目的 分析近10年国际医学心理学领域的热点论文,针对医学心理学学科发展的趋势与问题提出学科发展建议.方法 应用双向聚类的文献计量学对2011～2021年PubMed数据库中收录的医学心理学相关文献进行分析.结果 2011～2021年该学科的研究热点与学科交叉发展主要集中在以下3个方面:(1)与肿瘤治疗融合,关注癌症患者的心理状态筛查与干预.(2)与新技术发展融合,利用计算机、基因技术等开展干预.(3)与卫生健康管理融合,关注医学心理服务管理.结论 国际医学心理学研究重视癌症患者的心理健康干预,注重与新技术结合,关注心理服务体系建设等.建议医学心理学等交叉学科应关注重大健康风险、充分利用新技术革命、加强应用型人才培养等,促进全民健康覆盖,推动学科发展.

疫情防控期间的在线教学给一些理论与技能学习并重的学科带来了极大的挑战,"护理学基础"课程即为其中之一.本文介绍了北京协和医学院"护理学基础"课程在线技能教学的探索与实践,包括教师团队基于线上教学特点和大纲要求,于授课前研讨教学方法、完善课程设计,授课中充分利用视频、虚拟教学和图片等现有资源,分解学习技能操作知识点,授课后以任务发布、小组分享等居家学习形式,引导学生完成技能操作练习.这些探索和实践在最大程度上保障了"护理学基础"课程技能教学目标的实现,得到了学生的积极反馈,可为今后护理专业的在线技能教学提供有利的借鉴.

Objective To explore the application effect of coaching technology in college students' autonomous learning nursing psychology.Methods By convenience sampling,eighty-nine undergraduate nursing students were selected and divided randomly into observation group(n =45) and control group(n =44).Observation group students participated in self-studying and teaching under coaching technology.Control group students listen to lectures and take part in a discussion in class.The students' learning interest,psychological nursing ability,self-confidence and autonomic learning ability were evaluated at the beginning and end of the semester.Results After the end of the semester,the students reported that their learning interest,psychological nursing ability,self-confidence,autonomic learning ability and some other ability were improved greatly(P ＜0.05).In addition,the score of autonomic learning ability in the observation group was significantly improved than that in the control group(P＜0.05).Conclusions In the nursing psychological course,tutoring students to participate in teaching by coaching technology can improve students'learning interest,especially the autonomic learning ability.

Objective:To explore the application effect of experiential teaching combined with psychological coaching technology in the nursing psychology course.Methods:A total of 89 undergraduate nursing students were divided randomly into experimental group (n =45) and control group(n =44).The students in experimental group participated by themselves in experiential teaching under coaching technology.The students in control group participated in listening lectures or discussion in the experiential teaching.Results:After experimental teaching combined coaching technology,the scores of interest in learning,team cooperation ability,self-learning ability and innovative thinking ability were improved in all students,especially in the interest of learning.In addition,the independent learning ability of students in the experimental group was significantly higher than that in the control group(P＜0.05),and 92.5％ of the students were in favor of teaching reform.Conclusions:For the nursing psychological course,experiential teaching combined psychological coaching could improve the ability and quality of the students,especially the interest of learning.Participate by themselves in teaching under coaching could promote the cultivation of independent learning ability.

Objective: This study aimed to determine the prevalence of depression and inlfuencing factors in an elderly community population. Methods: A cross-sectional study was conducted. A sample of 200 Beijing residents aged 60 and above was recruited and surveyed with Geriatric Depression Scale (GDS). Demographic data, health status and other associated factors were also examined. Results: The prevalence of depression was 8.3%. Age, self-reported health and emotion conditions, as well as life events were found to be associated with depression in the elderly. Conclusion: Depression of the community elderly is inlfuenced by several factors. The current study provides a basis to guide future study in prioritizing the correlation between self-cognition and life events, and designing effective interventions to promote healthy aging of this vulnerable population.

Objective To explore the dynamic changes of mental health of undergraduate nursing students and provide scientific basis for mental health education. Methods A total of 60 undergraduate nursing students in Gracd 2012 one school were received following-up investigation for four times in three years with symptom checklist 90 (SCL-90). Results The scores of obsessive, anxiety and psychotic factors were higher in the freshmen than those in Chinese youth norm (P <0. 05). The mental health status of students gradually improved with the increase of grades, and the differences were not statistically significant to the third grade ( P>0. 05). In addition, the scores of some factors increased at the beginning of the second grade, especially interpersonal sensitivity (P<0. 05), then began to decline. Conclusions The mental health status of nursing freshmen is not optimistic, and we should strengthen mental health education to improve their psychological quality. Although their mental health status becomes better one year later, they are still confronted with difficulties in interpersonal skills.

[目的]探讨护理新生的心理健康状况，为开展心理健康教育提供科学依据。[方法]采用症状自评量表(SCL 90)对北京某医学院近两届273名本科、专科护理新生进行问卷调查，并与全国青年常模、大学生常模进行比较。[结果]护理新生心理问题主要表现为强迫症状、人际关系敏感、焦虑和抑郁。个别因子分值高于国内青年常模，所有因子分均低于大学生常模。与其他院校非护理新生比较，护生表现出更多的人际问题和抑郁、焦虑情绪。[结论]北京某医学院护理新生心理健康状况稍差，护生人际关系状况不乐观，需教育者关注。