抑郁症心理护理效果自评量表的编制及其信度效度检验

目的：编制抑郁症心理护理效果自评量表并对其信度效度进行检验。方法：根据心理卫生评定量表的编制方法及临床工作实践，筛选条目，并进行信度和效度检验。测量对象为52例抑郁症病人。结果：抑郁症心理护理效果自评量表包括12个项目．Cronbacha α系数为0．879，分半信度0．885，重测信度0．65。自评量表总分与各项目的相关系数0．365-0．815之间（P〈0．01），52例抑郁瘟病人中，实验组（n=26），经4周心理护理后与HAMD的相关为-0．522（P〈0．01），对照组（n=26）为-0．263（P〉0．05），两组患者自评量表分比较有非常显著的统计学差异（t=11．13，P〈0．001）。结论：自编抑郁症心理护理效果自评量表有一定的信度和效度，基本符合心理测量学的要求，可以在临床工作中试用。     

住院患者心理评定量表的初步编制

目的 初步编制一个适合中国社会文化背景、符合心理测量学要求的简易住院患者心理状况评定量表.方法 以应激相关理论为基础在文献分析及访谈的基础上构建了住院患者心理评定量表的理论因子及初步的预测试进行条目筛选.对长沙市600名住院患者测试及信效度分析.结果 住院患者心理评定量表包括恐惧、焦虑、抑郁、愤怒和认知功能五个因子共35个条目,量表的Cronbach's α系数、分半相关信度及重测信度分别为0.941,0.902和0.851.各因子与总分间的相关系数为0.643～0.903.且相关均具有显著性(P<0.01),PSI总分与SCL-90的相关系数为0.732.结论 该量表各项信效度指标基本达到了心理测量学要求,可以作为评定住院患者心理状况的测评工具.     

大学生心理症状量表的编制及初步应用

目的编制大学生心理症状量表，为教育、临床和社会评估提供测评工具。方法通过文献资料法归纳大学生的常见心理症状，从症状自评量表（SCL-90）等常用量表中提取项目建立项目库，以此为基础编制大学生常见心理症状最表。结果全量表由自卑、人际过敏、网络成瘾、抑郁和敌对5个维度组成，α系数为0．93，分半信度系数为0．91，重测信度为0．68；与自尊、生活满意度和大学生心理健康量表的积极维度的相关为-0．455、-0．399和-0．409，与大学生心理健康量表的消极维度相关为0．571。大学生最突出的症状是抑郁和自卑，网络成瘾存在性别和年级差异．结论大学生心理症状量表基本符合心理测量学的标准并具有良好的信度和效度。     

军人职业压力量表的编制及信效度分析

目的 编制军人职业压力量表并检验其信效度。方法 参考国内外有关职业压力理论，心理测量学原则，结合军队特点自行编制了军人职业压力量表。对1100名军人进行测试，并对其中51名官兵同时测量中国军人心理健康量表（CMMHS）。利用统计软件对军人职业压力量表进行信度、效度检验。结果根据因子分析的因子负荷结果，最后形成8个因子，分别为人际关系、军旅特殊生活、经济压力、工作压力、婚姻家庭、个人发展、角色不清及领导能力。总量表及各分量表的Cronbachα系数为0．709～0．953（P〈0．01）；各因子间相关系数为0．374～0．873（P〈0．01）；重测相关系数为0．593～0．813（P〈0．01）；量表各因子与CMMHS有较好的效标关联效度，相关系数为0．303～0．389（P〈0．05）。结论 该量表具有较好的信度和效度，达到了心理测量学标准，能够作为测量军人职业压力的有效工具。     

