大学生自我和谐与挫折承受力相关性研究

目的探讨大学生自我和谐与挫折承受力的现状及2者之间的相关。方法采用自我和谐量表和大学生挫折承受力问卷对盐城高校313名大学生进行调查。结果大学生自我和谐、挫折承受力总体状况良好,男生在自我刻板性因子和挫折承受力显著高于女生,大学生挫折承受力在生理因素以及他人支持因子上年级差异有统计学意义,大学生的自我和谐与挫折承受力在总分及各因子上有不同程度的相关。结论大学生自我和谐与挫折承受力相关显著,自我和谐水平越高,挫折承受力越强。     

医患关系中的媒体角色探析

通过介绍媒体对医患关系的影响因素,指出媒体报道医患关系时所面临的问题,明确媒体在医患关系中的角色定位,即搭建医患间交流新平台,明确医疗纠纷报道立足点,普及医学知识,实现有序报道。     

How does the length of day shift affect patient care on older people's wards? A mixed method study

BackgroundInternationally, studies have focused on whether shift length impacts on patient care. There are also ongoing concerns about patient care for older people in hospital. The study aim was to investigate how length of day shift affects patient care in older people’s hospital wards.Objectives1) To explore how length of day shift affects patient care in older people’s wards; 2) To explore how length of day shift affects the quality of communication between nursing staff and patients/families on older people’s wardsDesignA mixed method case study.SettingsThe study was based on two older people’s wards in an acute hospital in England. One ward was piloting two, overlapping 8 h day shifts for 6 months while the other ward continued with 12 h day shifts.Participants and methodsQualitative interviews were conducted with 22 purposively recruited nursing staff (17 registered nurses; 5 nursing assistants). An analysis of patient discharge survey data was conducted (n = 279). Twenty hours of observation of nursing staff’s interactions with patients and families was conducted, using an adapted version of the Quality of Interaction Schedule (301 interactions observed), with open fieldnotes recorded, to contextualise the observations.ResultsThere were no statistically significant differences in patient survey results, or quality of interactions, between the two wards. There were three overall themes: Effects of day shift length on patient care; Effects of day shift length on continuity of care and relationships; Effects of day shift length on communication with patients and families. Nursing staff believed that tiredness could affect care and communication but had varied views about which shift pattern was most tiring. They considered continuity of care was important, especially for older people, but had mixed views about which shift pattern best promoted care continuity. The difficulties in staffing a ward with an 8 h day shift pattern, in a hospital that had a 12 h day shift pattern were highlighted. Other factors that could affect patient care were noted including: ward leadership, ward acuity, use of temporary staff and their characteristics, number of consecutive shifts, skillmix and staff experience.ConclusionsThere was no conclusive evidence that length of day shift affected patient care or nursing staff communication with patients and families. Nursing staff held varied views about the effects of day shift length on patient care. There were many other factors identified that could affect patient care in older people’s wards.     

The Development and Validation of the Sexual and Relationship Distress Scale

Background

Sexual distress is an important factor in the etiology, maintenance, and treatment of sexual difficulties, and as such, there is a need for validated measures. A limitation in the research and treatment of distressing sexual difficulties has been the lack of validated measures, and in particular, existing measures are unable to measure the impacts at the relationship level and currently focus on intra-personal distress.

中老年人血脂水平与偏头痛的相关性分析

目的探讨血脂水平与中老年人偏头痛的相关性,分析其对偏头痛的诊断的临床意义。方法选取41例偏头痛患者为实验组,46例健康体检者为对照组。采用标准酶促法测定实验组和对照组的血清中的TC、TG、LDL-C的水平,并进行统计分析。结果偏头痛组TC、LDL-C水平与对照组相比无统计学差异,偏头痛组TG水平与对照组相比差异有统计学意义(P<0.05)。结论TG水平与中老年人偏头痛的发生密切相关,对于偏头痛的诊断有一定的作用,TG不仅对心脑血管疾病的发生、发展有重大的临床意义,还对偏头痛诊断、预防有参考意义。     

家庭环境对医学生人际关系的影响

目的探讨家庭环境因素对医学生人际敏感度的影响,为医学院校的学生工作提供参考。方法采取整群抽样法,用家庭环境量表中文版(FES-CV)、90项症状清单(SCL-90)中的人际关系敏感因子对苏州大学医学院基础医学系的05级、06级的627名医学生进行调查,并与FES-CV全国常模进行比较分析。结果家庭环境因子的性别比较,情感表达、矛盾性方面女生均高于男生(P<0.01);独立性、成功性、组织性方面女生均低于男生(P<0.01);其他因子均无显著差异。人际关系敏感方面男女生无显著差异。不同学年比较家庭环境各因子以及人际关系敏感之间均无显著差异。研究对象整体与常模比较,家庭环境各因子除情感表达与常模之间无显著的差异外,亲密度、矛盾性高于常模;独立性、成功性、文化性、娱乐性、道德性宗教观、组织性、控制性均低于常模(P<0.01)。人际关系敏感高于常模。人际关系敏感与家庭环境各因子的Partial相关分析,情感表达和娱乐性与人际关系敏感之间均存在负相关,成功性对人际关系敏感呈正相关,其余因子与人际关系敏感之间相关无明显差异。结论家庭环境对医学生的影响有别于其他群体,并且对医学生的人际关系敏感有重要影响。情感表达、娱乐性对人际关系敏感有反作用,成功性对人际关系敏感有促进作用。有必要有针对性的开展医学生心理辅导。     

科学审美创造的美与真善关系

本文认为，科学审美创造的美与真善之间存在着相互影响、相互促进、相互转化的辩证关系；真总是作为善与美的内容和存在的基础；善一方面以真为其目的性内容，一方面又作为内容而存在于美的形式之中；美作为人的本质力量对象化的产物，其令人愉悦的形式包含着真和善的内容。