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Validity and reliability of the Brain Health Self-Efficacy Scale for the elderly

General Psychiatry 2020年第5期33卷 319-327页

作者： Yining Gao Ming Cui Chunyan Yang Yuejing Wu Yun Long yaopian chen Hongshen Liu Lin Sun Yinghua Yang Xia Li Shanghai Mental Heatth Center Shanghai Jiao Tong University Schoo of MedicineShanghaiChina Yinhang Community HealthCenter Yangpu DistrictShanghaiChina Shanghai Municipal Center forDisease Control and Prevention ShanghaiChina

Background With the rapid increase in ageing population,China is confronted with the daunting challenge of a growing number of patients with neurocognitive disorders(NCDs).This trend makes the maintenance of self-health and early intervention essential,highlighting the need for a tool that assesses self-efficacy of older adults in maintaining brain health or cognitive *** This study aimed to design the Brain Health Self-Efficacy Scale(BHSES)to measure elderly individuals'attitudes to NCDs,motivations and future plans for controlling *** psychometric properties of BHSES have been *** Based on the current literature and relevant models,a 19-item scale was created during the first stage.A total of 660 older adults in the Yinhang community of Shanghai were *** statistical approaches of item analysis,exploratory factor analysis(EFA),confirmatory factor analysis(CFA),criterion-related validity and reliability test were used to evaluate the quality of *** addition,the Geriatric Depression Scale(GDS)and the Self-Rating Anxiety Scale(SAS)were used as criteria to test the criterion-related *** To test item differentiation,the study adopted item analysis and excluded item *** a random half of the sample for EFA,the BHSES was refined to 16 items,which were categorised into the following three dimensions:'memory belief efficacy','self-care efficacy'and'future planning efficacy'.These were highly consistent with the hypothesis *** cumulative variance contribution rate reached 61.14%,with factor loads of all items above *** three-factor model was confirmed by the remaining data through *** fit indices reached the acceptable level(x2=3.045,Goodness of Fit Index=0.898,adjusted Goodness of Fit Index=0.863,Comparative Fit Index=0.916,Incremental Fit Index=0.917,Tucker-Lewis Index=0.900,root mean square error of approximation=0.079 and root mean residual=0.068).The GDS and SAS scores revealed significant corr

关键词： dimensions criterion validity

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A case report of FTD with acute manifestation of psychiatric symptoms and comorbidity of Neuroleptic malignant syndrome

A case report of FTD with acute manifestation of psychiatric...

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2018年浙江省老年精神障碍学术年会

作者： Wu yuejing chen yaopian Sun lin Tao jing Li xia Xiao shifu The geriatric psychiatric department of Shanghai Mental Health Center the psychiatric department of Zhejiang Hospital

Frontotemporal dementia(FTD) is the third most common dementia for individuals 65 years and older,and is the second most common form for individuals 65 years and *** affects brain regions implicated in motivation,personality,social cognition,attention,executive functioning and *** clinic subtypes of FTD,like behavioral variant FTD(bvFTD),and variants of primary progressive aphasia(PPA) which contain the semantic variant of primary progressive aphasia(svPPA) and nonfluent variant of primary progressive aphasia(nfvPPA),are currently characterized by different clinic manifestation of specific cognitive,behavioral and socio-emotional deficits,and associated with different focal neurodegeneration in the frontal and anterior temporal *** companied with complicated presentation of neuropsychiatric symptoms,the clinic had high risk of misdiagnosis and increased difficulty in treatment.A 66 years old male patient who had an acute manifestation of aggressive behavior for 2 months,had delusions of persecution and refused food and medicine for 1 week,was sent to our inpatient *** patient had a three-year history of memory impairment(like forget his daughter’ s call),executive function deficits(like don’ t know how to conduct his laptop),and changing of character(from temperate to aggressive and bold).He got 21 in MMSE and 18 in MoCA for the first time in Oct,2014,and the MRI scan indicated "encephalatrophy".Obtaining a clinic diagnosis of "dementia" in neurology outpatient,he was prescribed with donepezil for the next *** symptoms of disinhibited behavior and memory decline *** followed up in the neurology outpatient in 2015 and got 15 in MMSE and 8 in MoCA,the treatment was replaced by memantine(maximum 10 mg/day).In Feb 2016,the patient had a seizure attack for 1-2 minutes which positive electroencephalogram *** he had been cured with combination of gabapentin(300 mg,Tid) since then,he still had similar seizure a