牙科畏惧调查（DFS）量表中文版的研制与评价

 【目的】牙科畏惧调查（DFS）量表中文版的研制及其信度和效度等心理测量学性质检验。【方法】按照心理测量学中量表的跨文化适应程序对DFS量表英文版进行翻译、回译和文化调试建立DFS中文版；使用DFS中文版对抽取的18岁以上439成人进行牙科畏惧症调查，检验量表的信度、效度等心理测量学性质，并对其畏惧程度以自评方式分类。【结果】DFS量表中文版的重测信度为0．85，内部一致性Cronbaeh’s α系数和分半系数分别为0．94和0．87，条目与量表的相关系数在0．45—0．87之间；因子分析共选出4个公因子，累计贡献率达71．32％。涵盖了量表治疗逃避心理和预期焦虑、躯体焦虑和治疗刺激焦虑三个方面，4个公因子的分布与理论结构假设相符；不同畏惧水平人群的DFS量表得分有明显差异（P〈0．001）。【结论】DFS量表中文版具有良好的信度、效度。其良好的心理测量学性质为该量表在我国运用提供了一定的理论依据，为今后成人牙科畏惧症的研究提供了一个较好的评价工具。     

牙科畏惧调查（DFS）量表中文版的研制与评价

【目的】牙科畏惧调查（DFS）量表中文版的研制及其信度和效度等心理测量学性质检验。【方法】按照心理测量学中量表的跨文化适应程序对DFS量表英文版进行翻译、回译和文化调试建立DFS中文版；使用DFS中文版对抽取的18岁以上439成人进行牙科畏惧症调查，检验量表的信度、效度等心理测量学性质，并对其畏惧程度以自评方式分类。【结果】DFS量表中文版的重测信度为0．85，内部一致性Cronbaeh’s α系数和分半系数分别为0．94和0．87，条目与量表的相关系数在0．45—0．87之间；因子分析共选出4个公因子，累计贡献率达71．32％。涵盖了量表治疗逃避心理和预期焦虑、躯体焦虑和治疗刺激焦虑三个方面，4个公因子的分布与理论结构假设相符；不同畏惧水平人群的DFS量表得分有明显差异（P〈0．001）。【结论】DFS量表中文版具有良好的信度、效度。其良好的心理测量学性质为该量表在我国运用提供了一定的理论依据，为今后成人牙科畏惧症的研究提供了一个较好的评价工具。     

已婚男性性商量表的编制与信效度检验

目的编制测量已婚男性性商量表，检验其信度和效度。方法用已婚男性性商量表测量全国9个省（市）22～70岁已婚男性520人，回收有效问卷477人，效标样本192人，间隔2周重测样本32人。通过因子分析等考察量表的信度与效度。结果新编量表条目与总分相关在0．450到0．723之间，各条目决断值（CR）均有显著性；重测信度为0．981，Cronbach’sα系数为0．940，分半信度为0．905；通过探索性因子分析提取5个公因子，解释方差总变异的55．90％，因子载荷在0．420～0．755之间。新编量表总分以及五个分量表（性生理、性心理、性爱抚、性欲、性交流）与效标Olson婚姻质量问卷（ENRICH）三个分量表和国际勃起功能指数-5（IIEF-5）有一定的正相关，相关系数在0．249～0．710之间。结论已婚男性性商量表具有较好的信度和效度，可以用于我国男性性健康水平的评估。     

对晚期肿瘤患者家属焦虑抑郁情绪调查分析及对策

目的：对晚期肿瘤患者家属焦虑抑郁情绪进行调查分析，探讨如何减轻焦虑抑郁情绪的发生。方法：采用抑郁自评量表（SDS）和焦虑自评量表（SAS），对128例晚期肿瘤患者家属进行调查，同时调查同期住院的非肿瘤患者家属69例作为对照。结果：肿瘤患者家属与非肿瘤患者家属的焦虑抑郁情绪比较，差异有显著性意义（P〈0．001）；配偶组的焦虑、抑郁情绪高于子女组和兄弟姐妹组，父母组高于兄弟姐妹组（P〈0．05，P〈0、01）。结论：应重视肿瘤患者家属的心理护理，特别是患者的配偶，应给予家属心理支持和关怀，帮助其释放各种压力，以减少或减轻焦虑抑郁情绪的发生。     

