监狱警察睡眠质量与应对方式的相关性研究

 [目的]了解监狱警察睡眠和应对方式的关系。[方法]用匹兹堡睡眠质量指数（PSQI）和应对方式问卷（CSQ）对广东省监狱管理局的2093名监狱警察的睡眠和应对方式进行了调查。[结果]监狱警察PSQI均分为7.10±3.68,40.71%的监狱警察有睡眠问题。最常用的应对方式是解决问题（0.65±0.16）和求助（0.53±0.23）。不同性别、年龄和工作性质者的睡眠障碍和应对方式是有差异的。多元回归分析发现,PSQI分与自责和合理化的得分成正相关,与解决问题和求助的得分成负相关。[结论]对监狱警察的应对方式的干预可能有助于改善其睡眠质量。     

军校医学生手机成瘾与睡眠质量的相关研究

目的 研究军校医学生的手机成瘾与睡眠质量的关系,为提高军校医学生的心理健康提供依据。方法 采用匹兹堡睡眠质量指数（PSQI）量表和大学生手机成瘾倾向量表（MPATS）,对237名一至四年级军校医学生的睡眠质量和手机使用情况进行调查。结果 回收有效问卷227份,有效回收率为95.8%。军校医学生PSQI平均得分为（5.78±2.26）分,MPATS平均得分为（38.65±11.32）分;女性比男性军校医学生的睡眠质量更差[（6.12±2.11）分vs （5.49±2.35）分,P<0.05];三年级军校医学生MPATS得分最高[（42.51±10.81）分];军校医学生PSQI总分与MPATS总分呈正相关（r=0.280,P<0.01）;回归分析结果显示手机成瘾对军校医学生睡眠质量的影响差异有统计学意义（P<0.01）。结论 过度使用手机对军校医学生睡眠质量有不良影响,女性受影响更大;应加强三年级军校医学生的手机使用管理。     

师范类大学生睡眠质量与应对方式的相关研究

目的:了解师范类专业大学生的睡眠质量和应对方式的现状,以及睡眠质量和应对方式的相关关系。方法:对180名师范类大学生,进行匹兹堡睡眠质量指数(PSQI)量表和大学生应对方式量表进行施测。结果:1师范类大学生睡眠质量在年级上的得分具有统计学上的差异(F=8.217,P<0.001);2师范类大学生在应对方式的得分依次为解决问题、求助、幻想、退避、合理化和自责,在幻想维度上存在性别上的差异;3师范类大学生PSQI的总分同应对方式中的问题解决、求助维度上的得分存在负相关(r=-0.281、-0.224,P<0.01),与自责、幻想维度的得分呈正相关(r=0.312、0.219,P<0.01)。结论:师范类大学生睡眠质量在年级上具有差异,大四学生的睡眠时间障碍最严重。师范类大学生睡眠质量与应对方式存在一定的相关性。     

戚继光舰首航随舰学员睡眠质量、疲劳及心理健康状况调查

目的 了解戚继光舰首次执行远航任务期间随舰学员的生理和心理状况及其相关性。方法 2017年9月17日至12月7日,戚继光舰首次执行远航任务,在出海航行60 d时对在舰上实习学员进行问卷调查,随机发放问卷150份。问卷收集随舰学员的基本情况,用匹兹堡睡眠质量指数量表（PSQI）、Epworth嗜睡量表（ESS）、疲劳严重度量表（FSS）、焦虑自评量表（SAS）和抑郁自评量表（SDS）评估其生理和心理状况。结果 回收有效问卷138份,回收率92.0%。30.4%（42/138）的首次远航学员主诉有健康困扰。睡眠质量较差、白天中度以上嗜睡、疲劳水平较高、焦虑、抑郁的学员占比分别为11.6%（16/138）、45.7%（63/138）、40.6%（56/138）、18.1%（25/138）、21.0%（29/138）。有焦虑学员的PSQI（8.40±2.93 vs 6.34±3.10）、ESS（11.12±5.03 vs 8.70±4.53）、FSS（38.84±12.41 vs 31.55±11.20）得分均高于无焦虑学员（P均<0.05）。SAS得分与PSQI、ESS、FSS得分均呈正相关（r=0.301、0.242、0.274,P均<0.01）,SDS得分与PSQI、FSS得分均呈正相关（r=0.256、0.209,P均<0.05）。结论 远航随舰学员在出海期间可能会出现睡眠质量差、嗜睡、疲劳、焦虑、抑郁等。心理状况（焦虑、抑郁）与生理状况（睡眠质量、嗜睡、疲劳）密切相关,并对生理状况产生一定影响。应有针对性地开展心理行为训练,提高学员耐受力,从而提高学员的工作效率和战斗能力。     

