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1.
Article in Chinese | WPRIM | ID: wpr-923540

ABSTRACT

@#Objective To explore the effect of Naikan cognitive-music reminiscence therapy on coping style in female patients with chronic schizophrenia.Methods In May, 2020, 72 female patients with chronic schizophrenia from Beijing Huilongguan Hospital were assigned into control group (n = 48) and music group (n = 24) after trait matching. Both groups accepted routine medicine, while the control group accepted Naikan cognitive therapy, and the music group accepted Naikan cognitive therapy combined music reminiscence, for twelve weeks. They were blind assessed with Simplified Coping Style Questionnaire, Self-rating Depression Scale and Self-rating Anxiety Scale before and after intervention.Results There were five cases in the control group removed for erroneous response. The main effects of group were not significant for all the assessments (F < 0.567, P > 0.05). The main effect of time was significant for negative coping style score (F = 6.968, P = 0.01), and the interaction effects were significant for positive coping style score and Self-rating Depression Scale score (F > 4.227, P < 0.05).Conclusion Combining with music reminiscence, Naikan cognitive therapy may be advantageous for the coping style of female patients with chronic schizophrenia.

2.
Article in Chinese | WPRIM | ID: wpr-909538

ABSTRACT

Objective:To explore the current situation of emotional and behavioral problems in children with hematological tumors, and the relationship with caregivers′ coping styles and family cohesion.Methods:Using cross-sectional study design and cluster sampling method, caregivers of children with hematological tumors hospitalized in hematology department of five third-class hospitals in Zhengzhou from November 2020 to January 2021 were selected as the respondents. The strengths and difficulties questionnaire (parent version), simple coping style questionnaire, family cohesion scale and self-made general information questionnaire were used for questionnaire survey. Statistical analysis was performed by SPSS 24.0 software using Spearman correlation analysis and multivariate Logistic regression analysis.Results:A total of 237 questionnaires were distributed and 214 valid questionnaires were collected. The abnormal detection rates of total difficulty score, emotional symptoms, conduct problems, hyperactivity, peer interaction problems and prosocial behavior were 17.8%, 22.9%, 10.7%, 8.4%, 39.7% and 13.6% respectively. The results of correlation analysis showed that caregivers′ positive coping was negatively correlated with the total score of difficulties, hyperactivity and peer interaction problems ( r=-0.186, -0.153, -0.174, all P<0.05), and positively correlated with the score of prosocial behavior ( r=0.214, P<0.05). Caregivers′ negative coping was positively correlated with the total score of difficulties, emotional symptoms and hyperactivity ( r=0.203, 0.204, 0.170, all P<0.05). Family cohesion was negatively correlated with the total score of difficulties, emotional symptoms, conduct problems, hyperactivity and peer interaction problems ( r=-0.254, -0.225, -0.183, -0.137, -0.195, all P<0.05), and positively correlated with prosocial behavior ( r=0.235, P<0.01). Multivariate Logistic regression analysis showed that positive coping of caregivers was a protective factor of peer interaction in children ( β=-0.050, OR=0.951, 95% CI=0.907-0.996), while family intimacy was also a protective factor for children with prosocial behavior ( β=-0.045, OR=0.956, 95% CI=0.923-0.991). Conclusion:The emotional and behavior problems of children with hematological tumors are serious, and the positive coping of caregivers and family cohesion have certain predictive value for the occurrence of negative emotional behavior problems in children, so medical staff should take corresponding measures to reduce the occurrence of emotional and behavior problems in children.

