of these thêmata on current solutions and action plans to end child abuse and maltreatment.

从心理需要视角看社会心态治理

心理需要影响社会行为,是国家治理实践和社会心态治理必须尊重的客观存在。民众的心理需要在个体和群体层面均体现为从解决心理问题到体验美好生活的连续体,一端为解决心理健康问题,另一端为对美好生活向往的心理需要满足。社会心理服务是满足人民群众心理需要的重要举措,也是社会心态治理的重要抓手,但当前社会心理服务的研究和实践主要侧重于心理健康问题发生后个体层面的应对,无法满足心理需要连续体的客观需要。我国在社会治理实践中应当充分尊重多层次、有指向、可把握、应遵循的心理需要,重视并抓好完善体制机制、加强科学传播、重视专业培训、了解利益诉求和支持系统研究五项关键任务。

顾客授权行为对员工服务主动性的影响和作用机制研究

从资源保存理论视角出发,引入心理可得性和权力需要作为中介和调节变量,通过一项时间滞后的问卷设计和两项基于场景的实验设计,深入探讨了顾客授权行为对员工服务主动性的影响机制和作用边界。研究结论表明:顾客授权行为对员工服务主动性具有显著正向影响;心理可得性在顾客授权行为与员工服务主动性之间起中介作用;权力需要不仅调节顾客授权行为对员工心理可得性的直接作用,还进一步调节顾客授权行为通过员工心理可得性对其服务主动性的间接效应。

国际运动心理服务发展进程中的挑战与中国镜鉴

运动心理服务是运动心理学实践应用的重要形式,对国际运动心理服务发展新形势下面临的挑战以及对我国运动心理学服务的应对策略进行分析发现,当前国际运动心理服务在自身方面存在缺乏明确准入标准、从业者心理健康关注不够、从业者文化胜任力缺位的挑战;在运动心理服务研究上存在定性研究比例失衡、研究技术更新升级滞后、理论与实践脱节的挑战;在运动心理服务实践上存在对运动员身心健康缺乏足够重视、教练员心理服务能力建设缺失、运动心理服务职业道德评估与监督失位、运动心理学从业者职业反思匮乏等挑战。面对发展进程中的挑战,我国运动心理服务在发展过程中需要着力打造运动心理服务的中国方案、拓展服务领域与范围,扩大社会影响力、加强运动心理服务理论构建,重视循证实践、加强专业人才培养,建立专业培养规范、完善服务模式。全面提升运动心理服务质量,为我国体育事业发展做出积极贡献,为世界运动心理学发展贡献中国力量。

基于短视频的高校图书馆心理健康服务路径——以认知心理学理论为视角

文章分析高校图书馆心理健康服务现状与存在的问题,在介绍认知心理学基本原理与实践作用基础上,构建基于短视频的高校图书馆心理健康服务路径,即依据认知心理学的“分析心理需求”理念,全面分析师生心理需求,创建心理健康服务媒介;参考认知心理学的“加深心理印象”主张,降低师生心理阻抗水平,辅助师生建立治疗信心;遵循认知心理学的“塑造心理行为”思想,构建线上线下交互生态,增强师生接受行为黏性。

社会心理建设服务与中国本土社会心理学建设

改革开放40余年,我国学习西方社会心理学,逐步探索中国社会心理学建设。最近5年,以全国社会心理服务体系建设、社会心理建设、心理健康服务为内容的本土社会心理理论研究和社会服务行动研究,正在改变西方引进社会心理学的研究方向。社会心理研究正在以中国文化、中国社会、中国民族、中国区域为本体,向中国本土、中国特色、中国思维、中国方案进化。以社会心理服务体系建设试点为体制机制的社会心理开放研究、田野研究、叙事研究、主位研究,正在探索适应中国城乡差别、区域差异、族群差异的本土社会心理学概念和原理。以社会心理建设和心理健康服务为主题的社会心理学,逐步成为民族复兴和人民幸福的生活心理学、民众心理学、田野心理学、社区心理学。

社会心理服务体系构建:前置条件、角色定位与实施路径

社会心理服务体系是国家社会治理体系的重要组成部分,完善的本土化心理学建设与明晰的价值指引是其构建的前置条件,两者都与中国优秀传统文化中的价值系统紧密相联.在社会心理服务体系构建过程中,要看到其与中国梦、人民美好生活实现之间的内在逻辑,进而拓宽其范畴、明确其边界、配置其功能、创新其载体,实现由疏导性向建构性角色的全面转换.在此基础上,从战略高度进行社会心理服务体系的整体设计,从治理角度构建社会心理服务体系的闭合循环,从补救视角强化社会心理服务体系的精准服务,从而推进国家社会治理体系与治理能力现代化.

