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The Relationship between Self-Esteem and Social Phobia among College Students:The Mediating Effect of Fear of Negative Evaluation and the Moderating Effect of Perfectionism
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作者 Shuai Lv Zhaojun Chen +3 位作者 Jian Mao Hui Wang Peibo Wu Yujuan Hai 《International Journal of Mental Health Promotion》 2024年第6期491-498,共8页
Objectives:To explore the relationship between college students’self-esteem(SE)and their social phobia(SP),as well as the mediating role of fear of negative evaluation(FNE)and the moderating effect of perfectionism.M... Objectives:To explore the relationship between college students’self-esteem(SE)and their social phobia(SP),as well as the mediating role of fear of negative evaluation(FNE)and the moderating effect of perfectionism.Methods:A convenience sampling survey was carried out for 1020 college students from Shandong Province of China,utilizing measures of college students’self-esteem,fear of negative evaluation,perfectionism,and social phobia.Data analysis was performed using the SPSS PROCESS macro.Results:(1)college students’self-esteem significantly and negatively predicts their social phobia(β=−0.31,t=−10.10,p<0.001);(2)fear of negative evaluation partially mediates the relation between self-esteem and social phobia among college students,with the mediating effect accounting for 48.97%of the total effect(TE);(3)the mediating role of fear of negative evaluation is moderated by perfectionism(β=0.18,t=7.75,p<0.001),where higher levels of perfectionism strengthen the mediating effect of fear of negative evaluation.Conclusions:Perfectionism moderates the mediating effect that fear of negative evaluation plays,establishing a moderated mediating model. 展开更多
关键词 SELF-ESTEEM fear of negative evaluation PERFECTIONISM social phobia
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Resilience provides mediating effect of resilience between fear of progression and sleep quality in patients with hematological malignancies
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作者 Yuan Tian Ying-Li Wang 《World Journal of Psychiatry》 SCIE 2024年第4期541-552,共12页
BACKGROUND Hematological tumors are common malignant tumors,with high morbidity and mortality rates.Most patients with hematological malignancies develop sleep disorders that seriously affect their life and health bec... BACKGROUND Hematological tumors are common malignant tumors,with high morbidity and mortality rates.Most patients with hematological malignancies develop sleep disorders that seriously affect their life and health because of acute onset of disease,rapid progression,high recurrence rates,complex treatment methods,and treatment costs.AIM To explore the mediating effect of resilience on fear of disease progression and sleep quality in patients with hematological malignancies.METHODS A cross-sectional analysis of 100 patients with hematological malignancies,treated in the First Affiliated Hospital of Jinzhou Medical University between August 2022 and August 2023,was conducted.Patients were assessed using a general data survey,a simplified scale for the fear of progression(FoP)of disease,a resilience scale,and the Pittsburgh Sleep Quality Index.Statistical analysis was conducted to determine the relationship between various patient characteristics and FoP,resilience,and sleep quality.Spearman’s correlation analysis was used to examine the correlations between mental resilience,FoP,and sleep quality.RESULTS The total FoP score mean value in patients with hematological malignancies was 