应对方式在围绝经期女性睡眠状况和生存质量之间的中介效应

目的 探讨应对方式在围绝经期女性睡眠状况与生存质量之间的中介效应。方法 采用便利抽样方法,选取2017年10月—2018年9月辽宁省丹东市40～60岁围绝经期女性600例,采用简易应对方式问卷（SCSQ）、匹兹堡睡眠质量指数量表（PSQI）、绝经生存质量量表（MENQOL）对绝经过渡期女性进行调查。结果 积极应对方式平均（1.615±0.577）分,消极应对方式平均（1.380±0.678）分,睡眠质量平均（6.820±3.575）分,绝经生存质量平均（57.470±38.790）分。睡眠质量得分与积极应对方式得分呈负相关（r?=-0.432,P?=0.000）,与消极应对方式得分呈正相关（r?=0.393,P?=0.000）;绝经生存质量得分与积极应对方式得分呈负相关（r?=-0.516,P?=0.000）,与消极应对方式得分呈正相关（r?=0.446,P?=0.000）;睡眠质量得分与绝经生存质量得分呈正相关（r?= 0.593,P?=0.000）;睡眠状况不仅可以直接影响围绝经期女性绝经期生存质量,还可以通过应对方式这一中介作用间接影响其绝经期生存质量,且中介效应占总效应的31.06%（0.250/0.805）。结论 应对方式在围绝经期女性睡眠状况与生存质量间起部分中介效应。     

铁路警察和监狱警察睡眠质量比较

目的了解铁路警察和监狱警察睡眠质量的差异。方法采用匹兹堡睡眠质量指数(PSQI)对87名广州铁路警察进行抑郁焦虑调查,并以87名监狱警察作为对照组。结果铁路警察睡眠质量总分8.36±4.34,睡眠问题发生率50.57%;监狱警察睡眠质量总分6.57±3.39,睡眠问题发生率31.03%,铁路警察较高(P<0.01)。与监狱警察比较铁路警察的主观睡眠质量、入睡时间、睡眠效率和日间功能障碍得分较高,睡眠时间得分较低(P<0.05)。男性铁路警察也是睡眠问题发生率、睡眠总分和主观睡眠质量、入睡时间、睡眠效率、日间功能障碍得分比监狱警察高,而睡眠时间得分比监狱警察低(P<0.05);女性铁路警察和监狱警察睡眠的睡眠问题发生率和各因子间的差异无统计学意义(P>0.05)。青年铁路警察的睡眠时间因子得分高于监狱警察(P<0.05);中年铁路警察的睡眠问题发生率、睡眠总分和主观睡眠质量、入睡时间、睡眠效率、日间功能障碍得分高于监狱警察(P<0.05)。回归分析发现铁路警察睡眠总分与待遇评价呈负相关。结论铁路警察睡眠问题明显,要重视解决铁路警察的睡眠问题。     

铁路警察和监狱警察生活质量的比较

目的 了解铁路警察和监狱警察生活质量的差异.方法 采用世界卫生组织生存质量量表简表(WHOQOL-BREF)对87名广州铁路警察进行生活质量调查,并以87名监狱警察作为对照组.结果 铁路警察生活质量的心理和环境领域得分[分别为(66.19±11.23)分,(51.46±12.08)分]比监狱警察[分别为(71.88±10.76)分,(55.80±11.42)分]明显低(P＜0.01;P＜0.05),男性铁路警察在生活质量的心理和环境领域得分较低(P＜0.05),女性铁路警察和监狱警察睡眠的生活质量各因子间的差异无显著性(P＞0.05).中年铁路警察生活质量的心理、社会交往和环境领域得分低于监狱警察(P＜0.05).回归分析发现铁路警察生活质量各因子得分与待遇评价成负相关,心理领域得分还与收入评价成正相关,嗜酒者环境领域得分低.结论 铁路警察生活质量较差,要重视改善铁路警察的生活质量.     

焦虑在职高生应对方式与睡眠质量之间的中介作用

目的 探讨职高生应对方式对睡眠质量的影响,考察焦虑情绪在两者之间的中介作用。方法 采用简易应对方式问卷（SCSQ）、焦虑自评量表（SAS）和匹兹堡睡眠质量指数量表（PSQI）对成都市某职高学校530 名职高生进行调查。结果 职高生睡眠障碍的检出率为19.5%。结果表明消极应对方式与焦虑得分、PSQI 得分三者之间均呈显著正相关（r=0.331,P<0.01;r=0.323,P<0.01）;积极应对方式与焦虑得分、PSQI 得分三者之间均呈显著负相关（r=-0.170,P<0.01;r=-0.100,P<0.05）;焦虑和睡眠质量呈显著正相关（r=0.455,P<0.01）。职高生的焦虑在应对方式与睡眠质量之间的中介作用比较,差异有统计学意义（P＜0.05）。结论 职高生消极的应对方式、焦虑是影响睡眠质量的重要因素,通过降低职高生消极应对方式的使用频率,缓解其焦虑情绪可以改善睡眠质量。     

