养老机构老年冠心病患者生活质量状况分析及护理对策

采用中国心血管患者生活质量评定问卷CQQC对锦州市养老机构中186名老年冠心病患者的生活质量进行测评,并将其同中国冠心病患者的生活质量常模进行比较.养老机构冠心病患者生活质量总分为(52.50±15.77)分,低于中国冠心病患者的生活质量常模的总分(64.67±20.59)分,差异有统计学意义(P＜0.01).养老机构老年冠心病患者的生活质量较差,其影响因素较多,养老机构的护理人员需要采取有效的对策来提高冠心病患者的生活质量.     

初治肺结核患者服药依从性的相关因素分析

为了了解初治肺结核患者服药依从性状况及影响因素,采用分层整群随机抽样方法抽取样本,利用自制调查表和Morisky依从性量表获取数据信息,并用SPSS 16.0软件进行统计分析.参与调查的578例初治肺结核患者中,依从性低组为194例,占33.6％,依从性正常组为384例,占66.4％.影响服药依从性的主要因素为职业、治疗时期、生活满意度、病情严重程度等（P＜0.05）.可见初治肺结核患者不规则服药受多方面因素影响,应加强各方督导,提高服药依从性.     

社区高血压患者心理一致感与服药依从性的关系研究

为了解社区高血压患者心理一致感及服药依从性现状,并探讨二者关系,本研究采用心理一致感量表、Morisky服药依从性量表对济南市214例社区高血压患者进行调查.结果显示,社区高血压患者服药依从性良好率仅为18.7％;心理一致感总分为58.78±10.44,处于中等水平,各维度条目均分由低至高依次为可理解感(4.36±0.94)、可控制感(4.47±1.00)及意义感(4.77±0.94);不同心理一致感水平的患者其服药依从性差异具有统计学意义(P＜0.01),高心理一致感的患者服药依从性最好,且心理一致感是患者服药依从性的保护性因素.因此,社区高血压患者的心理一致感能够影响其服药依从性,故应重视患者心理一致感的培养,以改善服药依从性.     

抑郁症患者的服药依从性及影响因素

服药依从性是影响抑郁症患者疗效和复发的重要因素, 然而很多研究发现抑郁症患者的服药依从性较低。与服药依从性有关的概念有服从性、依从性和遵从性。抑郁症服药依从性的影响因素包括疾病与治疗因素、医生相关因素、患者相关因素及文化与环境因素四个方面, 主要从医生和患者两方面进行干预。其评定方法包括主观和客观两种。介绍了研究趋势, 未来应发展服药依从性测量工具, 加强本土化和社会文化因素的研究, 加强共病对抑郁症服药依从性影响的研究, 制定个别化的干预措施, 并加强心理学在抑郁症服药依从性领域的交叉研究。     

结核患者服药依从性的研究现状

结核病控制是全球卫生工作的一个重点,服药依从性则是其中关键的一环。本文对结核患者服药依从性的重要性、影响因素及提高依从性的措施进行综述,认为实施直接督导短程化疗（DOTS）、强化督导、改善患者对服药依从性的认识、简化给药方案、减轻患者经济负担、设置患者提醒物等可提高服药依从性。     

结核患者服药依从性的研究现状

结核病控制是全球卫生工作的一个重点，服药依从性则是其中关键的一环。本文对结核患者服药依从性的重要性、影响因素及提高依从性的措施进行综述，认为实施直接督导短程化疗（DOTS）、强化督导、改善患者对服药依从性的认识、简化给药方案、减轻患者经济负担、设置患者提醒物等可提高服药依从性。     

动机谈话对高血压患者治疗依从性的影响

探讨动机谈话对高血压患者治疗依从性的影响.采用实验对照研究方法,采用动机谈话对高血压患者治疗依从性进行干预.结果干预组患者在服药、体力活动等依从性方面优于对照组.结论是动机谈话在改善患者治疗依从性方面是一种比较有效的干预措施.     

从指南看冠心病降脂治疗的现状及分析

层出不穷的试验研究和不断更新的指南使人们对冠心病防治的认识不断加深,但指南的实施和普及却不理想,大多数冠心病患者并未真正受益于降脂治疗.现就NCEP-ATP指南的更新和目前冠心病患者降脂治疗的现状、主要影响因素(患者的依从性、医务工作者的医疗质量、药物有效性以及效价比与经济条件)及可能的改善措施做一综述.     

