BackgroundAlthough the stigma associated with seeking professional psychological help has received significant attention, few studies have focused on the status and factors influencing this stigma among pregnant women, especially those with a Chinese cultural background. This study aimed to assess the status of stigma associated with seeking professional psychological help and its influencing factors.MethodsA total of 1325 pregnant women were recruited from Hunan Province, China. The Stigma for Seeking Professional Psychological Help questionnaire, Patient Health Questionnaire-9, Perceived Social Support Scale, Simplified Coping Style Questionnaire, and questionnaires on sociodemographic characteristics and pregnancy-related information were used. Descriptive, univariate, correlation, and multivariate linear regression analyses were used to investigate the status of stigma and identify its influencing factors.FindingsPregnant Chinese women experienced a mild to moderate level of stigma associated with seeking professional psychological help, and self-stigma was more common than social stigma associated with seeking psychological help. The results of the multivariate analysis suggested that perceived social support, positive coping styles, negative coping styles, and depressive symptoms were the factors influencing self-stigma and social stigma associated with seeking professional psychological help. Advanced age and a low educational level were the only predictors associated with self-stigma, while a history of multiple pregnancies had an effect only on social stigma associated with seeking professional psychological help.ConclusionChinese pregnant women experienced a mild to moderate level of stigma associated with seeking professional psychological help. Destigmatizing interventions focusing on self-stigma and social stigma should be designed according to maternal characteristics, social support, coping style, and depressive symptoms.
目的 明确急诊输液室患者流量和等待时间的变化规律,为改善急诊拥挤状况和护理质量提供依据.方法 连续入选2021年1-12月北京大学人民医院急诊输液室的患者,收集基本人口学资料、就诊科室、分诊等级以及输液取号时间和叫号时间.结果 共纳入43 413例急诊输液室患者,患者输液等待时间为68.00(2.00,171.00)min.在时间分布规律方面,白天的患者流量和输液等待时间高于夜间;周一、周六、周日患者流量大,输液等待时间长;12、1、2月(冬季)是患者流量和输液等待时间的高峰.结论 急诊输液室患者流量和输液等待时间在日、周和月方面具有规律性,应根据变化规律调整人力资源,以提高护理效率和质量.
对8例复发胶质瘤患者行CAR-T细胞椎管内注射治疗.在常规护理的基础上密切观察和积极救治细胞因子释放综合征及中枢神经系统毒性反应,精心护理皮肤损害,细化腰大池置管护理和心理支持.结果8例患者顺利完成疗程,治疗相关并发症得到有效控制;5例病情好转出院,3例病情进展(2例出院,1例再次手术).个体化精细护理有助于患者顺利完成治疗.
目的 探讨微信小程序作业法在脑卒中吞咽障碍患者居家延续护理中的应用效果,为慢性病患者居家延续护理提供参考.方法 将2021年1～6月入院治疗的43例脑卒中吞咽障碍康复期患者设为对照组,2021年7～12月入院治疗的46例患者设为观察组.对照组采用常规出院后随访,观察组实施微信小程序作业法随访.比较出院后1个月内两组患者居家进食并发症发生率及康复锻练依从性;同时分别于入院及出院后1个月对两组患者的吞咽功能进行评估.结果 两组患者均顺利完成随访;观察组作业完成达标率为82.61％;两组出院1个月后患者康复锻炼依从性、居家进食并发症发生率、吞咽功能比较,差异有统计学意义(均P＜0.05).结论 微信小程序作业法运用于脑卒中吞咽障碍患者居家延续护理,可明显改善患者的吞咽功能,减少居家进食并发症发生率,提高患者康复锻炼依从性.
探讨人口老龄化背景下老老照护现状与对策,为养老照护提供新思路.人口老龄化背景下老老照护问题严峻,其具有照护需求多样、照护能力不足、照护时间过久等特征;人口老龄化日趋严重、养老负担日益加重、核心家庭数量增多、养老护理人员匮乏等为其主要影响因素.人口老龄化背景下老老照护问题令人堪忧,提出完善相关政策、提高老年人基本身体素质、加强照护能力教育、加大家庭社会支持等为其主要应对对策.
