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Objective@#To investigate the effects of mindfulness relaxation training on stress response and postoperative rehabilitation of patients undergoing general surgery.@*Methods@#A total of 110 patients who underwent general surgery were randomly divided into study group and control group, with 55 cases in each group. The control group received routine peri-operational period nursing, and the study group carried out mindfulness relaxation training on the basis of control group for 4 weeks. The levels changes of serum insulin, cortisol were detected between two groups. The psychological stress of two groups were evaluated with Symptom Checklist 90 (SCL-90). The off-bed activity time, anus exhaust time, bowel sounds recovery time and hospital stay time were recorded to evaluate the quality of patients′ postoperative rehabilitation.@*Results@#The levels of insulin, cortisol were at minimum on admission in two groups, and then increased, the highest level was at 2 hours after operation. There was no significant difference in insulin, cortisol level on admission in two groups (P>0.05), however, the insulin [(120.15±22.63) μg/L, (122.34±15.75) μg/L], cortisol [(10.41±3.07) mmol/L, (12.69±4.50) mmol/L] levels were significantly decreased in the study group compared to the control group [(129.85±15.43) μg/L, (131.34±22.79) μg/L and (11.69±2.99) mmol/L, (14.84±4.04) mmol/L] before anesthesia and at 2 hours after operation (t value was 2.206-2.638, P<0.05). After intervention, the total scores of SCL-90 (120.91±11.84), somatization (1.26±0.13), compulsion (1.43±0.08), depression (1.18±0.12), anxiety (1.14±0.10) and fear (1.34±0.08) were all lower in the study group than those in the control group (130.47±14.13, 1.83±0.53, 1.65±0.58, 1.71±0.12, 1.76±0.13, 1.41±0.12), and the differences were statistically significant (t value was 2.828-28.277, all P<0.05). Besides, off-bed activity time [(1.55±0.18) d] and hospital stay time[ (6.51±2.20) d] in the study group were significantly less than in the control group [(1.73±0.25) d and (7.65±2.19 d)] (t value was 2.737,4.592, P<0.05).@*Conclusion@#The mindfulness relaxation training in nursing general surgery patients during peri-operational period is helpful to ameliorate the patients′ degree of physiological and psychological stress reactions, and this mode has important significance in promoting the quality of patients' postoperative rehabilitation.
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Objective@#To explore the relationship between occupational stress factors and psychological stress reaction among petrochemical workers, detecting the effects caused by the occupational stress and putting forward solutions to reduce the occupational stress degree. @*Methods@#392 petrochemical workers in Oil refining enterprise were included to conduct the evaluation of the occupational stress, correlation analysis and ridge regression were used to analyze the relationship between occupational stress and five aspects of psychological stress reaction and to detect the influencing factors. @*Results@#Mission control, decision control, environmental control, resources control, promotion, and participation in decision making were positively correlated with job satisfaction (P<0.01) , technology utilization degree, work order tonality, job prospects were negatively correlated with job satisfaction (P<0.05) ; mission control, resource control, promotion, participation in decision-making were positively correlated with mental health (P<0.01) , work order tonality, job prospects were negatively correlated with mental health (P<0.05) ; load change risk, work, work order tonality, job prospects were positively correlated with depression (P<0.05) resource control, promotion opportunities were negatively correlated with depression (P<0.05) ; quantitative risk load, work, work order tonality, job prospects were positively correlated with anxiety (P<0.05) , the task control, promotion, and participation in decision-making were negatively correlated with anxiety (P<0.05) ; work, load change, work order tonality, risk scoring for job prospects were positively correlated with body complaint (P<0.01) , mission control, decision control, resource control were negatively correlated with body complaint (P<0.05) . @*Conclusion@#Different stress factors make different effects in different psychological stress reaction, the main predictors and predictive power of each psychological stress reaction were not the same.
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Objective To explorepredictive factors of psychological stress reaction of medical staff members with blood-occupational exposure and to provides scientific basis for the hospital administrators toprovide psychological support and interventionfor medical staff members with blood-occupational exposure. Methods Seventy-eight medical staff members with blood-occupational exposure were recruited as participants. The Socio-demographic Questionnaire, Posttraumatic Stress Disorder Checklist-5, the Perceived Stress Scale, the Hospital Anxiety and Depression Scale, the Ruminative Responses Scale and the Emotion Regulation Questionnaire were used to evaluate the participants' psychological stress reactionat different stages and the styles of their emotion regulation. Correlation analysis and Hierarchical Regression analysis were used to analyze the predictive factors of psychological stress reaction of medical staff members with blood-occupational exposure. Results Ruminative thinking and emotion regulation can predict the psychological stress reaction of medical staff members with blood-occupational exposure at different stages. Conclusions According to the psychological stress reaction and ruminative thinking of medical staff members with blood- occupational exposure, psychological intervention should be implemented within one month to decrease the psychological trauma of medical staff members with blood-occupational exposure.