38.09±5.16;the total resilience score mean value was 40.73±7.04;and the Pittsburgh Sleep Quality Index score mean value was 10.72±1.90.FoP,resilience,and sleep quality of the patients were associated with family per capita monthly income and patient education level(P<0.05).Spearman correlation analysis revealed that FoP was negatively correlated with resilience and sleep quality scores(r=-0.560,-0.537,P<0.01),respectively,and resilience was significantly associated with sleep quality scores(r=0.688,P<0.01).Mediation analysis showed that the mediating effect of resilience between FoP and sleep quality in patients with hematological malignancies was-0.100 and accounted for 50.51%of the total effect.This indicated that FoP directly and indirectly affected sleep quality through the mesomeric effect of resilience.CONCLUSION Resilience is an intermediary variable between FoP and sleep quality in patients with hematological malignancies.Medical staff should evaluate and follow-up FoP and resilience to implement measures to improve sleep quality. 展开更多
关键词 RESILIENCE Blood tumor fear of progression Sleep quality Mediating effect
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The Association between Fear of COVID-19,Obsession with COVID-19,and Post Traumatic Stress Disorder in Korean Emergency Rescue Firefighters:A Cross-Sectional Study
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作者 Yun-Jung Choi Heewon Song 《International Journal of Mental Health Promotion》 2024年第6期475-480,共6页
During the rapid spread of COVID-19,first responders are at risk of being exposed to COVID-19 due to their role in providing first aid and responding to an unspecified number of people.This uncertainty can have advers... During the rapid spread of COVID-19,first responders are at risk of being exposed to COVID-19 due to their role in providing first aid and responding to an unspecified number of people.This uncertainty can have adverse mental health effects,such as increased anxiety and fear.This study aimed to investigate the degree of association between fear of COVID-19,obsession with COVID-19,and post-traumatic stress disorder(PTSD)in emergency rescue firefighters.The participants were 150 emergency rescue firefighters working in Region S,Korea.They filled out self-report questionnaires:The data obtained through the Fear of COVID-19 Scale,Obsession with COVID-19 Scale,and Impact of Event Scale-Revised Korean version were subjected to nonparametric statistical analysis using SPSS WIN 25.0.The study found a significant correlation between emergency rescue firefighters’fear of COVID-19,obsession with COVID-19,and PTSD.Fear and obsession with COVID-19 were higher among first responder firefighters who were directly involved in COVID-19-related tasks.Furthermore,a one-point increase in obsession was associated with a 2.837-point increase in PTSD.Based on the results,we found that there is a need for effective control of obsessions and fears among first responder firefighters during COVID-19,and we suggest that there is a need for mental health care for first responder firefighters during the pandemic through the development and support of programs to prevent and mitigate obsessions. 展开更多
关键词 COVID-19 emergency rescue firefighters fear of COVID-19 mental health promotion obsession with COVID-19 PTSD
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Muscle Strength, Lumbar Curve, Fear of Movement and Functional Disability among Patients with Lumbar Disc Herniation: A Review
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作者 G. M. Jakaria Chua Siew Kuan 《Open Journal of Therapy and Rehabilitation》 2024年第1期28-51,共24页
