目的探讨采用叙事护理对晚期肺癌患者心境与症状群管理的效果。方法便利抽样选取2014年5月至2016年6月120例来自心理护理门诊的晚期肺癌患者,随机分为常规组和叙事组,常规组行传统心理护理,叙事组在常规心理护理上增加叙事护理,分别在...目的探讨采用叙事护理对晚期肺癌患者心境与症状群管理的效果。方法便利抽样选取2014年5月至2016年6月120例来自心理护理门诊的晚期肺癌患者,随机分为常规组和叙事组,常规组行传统心理护理,叙事组在常规心理护理上增加叙事护理,分别在患者初次门诊(干预前)和第4次门诊时(干预后)采用简式简明心境问卷(brief profile of mood state short form,BPOMS-SF)、患者健康问卷(patient health questionnaire-9,PHQ-9)、广泛性焦虑量表(generalized anxiety disorder,GAD-7)、匹兹堡睡眠质量指数(Pittsburgh sleep quality index,PSQI)和疼痛数字评分表(numerical rating scale,NRS)对其进行测评,并比较得分情况。结果两组患者的心境状况与症状群得分均较干预前有所下降,但叙事组得分下降更明显,与常规组比较,差异均具有统计学意义(均P<0.05)。结论叙事护理作为一种有效的护理技术,能明显改善晚期肺癌患者负性心境,减轻其各症状群的困扰,满足其对心理健康及康复的需求,值得在医院推广使用。展开更多
This paper analyzes the characteristics of emotion state and group behavior in the evacuation process.During the emergency evacuation,emotion state and group behavior are interacting with each other,and indivisible.Th...This paper analyzes the characteristics of emotion state and group behavior in the evacuation process.During the emergency evacuation,emotion state and group behavior are interacting with each other,and indivisible.The emotion spread model with the effect of group behavior,and the leader-follower model with the effect of emotion state are proposed.On this basis,exit choice strategies with the effect of emotion state and group behavior are proposed.Fusing emotion spread model,leader-follower model,and exit choice strategies into a cellular automata(CA)-based pedestrian simulation model,we simulate the evacuation process in a multi-exit case.Simulation results indicate that panic emotion and group behavior are two negative influence factors for pedestrian evacuation.Compared with panic emotion or group behavior only,pedestrian evacuation efficiency with the effects of both is lower.展开更多
文摘目的探讨采用叙事护理对晚期肺癌患者心境与症状群管理的效果。方法便利抽样选取2014年5月至2016年6月120例来自心理护理门诊的晚期肺癌患者,随机分为常规组和叙事组,常规组行传统心理护理,叙事组在常规心理护理上增加叙事护理,分别在患者初次门诊(干预前)和第4次门诊时(干预后)采用简式简明心境问卷(brief profile of mood state short form,BPOMS-SF)、患者健康问卷(patient health questionnaire-9,PHQ-9)、广泛性焦虑量表(generalized anxiety disorder,GAD-7)、匹兹堡睡眠质量指数(Pittsburgh sleep quality index,PSQI)和疼痛数字评分表(numerical rating scale,NRS)对其进行测评,并比较得分情况。结果两组患者的心境状况与症状群得分均较干预前有所下降,但叙事组得分下降更明显,与常规组比较,差异均具有统计学意义(均P<0.05)。结论叙事护理作为一种有效的护理技术,能明显改善晚期肺癌患者负性心境,减轻其各症状群的困扰,满足其对心理健康及康复的需求,值得在医院推广使用。
基金Project supported by the National Key Research and Development Program of China(Grant No.2017YFC0803903)the National Natural Science Foundation of China(Grant No.62003182)。
文摘This paper analyzes the characteristics of emotion state and group behavior in the evacuation process.During the emergency evacuation,emotion state and group behavior are interacting with each other,and indivisible.The emotion spread model with the effect of group behavior,and the leader-follower model with the effect of emotion state are proposed.On this basis,exit choice strategies with the effect of emotion state and group behavior are proposed.Fusing emotion spread model,leader-follower model,and exit choice strategies into a cellular automata(CA)-based pedestrian simulation model,we simulate the evacuation process in a multi-exit case.Simulation results indicate that panic emotion and group behavior are two negative influence factors for pedestrian evacuation.Compared with panic emotion or group behavior only,pedestrian evacuation efficiency with the effects of both is lower.
