目的 探讨军人在执行重大任务中社会支持、压力感知和心理健康三者间的关系,为做好执行重大任务军人的心理服务工作提供理论和实践依据.方法 采用《领悟社会支持量表》《压力知觉量表》和《症状自评量表》(SCL?90)对428名参加重大任务军人进行问卷调查,采用SPSS22.0和AMOS21.0软件进行统计学分析.结果 428名参加重大任务军人SCL?90阳性检出率为7.71％,除躯体化因子得分与中国正常人常模相比较差异无统计学意义外,SCL?90其他各因子得分均显著低于中国军人常模和中国正常人常模.社会支持对心理健康有负向预测作用(标准化回归系数为-0.319,P<0.01),压力感知对心理健康有正向预测作用(标准化回归系数为0.554,P<0.01);社会支持对压力感知有负向预测作用(标准化回归系数为-0.423,P<0.01),压力感知在社会支持和心理健康间存在显著的部分中介作用(标准化回归系数为-0.085,P<0.05),中介效应占73.5％.结论 社会支持和压力感知是心理健康的重要预测变量,提高社会支持水平、适当降低个体对压力的感知有利于提升个体及群体心理健康水平,促进任务完成.

目的:分析探讨执行重大任务官兵应对方式对心理应激的影响和心理弹性的中介作用.方法:抽取执行某重大军事任务官兵526例,采用简易应对方式量表、心理弹性量表和军人心理应激自评量表对其进行调查测评,分析应对方式、心理弹性与心理应激之间的关系.结果:在执行重大任务中,官兵积极应对、心理弹性及各维度评分分值均高于中等水平,消极应对、心理应激评分分值均低于中等水平,有13例(2.5％)心理应激程度高于正常水平.心理弹性及各维度与积极应对均呈非常显著正相关(P＜0.01),除心理弹性的乐观性维度与消极应对相关不显著(P＞0.05)外,心理弹性及其他维度与消极应对均呈非常显著负相关(P＜0.01).积极应对与心理应激呈非常显著负相关(P＜0.01),消极应对与心理应激呈非常显著正相关(P＜0.01).心理弹性及各维度与心理应激呈非常显著负相关(P＜0.01).心理弹性在积极应对与心理应激之间起完全中介作用;心理弹性在消极应对与心理应激之间起部分中介作用,中介效应占总效应的比例为14.8％.结论:官兵在执行重大任务期间,应对方式是心理应激的重要影响因素,提高官兵心理弹性水平对改善其心理应激状况具有重要意义.

为提高军校文职教员实战化育人能力,根据文职教员队伍现状与教员队伍素质要求,提出以岗位胜任力为导向、以目标与关键成果法为引领,实现角色、知识、文化3个转变,区分角色适应期、主动发展期、最佳创造期3个阶段,处理好个人与军队、个人与团队以及组织培养与自我培养3种关系.

Objective: To study the differences in the effect of multi-salamcinolone and trayandiamide on glycolipid metabolism in elderly patients with hypertension. Methods: From December 2016 to December 2018,200 patients with hypertension were selected for this study, and the patients were randomly divided into two groups. In group A, the patients with group A were treated with a multi-sand treatment, and the treatment period was 2 months with the treatment of the patients with the group B. The differences in diastolic blood pressure, systolic pressure, fasting blood glucose, 2h postprandial blood glucose, cholesterol (TC), triglyceride (TG), low density lipoprotein (LDL) and high density lipoprotein (HDL) were compared between the two groups. Results: The results showed no significant difference between the two groups bepre treatment (P>0.05). After treatment, the diastolic blood pressure and systolic pressure of the two groups were lower than before treatment, but there was no statistical difference between the groups (P>0.05). After treatment, the ,fasting blood glucose and postprandial blood sugar of the patients in group A and group B showed no significant difference (P>0.05). TC, TG, LDL and HDL were all lower than before treatment. However, in group B, it was not as obvious as in group A (P<0.05). Conclusion: There was a positive effect of lowering blood pressure in elderly hypertension patients, but the effect o f multi-sallow on the metabolism of glycolipids in elderly patients with high blood pressure was superior to that of Trajoba.

目的 探讨卫生士官学员人际关系困扰在应对方式和心理适应间的中介作用.方法 采用《特质应对方式量表》《人际关系诊断量表》和《心理适应性能力自测量表》对819名卫生士官学员进行问卷调查.结果 卫生士官学员积极应对均分高于3分、消极应对均分低于3分,人际关系困扰及各维度均分低于0.5分,心理适应均分高于3分.人际关系困扰分别在积极应对和心理适应、消极应对和心理适应间存在显著的部分中介作用.结论 应对方式是卫生士官学员心理适应的重要影响因素,减少人际关系困扰对提高其心理适应能力有重要意义.