食管癌患者的应对方式调查及影响因素研究

目的探讨食管癌患者的应对方式及其影响因素,为临床心理干预提供依据。方法对100例食管癌患者进行问卷式调查。问卷包括一般资料和医学应对方式调查量表（MCMQ）两部分。一般资料包括患者的性别、年龄、文化程度、医疗费用支付方式。MCMQ包含20个条目,分为面对、回避、屈服3种应对方式。结果男女食管癌患者的面对、回避、屈服应对方式的得分分别为（19．5&#177;3．2）分和（18．1&#177;3．0）分、（13．1&#177;3．3）分和（14．7&#177;3．5）分、（7．4&#177;2．3）分和（8．7&#177;2．5）分,男女得分间差异均有统计学意义（P〈0．05）。影响食管癌患者应对方式的因素多元回归分析,医疗费用支付方式与面对、回避、屈服应对方式间均有统计学意义（β分别为2．015、-1．001、-1．952,P均〈0．05）,文化程度与面对应对方式有统计学意义（β=1．584,P〈0．01）。结论了解食管癌患者的应对方式及其影响因素,有助于医护人员实施针对性的心理行为干预,从而有效地帮助患者采用积极的应对方式,促进患者顺利康复。     

烹饪实践课对60岁以上糖尿病患者营养摄入及血糖的影响

目的探讨烹饪实践课营养教育模式对60岁以上的2型糖尿病（T2DM）患者营养摄入和血糖的影响。方法采取烹饪实践课营养教育（课时4h）模式，分批对57例60岁以上T2DM患者（观察组）进行平衡膳食和食物交换份法的讲解，其特点包括：要求患者与家属共同参与，演示生鲜食物和熟食材料；患者根据食谱选择食物并进餐。选取在营养门诊参加营养教育（课时35min）的60例T2DM患者为对照组。比较营养教育12个月后两组患者食物交换份知识、营养摄入状况和血糖控制的效果。结果营养教育12个月后，观察组患者的食物交换得分显著高于对照组；能量[（6304±826）kJ]和脂肪[（46±6）g]摄人量显著低于对照组[（6921±860）kJ与（63±9）g]；空腹血糖[（7．1±0．8）mmol／L]、餐后2h血糖[（11．2±1．1）mmol／L]和糖化血红蛋白[（6．2±0．5）％]水平均显著低于对照组[（7．8±0．9）mmol／L、（12．4±1．2）mmol／L和（6．5±0．7）％]。结论烹饪实践课可有效地帮助60岁以上T2DM患者正确地运用食谱、改善营养摄入和控制血糖水平。     

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.     

A preliminary screening study on the associated proteins in human psoriasis vulgaris by serum proteomics technologies

Objective：To investigate the optimum screening conditions of associated proteins in human psoriasis vulgaris by serum proteomics technique, and to screen the different expression proteins related with psoriasis vulgaris. Methods：Serum samples of peripheral blood were collected from newly diagnosed psoriasis vulgaris patients in the clinic, and 20 matched healthy persons. Serum albumin IgG was removed by filtering with ProteoExtract Albumin/IgG. After comparative proteomics analysis the different protein spots were identified using 2-DE and MS. Results ：Electrophoresis figures with high resolution and reproducibility were obtained. Three different expression proteins were found only in the serum from psoriasis vulgaris patients, while nine other different proteins expressing from healthy volunteers. Conclusion：The protein expression was different in the serum between the psoriasis vulgaris patients and healthy volunteers. It was hoped that we could find the biomarkers related to psoriasis vulgaris by using proteomics.     

A CASE OF HUGE GASTRIC DISOPYROBEZOAR

PYTOBEZOARS are common bezoars in gastrontestinal tract, commonly seen in stomach and mall intestine,1but huge disopyrobezoars are     

Acupuncture Treatment of Chest Bi Syndrome

CASE HISTORY A male,a retired officer of 61 years old,paid his first visit on May 12,2006.The patient stated that 2 weeks before he suddenly got paroxysmal precordial choking pain,with irregular attacks.Each attack would last several seconds to several minutes.The attack was accompanied with heavy oppressed sensation in the precordial region,palpitation,lassitude,and in severe cases,sweating,which was once diagnosed by a hospital as'coronary heart disease'.Recalling the case history,the patient said that several days before he got angry with others because of some affairs in work,and he was not so used to the life pattern since he had just retired from his busy working post.At usual times,he was quick tempered and peevish.In recent days,he had poor appetite,and loose stool.     

Instructions to Contributors

The English edition of Chinese Journal of Integrative Medicine is edited and published by the Chinese Journal of Integrated Traditional and Western Medicine Press.Original scientific papers of advanced clinical and experimental medicine in the field of complementary/alternative medicine or integrative medicine are expected.     

Development Is A High Level Inheritance for China Time-honored Brand Products

<正>As culture is the soul of a nation,the three books,"History of Chinese Philosophy,""History of Chinese Culture"and"History of Chinese Science and Technology"have demonstrated the superiority of our great Chinese culture,and its significant impact in the field of international culture.Both core value and practical value of the Chinese culture are very clear,reflected in the views of universe,nature,life,health,disease,and therapy and related considerations,concepts,and technical methods.