From a pure motor disorder of the bowel,in the past few years,irritable bowel syndrome (IBS) has become a multifactorial disease that implies visceral hypersensitivity,alterations at the level of nervous and humoral c...From a pure motor disorder of the bowel,in the past few years,irritable bowel syndrome (IBS) has become a multifactorial disease that implies visceral hypersensitivity,alterations at the level of nervous and humoral communications between the enteric nervous system and the central nervous system,alteration of the gut microflora,an increased intestinal permeability and minimum intestinal inflammation.Psychological and social factors can interfere with the communication between the central and enteric nervous systems,and there is proof that they are involved in the onset of IBS and influence the response to treatment and outcome.There is evidence that abuse history and stressful life events are involved in the onset of functional gastrointestinal disorders.In order to explain clustering of IBS in families,genetic factors and social learning mechanisms have been proposed.The psychological features,such as anxiety,depression as well as the comorbid psychiatric disorders,health beliefs and coping of patients with IBS are discussed in relation to the symptoms and outcome.展开更多
目的:了解乳腺癌病人住院期间自我表露现状,探讨其影响因素,为临床制定个性化的干预提供参考依据。方法:采用自制的乳腺癌病人一般资料调查问卷、中文版痛苦自我表露指数量表(Distress Disclosure Index,DDI)、领悟社会支持量表(Perceiv...目的:了解乳腺癌病人住院期间自我表露现状,探讨其影响因素,为临床制定个性化的干预提供参考依据。方法:采用自制的乳腺癌病人一般资料调查问卷、中文版痛苦自我表露指数量表(Distress Disclosure Index,DDI)、领悟社会支持量表(Perceived Social Support Scale,PSSS)、中文形容词大五人格量表(Chinese Adjectives Scale of Big-Five Factor Personality,BFFP-CAS)简式版、正负性情绪量表(The Positive and Negative Affect Scale,PANAS)于2020年10月—2021年3月对上海市某三级甲等医院乳腺外科病房189例乳腺癌病人进行调查。结果:乳腺癌病人DDI量表得分为(38.72±5.61)分。PSSS量表得分为(63.77±11.72)分。BFFP-CAS量表中外向性维度得分为(16.65±4.06)分,宜人性维度得分为(18.09±3.70)分,严谨性维度得分为(17.20±3.55)分,神经质维度得分为(12.82±4.50)分,开放性维度得分为(13.44±4.67)分。PANAS量表中正性情绪量表得分为(31.90±9.13)分,负性情绪量表得分为(29.10±8.06)分。121例曾经自我表露过的病人中,向他人表露是应用最多的表露方法(97例)、倾诉是应用最多的表露方式(112例)、丈夫是被选择最多的表露对象(95例)、父母是被选择最少的表露对象(25例)。相关性分析显示领悟社会支持与自我表露水平呈显著正相关(r=0.350,P<0.001)。正性情绪、外向性与自我表露水平呈正相关(r值分别为0.180、0.160,P<0.05)。神经质与自我表露水平呈负相关(相关系数为0.181,P<0.05)。多元线性回归分析显示领悟社会支持程度、正性情绪、神经质是影响乳腺癌病人自我表露水平的主要因素(P<0.05)。结论:乳腺癌病人的自我表露水平偏低,更倾向于向丈夫倾诉自己的内心情感。领悟社会支持水平、正性情绪、神经质人格是自我表露的主要影响因素。临床医护人员应该关注乳腺癌病人的自我表露水平,根据影响因素开展个性化的干预方式,以帮助她们进行�展开更多
基金Supported by The Sectorial Operational Programme Human Resources Development,Contract POSDRU 6/1.5/S/3-,Doctoral studies: through science towards society
文摘From a pure motor disorder of the bowel,in the past few years,irritable bowel syndrome (IBS) has become a multifactorial disease that implies visceral hypersensitivity,alterations at the level of nervous and humoral communications between the enteric nervous system and the central nervous system,alteration of the gut microflora,an increased intestinal permeability and minimum intestinal inflammation.Psychological and social factors can interfere with the communication between the central and enteric nervous systems,and there is proof that they are involved in the onset of IBS and influence the response to treatment and outcome.There is evidence that abuse history and stressful life events are involved in the onset of functional gastrointestinal disorders.In order to explain clustering of IBS in families,genetic factors and social learning mechanisms have been proposed.The psychological features,such as anxiety,depression as well as the comorbid psychiatric disorders,health beliefs and coping of patients with IBS are discussed in relation to the symptoms and outcome.
文摘目的:了解乳腺癌病人住院期间自我表露现状,探讨其影响因素,为临床制定个性化的干预提供参考依据。方法:采用自制的乳腺癌病人一般资料调查问卷、中文版痛苦自我表露指数量表(Distress Disclosure Index,DDI)、领悟社会支持量表(Perceived Social Support Scale,PSSS)、中文形容词大五人格量表(Chinese Adjectives Scale of Big-Five Factor Personality,BFFP-CAS)简式版、正负性情绪量表(The Positive and Negative Affect Scale,PANAS)于2020年10月—2021年3月对上海市某三级甲等医院乳腺外科病房189例乳腺癌病人进行调查。结果:乳腺癌病人DDI量表得分为(38.72±5.61)分。PSSS量表得分为(63.77±11.72)分。BFFP-CAS量表中外向性维度得分为(16.65±4.06)分,宜人性维度得分为(18.09±3.70)分,严谨性维度得分为(17.20±3.55)分,神经质维度得分为(12.82±4.50)分,开放性维度得分为(13.44±4.67)分。PANAS量表中正性情绪量表得分为(31.90±9.13)分,负性情绪量表得分为(29.10±8.06)分。121例曾经自我表露过的病人中,向他人表露是应用最多的表露方法(97例)、倾诉是应用最多的表露方式(112例)、丈夫是被选择最多的表露对象(95例)、父母是被选择最少的表露对象(25例)。相关性分析显示领悟社会支持与自我表露水平呈显著正相关(r=0.350,P<0.001)。正性情绪、外向性与自我表露水平呈正相关(r值分别为0.180、0.160,P<0.05)。神经质与自我表露水平呈负相关(相关系数为0.181,P<0.05)。多元线性回归分析显示领悟社会支持程度、正性情绪、神经质是影响乳腺癌病人自我表露水平的主要因素(P<0.05)。结论:乳腺癌病人的自我表露水平偏低,更倾向于向丈夫倾诉自己的内心情感。领悟社会支持水平、正性情绪、神经质人格是自我表露的主要影响因素。临床医护人员应该关注乳腺癌病人的自我表露水平,根据影响因素开展个性化的干预方式,以帮助她们进行�
