目的 讨论基于正念认知疗法的心理护理干预对乳腺癌化疗患者的负面情绪、生存质量的影响.方法 选取2017年7月～2019年7月在我院接受化疗治疗的乳腺癌患者126例作为研究样本,将全部入选患者通过数字随机表划分为两组.参照组予以常规护理措施,观察组基于参照组增加应用基于正念认知疗法的心理护理干预.结果 两组患者的抑郁情绪评分、焦躁情绪评分均明显降低,且观察组的下降幅度更大,差异有统计学意义(P<0.05);与参照组相比较,观察组的生存质量评分明显提升,差异有统计学意义(P<0.05).结论 基于正念认知疗法的心理护理干预在乳腺癌化疗患者临床护理中具有重要的应用价值,有利于减缓患者的负面情绪,对患者生存质量的提升具有积极意义.

目的 探讨体育运动对中专护生和本科护生心理健康状况的影响.方法 采用一般资料调查表、体育锻炼等级量表(PARS-3)和症状自评量表(SCL-90)对547名中专和本科护生进行测评,比较不同运动量护生的心理健康状况.结果 ①97.4％的中专护生体育运动量为小运动量,48.3％的本科护生为中等运动量;中专护生运动量远小于本科护生.②中专护生SCL-90各因子得分均高于本科护生.③中专护生心理问题阳性检出率高于本科护生,有中度及以上心理问题者高于本科护生.④护生SCL-90各因子得分与运动量得分呈显著负相关.⑤护生心理健康受学历、体育运动量的影响.结论 学历、体育运动量是影响护生心理健康的重要因素,各护理院校应积极采取有针对性的措施指导护生进行适量体育运动,以提高护生的心理健康水平.

Based on the model of WebQuest in gynecology and obstetrics nursing teaching design, practice and teaching effect evaluation, discuss the construction of the gynecology and obstetrics nursing WebQuest teaching mode and application. Discusses the WebQuest in gynecology and obstetrics nursing teaching mode, the advantages of application and the corresponding strategy, this pattern to a certain extent, make up for the deficiency of the traditional teaching mode.

[目的]探讨传统保健体育对中医药院校护生心理健康状况的影响。[方法]采用一般资料问卷、体育锻炼等级量表(PARS 3)和症状自评量表(SCL 90)对207名中医院校护生进行测评，比较不同运动量护生的心理健康状况。[结果]小运动量护生占33.8%，中等运动量占39.6%，大运动量占26.6%；小运动量者 SCL 90总分及各个因子得分最高；回归分析显示，传统保健体育运动量可预测护生的心理健康状况，中等运动量者心理健康状况较小运动量和大运动量好。[结论]适当的传统保健体育运动对中医药院校护生心理健康有积极影响。

ObjectiveTo explore the quality of life and its influencing factors in hysteria patients.Methods78 cases of hysteria patients and 58 people in the contrast group were studied by using self developed general condition rating scale, WHO quality of life scale, symptom check list and society support rating scale respectively.Results(1) All evaluation of factors in symptom check list, there is a significant difference compare with that of in control group. (2) There is a markedly difference in society support rating scale compare with that of in control group[(22.79±5.08),P<0.01]. (3) Quality of life is much lower than that of in control group(12.40± 3.43 ).The factors score are following: pain and discomfort(16.73±2.58), sleeping(8.25±1.94), negative emotion(16.11±3.11), medical dependent(16.52±3.29), working- ability(13.63±3.27), sexual life ( 10.17 ±2.85)and safety( 11.23 ±2.97),(P<0.05~0.01); there are markedly difference in those factors. Among the six aspects, there are significant differences in the fields of physiology(34.16±4.32), psychology, independence (50.09±6.21)and environment. Multivariate regression study shows depression, subjective support and phobia are the key factors to influence the quality of life of hysteria patients.ConclusionLower mood, medical dependent, lower social functions and difficult of subjective feeling acquirement are the key factors to lower the quality of life, so it is necessary to treat the depression while the patients receive psychological therapies.