心理护理对精神分裂症患者服药依从性的影响

探讨心理护理对精神分裂症缓解期患者服药依从性的影响.选取2008年1月至2009年12月在我院住院,符合精神分裂症临床诊断标准的精神分裂症患者98例,随机分为研究组(药物加心理护理)48例和对照组(药物治疗)5.例,进行为期1年的观察.入组时两组对治疗的依从性及BPRS,PSE,SDSS三种量表的评分差异无显著性(P>0.05),研究结束时,研究组患者BPRS,PSE,SDSS三种量表的评分与对照组比较均有显著性差异(P<0.01),研究组叶服药依从性优于对照组,差异有非常显著性(P<0.01).心理护理可以提高精神分裂症缓解期患者服药的依从性.     

冠心病患者的抑郁和焦虑

许多临床研究表明,冠心病患者常发生抑郁及焦虑。而在严重精神症状（如抑郁或/和焦虑）者中有较高的冠心病发生率。抑郁增加冠心病患者的不良心血管事件发生率,影响预后。其机制有如下几个方面：对医疗措施及生活方式改变的依从性差、血小板功能异常、血管内皮功能紊乱以及心率变异性降低。选择性5-羟色胺再摄取抑制剂由于其较好的耐受性且无明显的心血管副作用而应用于冠心病合并抑郁及焦虑的药物治疗并改善患者的生活质量。但仍需要更大规模的临床研究以确定抑郁及焦虑对冠心病预后的影响。临床上应更加关注焦虑对冠心病的影响,进一步探讨焦虑能否作为冠心病的危险因素。     

自伤青少年的冲动性

以自我报告、行为学和脑电为指标, 检验自伤青少年的冲动性。研究1, 对820名普通中学生和72名工读生进行问卷调查, 探讨自伤行为与情绪调节困难、冲动性的关系。结果表明, 冲动性能够预测自伤行为, 且预测效应量大于情绪调节困难。研究2, 采用Go/Nogo范式的ERPs实验, 检验自伤组与对照组冲动控制的行为学与脑电差异。结果表明, 自伤组Nogo正确反应的N2波幅显著高于对照组, N2潜伏期在部分电极点处高于对照组。脑电地形图显示两者的脑电差异主要体现在前额叶区。结论：自伤青少年的冲动性高于同龄普通青少年。     

Occupational Stress in Workers and Managers in Steelworks in China

Occupational stressors and strains of 121 Chinese steelwork employees and 122 managers were measured using the Chinese version of the Occupational Stress Indicator (OSI). It was found that factors intrinsic to the job, Type A behavior, logic, and organizational structure and climate were the main predictors of mental ill-health and physical ill-health in managers. Organizational structure and climate and relationships with other people were important predictors for workers. Management processes and organizational forces were the strongest predicting factors of job satisfaction in both samples. On certain OSI scales and subscales, managers scored statistically higher than workers. It is proposed that these results reflect the enormous economic and social changes currently taking place in China, together with certain features inherent in Chinese organizational and managerial processes.     

基于努力决策任务在精神分裂症患者动机缺失评估中的应用

国外运用基于努力决策任务,与阴性症状量表和访谈相结合,对精神分裂症患者的阴性症状特别是动机缺失进行研究。本文从基于努力决策任务出发,重点介绍该任务范式及其在精神分裂症患者动机缺失评估中的最新研究,并从心理学、神经生物学和脑神经科学三个维度,阐述动机缺失的认知神经机制,论文结尾讨论了该任务范式在评估精神分裂症患者或其他患者动机缺失中可能遇到的挑战,以及未来的发展趋势。     

Psychology in Medical Settings in Thailand

This article explores the development of psychology as a profession in Thailand, its challenges, and future trends. There are currently very few Thai psychologists who are active in the medical fields in comparison to other health care professions. Being held back by limited education and training, many psychologists see their future career as less than promising. The lack of professional licensing standards and dominance of psychiatry further limit their career advancement. However, tremendous opportunities await those who persevere to expand their roles beyond the traditional assessment, treatment, and research models. A small number of them have ventured out into unexplored territories such as behavioral medicine, AIDS counseling, health promotion, and prevention of mental health problems. There is a strong potential for Thai psychologists to make significant contributions in these areas. It is clear that higher standards of education and more rigorous training are needed if this goal is to be realized in the near future.     

