【摘要】 目的 探討心理干預對糖尿病患者血糖控制及情緒的影響。 方法 2001年3月-2009年7月將120例2型糖尿病患者隨機分成干預組和對照組，每組各60例。兩組均給予正規藥物治療，干預組同時予心理干預。8周后用焦慮自評量表（self-rating anxiety scale，SAS）、抑郁自評量表（self-rating depression scale，SDS）評定兩組患者情緒變化，同時測定空腹血糖、餐后2 h血糖。 結果 干預前后干預組空腹血糖及餐后2 h 血糖下降值多于對照組，差異有統計學意義（Plt;0.05）；通過干預，干預組患者SAS、SDS評分均有明顯改善，干預前后評分差異有統計學意義（Plt;0.05），對照組干預前后差異無統計學意義（Pgt;0.05）；患者血糖與SAS、SDS評分等因子呈現中等程度的相關性（|r|為0.4~0.6，Plt;0.05）。 結論 糖尿病患者血糖與SAS、SDS等情緒指標相關，心理干預能顯著改善血糖和患者情緒。【Abstract】 Objective To study the effect of psychological intervention on blood-glucose control and emotions of diabetic patients. Methods A total of 120 patients with type 2 diabetes treated between March 2001 and July 2009 were randomly divided into the intervention group and the control group with 60 patients in each. Medicine treatment was carried out for patients in both groups, and psychological intervention was applied only to the intervention group. Eight weeks later, self-rating anxiety scale (SAS) and self-rating depression scale (SDS) were used to evaluate emotion changes of the patients. Fasting blood glucose, post-meal blood glucose (P2hBG) examination were conducted at the same time. Results The result showed a significantly larger decrease of both fasting blood glucose and post-meal blood glucose in the intervention group than the control group (Plt;0.05). Through these methods, the SAS and SDS evaluation of patients in the intervention group improved significantly (Plt;0.05); However, the change of these two scores was not statistically significant in the control group (Pgt;0.05). There was a mid-level correlation between the blood sugar level of diabetic patients and SAS, SDS evaluation scores (0.4lt;|r|lt;0.6, Plt;0.05). Conclusion The blood sugar level of patients with diabetes is closely related to SAS and SDS scores, and psychological intervention can significantly improve the control of blood glucose and emotions of the patients.
目的:了解地震住院傷員的身心狀態,進行針對性心理干預。方法:采用方便抽樣,應用作者根據應激理論設計的應激身心反應調查表［1］,通過對地震傷員的觀察和訪談,對在2008年5月12日至5月30日在四川大學華西醫院住院的371名地震傷員進行身心狀態的評估,并進行有針對性的心理干預。結果:①地震傷員災后急性期心身應激反應較嚴重,其中出現頻率最多的癥狀是睡眠困難,對突然的噪音或聲音感到緊張害怕,心情沮喪,感到身體緊張,心情難以平靜;②不同性別地震傷員身心反應存在一定差異,女性反應癥狀重于男性;③年齡在小于12歲、12～18歲和41～50歲年齡段地震傷員的身心反應與其他年齡段地震傷員的身心反應存在差異;④地震傷員的身心反應與其性別、年齡、文化、個人受傷情況有關。結論:地震傷員災后身心反應嚴重,急性期給予針對性心理干預十分重要。
ObjectiveTo investigate the psychological status and its influencing factors of hospital staff during the outbreak of coronavirus disease 2019 (COVID-19), and provide a reference for psychological intervention strategies for hospital staff in public health emergencies.MethodsIn this cross-sectional study, we investigated the staff of Mianzhu People’s Hospital through an anonymous questionnaire survey sent through WeChat group from February 13th to 18th, 2020, to analyze the psychological situation and influencing factors of the on-the-job staff. SPSS 22.0 software was used for statistical analysis.ResultsAmong the 1 115 staff members who met the inclusion criteria, 951 completed the questionnaire, with a response rate of 85.3%. There were 945 valid questionnaires, with an effective response rate of 84.8%. A total of 224 staff members (23.7%) had mental health problems. Multivariate logistic regression analysis showed that the total scores of social support [odds ratio (OR)=0.869, 95% confidence interval (CI) (0.805, 0.938), P<0.001] and the total scores of stress coping strategies [OR=0.685, 95%CI (0.607, 0.772), P<0.001] were protective factors of psychological status, while having kids [OR=1.607, 95%CI (1.084, 2.382), P=0.018] and the position being logistic worker [OR=2.229, 95%CI (1.326, 3.746), P=0.002] were risk factors of psychological status.ConclusionsDuring the outbreak of COVID-19, mental health problems emerged among the staff of designated medical treatment hospital. When a public health emergency occurs, hospitals and relevant departments should take psychological intervention measures as soon as possible to ensure the work of epidemic prevention and control.
Objective To explore the mental health status and the relevant influencing factors of the resident standardized trainees, and to provide reference for the psychological intervention. Methods All the resident standardized trainees in a first class of the third grade hospital in Sichuan from July 2012 to August 2015 were investigated by the questionnaire including symptom checklist 90, demographic characteristics and work condition. Results The detection rate of psychological problem among resident standardized trainees was 24.7% which was higher than the general population. The analysis of logistic regression showed that the training grade, identity, work time and working achievement were the main factors related to psychological problems. Conclusions The psychological problems of resident standardized trainees were prominent because they are in a transformation stage from medical students to clinical doctors. The related department should pay more attention and take measures to improve the resident standardized trainees’ mental health.
目的:探討5·12汶川地震中因外傷而截肢的患者產生各種心理反應的原因和護理對策,以采用有效的護理措施。方法:以我院收治的地震傷致截肢患者23例為研究對象,采用面對面與患者及家屬交談、觀察患者的心理行為、轉院后隨訪等形式,用應對方式量表對心理護理進行評分及分析,并針對性采取心理護理。結果:截肢患者在治療前后出現自我概念改變、不確定感、社會適應力改變等正性和負性心理效應;經過心理護理,能消除心理障礙,均獲得較好的治療效果。結論:正確的心理分析和針對性心理護理有利于患者的心理調適,產生正性心理效應,積極應對疾病。