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Very few studies have reported an independent association of the physical activity-related indices with the psychological stress reaction. The present study therefore investigated the association of fitness and screentime as one of the indices of sedentary behavior with the four types of psychological stress reactions and the number of days absent from school for 249 children at a local public school and a metropolitan private school while considering confounding factors. No significant difference was observed in the fitness level of both schools; however, the rate of obesity, the screentime and the level of all psychological stress reactions were significantly worse in the public school. Further, significant differences and trends among the groups classified by fitness level were recognized in the rates of participation in after school activities, feeling of powerlessness and days of absence per year. In addition, the odds ratio of the screentime for depressive and anxiety symptoms was 1.004 (95%CI: 1.000-1.007, p=0.039), while the odds of the fitness level for high feeling of powerlessness and more than five days of absence were 1.582 (95%CI: 1.045-2.396, p=0.030) and 1.434 (95%CI: 1.045-2.396, p=0.015), respectively, after adjusting for the school type, differences in lifestyle and participation in after school activities. In conclusion, the fitness level and the screentime were associated with high psychological stress reactions and the days of absence, independent of the above-mentioned adjusting factors among the children in the present study. Prospective and interventional studies to verify these results are needed.
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Objective:To explore the relations of psychological stress reactions to workplace violence and so-cial acknowledgement among emergency nurses.Methods:Totally 444 emergency nurses from 8 tertiary hospitals and 1 second A hospital in Beijing were selected.Psychological stressful reactions were measured with the Impact of Event Scale-Revised (IES-R).The social acknowledgment from general society and family to victims was assessed with the Social Acknowledgment Questionnaire (SAQ).Results:Among the 444 samples,96.8% sustained verbal assaults,43.2% underwent physical assaults,32.0% encountered threats,and 4.3% suffered sexual assaults.The results of ANOVA analysis indicated that nurses who suffered 3 types of violence had higher scores of IES-R than the ones who endured one type of violence and 2 types of violence[(22.0 ±16.1)vs.(15.4 ±15.6),(18.1 ± 16.1),Ps <0.01)].Similarly,those nurses who suffered 4 types of violence had higher scores of IES-R than the ones who enduredone type of violence and 2 types of violence [(33.4 ±17.1)vs.(15.4 ±15.6),(18.1 ±16.1), Ps <0.01].Regressive analysis showed that family disapproval,general disapproval,and violence types predicted psychological stress reactions,(β=0.13 -0.40,P <0.05,adjust R2 =0.27).Conclusion:It suggests that violence types,social disapproval and family disapproval may play vital roles in predicting the degree of posttraumatic dis-tress in emergency nurses after suffering from hospital violence.
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@#Soldiers are a group whose mental level are significantly low when special tasks in military exercises and actual combat training and other military stress. And one of main reasons caused in combat effectiveness reducing or potential non-combat loss is psychological and physiological and pathological damage which caused by military stress. This article reviewed the research about psychological stress reaction under military stress in the past years.
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Objective To explore how the freshmen's self-efficiency influence the acute stress psychological reaction. Methods Self-efficiency, coping styles, personality were assessed by relevant questionnaires, and acute stress psychological reaction was measured by means of designing a experiment in 683 freshmen of military colleges.Results ①Freshmen with low self-efficiency had higher scores in Si,Mas,Dy,Nc(t=8.05,7.49,6.36,3.93,P<0.01)and lower scores in Do,Re,Pc(t=5.12,2.11,3.90,P<0.05 or P<0.01)than freshmen with high one.Among all factors mentioned above, Si,Dy,Pc got into regression equation. ② Freshmen with low self-efficiency had lower stress score than ones with higher self-efficiency(t=3.92,P<0.01).Freshmen's self-efficiency was positively correlated to total scale score and 3 subscale scores of the acute psychological stress reaction questionnaire(r=0.187～0.346,P<0.05,P<0.01).Conclusion Personality,coping style exerted influence on the freshmen's self-efficiency which is a mediator between stressors and acute psychological stress reaction.