Investigation and Intervention of Mental Health State of Clinical Trainees in the Hospital of Yuxi City / 昆明医科大学学报

Objective Investigate and intervene the psychological health state of clinical trainees in the hospital of Yuxi City, in order to explore the method to improve the psychological health and clinical quality of teaching. Methods From 2009 to 2013, clinical trainees were investigated by SCL-90. Intervention for interns included holding psychological health lectures and making psychological counseling for the serious interns. At the same time, the teachers were trained to carry out two-way intervention between the teachers and clinic interns and to improve clinical interns' psychological health. Results Before the intervention,among 216 interns,34 (15.74%) showed positive. Except fear factor, other factors were significantly different than national norms ( <0.05). After the intervention, among 149 interns, 20 ( 13.42%) showed positive. Obsessive-compulsive symptom, depression,anxiety,hostility, spirit factors and the mean scores were all lower than before ( <0.05),similar to the national norm.Conclusion Clinical trainees have prominent psychological problems. Teaching hospitals should pay more attention to psychological health of them. Intervention is necessary and effective in improving psychological health and quality of teaching.

Operation of Decompression and Internal Fixation from the Posterior Approach for Treating Multiple Levels Spinal Instability complicated with Spinal Cord Injury / 中国医师杂志

Objective To study the treatment techniques of multiple levels spinal instability complicated with spinal cord injury induced by various factors using opertation of decompression and internal fixation from the posterior approach, and observe their effects. Methods 69 cases of multiple levels spinal instability complicated with spinal cord injury resulting from the acute fractures of violent force, the chronic multiple levels vertebral cavity stenosis and congenital cervical vertebral deformity were treated with the techniques mentioned above. All the patients were followed up for 1 to 3 years after operation. The injury degree of spinal cord was graded according to ASIA's standards before and after operation, and operative efficacy was evaluated. Results 52 cases completely recovered, 9 mostly recovered, and 4 went about on crutches. Among 2 cases of paralysis patients, 1 still was complete paralysis and the other one died. The total efficacious rate was 88%. Conclusion Operation of decompression and internal fixation was effective for treating multiple levels spinal instability, especially for complicated with an incomplete spinal cord injury.