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Neuropsychological diagnosis of a female patient with Arnold-Chiari malformation type I 阿诺德-卡氏畸形 I 型女性患者的神经心理诊断
IF 0.7 Q4 PSYCHOLOGY Pub Date : 2023-12-18 DOI: 10.5604/01.3001.0054.1734
N. Nowaczyk, Jolanta Góral-Półrola
Arnold–Chiari I malformation is a congenital malformation of the hindbrain characterized by displacement of the cerebellar tonsils into the foramen magnum, pressure on the fourth ventricle, and decreased fluid flow to the basal cisterns. It is a mild form of the neuro-cranio-vertebral syndrome (Arnold–Chiari syndrome) because in many cases it is asymptomatic or has few clinical signs and symptoms of mild severity.The case study presented in the article concerns a 16.5-year-old patient with Arnold–Chiari I malformation following surgery. Based on the neuropsychological diagnosis, clinical symptoms that might result from the course of structural and functional changes in the hindbrain in Arnold–Chiari I syndrome were described and explained. The following were observed: selective difficulties in planning and concentration (maintaining the direction of action) and a weakening of visual perception (described by the patient as a subjective state of derealization).The results of the neuropsychological diagnosis point to certain practical implications for the further therapeutic treatment of patients with a mild form of Arnold–Chiari I malformation, especially as there is a risk of clinical symptoms changing over time due to the posibility of progressive neurodegenerative changes in the hindbrain.
阿诺德-卡氏Ⅰ型畸形是一种先天性后脑畸形,其特征是小脑扁桃体移位至枕骨大孔,第四脑室受压,流向基底腔的液体减少。它是神经-颅脑-椎体综合征(阿诺德-卡里综合征)的一种轻型形式,因为在许多病例中它没有症状或临床症状和体征较少,严重程度较轻。文章中的病例研究涉及一名 16.5 岁的阿诺德-卡里Ⅰ型畸形术后患者。根据神经心理学诊断,对阿诺德-卡氏Ⅰ型综合征后脑结构和功能变化过程可能导致的临床症状进行了描述和解释。神经心理诊断的结果为轻度阿诺德-卡里Ⅰ型畸形患者的进一步治疗指出了一些实际意义,特别是由于后脑神经退行性病变可能导致临床症状随时间推移而发生变化的风险。
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引用次数: 0
Psychological rehabilitation of combatants in Ukraine from 2014 to 2021: statistics and current status 2014 至 2021 年乌克兰战斗人员的心理康复:统计数据和现状
IF 0.7 Q4 PSYCHOLOGY Pub Date : 2023-11-20 DOI: 10.5604/01.3001.0054.0125
M. Tkalych, I. Snyadanko, T. Shapovalova, O. Falova, Iryna Sokolova
Military action in eastern Ukraine [Anti-terrorist Operation (ATO)] has a significant impact on the psyche of combat participants and causes changes in the life activities and behaviour of the individuals concerned. The traumatic experience gained during hostilities has a negative impact on the health of military personnel. According to psychiatrists’ forecasts, in the best-case scenario, 20% of combatants in Ukraine will be diagnosed with chronic post-traumatic stress disorder, which has already been given the name “ATO syndrome”. Given this, there is now an urgent need for rehabilitation activities, and the new conditions of hybrid warfare require social service professionals to respond quickly to combatants’ requests to organise and deliver comprehensive rehabilitation. Therefore, the aim of this study is to analyse the provision and conduct of psychological rehabilitation of combatants in Ukraine from 2014 to 2021.Philosophical and general scientific methods were employed to achieve the aim. Among the general scientific methods, the theoretical (analysis, generalisation, classification, and synthesis) and empirical (description and comparison) levels should be highlighted. Also, a bibliosemantic method was used to summarise the analysis of the subject literature and our own experimental data. In addition, various programs were employed to rehabilitate the military. For example, the “Cyber Defenders” project, which was launched in 2021. This involved 30 veterans who will receive a certificate in cybersecurity upon graduation. The E-Veteran system, which allows veterans to seek psychological support, was also analyzed.As the main results, it is worth mentioning that psychological rehabilitation is a pool of psychophysiological, psychotherapeutic, organisational, and medical measures aimed at the resumption of lost mental functions and psychocorrection of the social status of military personnel who have suffered mental combat trauma. The study analysed the mental state and profile of servicemen and servicewomen, the psychological and psychiatric problems that affected them, and government programmes and projects to support and assist ATO/JFO(Joint Forces Operation) veterans. Regarding the process of psychological rehabilitation for military personnel in Ukraine itself, positive trends can be observed since 2014, such as the opening of the Ministry of Veterans’ Affairs, but in the light of current threats and challenges, these undertakings are still insufficient.The system of psychological assistance and rehabilitation of ATO participants should be considered a component of the national security of the state. The article is of practical value in a range of areas, including in political, social work, pedagogical, and educational fields, as well as having application in criminal justice and the law.
