Psycho-Spiritual Integrative Therapy for Women with Primary Breast Cancer

Breast cancer presents physical and psychological challenges, but can also result in posttraumatic growth (PTG). Twenty-four women completed Psycho-Spiritual Integrative Therapy (PSIT) treatment and completed assessments for PTG and QOL before, immediately following, and 1 month after treatment. Women showed improvement (p?相似文献   

癌症患者健康赋权能力的研究现状

追溯赋权的起源及其概念的演变,全面研究健康赋权的内涵及其对癌症患者的重要性。通过总结癌症患者健康赋权的测评工具、相关影响因素、促进健康赋权策略三个方面,了解国内外癌症患者健康赋权研究与实施的关键点与未来挑战,以期为探索适合我国癌症患者健康赋权的专科评估、干预模式构建和护理实践提供依据,以提高患者对健康相关知识的掌握,促使患者与医务人员共同规划、设计医疗保健行为,并最终实现以患者为中心的医疗服务理念,促进医疗系统的可持续发展。

     

The System of Belief Inventory: A Validation Study in Turkish Cancer Patients

This study was conducted with the purpose of assessing validity and reliability of the System of belief inventory, which was developed to evaluate the System of belief inventory of cancer patients in Turkish society. In the present study, the result of the KMO test was determined to be 0.71, and that of Bartlett’s test was 988.269; both tests were observed to be significant at p < 0.001. The Cronbach α reliability coefficient of the System of belief inventory was determined to be 0.98, and the α values of the System of belief inventory subgroups were 0.98–0.93.     

Focusing and Expressive Arts Therapy as a Complementary Treatment for Women with Breast Cancer

Abstract

This pilot study (N = 18) explored the effectiveness of focusing and expressive arts therapies intervention on the quality of life of women with breast cancer. The format was a 2-day (7 hours per day) retreat/support group in which complementary treatments (focusing, writing, art, and movement) were provided in an intensive format. Our hypothesis was that an integrated approach of multimodal expressive arts therapy would result in improvements in several measures of the participants' qualities of life. There was a 6-week post-group follow-up telephone interview, during which several participants reported positive results. This suggests that the intervention was beneficial.     

Investigation of adaptive and maladaptive perfectionism with Turkish Almost Perfect Scale-Revised

The present study examined the factor structure of the Turkish Almost Perfect Scale-Revised to identify adaptive and maladaptive perfectionists and non-perfectionists and examined whether the participants (N= 383) in these groups differed on a measure of psychological distress. A confirmatory factor analysis of the Turkish Almost Perfect Scale-Revised yielded three subscales: High Standards, Order, and Discrepancy. A cluster analysis identified adaptive perfectionists, maladaptive perfectionists, and non-perfectionists and these groups were found to be significantly different from each other on a measure of psychological distress.     

关于晚期肿瘤患者临终关怀问题的探讨

分析了晚期肿瘤患者临终关怀的重要意义和特殊性,论述了临终关怀的主要内容,探讨了临终关怀中的伦理问题,特别是对是否告知患者实情和是否应该放弃治疗等问题进行了深入讨论和分析。并提出晚期肿瘤患者的临终关怀,要从生理、心理、社会、伦理等多方面、多角度关爱患者,帮助患者认识生命价值,理解生命意义,提高生存质量。     

关于晚期肿瘤患者临终关怀问题的探讨

分析了晚期肿瘤患者临终关怀的重要意义和特殊性,论述了临终关怀的主要内容,探讨了临终关怀中的伦理问题,特别是对是否告知患者实情和是否应该放弃治疗等问题进行了深入讨论和分析.并提出晚期肿瘤患者的临终关怀,要从生理、心理、社会、伦理等多方面、多角度关爱患者,帮助患者认识生命价值,理解生命意义,提高生存质量.     

凉山州宫颈癌患者的经济负担调查分析

通过测算凉山州80例宫颈癌患者的社会经济学负担,并探讨该病变发现和治疗中的社会经济因素,得出文化程度、经济状况与患者经济负担呈负相关;患病时间与患者经济负担呈正相关.因此提高凉山州卫生资源利用率,加大健康教育的力度,加强宫颈癌早诊早治,可减少社会经济负担,促进民族地区的和谐发展.     

An Investigation of Genetic Counselors' Discussions of Genetic Discrimination with Cancer Risk Patients

Twenty-five genetic counselors who see familial cancer risk patients were interviewed about their definitions of genetic discrimination, perceptions of patient risk for discrimination, frequency and type of discrimination experienced by their patients, sources of information about discrimination, and what they tell patients about genetic discrimination. There was variability in participant definitions and content of discussions of genetic discrimination. Although 82% regarded risk to be low to theoretical, 40% reported possible instances of genetic discrimination, including insurance companies requiring results to cover procedures, denial of life/health insurance, social discrimination, and employment discrimination. Ninety-six percent of the sample reported always or almost always discussing genetic discrimination, and one or more of the following: insurance discrimination risks, protective legislation, no known cases positively documenting discrimination, strategies to avoid discrimination, and uncertainty of protective measures. The majority use current literature and research as information sources. Practice, policy, and research implications are discussed.     