边缘型人格障碍(borderline personality disor-der,BPD)是众多人格障碍中的一种,在 1948 年美国颁布的《精神障碍诊断与统计手册I》(DSM-I)中被称为"情绪不稳定型人格障碍"(emotionally unsta-ble personality disorder),其在普通人群中较常见,患病率为5 .8％[1].其主要症状表现为:①人际关系不稳:害怕被抛弃和极度不稳定人际关系;②认知身份偏差:具有偏执性、不合理意念,个体之所以产生消极、认知偏差,主要是持有的不良信念,导致其在应激事件面前,信息加工方式扭曲、自我图式消极[2];③情感、情绪失调:情绪表现出不稳定,易激惹、易焦虑,愤怒空虚感强烈;④行为异常:自杀、自伤冲动行为等.钟明天等[3]使用事件相关电位(ERPs),发现边缘型人格障碍患者的情绪抑制功能存在缺陷,且对于负性情绪刺激的抑制更明显.

ObjectiveTo explore the mediating effect of interpersonal distress between self⁃esteem and sleep quality in nursing officers students,and to provide scientific basis for college administrators and psychological workers to take effective measures.MethodsTotally 254 nursing officers students were investigated by using Self⁃Esteem Scale,Interpersonal Relationship Diagnostic Scale and Athens Insomnia Scale.ResultsThe score of self⁃esteem was 30.30±3.52,interpersonal distress was 4.76±4.79.And score of sleep quality was 4.40±3.71.Self⁃esteem was negatively correlated with interpersonal distress(P<0.01).Interpersonal distress was positively correlated with sleep quality(P<0.01).Self⁃esteem was negatively correlated with sleep quality(P<0.01).Self-esteem could directly predict the sleep quality of nursing officers students.Self⁃esteem could also indirectly predict sleep quality through interpersonal distress.ConclusionsInterpersonal distress in nursing officers students plays a mediating part in the relationship between self⁃esteem and sleep quality.It is suggested that college administrators and college psychologists can adjust the influence of self⁃esteem on sleep quality by improving the interpersonal relationship of nursing officer students.

在现代信息化作战条件下,瞬息万变的战场形式容易对官兵心理产生冲击,使官兵身心紧张,压力增大,进而诱发一系列心理问题,导致部队战斗力下降. 为了在未来战争中取胜,就需要让官兵在非战争的环境中体验到近现代战争环境的心理刺激,从而提高其心理健康水平和战场心理适应能力,以全面提升部队战斗力.

文章论述了行动导向教学法对卫生士官学员的必要性及意义,探讨其在卫生士官学员心理课上的运用,探索学员心理能力培养的现实意义.

目的 探讨卫生专业新兵情绪智力、团队情绪氛围与心理健康间的关系,并检验团队情绪氛围的中介作用.方法 采用分层随机抽样法,以某单位584名新兵为研究对象,采用情绪智力量表、团队情绪氛围量表、SCL-90症状自评量表分别对新兵情绪智力、团队情绪氛围和心理健康水平进行测量,并使用结构方程模型验证中介作用.结果 卫生专业新兵症状自评量表阳性率为11.1％.心理健康总分为低分、中间分、高分的卫生专业新兵情绪智力、团队情绪氛围得分呈显著递增趋势(F值分别为55.527、54.853,P<0.01).卫生专业新兵的情绪智力、团队情绪氛围对心理健康有负向预测作用(标准化回归系数分别为-0.443,-0.282,P<0.01),即情绪智力、团队情绪氛围越高,心理健康水平越差;情绪智力对团队情绪氛围有正向的预测作用(标准化回归系数为0.628,P<0.01),团队情绪氛围在情绪智力和心理健康之间起着部分中介作用(标准化回归系数为-0.266,P<0.01),中介效应占40.0％.结论 卫生专业新兵团队情绪氛围在情绪智力对心理健康的影响中起部分中介作用;提升卫生专业新兵情绪智力和增强团队情绪氛围能有效提升其心理健康水平.

ObjectiveTo explore the mental resilience's mediating effect between the social support,and professional attitudes in non-commissioned civilian nurses.MethodsTotally 452 non⁃commissioned civilian nurses were investigated by using Perceived Social Support Scale(PSSS),The Resilience Scale of Adults(RSA)and Professional Self⁃Concept of Nurses Instrument.ResultsThe total score of professional attitudes of the non⁃commissioned civilian nurses was 83.59±10.32.And 81.6% of non⁃commissioned civilian nurses have a positive professional attitude.The higher the social support level is,the better the mental resilience is,and the more positive professional attitude is.Mental resilience has a significant mediator effect between social support and professional attitudes among non-commissioned civilian nurses.ConclusionIn general,professional attitudes of the non-commissioned civilian nurses are relatively positive.There are close relationships among professional attitudes,social support and mental resilience.Further more,mental resilience has a obvious mediating effect between social support and professional attitudes.

目的 探讨团体心理辅导对军队文职护理人员职业态度和心理弹性的作用.方法 对24名接受培训的军队文职护理人员实施团体心理辅导,分别于干预前、干预后和干预后2个月,采用《护理专业自我概念量表》和《成人心理弹性量表》测评其职业态度和心理弹性.结果 团体心理辅导干预后及干预后2个月,受试人员职业态度各维度得分和综合得分,及心理弹性各维度得分和综合得分较干预前均有显著差别(P<0.05).结论 团体心理辅导可以改善军队文职护理人员的心理弹性,端正其职业态度.

