重视人文关怀,促进检验科管理及服务水平的提高

在当前检验医学日趋呈现＂人文缺失＂的背景下,提出加强检验人员人文素质教育的必要性及紧迫性,并重点阐明以患者需求为导向,提高检验科人性化服务的具体措施。     

新药临床试验中的反安慰剂效应

新药在临床试验中设立安慰剂对照需要患者知情同意,有违安慰剂暗示治疗的本意。在一种新药Ⅱ期临床试验中,发现告知与隐瞒设立安慰剂对照的事实,疗效差异明显。表明告知患者可能使用到安慰剂,会产生反安慰剂效应,影响疗效判定。提出疗效判定尽量使用客观指标、采用叠加设计、采用暂时隐瞒法、心理医生介入等4项对策。     

临床技能培训中心在临床医学教育中的作用初探

临床医学是医学教育的关键,随着社会的进步,科技的发展及患者自我保护意识的提高,传统的临床医学技能教育模式面临新的考验。本文探讨了医学模拟教学在临床教学中的重要意义,介绍了临床技能培训中心的建设及应用评价,对其未来的发展方向进行了展望。     

亚低温治疗的作用机制及其临床应用

目前亚低温治疗的细胞和分子生物学机制的研究仍然不足,其应用的时机、方式、持续时间、并发症的防治及在不同病理过程中亚低温治疗的最佳目标温度选择仍存在很多争议,有待于进一步研究。本文介绍了亚低温的作用机制及其临床应用方面的进展,为医护人员更好地将该疗法应用于临床提供对策。     

双气囊小肠镜在小肠相关疾病中的应用进展

小肠及其相关疾病在所有消化道疾病中占有重要地位,对小肠及其相关疾病的诊疗一直存在相当大的困难,常规的内镜检查和治疗方法无法准确诊断和治疗小肠及其相关疾病,例如不明原因消化道出血,小肠肿瘤,胆胰管疾病等。双气囊小肠镜的出现为小肠及其相关疾病的诊疗提供一种全新的方法,内镜下进行小肠疾病治疗,例如小肠出血的止血、息肉的切除、肠腔狭窄扩张等,及各种相关的新技术、新方法层出不穷。本文就对双气囊小肠镜的应用前景和诊疗新进展做一综述。     

高校毕业生可雇佣能力的因素、结构与测量

该研究在文献理论分析、招聘广告词频分析、专家反馈、焦点团队访谈和半开放式问卷调查的基础上,编制了高校毕业生可雇佣能力问卷,并对已签订就业协议的930名高校毕业生进行了施测。探索性和验证性因素分析结果表明高校毕业生可雇佣能力是一个多层次多维度的结构,主要包括15个基本因素,分别归属于5个二阶维度和一个三阶维度,量表的信、效度指标均达到心理测量学要求。     

The higher-order factor structures of five personality inventories

This study examined the internal higher-order structures of five personality inventories (the Hogan Personality Inventory, the Occupational Personality Questionnaire, the Sixteen Personality Factor Questionnaire, the Personality and Preferences Inventory, Profile Match). A sample of 356 individuals from the UK working population completed various combinations of the five inventories. Overall, the results indicated sensible and interpretable factor structures for the inventories. Cross-inventory factor analyses of the extracted factors revealed a variant of the Big Five model underpinning them, enabling examination of inventory convergence and divergence. Our study also examined and compared representations of the General Factor of Personality in each of the inventories.     

"Without being in psychoanalysis I would never have dared to become pregnant": psychoanalytical observations in a multidisciplinary study concerning a woman undergoing prenatal diagnostics

As is well known, Freud described the clinical practice of psychoanalysis as the 'loam' of his cultural-theoretical work, an assessment which is shared by many psychoanalysts up to the present, including the authors of this paper. The complex interplay between unconscious phantasies on the one hand, and the real experiences arising from the new possibilities opened up by prenatal diagnostics on the other, is described with reference to a report of an intensive, long psychoanalysis with an analysand from a family burdened with a genetically transmitted illness (haemophilia). The holding and containing function of the analyst enabled this analysand, despite traumatic experiences with the miscarriage of a healthy child triggered by a prenatal diagnosis and the later abortion of a haemophiliac baby, nevertheless to have the courage to go through another pregnancy and give birth to a healthy girl. The intensive clinical investigation of the unconscious phantasies, conflicts and traumas around the prenatal diagnostics proved to be not only therapeutically fruitful for the analysand, Ms F. It also facilitated insights into those individual chances and risks which appear to be an integral part of the opportunities presented by todays prenatal diagnostics and, through them, it lead to a cultural-critical look at the ambivalence of medical-technical progress. These insights, which are only attainable through psychoanalysis, can represent a distinctive contribution of psychoanalysis to a multi-disciplinary dialogue with medical practitioners, geneticists, ethicists and health policy-makers. By referring to a large EU study on 'Ethical Dilemmas due to Prenatal and Genetic Diagnostics', this paper gives a practical example of such a discussion. Ms F. was psychoanalytically interviewed as part of this study, 16 years after the conclusion of her analysis. The summary of these interviews, which is set against the account of the treatment, offers an impressive insight not only into the long-term effects of a psychoanalysis under very particular personal circumstances, but also into the lasting consequences of decisions made in the context of prenatal diagnostics. Finally, the results of the individual case study are brought together with the clinical outcomes of the EU study, and some considerations are formulated concerning the protective and risk factors facing women during and after prenatal diagnostics. The paper is an appeal to psychoanalysts, with their specific competence in dealing with unconscious phantasies and conflicts and their high level of professionalism in dealing with traumatised patients, to get involved in fresh dialogue with prenatal diagnosticians and their patients.     

临床运动心理学研究:现状、问题与建议

本文对《临床运动心理学杂志》创刊以来的99篇论文进行内容分析,以揭示临床运动心理学研究的现状与问题.研究结果表明:临床运动心理学研究领域主要为运动功能障碍、心理健康、运动功能损害、运动表现发展;研究的热点问题主要为运动表现、饮食障碍、情绪障碍、成瘾、压力应对等;研究主要以认知行为理论为基础;42.4％的研究假设有待进一步验证;研究方法存在一些问题.基于上述研究结果,对我国运动心理学研究者提出以下建议:拓展研究领域;关注研究的本土化;丰富研究的理论基础;加强研究方法训练.     

基于概化理论的作假识别量表编制及其作用

基于概化理论,探讨在《大学生心理资本量表》中加入作假识别量表的具体编制过程及其在提升量表信度、效度等方面的作用。通过因素分析验证《作假识别量表》的单维性;通过概化研究,研究其信效度,并嵌入《大学生心理资本量表》进行验证。结果表明：因素分析解释率为55.858%,概化研究结果显示G系数和Φ系数分别为0.825,0.809。因此,《作假识别量表》有很好的信效度,嵌入《大学生心理资本量表》后能有效地识别作假行为和筛选被试。