105名留守农民的心理健康调查

为了解留守农民的心理健康状况,提高他们的心理健康水平提供依据。采用SCL-90量表进行随机抽样调查。105名留守农民的阳性项目数和总分都显著高于全国成人常模（P〈0．001）,心理问题的总检出率为33．3％;留守农民各年龄组在SCL-90因子分上存在显著差异（P〈0．05）。结果发现：留守农民的心理健康状况较差;受教育水平、年龄都影响留守农民的心理健康。但性别对留守农民的心理健康没有显著影响。     

Psychopathological Symptom Dimensions in Patients with Gastrointestinal Disorders

The current study aims to investigate the factorial validity of a widely used psychopathological rating scale, the Symptom Check List-90-R (SCL-90-R), in a group of patients suffering from gastrointestinal disorders, and to determine the specific psychopathological profiles that characterize the individual patient subgroups. Patients suffering from either irritable bowel syndrome, ulcerative colitis, non-erosive reflux disease or erosive reflux disease completed the SCL-90-R at a tertiary care gastroenterology department. Seven factors were identified, with one major distress factor and six minor factors. Comparison of the gastrointestinal disorder subgroups indicated that irritable bowel syndrome patients exhibited significantly more psychological distress compared to the other groups, and that gastrointestinal patients as a group, compared to healthy controls, were characterized by high levels of irritable depression and somatization. In planning further studies we encourage the use of factors identified in our study. The treatment of substantial irritable depression can be an important factor in improving quality of life in patients suffering from gastrointestinal disorders.     

手外伤患者健康认知及康复行为的调查

了解手外伤患者健康认知与康复行为状况,为医院健康教育工作及相关部门决策提供可考依据。选取2013年1月～12月我院手外伤患者,随机分为城市患者100名、农村患者100名进行问卷调查。结果患者健康认知程度和健康的行为习·赁受家庭、教育程度和社会等诸多方面影响,接受健康教育行为养成率城区略好于乡村。本次的调查,反映出患者接受健康教育认知程度和健康的行为习惯受家庭、教育程度和社会等诸多的方面影响,只有患者康复意识不断累积增加时,术后手部运动功能恢复才能提高。     

不同手术方式对早期肺癌患者凝血功能的影响

为了研究不同手术方式对早期肺癌患者凝血功能的影响,选取早期肺癌患者51例分为常规开胸组和电视胸腔镜手术(VATS)组.观察患者手术前后凝血指标的变化及临床表现.结果显示术前开胸组和VATS组患者各指标无差别.术后两组患者都出现凝血酶原时间(PT)延长,活化的部分凝血活酶时间(APTT)缩短,纤维蛋白原(Fib)、D二聚体(D-D)升高,血小板计数(PLT)术后第3天降低而术后第7天升高.术后开胸组较VATS组患者术后第1、3天Fib、D-D升高.开胸组出现1例肺血栓栓塞症(PTE).就此得出结论VATS组和常规开胸组患者术后都处于高血凝状态,但开胸组患者术后早期更易出现血栓栓塞.     

不同手术方式对早期肺癌患者凝血功能的影响

为了研究不同手术方式对早期肺癌患者凝血功能的影响,选取早期肺癌患者51例分为常规开胸组和电视胸腔镜手术(VATS)组。观察患者手术前后凝血指标的变化及临床表现。结果显示术前开胸组和VATS组患者各指标无差别。术后两组患者都出现凝血酶原时间(PT)延长,活化的部分凝血活酶时间(APTT)缩短,纤维蛋白原(Fib)、D二聚体(D-D)升高,血小板计数(PLT)术后第3天降低而术后第7天升高。术后开胸组较VATS组患者术后第1、3天Fib、D-D升高。开胸组出现1例肺血栓栓塞症(PTE)。就此得出结论VATS组和常规开胸组患者术后都处于高血凝状态,但开胸组患者术后早期更易出现血栓栓塞。     

慢性阻塞性肺疾病健康教育的作用及面临的问题

将82例稳定期COPD患者随机分为两组,治疗组接受为期半年的健康教育,对照组不接受健康教育。观察半年前后两组的吸烟比例、呼吸困难评分、吸入治疗比例及正确率和半年内急性发作次数;并比较半年前后的生活质量评分、疗效评估和肺功能指标。发现：半年的健康教育可增加稳定期COPD患者的戒烟率,减少反复急性发作,从而提高生活质量。缺乏经济效益及未受到足够的重视和宣传,制约了健康教育的普及,因此发展社区卫生医疗服务势在必行。     

慢性阻塞性肺疾病健康教育的作用及面临的问题

将82例稳定期COPD患者随机分为两组,治疗组接受为期半年的健康教育,对照组不接受健康教育.观察半年前后两组的吸烟比例、呼吸困难评分、吸入治疗比例及正确率和半年内急性发作次数;并比较半年前后的生活质量评分、疗效评估和肺功能指标.发现:半年的健康教育可增加稳定期COPD患者的戒烟率,减少反复急性发作,从而提高生活质量.缺乏经济效益及未受到足够的重视和宣传,制约了健康教育的普及,因此发展社区卫生医疗服务势在必行.