Introduction: Lumbar disc herniation (LDH) refers to the rupture of the fibrous annulus of the intervertebral discs. Lumbar curvature may lead to the occurrence of lumbar disc degeneration. Fear of movement may worsen... Introduction: Lumbar disc herniation (LDH) refers to the rupture of the fibrous annulus of the intervertebral discs. Lumbar curvature may lead to the occurrence of lumbar disc degeneration. Fear of movement may worsen their disc herniation and cause further pain and injury. LDH conditions impact the individuals’ quality of life, to explore the relationship between lumbar curve, muscle strength, fear of movement and functional disability among patients with LDH. Methods: An electronic search was conducted on PubMed, Medline, Science Direct, Springerlink, Google Scholar and a hand search from reference lists was reviewed. Publications were included in human studies, patients 25 - 85 years of age, original studies and published in English language journals from January 2002 to December 2023. Result: In total, 64 articles were researched through the online search engines, and 9 papers were found through manual searches of reference lists. As a result, a total of 11 articles were included for the purpose of this review. The comprehensive analysis revealed the presence of eight cross-sectional studies, two retrospective studies and one experimental study. A minimum of 25 participants and a maximum of 360 participants were included. Ten studies included both genders, only one studies included healthy adults and patients with LDH but these studies didn’t mention gender. Results showed that the factors influencing LDH can be categorized into non-modifiable factors, such as gender, age, height or others. Modifiable factors included increased BMI, DM, smoking, alcohol, employment status, lifestyle and health problems or psychology. Conclusion: Females with greater VASC may be at risk of LDH. The lumbar extensor muscles indicated a localized disc herniation or nerve root pathology in patients with LDH. The fear of movement may lead to psychological consequences and reduce functional disability among patients with LDH. 展开更多
关键词 Lumbar Disc Herniation fear of Movement Functional Disability Vertical Angle of Spinal Curvature
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Pain-related mediators underlie incision-induced mechanical nociception in the dorsal root ganglia
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作者 Xiuhong Yuan Xiangyan Liu +1 位作者 Qiuping Tang Yunlong Deng 《Neural Regeneration Research》 SCIE CAS CSCD 2013年第35期3325-3333,共9页
Approximately 50-70% of patients experience incision-induced mechanical nociception after sur- gery. However, the mechanism underlying incision-induced mechanical nociception is still unclear. Interleukin-10 and brain... Approximately 50-70% of patients experience incision-induced mechanical nociception after sur- gery. However, the mechanism underlying incision-induced mechanical nociception is still unclear. Interleukin-10 and brain-derived neurotrophic factor are important pain mediators, but whether in- terleukin-10 and brain-derived neurotrophic factor are involved in incision-induced mechanical no- ciception remains uncertain. In this study, forty rats were divided randomly into the incision surgery (n = 32) and sham surgery (n = 8) groups. Plantar incision on the central part of left hind paw was performed under anesthesia in rats from the surgery group. Rats in the sham surgery group re- ceived anesthesia, but not an incision. Yon Frey test results showed that, compared