临床心灵关怀服务在肿瘤常规治疗中的作用及探讨

探讨临床心灵关怀对癌症患者负性情绪、睡眠、希望水平和应对方式的影响.纳入湖南省肿瘤医院的住院患者150例,通过5次心灵关怀干预,测量干预前后患者的焦虑、抑郁、睡眠、希望水平和应对方式情况,运用重复测量分析,结果发现心灵关怀可改善患者睡眠,降低患者焦虑抑郁水平,提高患者的希望水平,提高患者采用面对、回避应对方式的可能性.     

新冠疫情下中学生心理咨询意愿及影响因素分析

目的：了解新冠疫情期间中学生心理咨询意愿及影响因素。方法：使用自制调查问卷,以上海市浦东新区1 568名中学生为研究对象,从基本人口特征因素、社会网络关系因素、健康因素、认知因素和学业压力因素5个方面探讨新冠疫情下中学生心理咨询接受意愿的影响因素。结果：仅有37.09%的中学生“比较愿意”和“非常愿意”接受心理咨询,多数中学生接受专业心理咨询的意愿不强烈。多因素回归分析结果显示,与朋友亲密程度、与任课教师亲密程度、学业压力变化情况、新冠肺炎疫情认知程度、心理咨询认知程度、是否上过心理咨询课程是中学生心理咨询接受意愿的影响因素。结论：在突发重大公共卫生事件时,应及时向中学生普及相关知识,降低事件对中学生心理的负面影响,同时应增设心理咨询课程,家庭和学校合力为中学生营造良好的成长环境。     

小儿神经性食欲不振症31例

本文报告由精神环境因素引起的,食欲不振、偏食、厌食的小儿31例,并观察了独生子女和非独生子女发病情况,父母文化程度及家庭经济情况,饮食习惯及辅食添加等情况对小儿影响。讨论了各年龄组小儿的不同发病原因,并针对其不同的发病原因提出防治意见。     

321例老年慢性心力衰竭患者灵性需求现状及影响因素分析

目的 调查老年慢性心力衰竭患者灵性需求现状并分析其影响因素,为制订针对性的灵性照护干预措施提供参考.方法 采用便利抽样法于2021年3—7月抽取天津市7家三级甲等医院共321例老年慢性心力衰竭患者作为调查对象,使用一般资料调查表、中文版灵性需求量表、领悟社会支持量表及自我超越量表进行问卷调查.结果 321例老年慢性心力...     

(What) do you believe?: Therapist spiritual/religious/non-religious self-disclosure

Objective: Spiritual/religious/non-religious (S/R/N) identity development is often neglected in psychotherapy training and represents an area where psychotherapists feel they lack competence. Such feelings can become even more pronounced when it comes to S/R/N self-disclosure. This study explores the decisions therapists make regarding self-disclosure, which impacts the psychotherapy process. Method: This grounded theory study explores psychotherapists’ S/R/N self-disclosure based on qualitative interviews with 21 psychotherapists representing varied theoretical orientations and spiritual, religious, atheist, and agnostic backgrounds. Results: Findings reveal that while some self-disclosure happens on an explicit level, more often psychotherapists find implicit ways to share S/R/N aspects of the self for purposes of enhancing the therapeutic alliance and to convey openness. Psychotherapists also attempt to avoid the topic altogether, either to protect the therapeutic relationship or because of unresolved S/R/N identity in the therapist. Conclusions: Developing skills related to S/R/N self-disclosure represents an important aspect of multicultural competence, which can impact clients’ feelings of safety and comfort discussing their own S/R/N identity. This capacity is strongly influenced by the therapist’s self-awareness regarding S/R/N identity. Suggestions for engaging S/R/N identity and disclosure in supervisory experiences and academic preparation are discussed.     

老年慢性心力衰竭患者居家期间灵性照护需求及照护体验的研究

目的 深入探讨在延续护理模式下老年慢性心力衰竭患者居家期间的灵性照护需求及照护体验,为临床护理提供依据。方法 应用质性研究中的现象学方法,对12例老年慢性心力衰竭患者进行访谈,运用Colaizzi现象学分析法进行资料分析,并提炼主题。结果 灵性照护需求主题：（1）找回选择权力;（2）回归角色统一;（3）提升尊严;（4）重拾生命意义。照护体验主题：（1）渴望开通24 h家庭访视和电话访问服务;（2）期待护理协调员的动态支持;（3）向往志愿帮扶活动。结论 老年慢性心力衰竭患者居家期间应该满足其灵性照护需求,医护人员应提供24 h动态咨询服务,充分发挥护理协调员作用,并激活社会支持系统,共同助力老年慢性心力衰竭患者健康养老,安度晚年。     

隋唐时期的西域文明对中医药学的影响

隋唐时期的文化,是我国古代文明发展的一个高峰。在这一历史时期里,中医药学同样也得到了迅猛的发展,积累了大量宝贵的医疗经验,这些经验当中有一部分带有着鲜明的外来因素。其中,来自西域的文明,是在那个时代中外医学交流过程中的一支重要力量,尤其在印度古代医学的基本理论、外来药物、眼科技术以及符与咒禁这四方面得以充分体现。它们为丰富隋唐时期的医药文化做出了贡献,并对这一阶段及唐以后的中医药学发展,产生了深远的影响。     

Health and Economic Costs of Physical Inactivity

Physical inactivity has reached epidemic levels in developed countries and is being recognized as a seriouspublic health problem. Recent evidence shows a high percentages of individuals worldwide who are physicallyinactive, i.e. do not achieve the WHO’s present recommendation of 150 minutes of moderate to vigorous intensityper week in addition to usual activities. Living in sedentary lifestyle is one of the leading causes of deaths and ahigh risk factor for several chronic diseases, like cancer, cardiovascular disease, diabetes type 2, and osteoporosis.This article summarizes evidence for relative risk of the civilization diseases attributable to physical inactivity andthe most important conclusions available from the recent investigations computing the economic costs specificto physical inactivity. The findings provide health and economic arguments needed for people to understand themeaning of a sedentary lifestyle. This may be also useful for public health policy in the creation of programmesfor prevention of physical inactivity.