目的探讨基于云平台的延续护理对乳腺癌患者阈下抑郁的影响。方法采用便利抽样法,选取2021年7月—2022年8月在广西壮族自治区某三级甲等医院乳腺科化疗的74例乳腺癌阈下抑郁患者作为研究对象。按照入院时间先后顺序,将2022年2月—8月入...目的探讨基于云平台的延续护理对乳腺癌患者阈下抑郁的影响。方法采用便利抽样法,选取2021年7月—2022年8月在广西壮族自治区某三级甲等医院乳腺科化疗的74例乳腺癌阈下抑郁患者作为研究对象。按照入院时间先后顺序,将2022年2月—8月入院的患者作为试验组,2021年7月—2022年1月入院的患者作为对照组,各37例。试验组在常规护理基础上实施基于云平台的延续护理,对照组采用常规护理,21 d为1周期,共干预4个周期。于干预前、干预后采用阈下抑郁初筛量表-流调中心抑郁量表(Centre for Epidemiological Studies Depression Scale,CES-D)、汉密尔顿抑郁量表-17(Hamilton Rating Scale for Depression,HAMD-17)、基本心理需求量表(Basic Psychological Needs Scale,BPNS)和乳腺癌患者生命质量测定量表(Functional Assessment of Cancer Therapy-Breast,FACT-B)评价干预效果。结果试验组34例、对照组36例完成研究。干预后,两组的CES-D评分、HAMD-17评分均较干预前降低(P<0.05),试验组的CES-D评分、HAMD-17评分均低于对照组,差异有统计学意义(t=7.748,P<0.001;t=8.150,P<0.001);两组的BPNS评分均较干预前提高,试验组的BPNS评分明显高于对照组(t=-6.534,P<0.001);两组的FACT-B评分均较干预前提高,试验组的FACT-B评分明显高于对照组(t=-4.579,P<0.001)。结论基于云平台的延续护理可改善乳腺癌患者的阈下抑郁状况,提升其自我决定感和生活质量。展开更多
Patients with major depressive disorder （MDD） develop a negative cognitive bias, but how they respond to information in Chinese emotional words is unclear. Here we used a Stroop paradigm with subliminal Chinese emot...Patients with major depressive disorder （MDD） develop a negative cognitive bias, but how they respond to information in Chinese emotional words is unclear. Here we used a Stroop paradigm with subliminal Chinese emotional words to explore the event-related potential components of abnormal emotional processing Jn patients with MDD. The correct rate was similar in MDD and normal control groups, but MDD reaction time was longer than the normal controls, especially to the negative and neutral stimuli. In N270, repeated-measure analysis of variance demonstrated a significant main effect of the relation electrode and valence on peak amplitude and interactions between valence and electrode site. The peak amplitudes of the three kinds of words were different in the two groups （positive 〉 negative 〉 neutral）. The topography of the difference waves indicated that the difference distributed in the frontal and left parietal-temporal sites across the scalp. In N400, there was a significant main effect of the relation electrode and valence on peak amplitude, and the latency showed a main effect of the electrode and an interaction between electrode and group. The amplitudes induced by type of words were significantly different from each other in both groups （positive 〉 negative 〉 neutral）. The topography of the difference waves indicated that the effect of relation type was primarily at left and right frontal and central and left parietal-temporal regions. Both MDD patients and normal controls exhibited significant emotional Stroop effects during the processing of positive/negative Chinese emotional words. MDD patients showed interference in emotional stimuli in early cognitive processing that induced psychological resource intervention during late emotional information processing.展开更多
文摘目的探讨基于云平台的延续护理对乳腺癌患者阈下抑郁的影响。方法采用便利抽样法,选取2021年7月—2022年8月在广西壮族自治区某三级甲等医院乳腺科化疗的74例乳腺癌阈下抑郁患者作为研究对象。按照入院时间先后顺序,将2022年2月—8月入院的患者作为试验组,2021年7月—2022年1月入院的患者作为对照组,各37例。试验组在常规护理基础上实施基于云平台的延续护理,对照组采用常规护理,21 d为1周期,共干预4个周期。于干预前、干预后采用阈下抑郁初筛量表-流调中心抑郁量表(Centre for Epidemiological Studies Depression Scale,CES-D)、汉密尔顿抑郁量表-17(Hamilton Rating Scale for Depression,HAMD-17)、基本心理需求量表(Basic Psychological Needs Scale,BPNS)和乳腺癌患者生命质量测定量表(Functional Assessment of Cancer Therapy-Breast,FACT-B)评价干预效果。结果试验组34例、对照组36例完成研究。干预后,两组的CES-D评分、HAMD-17评分均较干预前降低(P<0.05),试验组的CES-D评分、HAMD-17评分均低于对照组,差异有统计学意义(t=7.748,P<0.001;t=8.150,P<0.001);两组的BPNS评分均较干预前提高,试验组的BPNS评分明显高于对照组(t=-6.534,P<0.001);两组的FACT-B评分均较干预前提高,试验组的FACT-B评分明显高于对照组(t=-4.579,P<0.001)。结论基于云平台的延续护理可改善乳腺癌患者的阈下抑郁状况,提升其自我决定感和生活质量。
基金the National Natural Science Foundation of China,No.30570609
文摘Patients with major depressive disorder （MDD） develop a negative cognitive bias, but how they respond to information in Chinese emotional words is unclear. Here we used a Stroop paradigm with subliminal Chinese emotional words to explore the event-related potential components of abnormal emotional processing Jn patients with MDD. The correct rate was similar in MDD and normal control groups, but MDD reaction time was longer than the normal controls, especially to the negative and neutral stimuli. In N270, repeated-measure analysis of variance demonstrated a significant main effect of the relation electrode and valence on peak amplitude and interactions between valence and electrode site. The peak amplitudes of the three kinds of words were different in the two groups （positive 〉 negative 〉 neutral）. The topography of the difference waves indicated that the difference distributed in the frontal and left parietal-temporal sites across the scalp. In N400, there was a significant main effect of the relation electrode and valence on peak amplitude, and the latency showed a main effect of the electrode and an interaction between electrode and group. The amplitudes induced by type of words were significantly different from each other in both groups （positive 〉 negative 〉 neutral）. The topography of the difference waves indicated that the effect of relation type was primarily at left and right frontal and central and left parietal-temporal regions. Both MDD patients and normal controls exhibited significant emotional Stroop effects during the processing of positive/negative Chinese emotional words. MDD patients showed interference in emotional stimuli in early cognitive processing that induced psychological resource intervention during late emotional information processing.
