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Objective:To investigate the status of participation in treatment and nursing decision-making in patients with chronic obstructive pulmonary disease (COPD), and analyze its influencing factors.Methods:A cross-sectional survey was conducted on 230 COPD patients hospitalized in the Affiliated Hospital of Hangzhou Normal University from October 2021 to May 2022 by using the general situation questionnaire, questionnaire of patients′ decision-making regarding treatment and care, Patient Doctor Relationship Questionnaire, 13-Item Version, Nursing-Patient Relationship Trust Scale and Chronic Obstructive Pulmonary Disease knowledge Questionnaire, Logistic regression was used to analyze the influencing factors of patients′ participation in treatment and nursing decision-making.Results:The participation attitude score of COPD patients′ treatment decision-making was (1.93 ± 0.55) points, the participation degree score of COPD patients′ treatment decision-making was (2.29 ± 0.46) points, the participation attitude score of COPD patients′nursing decision-making was (1.84 ± 0.42) points, and the participation degree score of COPD patients′ nursing decision-making was (2.03 ± 0.35) points. Gender, education level, occupation or occupation before retirement, the number of hospitalizations due to acute exacerbation of COPD in the past year, modified medical research council, doctor-patient relationship, and nurse-patient relationship were the influencing factors for patients to participate in treatment and nursing decision-making ( OR values were 0.070 to 18.368, all P<0.05). Conclusions:The participation attitude of COPD patients in treatment and nursing decision-making is negative and the degree of participation is low. Medical staff should correctly assess the reasons for the low participation of patients, and take targeted individualized measures to support patients to actively participate in treatment and nursing decision-making.
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Objective:To learn about the normativity and differences among regions and institutions of the fee of counseling and psychotherapy in China.Methods:The fee standards of 142 mental health service institutions released on their websites were collected through intemet query,the overall situation and the aspects of regions and instimtions of the fee of counseling and psychotherapy were analyzed and compared.Results:Ninety-one institutions set fee standards which had great disparity according to either the practitioner's professional ritles or their qualifications.Private institutions had a significant higher level of both the average minimum and maximum fees of interview counseling than public hospitals (Ps ＜0.00).The differences in the maximum fees of interview counseling among different regions were found to be statistically significant (P ＜ 0.001),the maximum fees of interview counseling in eastern areas were significantly higher than that in central and westem areas,the maximum fees of interview counseling in provincial cities were significantly higher than that in non-provincial cities (P ＜ 0.05).Conclusion:The currein fee of counseling and psychotherapy lacks overall regulations.The fee of counseling and psychotherapy should take an overall account of the nature of institutions,the regions,the qualifications of practitioners and the specific conditions of the clients so as to set proper fee standards,thereby promoting the development of mental health services.
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Objective:To explore the relationship between the self-supporting levels and self-concept in primary school students.Methods:193 grade 5 to 6 primary school students were examined by the Self-supporting Behavior Questionnaire for 6 to 12 Years Old Children and Tennessee Self-concept Scale,and then the subjects were divided into two groups,of which the high-self-supporting group includes the top 27% according to the questionnaire total score,and the low-self-supporting group includes the bottom 27%.Results:①The high self-supporting group get significantly higher score in all subscales of Tennessee Self-concept Scale than the low self-supporting group;②All subscales of Tennessee Self-concept Scale were significantly positively correlated with all dimentions of Self-supporting Behavior Questionnaire.Conclusion:Children's self-supporting behaviors were closely related to self-concept.The higher level of self-supporting,the more positive their self-concept.
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Objective: To explore the relationship between self-supporting levels and the early parent-child attachment in primary school students. Methods: 193 grade 5 to 6 primary school students were examined by the Self-supporting Behavior Questionnaire for 6 to 12 Years Old Children and Adult Attachment Questionnaire (AAQ 3.1); and then the subjects were divided into two groups, of which the high-self-supporting group included the top 27% according to the self-supporting behavior questionnaire total score, and the low-self-supporting group included the bottom 27%. Results: ①The low-self-supporting group got significantly higher score in mother negative loving, father negative loving, mother rejecting, father rejecting, mother anger and father anger subscales than the highself-supporting group; ②The children’s self-supporting behaviors were negatively correlated with mother negative loving, father negative loving, mother rejecting, father rejecting, mother anger and father anger. Conclusion: Children’s self-supporting levels were closely related to the early parent-child attachment. The refusal, rejection, negative loving, and anger of parents might play a passive role in the development of children’s self-supporting behavior.