关键词： Frontotemporal dementia neuroleptic malignant syndrome epilepsy donepezil

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精神科一线临床护士职业获益感与职业价值观和知觉压力的相关性

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健康研究 2024年第3期44卷 259-264页

作者：谷良丹林金燕陈瑶偏王晓芒温州市第七人民医院老年精神科浙江温州325000 温州市第七人民医院老年重症精神障碍病区浙江温州325000 温州市第七人民医院睡眠医学科浙江温州325000

目的调查了解精神科一线临床护士的职业获益感现状,并分析其与护士职业价值观、知觉压力的相关性,为稳定精神科护理人才队伍提供参考。方法采用一般资料调查表、护士职业获益感问卷、护士职业价值观调查表、知觉压力量表,对160名精神科... 详细信息

目的调查了解精神科一线临床护士的职业获益感现状,并分析其与护士职业价值观、知觉压力的相关性,为稳定精神科护理人才队伍提供参考。方法采用一般资料调查表、护士职业获益感问卷、护士职业价值观调查表、知觉压力量表,对160名精神科一线临床护士进行调查。结果160例精神科护士职业获益感总分为(120.64±15.56)分,职业价值观总分为(87.85±10.84)分,知觉压力总分为(23.74±8.18)分;不同职称、聘任方式、夜班频数、是否参与临床带教、是否参与科研项目的精神科护士间,职业获益感总分差异有统计学意义(P<0.05)。Pearson相关分析结果显示,精神科护士职业获益感总分与职业价值观总分呈正相关(r=0.858,P<0.05),与知觉压力总分呈负相关(r=-0.719,P<0.05);多元逐步回归分析结果显示,职称、参与临床带教、参与科研项目、职业价值观对精神科护士职业获益感有正向预测作用,而知觉压力对其有负向预测作用,均P<0.05。结论精神科一线临床护士职业获益感处于中等水平,且与其职业价值观、知觉压力、职称、是否参与临床带教、科研项目有关,建议医院管理者针对相关因素采取措施以提高精神科一线护士的职业获益感。

关键词：精神科一线护士职业获益感职业价值观知觉压力

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艾灸配合耳穴压豆干预维持性血液透析患者睡眠障碍效果分析

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新中医 2020年第7期52卷 114-116页

作者：林永坚朱秀微叶鑫武陈瑶偏孙琼瑶陈黎明温州市第七人民医院浙江温州325005 温州市瓯海区第三人民医院内科浙江温州325014

目的:观察艾灸配合耳穴压豆干预维持性血液透析(MHD)患者睡眠障碍的临床疗效及对生活质量的影响。方法:选取120例符合要求的患者作为研究对象,随机分为对照组和观察组各60例。对照组睡前口服地西泮片。观察组每晚睡前艾灸涌泉、足三里... 详细信息

目的:观察艾灸配合耳穴压豆干预维持性血液透析(MHD)患者睡眠障碍的临床疗效及对生活质量的影响。方法:选取120例符合要求的患者作为研究对象,随机分为对照组和观察组各60例。对照组睡前口服地西泮片。观察组每晚睡前艾灸涌泉、足三里和三阴交,并采用耳穴压豆进行干预。疗程均为4周。治疗前后评定匹兹堡睡眠质量指数(PSQI)评分和肾脏疾病生活质量简表(KDQOL-SF)评分。比较2组的临床疗效。结果:治疗后,观察组临床疗效优于对照组(P<0.05)。2组7项因子评分与PSQI总分均较治疗前下降(P<0.01),KDQOL-SF评分均较治疗前升高(P<0.01)。观察组PSQI 7项因子评分与总分均低于对照组(P<0.01),KDQOL-SF评分高于对照组(P<0.01)。结论:艾灸配合耳穴压豆干预MHD患者睡眠障碍可显著改善睡眠情况,提高患者的生活质量,临床疗效显著。

关键词：维持性血液透析睡眠障碍艾灸耳穴压豆生活质量

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