with the sham surgery group, incision surgery decreased the withdrawal threshold of rats at 0.5, 3, 6 and 24 hours after incision. Immunofluorescence staining in the dorsal root ganglia of the spinal cord (L3-5) showed that interleukin-10 and brain-derived neurotrophic factor were expressed mainly on small- and medium-sized neurons (diameter 〈 20 pm and 20-40 pm) and satellite cells in the dorsal root ganglia of the spinal cord (L3-5) in the sham surgery group. By contrast, in the surgery group, high expression of interleukin-10 and brain-derived neurotrophic factor appeared in large-sized neurons (diameter 〉 40 pm) at 6 and 24 hours after incision surgery, which corresponded to the decreased mechanical withdrawal threshold of rats in the surgery group. These experimental findings suggest that expression pattern shift of interleukin-10 and brain-derived neurotrophic factor induced by inci- sion surgery in dorsal root ganglia of rats was closely involved in lowering the threshold to me- chanical stimulus in the hind paw following incision surgery. Pain-related mediators induced by in- cision surgery in dorsal root ganglia of rats possibly underlie mechanical nociception in ipsilateral hind paws. 展开更多
关键词 neural regeneration peripheral nerve injury interleukin-lO brain-derived neurotrophic factor rats mechanical nociception dorsal root ganglia INCISION pain-related mediators von Frey test hind paws grants-supported paper neuroregeneration
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COVID-19 Vaccine Rejection among Muslims in Turkey: Religiosity and Fear of Death
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作者 Neşe Karakaş Mert Kartal +1 位作者 Gürkan Kapikiran Recep Bentli 《Journal of Biosciences and Medicines》 2023年第6期71-80,共10页
This study aimed to examine the relationship between COVID-19 vaccine refusal and religiosity and fear of death among Muslims living in Turkey. This cross-sectional study was conducted online with 1046 adults aged 18 ... This study aimed to examine the relationship between COVID-19 vaccine refusal and religiosity and fear of death among Muslims living in Turkey. This cross-sectional study was conducted online with 1046 adults aged 18 and older. The Ok-Religious Attitude Scale (Islam) (ORASI) (8 items) and Thorson-Powell Death Anxiety Scale (TPDAS) (20 items) were used as data collection instruments. The data were analyzed using the Pearson chi-square test, Student’s t-test, and binary logistic regression. A p-value of 0.05). In binary logistic regression analysis, vaccine rejection was 7.19 times higher among single people, 50.55 times higher among workers and tradesmen, and 3.36 times higher among people who did not have COVID-19. As religiosity increased, the risk of vaccine refusal decreased 1.037-fold. 展开更多
关键词 COVID-19 Vaccines Vaccine Hesitancy Religiosity fear of Death MUSLIM
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The Mediating Role of Religious Beliefs in the Relationship between Well-Being and Fear of the Pandemic
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作者 Van-Son Huynh Thanh-Thao Ly +3 位作者 My-Tien Nguyen-Thi Xuan Thanh Kieu Nguyen Gallayaporn Nantachai Vinh-Long Tran-Chi 《International Journal of Mental Health Promotion》 2023年第9期1019-1031,共13页