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BACKGROUND: Reactive depression and depressive neurosis are both psychogenic emotional disorders, clinically manifested by memory deterioration,impaired concentration, slow reaction, and bradyphrenia, among other cognitive function impairments. These subjective experiences of such patients still need to be backed up for their actual presence by objective laboratory evidences, which,however, have been scarcely available to our current knowledge.OBJECTIVE: To investigate the changes of auditory event-related Potential (AERP) P300 in patients with reactive depression and depressive neurosis, and their correlation with cognitive function impairments.DESIGN: Case-controlled experiment.SETTING: Clinical Center of Psychological Counseling, Department of Neurology, Third Military Medical University of Chinese PLA. PARTICIPANTS: Forty normal control subjects were recruited from the staff of Southwest Hospital, Third Military Medical University between September 1997 and March 1998, including 21 male and 19 female subjects aged 20-50 years. Eighty patients were selected from the agematched outpatients of the same hospital seeking psychological counseling,including 40 with reactive depression (consisting of 29 male and 11 female patients) and 40 with depressive neurosis (consisting of 24 male and 16 female patients). From these patients 10 with abnormal P300 potential were randomly selected for followed-up study, including4 with reactive depression and4 with depressive neurosis.METHODS: All the patients and normal controls were subjected to conventional examination of AERP P300 in the Laboratory of Cerebral Electrophysiology, and psychological evaluation was carried out by specialists with the assistance of Zung Self-Rating Depression Scale.MAIN OUTCOME MEASURES: ① Results of AERP P300 examination and scores of Zung Self-Rating Depression Scale in the 80 patients upon admission and 4 and 8 weeks after treatment, and results of AERP P300 examination in the control group. ② Results of AERP P300 examination and scores of Zung Self-Rating Depression Scale in the follow-up group. RESULTS: All subjects finished the study. The latency of all waves were remarkably prolonged in the patients as compared to the normal control group (P ＜ 0.05-0.01), with also lower amplitude of AERP than that of the control group; the amplitudes of N1, P2 and N2 waves, in general,tended to decrease to statistically significant levels. In reactive depression group, the amplitude of P3 wave was obviously lower than that of the control group [(10.39±4.40) vs (15.11±4.16) μV, P ＜ 0.001], and the amplitudes of all waves in the neurosis group was obviously lower than those of the control group. Comparison of the latency and amplitude of P3 in the follow-up group before and after treatment revealed no significant difference in the latency of P3 [(314.10±44.08) vs (295.4±20.74) ms, t=1.21, P ＜ 0.05], but the amplitude of P3 obviously increased after treatment to almost the normal level [(6.38±2.50) vs (14.22±2.51) μV, t=-7.012, P ＜ 0.001].CONCLUSION: Patients with reactive depression or depressive neurosis have cognitive function impairment, and auditory event-related potential P300 can be used as a reference for cognitive evaluation and therapeutic effect assessment in these patients.
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Besides cognitive disorders,such as disorders of learning, language, etc, the autistic patients generally have temporal cognitive disorders as well, including disorders of sense of time, disorders of memory of time, disorders of temporal behaviour, and disorders of self-consistency. Researchers discussed the possible causes of the temporal cognitive disorders of autistic patients from various ways such as of physiology, heredity, and environment;whereas, there are no generally accepted conclusions till now. Further researches are still needed.
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Objective:To explore the relationship between self-supporting levels and mental locus of control(internalexternal locus of control)in primary school students.Methods:193 grade 5 to 6 primary school students were examined by the Self-supporting Behavior Questionnaire for 6 to 12 Years Old Children and Multidimentional Measure of Children’s Perception of Control(MMCPC);and then the subjects were divided into two groups,of which the high-self-supporting group includes the top 27%according to the self-supporting behavior questionnaire total score,and the low-self- supporting group includes the bottom 27%.Results:①The high self-supporting group get significantly lower score in unknown control and powerful others’control subscales than the low self-supporting group,and get significantly higher score in internal locus of control than the low self-supporting group;②Except social self-supporting,the other dimentions in Self-supporting Behavior Questionnaire were negatively correlated with unknown control and powerful others’control; were positively correlated with the internal control.Conclusion:Children’s self-supporting level were closely related to mental locus of control.the high self-supporting children were inclined to the internal control,and vice versa.