3.
Article in Chinese | WPRIM | ID: wpr-909268

ABSTRACT

Objective:To investigate the effects of structured group psychotherapy on symptoms and social function of patients with mild to moderate depression.Methods:Sixty patients with mild to moderate depression who received treatment in Department of Psychiatry of the Third People's Hospital of Yongkang from June 2019 to May 2020 were included in this study. They were randomly assigned to receive either conventional antidepressants ( n = 30, control group) or conventional antidepressants combined with structured group psychotherapy ( n = 30, observation group). The Self-rating Anxiety Scale, Self-rating Depression Scale Hamilton Anxiety Scale, Hamilton Depression Scale and the Simplified Coping Style Questionnaire were used to compare the anxiety state, depression state and coping style between the two groups. Results:Self-rating Anxiety Scale, Self-rating Depression Scale, Hamilton Anxiety Scale, Hamilton Depression Scale and Simplified Coping Style Questionnaire scores in the observation group were (44.21 ± 4.15) points, (45.28 ± 5.16) points, (12.41 ± 2.16) points, (9.75 ± 2.83) points, and (10.35 ± 2.23) points, respectively, which were significantly lower than those in the control group [(51.14 ± 4.39) points, (53.64 ± 5.31) points, (16.73 ± 2.54) points, (14.18 ± 2.72) points, (14.73 ± 2.54) points, t = 6.283, 6.184, 7.097, 6.182, 7.375, all P < 0.001]. Simplified Coping Style Questionnaire score in the observation group was significantly higher than that in the control group [(31.42 ± 4.43) points vs. (24.16 ± 4.27) points, t = 7.432, P < 0.001]. Conclusion:Structured group psychotherapy combined with conventional antidepressant therapy for treatment of mild to moderate depression can greatly reduce the symptoms of anxiety and depression and improve the coping style.

4.
Article in Chinese | WPRIM | ID: wpr-908241

ABSTRACT

Objective:To explore the influence of mind map based nursing mode on psychological status and prognosis of patients undergoing thoracoscopic and laparoscopic esophagectomy.Methods:A total of 116 patients who underwent thoracoscopic laparoscopic esophageal cancer resection in Sanya People′s Hospital, Hainan Province from November 2017 to October 2019 were selected. According to the admission time, all patients were divided into control group and observation group, with 58 cases in each group. The patients in the control group used conventional nursing strategies, and the observation group used the method of relying on mind mapping on the basis of conventional strategies to assist nursing intervention. The negative emotions and coping styles of the two groups at admission and discharge, as well as the ICU re-occupancy rate, unplanned extubation rate, and satisfaction with nursing intervention between the two groups were compared.Results:At admission, there was no significant difference in Self-rating Anxiety Scale (SAS) and Self-rating Depression Scale(SDS) scores between the two groups ( P>0.05). At discharge, the SAS and SDS scores of the observation group were 38.99±5.07 and 37.25±5.59, 43.25±6.49 and 41.26±4.54. The differences between the two groups were statistically significant ( t values were 3.939, 4.241, all P<0.01). At admission, there was no statistically significant difference in the scores of facing, yielding, and avoiding between the two groups ( P>0.05). At discharge, the scores of face, yield, and avoidance of the observation group were 15.47±1.86, 8.92±1.16, 9.05±1.18, and the control group were 13.32±1.60, 11.11±1.56, 12.03±1.56, the differences between the two groups were statistically significant ( t values were -6.674, 8.579, 11.603, all P<0.01). The ICU re-occupancy rate and unplanned extubation rate were 1.72% (1/58) and 3.45% (2/58) in the observation group, and 13.79% (8/58) and 15.52% (9/58) in the control group, the differences were statistically significant ( χ2 values were 4.336, 4.921, all P<0.05). The observation group ′s satisfaction with nursing intervention, communication ability, professional knowledge, and disease mastery scores were 6.81±1.95, 7.02±2.01, 8.12±1.23, and the control group were 5.35±2.11, 5.71±1.87, 6.21±0.99, the differences were statistically significant ( t values were -3.870, -3.634, -9.213, all P<0.001). Conclusions:For patients undergoing thoracic laparoscopic esophageal cancer resection, the use of mind-mapping-based nursing intervention is beneficial to improve the patient ′s psychological condition, prognosis and nursing satisfaction.

