The UK's National Institute for Health and Care Excellence (NICE) published guideline of mental wellbeing at work on March 2, 2022. The guideline covers how to create the right conditions for mental wellbeing in the workplace, with the aim of promoting supportive and inclusive workplace environments and helping people with or at potential risk of mental health problems. This review will interpret the guidelines in detail.
Family members are crucial for medical disputes. From the psychology and social perspective, the paper analyzes a specific medical dispute case, and discusses the psychological care for (potential) " shidu” (loss of the only child) family. Based on the current social context, an early intervention suggestion is proposed, that is to provide the whole-process psychological intervention to the special patients’ families. The intervention includes: regular psychological evaluation and psychological support if necessary; providing disease knowledge and death education; providing continuous psychological care by the hospital and community; offerring more psychological care for " shidu” family by society.
摘要:目的:探討手術室護士的精神衛生狀態及工作中負性事件對精神衛生狀態的影響,為提高手術室護士的身心健康提供參考。方法:采用精神衛生自評量表(SCL90)評估60名手術室護士及60名正常人的精神衛生狀態,采用生活事件評定量表(LES)中13項工作相關因子對手術室60名護士進行評估,分析手術室護士與正常人群的精神衛生狀態的差異,并分析工作負性事件與手術室護士精神衛生狀態的相關關系。結果:正常人群SCL90平均分值為94.6分,手術室護士為126.54分,手術室護士高于正常人群,手術室護士工作負性事件平均得分為12.74分,與SCL90得分呈現正相關關系。結論: 手術室護士心理健康狀況較正常人群差,工作負性事件對手術室護士存在較大的心理影響,應采取必要的措施給予心理干預。 Abstract: Objective: To investigate the mental health status and the effect of occupational negative event to mental health,and provid reference for improveing physical and mental health of operating room nurse.Methods:The mental health status of 60 operating room nurse and 60 well adult were evaluated with Symptom Checklist 90 (SCL90),the score of occupational negative event in operating room nurse were evaluated with Life Event Scale(LES),the difference of mental health status between operating room nurse and well aduit were analyzed,then correlation between occupational negative event and mental health status of operating room nurse were analyzed.Results:The score of SCL90 was 94.6 in well adult,126.54 in operating room nurse,the score was higher in operating room nurse, the score occupational negative event in operating room nurse was 12.74,which was a positive correlation with the score of SCL90. Conclusions:The mental health status in operating room nurse was lower to well adoult, occupational negative event had large effect in mental health status,the measure of mental intervention must be take.
目的 總結臨床經驗，提高診治水平。方法 總結我院1992年4月至1998年6月期間5例甲狀腺術后癔病性搐搦的臨床資料。結果 5例均為女性，術前血清鈣、磷濃度正常，無癲癇史。4例行甲狀腺側葉加峽部切除術，1例行甲狀舌骨囊腫切除術。4例于術后1小時50分至3小時20分突發手足搐搦。1例術后5小時25分出現手腕以遠麻木。查體： Chvostek氏征及Troussetau氏征陰性，急查血清鈣、磷及PTH濃度正常，靜脈補鈣無效。結論 甲狀腺術后出現搐搦，如補鈣無效，應考慮癔病的可能。其特點為： 女性，具有一定的文化知識，發病時間早，血清鈣、磷及PTH正常，靜脈補鈣無效，需用心理暗示及鎮靜治療。
In the hospital where centralized treatment was applied for the victims after Yiliang earthquake (on 7th September, 2012), a holistic rehabilitation service mode which centred on supportive psychological intervention promoting was developed by the Yiliang psychological crisis intervention team designated by the National Health and Family Planning Commision of the People’s Republic of China. The pattern takes psychological nurses as liaison, bases on the integrity and continuity of medical service, roots in comprehensive health assessment and key assessment of mental trauma stress, emphasizes on solving realistic problems for patients and their caregivers, provides supportive psychological intervention, and encourages psychological nurses to offer psychological support for earthquake victims with the help of quantitative self-assessment of social psychological support service. In practice, the mode of psychological services, which could be contiuously conducted, is welcomed by hospital managers, work staff, and earthquake victims and their caregivers.
目的 探討伴顳下頜關節紊亂病（TMD）的成人正畸患者的心理社會因素。 方法 2009年5月－2011年12月伴TMD的成人正畸患者42例為觀察組，無矯正要求、伴TMD的錯牙合患者50例為對照組。采用九十項癥狀清單（SCL-90）、艾森克人格問卷（EPQ）進行測試，同時進行TMD調查。 結果 觀察組與對照組相比，得分較高的有強迫、焦慮、抑郁、人際關系敏感等因素，差異有統計學意義（P＜0.05）；觀察組患者P量表、N量表得分高于對照組，差異有統計學意義（P＜0.05）。 結論 伴TMD的成人正畸患者心理健康問題普遍存在,傾向于神經質和精神質的人格特征。
ObjectiveTo systematically review the efficacy of cognitive behavioral therapy (CBT) for improving mental health and social functions in patients with multiple sclerosis (MS). MethodsWe searched PubMed, EMbase, The Cochrane Library (Issue 4, 2016), CBM and CNKI from inception to May 2016, to collect randomized controlled trials (RCT) about CBT on mental health and social function in patients with MS. Two reviewers independently screened literature, extracted data, and assessed the risk of bias of included studies. Then meta-analysis was performed by using RevMan 5.3 software. ResultsA total of 11 RCTs involving 1 102 patients were included. The results of meta-analysis showed that, the HADS scores (depression: MD=-1.28, 95%CI-2.07 to-0.48, P=0.002; anxiety: MD=-1.52, 95%CI-2.99 to-0.06, P=0.04), BDI scores (MD=-9.11, 95% CI-15.82 to-2.40, P=0.008), HRDS scores (MD=-7.23, 95% CI-13.65 to-0.82, P=0.03), Chalder scores (MD=-4.88, 95% CI-6.61 to-3.16, P < 0.000 01), MFIS scores (MD=-2.98, 95% CI-4.52 to-1.44, P=0.000 2) and GHQ-12 scores (MD=-3.61, 95%CI-5.20 to-2.02, P < 0.000 01) in the CBT group were lower than that in the control group. No significant difference was found in WSAS scores (MD=-1.98, 95%CI-4.88 to 0.93, P=0.18) between two groups. ConclusionCBT may be effective for improving the negative mental experience, fatigue and quality of life in MS. No evidence to support CBT has benefits in social functions. Due to the limited quantity and quality of the included studies, the above conclusion needs to be verified by more high quality studies.
Evidence-based psychotherapy is an idea and performance reform in the clinical practice of psychology which is influenced by evidence-based medicine. It proposes to integrate the best available evidence provided by researchers, the clinical expertise of practitioners, and the patient’s characteristics, cultures and preferences, so as to achieve the best treatment. The development of evidence-based psychotherapy can be divided into two stages: empirically supported treatments and evidence-based practice. This paper reviews existing problems as well as developing tendencies.