抑郁症心理护理效果自评量表的编制及其信度效度检验

目的编制抑郁症心理护理效果自评量表并对其信度效度进行检验.方法根据心理卫生评定量表的编制方法及临床工作实践,筛选条目,并进行信度和效度检验.测量对象为52例抑郁症病人.结果抑郁症心理护理效果自评量表包括12个项目,Cronbacha α系数为0.879,分半信度0.885,重测信度0.65.自评量表总分与各项目的相关系数0.365～0.815之间(P＜0.01),52例抑郁症病人中,实验组(n=26),经4周心理护理后与HAMD的相关为-0.522(P＜0.01),对照组(n=26)为-0.263(P＞0.05),两组患者自评量表分比较有非常显著的统计学差异(t=11.13,P＜0.001).结论自编抑郁症心理护理效果自评量表有一定的信度和效度,基本符合心理测量学的要求,可以在临床工作中试用.     

杜克健康问卷信度和效度的初步研究

目的：研究杜克健康问卷（Duke Health Profile，THEDUKE）对心理咨询门诊病人初步应用的信度和效度。方法：以上海精神卫生中心心理咨询门诊的病人为研究对象，由专业护士指导自评。信度评定用Cronbaeha值表示量表的内部一致性，复测信度评定间隔两周；用自测健康评定量表（SRHMS）、焦虑自评量表（SAS）、抑郁自评量表（SDS）作为效标测验平行效度。结果：THEDUKE总体α值0．66；躯体、心理、社会、焦虑和抑郁各分量表的α值分别为0．61、0．52、0．25、0．51和0．60；THEDUKE的躯体、心理、社会、焦虑和抑郁与健康自测问卷中生理、心理、社会及SAS、SDS的相关系数分别是0．332、0．548、0．277、-0．395、-0．562（P〈O．01）。结论：THEDUKE对心理咨询门诊病人有良好的信度和效度，简单实用有进一步研究和推广的价值。     

APPLICATION OF LORNOXICAM TO PATIENT-CONTROLLED ANALGESIA IN PATIENTS UNDERGOING ABDOMINAL SURGERIES

FOR anesthesiologis s ,treatingpostoperativepainhas alwaysbeen a problem.Althoughopioidshave been provedtobe effective,theirsideeffectscouldnotbeignored.With thedevelopmentofscienceand pharmacology,many drugs with aspectsof satisfactoryanalgesicefficacyand couldbe welltoleratedby patientshave been developed.And lornoxicamisone of them, which isa non-steroidalanti-inflammatorydrug (NSAID ), with analgesic, anti-infl-ammatory,andantipyreticproperties.Itseliminationhalf-time(3 to 5 hours) isle…     

Acupuncture Treatment of Vomiting

CASE HISTORY A female patient, 46 years old, head of the foreign affairs department of a certain university in Beijing, paid her first visit on October 9, 2006, with the chief complaint of vomiting for one month. She got vomiting after meals in early September. Before that, she had discomfortable sensation in the stomach due to angry with others, but she didn't pay much attention. Later, it developed into vomiting after eating. After the vomiting, the discomfort would be relieved, but with slight hypodynamia. She was once diagnosed as having 'neurogenic vomiting'. Having taken some western and Chinese drugs, the above symptoms were a little bit improved, but she would have nausea upon eating and with regurgitation. Because of the fear for vomiting, she did not dare to have food intake, with body weight reduction of 6 kilos in one month.     

Qiu Baoguo''''s Experience in Treating Consumptive Syndromes after Radio-Chemotherapies

Radiotherapy and chemotherapy are the important modern medical therapies for malignant tumors,yet they can also bring about serious local and systemic toxic side reactions so to decrease the patient;'s life quality,manifested by a series of consumptive symptoms.Having engaged in the combined work of Chinese and western medicine for nearly 50 years,the research fellow Qiu Baoguo in Henan Provincial Academy of TCM has developed his unique views on the TCM study of consumptive syndromes.The author of this essay had once the fortune tO follow Dr.Qiu in clinic,and specially would like to introduce in the following Dr.Qiu's experience in treating consumptive syndromes after radio-chemotherapies for patients with malignant tumor.     