5.
Article in Chinese | WPRIM | ID: wpr-908120

ABSTRACT

Objective:To observe the effects of intervention based on self-regulation mode on illness perception, medical coping styles and quality of life of patients with psoriasis.Methods:Eighty patients with psoriasis from February 2018 to August 2019 in Qinhuangdao First Hospital were selected and divided into two groups by random digits table method, 40 patients in each group. The control group was given routine intervention, and the experimental group was given intervention based on self-regulation mode. The Illness Perception Questionnaire-Revised (IPQ-R) scores, Medical Coping Modes Questionnaire (MCMQ) scores, dermatologylifequalityindex (DLQI) scores and compliance of the two groups were compared before and after intervention.Results:There was no significant difference in the score of IPQ-R, MCMQ, DLQI before intervention between the two groups( P>0.05). After intervention, scores of symptoms, disease perception and causes of the disease in IPQ-R were (7.24±0.75), (162.34±20.35), (76.23±8.65) points in the experimental group and (6.08±0.72), (123.26±18.57), (52.79±7.84) points in the control group, there were significant differences between the two groups ( t values were 7.057, 8.972, 12.699, P<0.01). In the MCMQ, facing score,avoidance score and yielding score were (25.67±2.83), (12.26±1.84), (9.12±1.24) points in the experimental group, (21.76±3.89), (14.35±2.48), (10.45±1.68) points in the control group, there were significant differences between the two groups ( t values were 5.141, -4.280, -4.028, P<0.01). The DLQI scores of experimental group were significantly higher than those of control group ( t values were 2.648-8.244, P<0.05 or 0.01), and compliance of experimental group (97.5%, 39/40) was significantly better than control group (80.00%, 32/40) with statistically significant( Z value was 40.000, P<0.01). Conclusions:Intervention based on self-regulation mode can effectively reduce negative emotions of patients with psoriasis, increase their illness perception and compliance, improve their medical coping styles, self-management ability and quality of life, with positive application value.

6.
China Occupational Medicine ; (6): 463-466, 2020.
Article in Chinese | WPRIM | ID: wpr-881925

ABSTRACT

OBJECTIVE: To investigate the effects of mindfulness-based stress reduction(MBSR) on anxiety, depression and coping style of patients with newly diagnosed silicosis. METHODS: A total of 156 cases of patients with newly diagnosed silicosis were randomly divided into the control group and the intervention group by convenient sampling method, with 78 cases in each group. Patients in the control group were given routine care only, patients in the intervention group received MBSR intervention for 8 weeks on the basis of routine care. The Self-Rating Anxiety Scale, Self-Rating Depression Scale and Medical Response Questionnaire investigated the scores of anxiety, depression and coping styles in the two groups before and after the intervention. RESULTS: Before intervention, there was no significant difference in the scores of anxiety, depression and each dimension of medical response such as facing, avoidance and resignation dimensions in the two groups(P>0.05). After intervention, the anxiety and depression scores of patients in the intervention group decreased [(54.9±3.8) vs(45.5±3.8) and(57.5±3.9) vs(48.7±3.3), respectively, P<0.01] compared with the control group. The facing dimension scores of medical response increased [(19.0±1.3) vs(21.8±1.2), P<0.01], and the scores of avoidance dimension and resignation dimension of medical response decreased [(13.0±2.9) vs(12.2±2.1) and(10.3±1.6) vs(8.0±1.5), respectively, P<0.05]. CONCLUSION: The MBSR training can improve the negative emotion such as anxiety and depression in patients with silicosis, and encourage them to cope with the disease in a positive way.

7.
China Occupational Medicine ; (6): 329-333, 2020.
Article in Chinese | WPRIM | ID: wpr-881905

ABSTRACT

OBJECTIVE: To evaluate the effect of clinical nursing pathway(CNP) on clinical nursing of patients with pneumoconiosis. METHODS: A total of 120 patients with pneumoconiosis were selected as the subjects by the judgment sampling method. The patients were divided into control group and observation group by random number table method, with 60 cases in each group. The patients in the control group were given routine treatment and nursing after admission, while the patients in the observation group were treated similarly to that of the control group plus CNP. The treatment of patients in both groups were carried out until they were discharged from hospital. General Self-Efficacy Scale, Medical Coping Style Questionnaire and Quality of Life Scale were used to measure the self-efficacy, coping style and of quality of life of these two groups before and after the implementation of CNP. RESULTS: Before the implementation of CNP, there was no significant difference in the scores of self-efficacy, three dimensions of coping style and four dimensions quality of life between the two groups(P>0.05). After the implementation of CNP, the scores of self-efficacy, face dimension and quality of life in the observation group were higher than those in the control group(P<0.01). The scores of surrender and avoidance dimensions decreased(P<0.01). CONCLUSION: The implementation of CNP can improve the self-efficacy, coping style and quality of life of pneumoconiosis patients.