Happiness in shrinking cities in Germany

After decades of urban growth, modern societies now face an increasing number of shrinking cities. What is the impact on the inhabitants of shrinkage of their city? Negative effects dominate in the public discourse, but does growth or shrinkage really matter for the livability in urban environment? In this paper, I take stock of the effect on subjective well-being in present day Germany. Overall satisfaction with life appears not to be lower in shrinking cities and satisfaction with several domains of life even higher. This is not because inhabitants are unaware of the situation of their city, since they appear to be more concerned about job-chances and crime.     

Aggression in television programs in Finland

A detailed coding system was constructed to study the frequency and salience of aggression in TV programs broadcast on Finnish television. Salience of aggression was measured by the brutality index which consisted of ratings concerning the (1) program context, (2) seriousness, (3) justification, and (4) dramatization of aggressive acts. When compared to previous studies of TV-violence, the rate of aggression in Finnish TV was moderate with 3.5 aggressive acts per program hour. Only 14% of aggressive acts portrayed brutal aggression, which was mostly seen in fictional films and serials. A clear 9 pm watershed was not seen in Finland, since aggressive acts were distributed quite evenly during the TV time. Aggressiveness of a program was not related to its popularity among viewers. © 1993 Wiley-Liss, Inc. ©1993 Wiley-Liss, Inc.     

语篇中代词指代的研究进展

代词的指代在语篇局部连贯性中具有关键作用。中心理论是代词指称中的重要理论,它解释了语篇中代词的分布规律;注意驱动理论是在中心理沦的基础上结合重音预设解释重音或非重音代词。影响代词指称的因素有语义因素和结构因素。对代词的认知研究另一方面主要集中在对歧义代词的解释．对歧义代词的解释的研究一方面采用重复姓名不利实验范式,另一方面的研究采用的研究方法是探测词任务。在汉语中对代词的研究主要是对文本语篇的研究。     

Trends in behavior analysis in education

The preparation of the Journal of Applied Behavior Analysis Reprint Series: Behavior Analysis in Education (1988) provided an opportunity to survey and analyze trends in the field, as reflected by publications in the journal. Apparently, the large volume of behavior-analytic papers on educational topics has been declining and its contents undergoing some interesting but not uniformly welcome shifts. Although the intense concern with classroom conduct has diminished somewhat, that topic continues to be heavily emphasized. Simultaneously, reports of social skills and language studies have accelerated, but analyses of academic performance have progressively declined. Explanations for the findings remain speculative, but behavior analysts are encouraged to address these areas of essential social need.     

Orthodoxy in Unity and in Conciliarity

This article considers how the Holy and Great Council of the Orthodox Church faced challenges such as how the gospel relates to a pluralistic society; the Christian message in a society marked by religious pluralism, ethnic diversity, and cultural relativism; whether Christians encountering today's pluralist society should concentrate on evangelism or on dialogue; and on how conciliarity relates to the unity of the church. The article examines how the council attempted to respond to, or at least reflect on, these challenges in relation to the theological dialogue of the Orthodox Church with the other Christian churches and confessions. The bilateral theological dialogues have also increasingly led to bearing Christian witness, and an atmosphere of mutual appreciation, friendship, and fellowship has already become at least a reality. But has this development also led to a deeper mutual theological understanding? Have the profound differences between the Orthodox churches and the other churches in bilateral dialogues been clarified theologically?     

Complex in memory,mind in matter: walking hand in hand

This paper aims to highlight four major points: first: a ‘Jungian attitude’ understood as a viewpoint which enables work with interconnectedness through various fields of knowledge. Second, that complexes are dynamic, as is memory, and that both are transformed by experience and develop hand in hand with each other i.e., the transformation of the complex occurs through the transformation of memory as embodied in internal working models, and vice versa. Third, complexes and archetypes are linked to each other in matrices of one form or another and lead to the complexity of the psyche, which is a developing system. Fourth, the analytical process provides an arena that enables and consolidates interconnections that foster a better intrapsychic transition. The analytic meeting promotes profound changes, redesigning our neural architecture as well as our psychic landscape.