Religion is one of the social entities that has had a significant impact on the pandemic.The study’s goals are to investigate the relationship between well-being and fear of COVID-19,as well as to test whether religi... Religion is one of the social entities that has had a significant impact on the pandemic.The study’s goals are to investigate the relationship between well-being and fear of COVID-19,as well as to test whether religious beliefs mediate the effect of wellbeing on fear of COVID-19.The sample comprised of 433 participants in Vietnam.Independent Sample t-Test,One-way ANOVA,mediation analysis were used to analyze the data.In the levels of well-being,individuals who engage in religious services daily have higher levels than those hardly and never attend,and people from the age of 18 to 30 have higher levels than individuals from 31 to above 60 years.In addition,people aged from 51 to above 60 have higher levels of religious beliefs than people aged from 18 to 50.Females experience more fear of COVID-19 compared to males.The latter illustrates that religious beliefs mediate the effect of well-being on fear of COVID-19.Social workers and clinicians must prioritize older adults and people with chronic diseases for early mental interventions,and they should be aware of the role of religion in psychological treatment integration. 展开更多
关键词 Religious beliefs WELL-BEING fear PANDEMIC VIETNAM
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Influencing factors of fear of falling among glaucoma patients in west China:a cross-sectional study
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作者 Jie Ren Xin Zhang +1 位作者 Hong Lin Ji-Hong Zeng 《International Journal of Ophthalmology(English edition)》 SCIE CAS 2023年第4期563-570,共8页
AIM:To investigate the current situation and influencing factors of fear of falling in glaucoma patients in western China.METHODS:In this cross-sectional study,glaucoma patients treated in the Ophthalmology Department... AIM:To investigate the current situation and influencing factors of fear of falling in glaucoma patients in western China.METHODS:In this cross-sectional study,glaucoma patients treated in the Ophthalmology Department of West China Hospital of Sichuan University were conducted to investigate the demographic data,visual acuity,visual field,activities of daily living,risk of falling,fear of falling and psychological states.Generalized linear model was used for multivariate analysis with fear of falling as dependent variable and other factors as independent variables.RESULTS:The mean score of the Chinese version modified Fall Efficacy Scale(MFES)was 7.52±2.09 points.Univariate analysis and multivariate analysis showed that the history of falls within one year,visual acuity,visual field,risk of falling,activities of daily living and psychological states had statistically difference on fear of falling(P<0.05).CONCLUSION:Glaucoma patients in west China have relatively high risk of fear of falling.History of falling within 1y,severe visual function impairment,high risk of falling,incapable of independence of daily living,and abnormal psychological state are risk factors of fear of falling among glaucoma patients. 展开更多
关键词 GLAUCOMA fear of falling influencing factors
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基于FEARS数据库研究利培酮不良反应信号
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作者 刘长青 张乾 +1 位作者 谢万军 恽渊 《现代医药卫生》 2023年第18期3075-3081,共7页
目的基于FEARS数据库为利培酮临床安全使用提供依据。方法收集FAERS数据库中所收集上报的2020年1月1日至2023年3月31日15个季度以利培酮为怀疑药品不良事件报告,经过药品不良反应术语集标准化,利用比例报告比值法(PRR)和报告比值比法(R... 目的基于FEARS数据库为利培酮临床安全使用提供依据。方法收集FAERS数据库中所收集上报的2020年1月1日至2023年3月31日15个季度以利培酮为怀疑药品不良事件报告,经过药品不良反应术语集标准化,利用比例报告比值法(PRR)和报告比值比法(ROR)进行不良反应信号检测。结果提取FAERS数据库中总的原始数据份,利培酮药物的不良反应病例报告11168份,以男性(7525,67.38%)居多;年龄以18~<45岁(2302,20.61%)分布最多;不良事件发生时间-用药日期中以0~30 d为主,1453例,占比为13.01%。ROR法和PRR法共得到不良反应检测中,检测信号526个,其中精神系统检测信号最多(112个)。结论使用利培酮容易导致严重不良反应的发生,尤其是延长患者的住院时间。利培酮所引起的代谢障碍,如肥胖、高泌乳素血症等信号较高,在临床使用过程中,需警惕上述不良反应发生。 展开更多