8.
China Occupational Medicine ; (6): 277-281, 2020.
Article in Chinese | WPRIM | ID: wpr-881895

ABSTRACT

OBJECTIVE: To explore the mediating effect of coping styles on aggressive behavior against bus drivers and their mental health status. METHODS: A total of 447 bus drivers were selected as the research objects using the method of judgment sampling. The aggressive behavior, mental health status and coping style of bus drivers were investigated using the Questionnaire of Aggressive Behaviors Against Bus Drivers, Symptom-Checklist 90 and Questionnaire of Simplified Coping Style Questionnaire. RESULTS: The median scores of aggressive behavior against bus drivers, positive coping style, negative coping style and mental health status were 50.0, 22.0, 10.0 and 125.0, respectively. Aggressive behavior against bus drivers and negative coping style were positively correlated with mental health status [Spearman correlation coefficient(r_S) were 0.27 and 0.42, respectively, P<0.01]. Positive coping style was not correlated with mental health status(r_S=-0.08, P>0.05). The total effect of aggressive behavior against bus drivers on their mental health status was 0.30. The mediating role of negative coping styles on aggressive behavior against bus drivers and their mental health status was 0.10, accounting for 33.1% of the total effect. CONCLUSION: Negative coping styles play a partial mediating role on the impact of aggressive behavior against bus drivers′ mental health status.

9.
Article in English | WPRIM | ID: wpr-827361

ABSTRACT

Coping style is a cognitive or behavioral strategy taken by individuals in the face of stress. Positive coping style is of great significance for improving the physical and mental outcomes of elderly patients with urinary incontinence. Accurate assessment of coping styles for the elderly patients with urinary incontinence can provide reference for the subsequent development of intervention measures. The existing coping style assessment tools for elderly incontinence at home and abroad include specific scale of incontinence, relevant psychological assessment scale, and universal scale. In a word, the progress in the studies on relevant assessment tools is slow, and it mainly focuses on the assessment of female population. The assessment content is relatively single and lacks of pertinence and systematization. In the future, a comprehensive scale with strong adaptability should be developed based on the characteristics of elderly incontinence patients in China.


Subject(s)
Adaptation, Psychological , Aged , China , Female , Humans , Urinary Incontinence
10.
Arch. Clin. Psychiatry (Impr.) ; 46(6): 145-150, Nov.-Dec. 2019. tab
Article in English | LILACS | ID: biblio-1054915

ABSTRACT

Abstract Background Caring for a child with cerebral palsy (CP) is an arduous task and the over-reliance on specific coping strategies may predispose caregivers to depression. Objective The aim of this study was to determine the relationship between the different types of coping strategies and presence of depression in caregivers of children with CP. Methods One hundred and thirty two participants were recruited into the study. Their coping styles were measured using the Brief COPE inventory while depression was assessed with Mini International Neuropsychiatric Interview. Results The prevalence of current depressive episodes among the participants was 20.5%. Depression had a strong negative correlation with active coping (r = -0.415), planning (r = -0.432), and positive reframing (r = -0.594), and a weak negative correlation with humor (r = -0.239). But a strong positive correlation with use of instrumental support (r = 0.421) and self-blame (r = 0.448), and a moderate positive correlation with denial (r = 0.313), and behavioral disengagement (r = 0.308). Both emotion-focused (r = -0.361) and problem-focused (r = -0.576) coping style had a strong negative correlation with depression. While dysfunctional coping style had a strong positive correlation with depression (r = 0.489). Discussion Emotional and problem focused coping style were found to more protective against depression than dysfunctional coping styles among care givers of children with CP.


