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Objective To explore the mental dynamic change of the ten -finger replanted patients, to give psychological rehabilitation guidance, and to improve the survival of the replantation and function recovery. Methods Take psychological investigation with Scl-90 at different periods after operation, judge the exsisting negative psychological factors, and find the countermeasure of solution. Enable the patients to break away from the negative mentations in short period. Results Through the 1 -week, 8 -week and 16 -week Scl - 90 measurements after operation, we found that all the items' score of the three times measurement was higher thanthe usual modellp <0. 05), and fiufuated up and down with mental charadedstics of different phases. The assessment of the replantation of the severed finger was good. Conclusion The psychological state of the patient would affect the survivial and function recovery of the replantation of severed finger directly. 5o the psychological rehabilitation nursing should be performed throughout the disease.
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医学高职院校新生心理健康状况调查
目的 调查与分析某医学高职院校新生心理健康状况,为加强新生心理健康教育提供科学依据。方法 对某院一年级学生采用症状自评量表(SCL - 90)进行集体测查和比较分析。结果 本次调查对象在强迫、人际关系敏感、恐怖、抑郁、偏执症状人数占有率较高;恐怖、精神病性超过全国常模;女生在恐怖、强迫、精神病性高于女性常模;女性恐怖因子高于男性,男性的强迫症状较为严重。结论 被试心理健康程度属大学生心理发展健康正常水平,但部分学生存在一定的心理问题,其心理健康素质有待提高,应进一步推进新生心理健康教育工作,有效促进医学高职大学生的健康成长。
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口腔颌面外科手术患者心理卫生状况调查
目的调查口腔颌面外科手术患者的心理卫生状况,以便提供心理指导. 方法采用症状自评量表(SCL-90)对76例患者进行调查和统计分析. 结果术前躯体化因子分在年龄方面,偏执因子分在文化程度及病种方面有明显差异(P<0.05).术后焦虑、敌对以及偏执因子分在病种方面均有明显差异(P<0.05).术前术后各因子分的变化量比较显示∶躯体化和抑郁因子分的变化量在性别方面,敌对因子分的变化量在职业方面有明显差异(P<0.05).术前、术后各因子分之间均无明显差异. 结论口腔颌面外科患者手术前后存在心理卫生问题,并与多种因素相关.医护人员应有针对性地进行围手术期的心理干预.