关键词 利培酮 fearS数据库 信号挖掘 不良反应 药品不良事件报告
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Gender Emergency:Fear of the Forsaken
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作者 Simonetta Milli Konewko 《Journal of Literature and Art Studies》 2023年第4期215-224,共10页
Considered a great example of investigative fiction,Mia per sempre[Mine Forever]which denounces violence against women,encourages them to speak out,seek assistance,and refuse to flee in terror,has been hailed as outst... Considered a great example of investigative fiction,Mia per sempre[Mine Forever]which denounces violence against women,encourages them to speak out,seek assistance,and refuse to flee in terror,has been hailed as outstanding work to denounce violence against women.The book is a study of women’s unusual relationships,which are marked by intense love,envious friendships,and unbreakable ties that result in mental instability,irrational behavior,or uncontrollable behavior.Tani’s work has also received recognition for including the knowledgeable perspectives of various specialists who offer a deeper and priceless understanding of these catastrophes occurring individuals’home.This study examines those instances of fear-sharing in relation to women’s independence and ability to move on or start new lives.The main question is how and why Tani’s employs fear.Who are the women or circumstances that cause fear?This paper considers the theoretical discourse on fear developed by scholars of the emotions such as,among others,Jaimal Yogis and Olsson and Phelps in order to examine the circumstances and outcomes of fear fashioned by Tani in her representation of Italian men’s criminal reaction to women’s autonomy. 展开更多
关键词 femicide women studies theories of emotions theories of fear Italian literature investigative journalism investigative fiction
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The Relationship between the intolerance of uncertainty and the fear of COVID-19 in patients awaiting kidney transplantation during the pandemic
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作者 Tugba Menekli SibelŞentürk 《Nursing Communications》 2023年第3期1-8,共8页
Objective:This study aims to identify the relationship between the intolerance of uncertainty and the fear of COVID-19 in patients awaiting kidney transplantation during the COVID-19 pandemic.Methods:This descriptive ... Objective:This study aims to identify the relationship between the intolerance of uncertainty and the fear of COVID-19 in patients awaiting kidney transplantation during the COVID-19 pandemic.Methods:This descriptive and cross-sectional study was performed with the participation of 355 individuals.The data were collected with a patient information form,the intolerance of uncertainty scale–short form(IUS),and the fear of COVID-19 scale(FCV-19S).Results:The mean IUS–short form score of the participants was 53.03±5.11,and their mean FCV-19S score was 30.62±4.10.A statistically highly significant positive relationship was identified between the FCV-19S and IUS scores of the participants(r:0.850;P<0.001).Conclusion:As the patients’intolerance of uncertainty increased,their fears of COVID-19 also increased.For patients awaiting kidney transplantation during the COVID-19 pandemic,which is full of challenges,to cope with fear and uncertainty,it is recommended that patients are provided with care with a multidisciplinary team approach. 展开更多
关键词 COVID-19 intolerance of uncertainty kidney transplantation DEATH fear
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尖锐湿疣患者恐惧疾病进展现状及影响因素