Subject(s)
Humans , Male , Female , Child, Preschool , Child , Adolescent , Adult , Middle Aged , Aged , Adaptation, Psychological , Cerebral Palsy , Caregivers/psychology , Depression/epidemiology , Psychiatric Status Rating Scales , Population Characteristics , Epidemiology, Descriptive , Prevalence , Cross-Sectional Studies , Surveys and Questionnaires , Nigeria
11.
Article in Chinese | WPRIM | ID: wpr-838083

ABSTRACT

Objective: To investigate the mediation effects of coping style on the relationship between mental resilience and negative emotions among military personnel. Methods: A questionnaire survey was performed in 358 military officers and soldiers using Connor-Davidson resilience scale, simplified coping style questionnaire and depression anxiety and stress scale. Structural equation model was built to analyze the relationship between variables. Results: A total of 344 valid questionnaires were collected, and effective response rate was 96.09%. All the subjects were male with a mean age of (23.24 ± 4.73) years old. Pairwise correlations between mental resilience, positive coping style, negative coping style and negative emotions were all significant (all P<0.01). Mental resilience explained 21.2% of the total variation of negative emotions (P<0.01), and coping style explained 7% of the variation. Mental resilience could indirectly affect negative emotions through positive coping style and negative coping style (χ2 = 35.744, df=17, χ2/df=2.103, goodness of fit index [GFI] = 0.975, adjusted goodness of ft index [AGFI] =0.948, root mean square error of approximation [RMSEA] = 0.057). The mediation effect of coping style accounted for 27.03% of the overall effect (positive coping style for 75.43% and negative coping style for 24.00%). Conclusion: Coping style plays multiple mediating roles between mental resilience and negative emotions in military personnel, especially with the positive coping style contributing a large proportion. Therefore, it is necessary to focus on training positive coping style in military personnel with low mental resilience, so as to effectively reduce the level of negative emotions of military personnel and improve operational efficiency.

12.
Article in Chinese | WPRIM | ID: wpr-800806

ABSTRACT

Objective@#To explore the mental health status and influencing factors of medical staff after blood-borne occupational exposure, and to provide scientific basis for effective psychological intervention.@*Methods@#From January 2017 to December 2018, 178 medical staff with blood-borne occupational exposure in three hospitals of Shandong Province were collected as the contact group, and 100 routine medical staff as the control group during the same period. Questionnaires were conducted among medical staff in the two groups, including general information questionnaire, symptom checklist 90 (SCL-90) , post-traumatic stress disorder self-rating scale (PCL-C) , coping style scale (CPS) , social support scale (SSRS) . The basic situation and mental health level of medical staff in the two groups, as well as the coping and social support status of medical staff exposed to hematogenous occupational exposure were analyzed. Relevant influencing factors.@*Results@#The total score of SCL-90 was 1.66+0.33, 45 (38.14%) were positive, and 21 (21.00%) were positive in the control group. The difference was statistically significant (χ2=7.529, P<0.05) . Compared with the control group, the scores of SCL-90 somatization, obsessive-compulsive symptoms, depression, anxiety, hostility, paranoia and total scores of medical staff in the exposure group increased significantly (P<0.05) . The total PCL-C score of exposure group was 36.84+9.50, PTSD positive 47 (39.83%) and control group 13 (13.00%) . The difference was statistically significant (χ2=19.534, P<0.05) . Compared with the control group, PCL-C re-experience, avoidance, vigilance factor scores and total scores of medical staff in the contact group increased significantly (P<0.05) . The problem solving, help seeking and subjective support of the medical staff in the positive mental health group with blood-borne occupational exposure were significantly lower than those in the negative group, while self-blame, fantasy and withdrawal were significantly higher than those in the negative group (P<0.05) . The mental health level of medical staff with occupational exposure was negatively correlated with problem solving, help seeking and subjective support, and positively correlated with self-blame, fantasy and withdrawal (P<0.05) . Problem solving, help seeking and subjective support were protective factors of mental health (OR=2.121, 1.616, 1.371) , and self-blame and withdrawal were risk factors of mental health (OR=0.160, 0.484) .@*Conclusion@#Medical personnel exposed to blood-borne occupational exposure are prone to psychological problems and PTSD. Solving problems, seeking help and subjective support are protective factors for mental health, while self-blame and withdrawal are risk factors for mental health.