Insomnia Due to Deficiency of Both the Heart and Spleen Treated by Acupuncture-Moxibustion and Chinese Tuina

OBJECTIVE: To observe therapeutic effects of the comprehensive therapy of acupuncture-moxibustion and Chinese Tuina for treatment of insomnia due to deficiency of both the heart and spleen. METHODS: 92 cases were divided randomly into the treatment group (treated by acupuncture-moxibustion and Chinese Tuina) and the control group (treated by acupuncture-moxibustion). RESULTS: The therapeutic effect of the treatment group was obviously superior to that of the control group (the CHI2 test showed P < 0.01). CONCLUSIONS: The comprehensive therapy of acupuncture-moxibustion and Chinese Tuina can give marked therapeutic effects for treatment of insomnia due to deficiency of both the heart and spleen.     

Analysis of CK-19,PDX-1,Nestin,Ngn3 in different donor islet purity in rats

Objective: To investigate if there are the CK-19, PDX-1, Nestin, Ngn3 positive cells in the donor islets of different purity in rats. Methods: Thirty male adult SD rats were randomly divided into 3 groups. Islets were isolated using digestion by ductal injection of collagenase. Group Ⅰ (n=10): Separating cell preparations were not purified, Group Ⅱ(n=10): Islet sediment was purified with 25% Ficoll400 ,Group Ⅲ (n=10): Islet sediment was purified with 25% and 11% Ficoll-400. The levels of protein of CK-19, PDX-1, Nestin and Ngn3 were detected by immunohistochemistry and the mRNA of CK-19, PDX-1, Nestin, Ngn3 was amplified by RT-PCR. Results: After two different purification methods applied, three islet preparations of different purities were obtained. The difference of islet purity was significant among various groups (P＜0.05). Compared with group Ⅱ and group Ⅲ,the protein and mRNA of CK-19, PDX-1, Nestin,Ngn3 were both higher in group Ⅰ; group Ⅲ was poorly expressed. Conclusions: The three different islet purity donor islet have different CK-19, PDX-1, Nestin, Ngn3 positive cells within them, indicating that there are some islet stem cells in the purified donor islet.     

Dr.Zhang Ren''''s Experience in the Acupuncture Treatment of Different Diseases with the Same Therapeutic Principle

Dr.Zhang Ren,the chief physician,is the chairman of Shanghai Acupuncture and Moxibustion Association.Having been engaged in medicine for about 40 years,he is experienced in treating various intractable diseases.In his long years of clinical practice,he advocates taking the TCM differentiation as the basis to seek for the acupuncture method for treatment of modern intractable diseases.The author of this essay had the fortune to follow Dr.Zhang in study.The following is a summary of Dr.Zhang's experience in the acupuncture treatment for different intractable diseases with the same therapeutic principle.     

Luo Lingjie''''s Experience in Treating Chronic Nephropathy

In treating chronic nephropathy,Luo Lingjie,a chief physician,pays attention to regulating the balance between yin and yang,treating infection if present,and removing pathogenic factors.He prescribes gentle drugs and uses carefully strongly warming-tonifying ones,emphasizes the importance of persuading the patient to persist in treatment with medication and nurse one's health for recuperation,and is good at combined use of TCM and western medicine therapy and brings the merits of various therapies into full play,with obvious theraoeutic effects.     

Acupuncture Combined with Spinal Tui Na for Treatment of Primary Dysmenorrhea in 30 Cases

Objective: To observe the therapeutic effects in acupunture treatment of primary dysmenorrhea combined with spinal Tui Na, and study its mechanism. Methods: Thirty cases of the treatment group were treated by acupuncture combined with spinal Tui Na, and thirty cases in the control group were treated by routine acupuncture. Results: The total effective rate was 93.3% in the treatment group, and 73.3% in the control group, with a significant difference between the two groups (P<0.05). Conclusions: Acupuncture combined with spinal Tui Na has good prospects for treatment of primary dysmenorrhea.