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作者 何卫芳 尹光文 +2 位作者 王丽 纪英 屈清荣 《河南医学研究》 CAS 2024年第1期39-43,共5页
目的探讨尖锐湿疣患者恐惧疾病进展现状及相关影响因素。方法采用便利抽样法,选取从2021年12月至2023年1月在郑州大学第一附属医院确诊为尖锐湿疣的263例患者。采用患者一般资料调查表、中文版恐惧疾病进展简化量表、中文版痛苦表露指... 目的探讨尖锐湿疣患者恐惧疾病进展现状及相关影响因素。方法采用便利抽样法,选取从2021年12月至2023年1月在郑州大学第一附属医院确诊为尖锐湿疣的263例患者。采用患者一般资料调查表、中文版恐惧疾病进展简化量表、中文版痛苦表露指数量表、心理弹性量表简表等进行调查,使用SPSS 25.0中Spearman秩相关分析和多重线性回归分析影响尖锐湿疣患者恐惧疾病进展的相关因素。结果患者恐惧疾病进展得分为(38.21±5.64)分,心理弹性得分为[73.00(65.00,77.00)]分,自我表露得分为[35.00(31.00,39.00)]分,患者的心理弹性水平、自我表露水平、确诊时间、是否首次治疗是影响患者恐惧疾病进展水平的相关因素。结论关注病程较长的患者,在首次治疗时进行干预,促进患者自我表露,提高心理弹性水平,降低患者疾病进展的恐惧感。 展开更多
关键词 恐惧疾病进展 尖锐湿疣 影响因素
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非霍奇金淋巴瘤幸存患者癌症复发恐惧状况调查及影响因素分析
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作者 高婧 邢双双 +1 位作者 李悦 濮益琴 《中国医药导报》 CAS 2024年第6期78-81,共4页
目的 探讨非霍奇金淋巴瘤幸存患者的癌症复发恐惧(FCR)情况及其影响因素。方法 选择2022年1月至2023年3月就诊于江苏省人民医院的100例非霍奇金淋巴瘤幸存患者,评估患者FCR状况,根据患者病历资料采集其一般资料,评估其焦虑、抑郁状态,... 目的 探讨非霍奇金淋巴瘤幸存患者的癌症复发恐惧(FCR)情况及其影响因素。方法 选择2022年1月至2023年3月就诊于江苏省人民医院的100例非霍奇金淋巴瘤幸存患者,评估患者FCR状况,根据患者病历资料采集其一般资料,评估其焦虑、抑郁状态,比较不同一般资料、焦虑、抑郁状态患者FCR情况,分析非霍奇金淋巴瘤幸存患者FCR的影响因素。结果 100例患者FCR评分为(89.36±4.02)分。不同年龄、疾病分期、家庭人均月收入、焦虑状态患者的FCR评分比较,差异有统计学意义(P<0.05)。多元线性回归分析显示,年龄(X_(1))、疾病分期(X_(2))、家庭人均月收入(X_(3))、焦虑(X_(4))是恶性淋巴瘤幸存患者FCR的独立危险因素(P<0.05)。回归方程如下:Y=26.116-2.274×X_(1)+3.152×X_(2)-0.070×X3+0.234×X4(R~2=0.521,△R~2=0.497,F=22.071,P<0.05)。结论 目前非霍奇金淋巴瘤幸存患者FCR情况值得引起重视,特别是要注重对年龄偏低、疾病分期高、家庭人均月收入偏低患者的管理和干预,并强化心理干预等,以缓解患者焦虑,进一步控制患者FCR。 展开更多
关键词 非霍奇金淋巴瘤 癌症 复发恐惧 影响因素
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早期食管癌患者夫妻疾病感知婚姻调适社会支持与癌症复发恐惧的关系研究
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作者 范颖英 孙娟 +3 位作者 张彩凤 靳玉红 姬娟娟 常勇生 《临床心身疾病杂志》 CAS 2024年第3期69-75,共7页
目的基于主客体互倚模型,探讨经内镜粘膜下剥离术后早期食管癌患者夫妻疾病感知、婚姻调适、社会支持对癌症复发恐惧的影响。方法采用便利抽样法选取232对经内镜粘膜下剥离术后的早期食管癌患者夫妻为研究对象。采用自行设计一般问卷、... 目的基于主客体互倚模型,探讨经内镜粘膜下剥离术后早期食管癌患者夫妻疾病感知、婚姻调适、社会支持对癌症复发恐惧的影响。方法采用便利抽样法选取232对经内镜粘膜下剥离术后的早期食管癌患者夫妻为研究对象。采用自行设计一般问卷、疾病感知问卷简化版、婚姻调适量表、中文版领悟社会支持量表、癌症患者恐惧疾病进展简化量表对患者夫妻进行评估,运用主客体互倚模型进行结果验证。结果患者夫妻疾病感知分别为(42.29±6.04)分、(45.98±7.54)分;患者夫妻婚姻调适分别为(90.56±23.48)分、(89.24±28.45)分;患者夫妻社会支持分别为(56.68±11.26)分、(53.68±14.42)分;患者夫妻癌症复发恐惧分别为(38.88±4.68)分、(42.36±6.48)分。患者夫妻疾病感知、婚姻调适、社会支持对应之间均呈正相关(P<0.01)。患者夫妻的疾病感知、婚姻调适与社会支持均能显著影响其自身的癌症复发恐惧水平,主体效应明显存在(P<0.01);患者夫妻的婚姻调适与社会支持能影响其配偶的癌症复发恐惧水平,客体效应亦明显存在(P<0.05)。结论经内镜粘膜下剥离术后早期食管癌患者夫妻癌症复发恐惧水平处于较高水平,应引起重点关注。研究人员可以基于二元角度从患者个体、配偶、社会不同层面给予干预,以降低患者夫妻癌症复发恐惧水平,提高家庭生活质量。 展开更多
关键词 食管癌 癌症复发恐惧 主客体互倚模型 疾病感知 婚姻调适 社会支持
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以家庭为中心的智谋训练在腹膜透析患者中的应用研究
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作者 李秀梅 张红梅 +2 位作者 李晓寒 张雅丽 武园园 《中华护理教育》 CSCD 2024年第3期261-268,共8页
目的探讨以家庭为中心的智谋训练在腹膜透析患者中的应用效果。方法在构建以家庭为中心的腹膜透析患者智谋训练方案的基础上,2021年1月—12月选取固定在本院肾内科接受随访的106例腹膜透析患者作为研究对象,采用随机数字表法将其分为对... 目的探讨以家庭为中心的智谋训练在腹膜透析患者中的应用效果。方法在构建以家庭为中心的腹膜透析患者智谋训练方案的基础上,2021年1月—12月选取固定在本院肾内科接受随访的106例腹膜透析患者作为研究对象,采用随机数字表法将其分为对照组(n=53)和试验组(n=53)。对照组实施常规护理,试验组给予常规护理结合以家庭为中心的智谋训练,比较干预前、干预8周后两组智谋、疾病进展恐惧、腹膜透析病耻感水平。结果干预8周后,试验组智谋总分为(85.17±16.48)分,高于对照组的(73.87±18.45)分(P<0.05);试验组疾病进展恐惧总分为(33.85±4.72)分,低于对照组的(37.15±5.36)分(P<0.05);试验组病耻感总分为(56.87±16.66)分,低于对照组的(64.09±16.65)分(P<0.05)。结论以家庭为中心的智谋训练能有效提高腹膜透析患者的智谋水平,降低其疾病进展恐惧与病耻感水平。 展开更多
关键词 腹膜透析 智谋训练 疾病进展恐惧 病耻感 家庭干预
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医学催眠法在幽闭恐惧症病人磁共振检查中的应用
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作者 刘茜 王兰英 《护理研究》 北大核心 2024年第5期932-936,共5页
目的:探讨医学催眠法在幽闭恐惧症病人磁共振检查中的应用效果。方法:收集2022年1月—12月在南昌大学第二附属医院行磁共振检查且合并幽闭恐惧症的150例病人,随机分为常规护理组(常规护理,n=50)、药物治疗组(常规护理+药物治疗,n=50)、... 目的:探讨医学催眠法在幽闭恐惧症病人磁共振检查中的应用效果。方法:收集2022年1月—12月在南昌大学第二附属医院行磁共振检查且合并幽闭恐惧症的150例病人,随机分为常规护理组(常规护理,n=50)、药物治疗组(常规护理+药物治疗,n=50)、医学催眠组(常规护理+医学催眠法,n=50),比较3组病人汉密尔顿焦虑量表(HAMA)评分、幽闭恐惧症问卷(CLQ)评分、干预疗效、图像质量及护理满意度。结果:医学催眠组的临床有效率、图像质量、护理满意度均高于药物治疗组和常规护理组(P<0.05);医学催眠组的HAMA评分、CLQ评分低于药物治疗组及常规护理组(P<0.05)。结论:医学催眠法可有效缓解幽闭恐惧症病人磁共振检查过程中的恐惧及焦虑情绪,增加舒适度并减少对镇静药物的需求。 展开更多