13.
Article in Chinese | WPRIM | ID: wpr-753820

ABSTRACT

Objective To explore the statue quo of psychological resilience of breast cancer patients during chemotherapy period and its influencing factors.Methods From December 12 to May 2018,Totally 165 breast cancer patients during chemotherapy period in Department of Mammary Chemotherapy of Zhejiang Cancer Hospital were investigated by self-designed demographic questionnaire ,the Connor -Davidson Resilience Scale and the Medical Coping Modes Questionnaire.Results The total score of psychological resilience for breast cancer patients during chemotherapy period was (60.26 ±16.17) points.Multiple regression analysis showed that marital status,transfer, confront and resignation coping style were the influencing factors for psychological resilience ( t=-3.048,3.216, 3.070,-3.044,all P<0.05).Conclusion The level of psychological resilience of breast cancer patients is poor and multivariate analysis appears that marital status , transfer, confront and resignation coping style are important influencing factors.

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Article in Chinese | WPRIM | ID: wpr-752776

ABSTRACT

Objective To explore the influence of psychological intervention before percutaneous coronary intervention (PCI) on mental stress, coping style and related factors of depression in patients with acute coronary syndrome (ACS). Methods 281 patients with ACS who were treated in our hospital from March 2016 to August 2018 were selected as the study subjects. According to whether psychological intervention was given to ACS patients before PCI, they were divided into intervention group (n=135) and control group (n=146). SCL-90 was used to assess mental stress and MCMQ was used to assess coping styles. The changes of mental stress and coping style before and after operation were compared between the two groups. To investigate the incidence of depression in ACS patients after PCI and analyze the related factors affecting their depression. Results After PCI, the scores of somatization, obsessive-compulsive disorder, interpersonal sensitivity, depression, anxiety, hostility, fear, paranoia, psychosis and bedtime status were decreased in the SCL-90 scores of the intervention group and the control group (P<0.05). The reduction in the intervention group was more obvious, and the difference was statistically significant (P<0.05). After PCI, there was no significant difference in avoidance and yield between the two groups (P >0.05), and there was no significant difference between the two groups before PCI (P> 0.05). After PCI, the face score of intervention group was higher than that of control group (P<0.05), and compared with pre-PCI, the difference was also statistically significant (P<0.05). Of the 281 patients with ACS, 84 (29.89%) had depression after PCI. In the intervention group, 26 patients (19.26%) suffered from depression, and 58 patients (39.73%) in the control group suffered from depression. The prevalence of depression in the two groups was statistically significant (P<0.05). Univariate and multivariate logistic analysis showed that the degree of coronary artery disease, education and psychological intervention before PCI were closely related to ACS patients with post-PCI complicated with depression. Conclusion Psychological intervention can improve the stress of ACS patients and reduce the negative response. At the same time, it can reduce the risk of depression after PCI.

15.
Article in Chinese | WPRIM | ID: wpr-752707

ABSTRACT

Objective To investigate the relationship between psychiatric nurses' self-efficacy, self-acceptance and coping style, and to explore the intermediary role of psychiatric nurses′self-efficacy in self-acceptance and positive coping style. Methods Totally 813 clinical nurses in 6 prefectural and municipal psychiatric hospitals in Shandong Province were investigated with general information questionnaire, simple coping style scale and self-acceptance questionnaire, and the results were analyzed. Results The scores of self-efficacy and positive coping styles of psychiatric nurses were (2.40 ± 0.54) and (2.09 ±0.47) points.The difference was statistically significant (t=-15.072, 12.76, P<0.01), the total score of self-acceptance was (42.28 ±4.91) points, the score of self-acceptance factor was (21.76 ±3.60) points, the score of self-evaluation factor was (20.53 ± 3.36) points. There was no significant difference compared with the domestic norm (P>0.05). Positive coping style was positively correlated with self-efficacy, self-acceptance and self-evaluation (P < 0.01), negative coping style was negatively correlated with self-acceptance and self-evaluation (P<0.01). Self-acceptance and self-efficacy were important predictors of coping style, Self-efficacy plays an intermediary role in self-acceptance and coping style, and the mediating effect was 0.155, 95% CI (0.117- 0.202). Conclusion Improving self- efficacy of psychiatric nurses was one of the effective ways to improve coping style of nurses.