何以从心而治——基于社会心理服务体系建设宿州试点的分析

社会心理服务体系作为社会治理的重要组成部分,有助于创造和谐稳定的社会环境,其试点工作是推进平安中国、健康中国建设的重要抓手。宿州市作为社会心理服务体系的试点城市,通过内外联动的协同治理机制,采用特色培训模式,培养社会心理服务实干型人才,打造精品心理服务活动,将社会心理服务引入到治理领域等体系化建设。这一系列体系化建设举措不仅推动了社会心理服务体系建设的理论研究,丰富了精细化治理的内涵;也打造了社会治理的“心”模式,推动社会心理服务体系建设与社会治理的协同发展。

事业单位职工心理压力对主观幸福感的影响——以襄阳市机关行政事业单位为例

文章以350名襄阳市行政事业单位职工为研究对象,采用文献分析法和问卷调查法对他们的心理压力和主观幸福感的现状及相关关系进行研究。并根据调查结果对不同性别、学历、婚姻状况及职业群体等进行针对性的社会心理服务体系设置,为缓解行政事业单位职工心理压力、提高主观幸福感提供依据。

亲情护理服务干预对前列腺增生患者围手术期并发症、心理状态及睡眠质量的影响

目的:分析亲情护理服务干预对前列腺增生患者围手术期并发症、心理状态及睡眠质量的影响。方法:选取2019年7月至2022年9月福建医科大学附属第二医院收治的前列腺增生患者101例为研究对象,按照随机数字表法分为对照组(n=50)和观察组(n=51),对照组给予常规护理干预,观察组给予亲情护理服务干预。采用抑郁自评量表(SDS)、焦虑自评量表(SAS)比较2组患者干预前后焦虑、抑郁的改善情况,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,比较2组患者术后康复观察指标的变化,并比较2组患者并发症发生率。结果:干预后,观察组排气、膀胱冲洗、膀胱痉挛、留置尿管时间均短于对照组,差异均有统计学意义(均P<0.05);干预后,2组SDS评分、SAS评分、PSQI评分均下降,且观察组显著低于对照组,差异均有统计学意义(均P<0.05)。结论:对前列腺增生患者围手术期实行亲情护理服务干预,可缩短患者康复时间、改善心理状况、提高睡眠质量、减少并发症发生,具有显著的临床应用价值,值得临床推广应用。

基于行为诱导法的个性化心理护理结合家属赋权干预对学龄期毛细支气管炎门诊雾化吸入治疗患儿医疗恐惧及配合度的影响

目的探讨基于行为诱导法的个性化心理护理结合家属赋权干预在学龄期毛细支气管炎门诊雾化吸入治疗患儿中的应用效果。方法选取2020年9月至2022年3月我院收治的90例学龄期毛细支气管炎门诊雾化吸入治疗患儿为研究对象,以随机数字表法将其分为对照组和观察组,各45例。对照组采用常规护理,观察组采用基于行为诱导法的个性化心理护理结合家属赋权干预。比较两组的干预效果。结果干预后,观察组的医疗恐惧调查量表(CMFS)各维度评分均低于对照组(P<0.05)。观察组的配合度优良率高于对照组(P<0.05)。干预后,观察组的呼吸频率(RR)、功能残气量(FRC)低于对照组,潮气量(TV)高于对照组(P<0.05)。结论基于行为诱导法的个性化心理护理结合家属赋权干预可减轻学龄期毛细支气管炎门诊雾化吸入治疗患儿的医疗恐惧感,提高其配合度,也能促进患儿肺功能改善,值得临床推广应用。

地方师范院校嵌入社会心理服务体系的建设路径

地方师范院校可以为社会心理服务体系建设提供文化助力、技术保障和人才支持,有助于解决当前社会心理服务体系建设中文化认同不高、运行机制不完善、专业人才不足三大难题。以嵌入理论视角,从文化嵌入、技术嵌入和人才嵌入三方面论述了地方师范院校参与社会心理服务体系建设的路径,服务区域社会发展。

积极老龄化视角下老年人心理服务体系建设路径研究

随着我国人口老龄化进程的逐步加快,老年人的心理健康状况被广泛关注,推进老年心理健康服务体系研究与建设,有助于实现积极老龄化。近年来,我国高度重视社会心理服务体系建设,但在实际推进中遇到了种种难题和瓶颈,且缺乏针对老年人等特殊群体的服务制度体系建设。根据我国老年人心理服务体系建设过程中存在的问题以及路径进行探析,提出未来应从明确责任主体和权责分工、健全运行机制、明确定位、创新服务模式、建设专业化人才队伍、建立健全评估和激励机制等方面进行进一步探索,以期为积极老龄化视角下建立符合我国实际的老年人心理服务体系建设路径提供新思路。