以职业教育、终身教育和终身学习等基础理论为依据,紧密结合当今世界科技发展和军事变革实际,借鉴外军终身教育体系和终身学习体系建设的成功经验与做法,立足我军战略转型建设的实际需要,阐述构建我军军事职业教育终身学习体系的必要性,分析我军军事职业教育终身学习体系存在的问题,提出构建我军职业教育终身学习体系的对策与思考.

[Objective] To study the influence of social support on mental health among non-commissioned civilian nurses,explore the mediating effect of psychological resilience between them.[Methods] Totally 452 non-commissioned civilian nurses were investigated using Resilience scale of adults (RSA),Perceived social support scale (PSSS) and Symptom checklist-90 (SCL-90).SPSS 17.0 and AMOS 17.0 statistical software were used to analyze the data.[Results] The scores of social support and psychological resilience among non-commissioned civilian nurses were higher than medium level,and the mental health score was lower than 2 points.The correlations between planning style factor and social ability factor of psychological resilience and some factors of mental health were not significant,while the correlations between other factors were statistically significant (P＜0.05).The structural equation model (x2/df=2.571,RMSEA =0.054,NFI=0.946,CFI=0.962,IFI=0.968,GFI=0.933,A GFI=0.911) showed that psychological resilience had a significant mediating effect between social support and mental health among non-commissioned civilian nurses.[Conclusion] The social support and psychological resilience are the important predicting variances to mental health.The psychological resilience has a significant mediating effect between social support and mental health.

当前,军校学员的心理健康面临多方面因素、多元化观念的挑战,作为未来信息化战争的主力军,其心理素质的高低在一定程度上决定着战争的胜负走向.通过分析学员心理问题的现状及成因,从加强普遍教育、强化实践教育、实施重点干预、积极营造氛围等方面,提出加强和改进措施,从而提升学员心理健康水平和部队战斗力.

目的 了解某校集训期间卫生学兵躯体疾病与心理健康状况的关系,为有效预防躯体疾病提供依据.方法 以1124名卫生学兵为调查对象,用病例对照研究方法分析躯体患病与心理健康状况的关系.结果 (1)31.2％的卫生学兵患躯体疾病,男兵躯体疾病患病率(33.3％)明显高于女兵(20.3％)(P＜0.01),中专学历者患病率(36.7％)明显高于高中(30.8％)和大专以上学历者(27.3％)(P＜0.05).(2)18.7％的卫生学兵心理诊断阳性,躯体患病与心理健康状况有统计学关联(P＜0.01),RR(95％ CI)=1.67(1.22 ～2.27).躯体患病组躯体化、强迫症状、焦虑、敌对、偏执和精神病性因子分和总分均明显高于未患病组(P＜0.05,P＜0.01).(3)分层分析发现,心理诊断阳性者较心理诊断阴性者,女性RR=2.60(1.04 ～6.51),男性RR=1.54(1.11 ～2.13),军龄1年RR=1.71(1.24～2.36),高中RR=1.61(1.03 ～2.50).结论 卫生学兵躯体患病与心理健康状况有统计学关联,心理诊断阳性者中女性、军龄短、文化程度低者更易发生躯体疾病,因此需进行针对性的心理卫生干预,以减少躯体疾病的发生.

SNS对高校思想政治教育提出了新挑战，利用SNS这一新兴事物对大学生进行思想政治教育是必要的，也是可行的。通过研究相应的对策，可以创新高校教育手段，提高育人效果。

社会对护理人才英语水平的要求日益提高,提高护理专业学生的英语综合能力势在必行.本文探讨了多媒体技术在护理专业英语教学中的优点,提出了在教学实践中要注意的问题,达到运用多媒体技术优化护理专业英语教学的目的.

在大学英语教学中引入英文原声电影,可以激发学生的学习兴趣,培养他们的跨文化交际意识,有效提高他们的听说能力和跨文化交际能力.本文分析了英文原声电影在大学英语教学中的作用,探讨了在教学中引入英文原声电影应注意的问题,以切实发挥英文原声电影的优势,强化英语教学效果.

随着军队院校培训任务调整，我校已承担三届预选士官培训，他们是基层部队卫生机构的年轻力量，也是执行护理操作等其它卫生任务的主要人员，军队卫生工作的完成与他们的工作密不可分，在校时间短暂，除了要让学兵学习专业知识，还要让他们在各方面发展，提高素质以适应基层部队需要。但是在学校中，由于各方面的原因，总存在学习心理不良的学兵，如何正确对待学习心理不良的学生使他们积极地学习，提高素质，成为对部队建设有用的人才，这对提高整个部队的素质，保障战斗力是极为重要的。在教学实践中，我们探讨了学兵的学习不良心理，并有针对性地提出了调适措施。