16.
Article in Chinese | WPRIM | ID: wpr-752623

ABSTRACT

Objective To investigate the effect of social support and coping style intervention on psychological resilience and life quality in patients with thyroid cancer surgery. Methods A total of 83 patients with thyroid surgery admitted from July 2015 to June 2017 were enrolled. The prospective study was used and the patients were divided into the treatment group (42 cases) and the control group (41 cases) by random digits table method. The control group received routine nursing intervention for thyroid cancer surgery patients including health education, basic nursing, prevention of complications, follow-up, etc., and the treatment group was combined with social support and coping style intervention. After 3 months of follow- up, the Chinese version of Connor- Davidson Resilience Scale (CDRISC), Quality of Life Questionnaire-Core (QLQ-C30), Self-made Survey of Patient Satisfaction was used to evaluate the psychological resilience, life quality, and patients satisfaction of the two groups. Results The toughness, coping pressure, adaptability and belief scores of the treatment group were (26.45 ± 4.65), (22.25 ± 4.21), (16.42±3.25), (7.65±1.21) points, which were significantly higher than those of the control group (22.36± 4.35), (17.25±3.42), (14.36±2.43), (6.35±0.80) points, and the differences were statistically significant (t= 3.264-5.930, P <0.05); the cognitive function, emotional function, social function and physical function scores of the treatment group were (80.12±9.36), (76.25±9.12), (76.36±9.21), and (75.12±8.32) points, which were significantly higher than those of the control group (68.45±8.32), (70.25±8.45), (68.62±8.21), (66.32 ± 7.65) points, and the differences were statistically significant (t = 3.107-5.998, P <0.05); the patient satisfaction rate of the treatment group was 95.24% (33/41), which was significantly higher than that of the control group (80.49%, 40/42), and the differences were statistically significant (χ2=4.260, P<0.05). Conclusions Social support and joint coping style intervention can help the patients with thyroid cancer surgery to improve the level of psychological resilience, improve their life quality, and maintain a good relationship between nurses and patients.

17.
Article in Chinese | WPRIM | ID: wpr-752596

ABSTRACT

Objective To investigate the relationship of stigma, coping style and psychosocial adjustment in young patients with breast cancer after operation, and the mediating effect of different coping style between stigma and psychosocial adjustment. Methods The general information questionnaire, Social Impact Scale (SIS), Medical Coping Style Questionnaire (MCMQ) and psychosocial adjustment questionnaire for breast cancer were used to investigate the stigma, coping style and psychosocial adjustment of 292 young patients with breast cancer after operation in the affiliated hospital of Qingdao University. Results There was a negative correlation between stigma and confrontation coping, psychosocial adjustment(r=-0.687--0.519, all P<0.01), but a positive correlation with yield coping and avoidance coping (r=0.426-0.500, all P<0.01).There was a positive correlation between psychosocial adjustment and confrontation coping(r=0.594, P<0.01), and was a negative correlation between psychosocial adjustment and avoidance copying, yield copying(r=-0.643--0.519, all P<0.05). The mediating effects of confrontation coping and avoidance coping were 32.86% and 18.81% respectively. Conclusions The stigma and coping style of young patients with breast cancer after operation were closely related to psychosocial adjustment. Nursing staff should guide the patients to adopt positive coping style, reduce the stigma, promote the psychosocial adjustment, and help the patients to return to normal life as soon as possible.