关键词 幽闭恐惧症 医学催眠法 磁共振检查 焦虑 恐惧 满意度
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跌倒恐惧在全膝关节置换术后患者疼痛灾难化与恐动症的中介效应
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作者 蔡立柏 梁郝 +5 位作者 刘延锦 魏苗 郭玉茹 李英 崔妙然 秦俊美 《护理学报》 2024年第7期63-67,共5页
目的探讨跌倒恐惧全膝关节置换术后患者疼痛灾难化与恐动症之间的中介效应。方法采用便利抽样法,选取2022年10月—2023年6月在郑州大学第一附属医院骨科行单侧全膝关节置换术的患者作为研究对象,采用一般资料调查表、恐动症评分简表、... 目的探讨跌倒恐惧全膝关节置换术后患者疼痛灾难化与恐动症之间的中介效应。方法采用便利抽样法,选取2022年10月—2023年6月在郑州大学第一附属医院骨科行单侧全膝关节置换术的患者作为研究对象,采用一般资料调查表、恐动症评分简表、疼痛灾难化量表以及简明国际跌倒效能量表对230例受试对象进行问卷调查,构建并检验中介模型。结果本组全膝关节置换术后患者恐动症总分为(24.70±7.46)分,跌倒恐惧总分为(16.35±5.27)分,疼痛灾难化总分为(29.26±9.64)分。全膝关节置换术后患者恐动症总分与跌倒恐惧总分呈正相关(r=0.670,P<0.001),与疼痛灾难化总分呈正相关(r=0.710,P<0.001),疼痛灾难化总分与跌倒恐惧总分呈正相关(r=0.652,P<0.001)。跌倒恐惧在全膝关节置换术后患者疼痛灾难化与恐动症间起部分中介作用,效应占33.1%。结论本组全膝关节置换术后患者恐动症处于中等水平,跌倒恐惧及疼痛灾难化处于中等偏上水平,跌倒恐惧在全膝关节置换术后患者疼痛灾难化与恐动症间起部分中介作用。建议临床医务工作者应关注全膝关节置换术后患者疼痛灾难化及跌倒恐惧,降低其恐动症,以促进其膝关节功能快速恢复。 展开更多
关键词 关节成形术 置换 疼痛灾难化 跌倒恐惧 恐动症 骨科护理
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基于生理指标的儿童牙科恐惧与焦虑的评估模型
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作者 张鹏 张宇阳 +1 位作者 王非 李西营 《基础医学与临床》 CAS 2024年第5期705-708,共4页
目的探索口腔治疗场景下患者恐惧焦虑情绪所伴随的神经生理表征,并构建一种基于生理指标的儿童牙科恐惧与焦虑(DFA)的评估模型。方法纳入在北京儿童医院口腔科就诊的166例14周岁以下儿童。采用改良中文版儿童畏惧调查表-牙科分量表(CFSS... 目的探索口腔治疗场景下患者恐惧焦虑情绪所伴随的神经生理表征,并构建一种基于生理指标的儿童牙科恐惧与焦虑(DFA)的评估模型。方法纳入在北京儿童医院口腔科就诊的166例14周岁以下儿童。采用改良中文版儿童畏惧调查表-牙科分量表(CFSS-DS)评定儿童DFA得分。使用腕式生理数据采集设备对儿童患者就诊期间的心率(HR)和皮肤电(GSR)进行全程连续测量。用重复测量方差分析对治疗前、中和后的生理数据进行差异检验;用皮尔逊(Pearson)相关分析对治疗前、中和后的生理数据与CFSS-DS分数做相关分析;建立最小绝对收缩和选择算法(LASSO)回归模型对儿童牙科恐惧与焦虑进行评估,用留一法(LOO)进行交叉验证。结果生理数据各维度在治疗前、中和后的变化差异显著(P<0.05);LASSO模型预测值与CFSS-DS原始分数之间皮尔逊相关系数r=0.30,P<0.05,说明本模型有较好的预测准确性。结论评估模型可以实现对儿童牙科恐惧与焦虑的客观、自动化的测量。 展开更多
关键词 牙科恐惧与焦虑 生理测量 心率 皮肤电反应
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接纳承诺疗法对中青年肝癌介入治疗病人复发恐惧及自我感受负担的影响
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作者 贾志阳 徐丽娜 王猛 《护理研究》 北大核心 2024年第12期2233-2238,共6页
目的:分析接纳承诺疗法对中青年肝癌介入治疗病人复发恐惧及自我感受负担的影响。方法:采用方便抽样法,选取2019年7月—2023年6月在郑州大学第一附属医院行肝癌介入治疗的124例中青年肝癌病人,随机分为对照组和观察组各62例。对照组给... 目的:分析接纳承诺疗法对中青年肝癌介入治疗病人复发恐惧及自我感受负担的影响。方法:采用方便抽样法,选取2019年7月—2023年6月在郑州大学第一附属医院行肝癌介入治疗的124例中青年肝癌病人,随机分为对照组和观察组各62例。对照组给予常规护理,观察组给予接纳承诺疗法干预。采用癌症复发恐惧量表(FCRI)及自我感受负担量表(SPBS)比较两组病人复发恐惧及自我感受负担水平,并对比两组病人护理满意度。结果:干预6周后观察组FCRI、SPBS评分均低于对照组(P<0.05),观察组护理满意度高于对照组(P<0.05)。结论:接纳承诺疗法可以有效降低中青年肝癌介入治疗病人复发恐惧感,减轻病人自我感受负担,并提高病人护理满意度。 展开更多
关键词 中青年 肝癌 介入治疗 接纳承诺疗法 复发恐惧 自我感受负担
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急性心肌梗死病人疾病进展恐惧与康复水平的关系:基于应对方式的中介效应分析
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作者 吴冬琴 张燕 +3 位作者 钱秋月 顾赟 赵华萍 徐贝贝 《全科护理》 2024年第9期1755-1759,共5页
目的:调查急性心肌梗死病人疾病进展恐惧与康复水平的关系,探讨应对方式在急性心肌梗死病人疾病进展恐惧与康复水平间的中介效应。方法:选取2020年1月—2022年10月在医院就诊的181例急性心肌梗死病人作为研究对象,采用一般资料调查问卷... 目的:调查急性心肌梗死病人疾病进展恐惧与康复水平的关系,探讨应对方式在急性心肌梗死病人疾病进展恐惧与康复水平间的中介效应。方法:选取2020年1月—2022年10月在医院就诊的181例急性心肌梗死病人作为研究对象,采用一般资料调查问卷、疾病进展恐惧问卷简化版(FoP-Q-SF)、心肌梗死多维度评估量表(MIDAS)、医学应对方式问卷(MCMQ)对其进行调查,采用Pearson相关性分析疾病进展恐惧、康复水平、应对方式三者之间的关系,并通过结构方程模型中的路径分析检验应对方式在疾病进展恐惧与康复水平之间的中介效应。结果:181例急性心肌梗死病人疾病进展恐惧总分为(31.25±6.09)分,康复水平总分为(67.34±11.24)分,应对方式中面对、回避、屈服各维度的评分分别为(17.33±3.65)分、(14.54±2.14)分、(9.67±2.01)分;Pearson相关性分析结果显示,急性心肌梗死病人疾病进展恐惧与康复水平、面对均呈负相关(r值分别为-0.611,-0.644,P<0.05),与回避、屈服呈正相关(r值分别为0.512,0.706,P<0.05);康复水平与面对呈正相关(r=0.421,P<0.05),与回避、屈服呈负相关(r值分别为-0.502,-0.478,P<0.05);Bootstrap检验结果显示,疾病进展恐惧对康复水平的直接效应为-0.36,间接效应为-0.17,中介效应占总效应的32.08%。结论:急性心肌梗死病人疾病进展恐惧、康复水平、应对方式具有两两相关性,且应对方式在急性心肌梗死病人疾病进展恐惧与康复水平间存在部分中介效应。 展开更多
关键词 急性心肌梗死 疾病进展恐惧 康复水平 应对方式 中介效应
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