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Objective: To explore the relationship between the cognitive style of field dependence-independence and self-supporting levels in primary school students.Methods: One hundred and twenty grade 4 to 6 primary school students were examined by the Self-supporting Behavior Questionnaire for 6 to 12 Years Old Children,and then the subjects were divided into two groups,of which the high-self-supporting group includes the top 27% according to the questionnaire total score,and the low-self-supporting group includes the bottom 27%.Both the groups were tested by the Embedded Figures Test.Results: ①The high self-supporting group get significantly higher score in the Embedded Figures Test than the low self-supporting group;and the field-independence group get significantly higher scores in the scholastic self-supporting and self-determination subscales of the Self-supporting Behavior Questionnaire than the field-dependence group;②the score of Embedded Figures Test was significantly correlated with the scores of scholastic self-supporting,self-supporting in daily life,self-determination,self-action,responsibility undertaking,and the total score of the Self-supporting Behavior Questionnaire.Conclusion: Children's self-supporting levels were related to their cognitive style,namely,the high self-supporting children were inclined to field-independence cognitive style,and vice versa.
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Objective:To explore the relationship between Parental Rearing Behavior and self-supporting levels in pri-mary school students.Methods:①79 grade 5 to 6 primary school students were examined by the Self-supporting Behav-ior Questionnaire for 6 to 12 Years Old Children and EMBU scale;②And then the subjects were divided into two groups,of which the high-self-supporting group includes the top 27% according to the questionnaire total score,and the low-self-supporting group includes the bottom 27%.Results:①Compared with the low self-supporting group,the high self-supporting group get significantly higher score of the emotional warmth and understanding of father and mother;compared with the high self-supporting group,the low self-supporting group get significantly higher score of refusal of mother,rejec-tion and punishment of father and mother;②Self-supporting of children was negatively correlated with refusal of mother,rejection and punishment of father and mother;positively with emotional warmth and understanding of father and mother.Conclusion:Children's self-supporting levels were related to parental style.
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Objective:To validate whether there is self-schema of self-supporting and to look into the difference in amount of recall,amount of recognition and reaction time between children with high score of self-sporting and those with low score.Methods:Levels of self-supporting of 300 sixth grade students from a primary school in Hunan were assessed by using a Self-supporting Behavior Questionnaire for Six to Twelve Years'Old Children,and the subjects were grouped into two groups,of which the high-score group includes the top 35 from the questionnaire result,and the low-group includes the lowest 35.Then the SRET task was assigned to the two groups and a contrastive study of their self-schema was carried out.Results:The amount of recognition of self-supporting words by the two groups is larger than that of non-self-supporting words;The reaction time of the self-supporting group is longer than that of the other group;there is no significant difference in the amount of correct recognition.Conclusion:High self-supporting group showed self schema of self-supporting,and low self-supporting group showed not only self schema of non-self-supporting but also that of self-supporting,which implies that self-supporting is not a dichotomy concept of self.
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Objective: To investigate the relationship between college students' time management disposition and A-type personality. Methods: 320 college students were investigated by Time Management Disposition Scale and A-Type Personality Scale. Results: College students' personality types had positive correlation to their time management disposition.A-type students' time management disposition score was significantly higher than that of the B-type students'.Conclusion: College students' personality type had close relationship with their time management disposition.
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Objective:To examine the correlation between the self-worth and mental health of middle school students .Methods:The Scale of Self-worth for Young Students and the SCL-90 were admemestered to a sample of 699 middle school students.Results:Analysis showed significant negative correlation between self-worth and the SCL-90 and mental health of middle school students,the SCL-90 scores of students with high self-worth were significantly different from that of students with low self-worth.Conclusion:The higher the self-worth of middle school students is ,the better their mental health is.