18.
Article in Chinese | WPRIM | ID: wpr-744761

ABSTRACT

Objective To explore the relationship among psychological flexibility,coping style and job burnout of nurses.Methods A total of 694 nurses from one district level grade A tertiary general hospital in Yunnan were assessed using acceptance and action questionnaire 2nd edition (AAQ-Ⅱ),simplified coping style questionnaire (SCSQ) and nursing burnout scale (NBS).The relationship among psychological flexibility,coping style and job burnout of nurses was analyzed using structural equation model and Bootstrap test.Results (1) Correlation analysis showed that the total scores of AAQ-Ⅱ (21.81 ± 8.23),job burnout (22.71 ± 6.60) and its three dimensions including emotional exhaustion (8.93 ± 2.87),depersonalization (6.64±2.30)as well as reduced personal accomplishment(7.14±2.52) were positively correlated with negative coping dimension of coping style (10.86±4.99) (r=0.324-0.510,all P<0.01),while negatively correlated with positive coping dimension(26.44±5.86) (r=-0.102--0.143,all P<0.01).(2) Structural equation model analysis showed that positive and negative coping dimension had partial mediating effects on the relationship between psychological flexibility and job burnout (x2/df=2.30,GFI =0.91,AGFI =0.90,NFI=0.90,IFI=0.93,TLI=0.92,CFI=0.93,RMSEA=0.04).(3) Bootstrap test showed that the mediating effect sizes for positive and negative coping were 3.8% and 8.9% respectively and totally mediating effect size of coping style was 12.7%.Psychological flexibility had much larger effects on job burnout,and the direct effect size was 87.3%.Conclusion Coping style plays a mediating role in the relationship between psychological flexibility and job burnout,but its effect is less important.Psychological flexibility plays a major role and more directly influences on job burnout.

19.
Article in Chinese | WPRIM | ID: wpr-743598

ABSTRACT

Objective To explore the effect of advance directives on hope level and coping style in cancer patients. Methods A total of 168 cancerous person were selected as the research sample according to conveniences sampling. They were divided into two groups according to whether they were set up or not advance directives. A total of 88 patients without advance directives (control group) was given full rescue, and a total of 80 patients (experimental group) was given medical care according to the patient's prior wishes. The scores of the Cancer Hope Scale and the Medical Coping Questionnaire were compared between the two groups. Results The score of the Cancer Hope Scale was (24.83 ± 2.59) points in experimental group, (30.09±3.36) points in control group. The score of the Medical Coping Questionnaire was (41.21±2.65) points in experimental group, (35.85±2.63) points in control group. There was significant difference between the two groups (t=11.861, 17.817, P <0.01). Conclusions There are many mental health problems in cancer patients. Patients with advance directives can face the disease with a more positive attitude.

20.
China Occupational Medicine ; (6): 349-353, 2019.
Article in Chinese | WPRIM | ID: wpr-881804

ABSTRACT

OBJECTIVE: To explore the effect of premenstrual syndrome( PMS) on the quality of life( QOL) of female medical staffs. METHODS: By convenient sampling method,1 007 female medical workers from three Grade A class 3 hospitals were selected as study subjects and investigated by PMS Scale,World Health Organization Quality of Life Assessment Instrument Brief Version,Simplified Coping Style Questionnaire and Social Support Rating Scale. RESULTS: The detection rate of PMS among medical staffs was 52. 0%,and the total score of QOL of PMS medical staffs was lower than that of non-PMS medical staffs [( 84. 3 ± 12. 4) vs( 90. 5 ± 11. 6),P < 0. 01]. The multivariate linear logistic regression analysis results showed that the PMS medical staffs who often stay up late,with higher degree of dysmenorrhea,higher job stress,lower positive coping style score,higher negative coping style score,and poor support have lower QOL( P < 0. 05). The coping style and social support of PMS medical staffs can directly affect the QOL. The social support can also indirectly affect the QOL through coping style. CONCLUSION: Coping style is a mediator of social support and QOL.Adopting coping style can improve the QOL of PMS medical staffs.

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