乌克兰东部的军事行动[反恐行动(ATO)]对参战人员的心理产生了重大影响,并导致相关人员的生活活动和行为发生变化。敌对行动期间的创伤经历对军事人员的健康产生了负面影响。根据精神病学家的预测,在最好的情况下,乌克兰将有 20% 的战斗人员被诊断患有慢性创伤后应激障碍,这种障碍已被命名为 "ATO 综合症"。有鉴于此,现在迫切需要开展康复活动,而混合战争的新情况要求社会服务专业人员迅速响应战斗人员的请求,组织并提供全面的康复服务。因此,本研究旨在分析 2014 年至 2021 年乌克兰战斗人员心理康复的提供和开展情况。在一般科学方法中,应强调理论(分析、概括、分类和综合)和经验(描述和比较)层面。此外,我们还采用了书目语法来总结对主题文献和我们自己的实验数据的分析。此外,我们还采用了各种计划来改造军队。例如,2021 年启动的 "网络卫士 "项目。该项目涉及 30 名退伍军人,他们毕业后将获得网络安全证书。研究还分析了允许退伍军人寻求心理支持的 "电子退伍军人 "系统。作为主要成果,值得一提的是,心理康复是心理生理、心理治疗、组织和医疗措施的集合,旨在恢复遭受精神战斗创伤的军人失去的心理功能和社会地位的心理矫正。研究分析了男女军人的精神状态和概况、影响他们的心理和精神问题,以及支持和帮助 ATO/JFO(联合部队行动)退伍军人的政府方案和项目。关于乌克兰本国军事人员的心理康复进程,可以看到自 2014 年以来的积极趋势,如退伍军人事务部的成立,但鉴于当前的威胁和挑战,这些工作仍显不足。这篇文章在政治、社会工作、教学和教育等多个领域都具有实用价值,同时也适用于刑事司法和法律。
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引用次数: 0
EYE TRACKER AS A TOOL SUPPORTING DIFFERENTIAL DIAGNOSIS IN THE STATES OF DISORDES OF CONSCIOUSNESS (DOC) 眼动仪作为一种支持意识障碍状态鉴别诊断的工具(doc)
Q4 PSYCHOLOGY Pub Date : 2023-11-02 DOI: 10.5604/01.3001.0053.9340
Maria Pąchalska, Agnieszka Buczaj, Jakub Kopowski, Anna Pecyna, Piotr Maksym, Marcin Buczaj, Anna Rasmus
One of the key parameters in the evaluation of disorders of consciousness (DOC) is visual behavior. In the past, visual potential testing or PET scanning was mainly used to assess these parameters. Recently, Eye Tracker (ET) technology for assessing visual functions has emerged; however, there are only a few publications devoted to the use of this technology in assessing people with disorders of consciousness (DOC). The purpose of this study was to evaluate the feasibility of using ET in the diagnosis of visual functioning in DOC patients.The study group consisted 25 patients (8 women and 17 men) awakened from prolonged post-traumatic coma in the Care and Treatment Facility of the "Light" Foundation in Toruń. The coma occurred as a result of severe brain damage: brain injury, stroke or sudden cardiac arrest. The mean age was 39.83 (SD 11.88) for the entire group, 38.85 (SD 9.99) for women, and 40.23 (SD 12.84) for men. All of these patients were in various states of disorders of consciousness (DOC), which was examined using the Coma Recovery Scale-Revised (CRS-R) (Giaciano et al., 2004). Appropriate inclusion and exclusion criteria were applied based on examinations by an internal medical physician and an ophthalmologist. Important exclusion criteria from the study were infection, elevated temperature, visual impairment and patient agitation. The visual functioning of the patients was measured with the use of the Eye Tracker Tobii X-120 device.A significant difference in visual functioning was demonstrated primarily in the areas of (1) reaction time to first fixation, where the Minimal Consciousness State minus (MCS-) group showed a significantly longer reaction time compared to the Minimal Consciousness State plus (MCS+) and the Emergency of Minimal Consciousness State (EMCS) groups; (2) fixation duration, where the MCS- group showed a longer time compared to patients in the MCS+ and EMCS groups; (3) the number of fixation points on the screen, where the MCS- group showed a significantly lower number of fixation points compared to the MCS+ and EMCS groups.Eye Tracker Tobii X-120 can serve as a valuable tool to aid in the neuropsychological diagnosis of individuals experiencing states of reduced consciousness. Indicators that most differentiate between the different levels of impaired consciousness include the time to the first fixation, the number of fixation points on the screen and the total number of fixations.
视觉行为是评估意识障碍(DOC)的关键参数之一。过去主要采用视电位测试或PET扫描来评估这些参数。近年来,眼动仪(Eye Tracker, ET)技术被应用于视觉功能评估;然而,只有少数出版物致力于使用这种技术来评估患有意识障碍(DOC)的人。本研究的目的是评估应用ET诊断DOC患者视觉功能的可行性。研究小组包括25名患者(8名女性和17名男性),他们在托鲁瓦“光”基金会的护理和治疗设施中从长期的创伤后昏迷中醒来。昏迷是严重脑损伤的结果:脑损伤、中风或心脏骤停。整个组的平均年龄为39.83岁(SD 11.88),女性为38.85岁(SD 9.99),男性为40.23岁(SD 12.84)。所有患者均处于不同的意识障碍状态(DOC),使用昏迷恢复量表-修订版(CRS-R)进行检查(Giaciano et al., 2004)。根据一名内科医生和一名眼科医生的检查,采用了适当的纳入和排除标准。研究中重要的排除标准是感染、体温升高、视力损害和患者躁动。使用眼动仪Tobii X-120测量患者的视觉功能。视觉功能的显著差异主要表现在(1)第一次注视时的反应时间,最小意识状态减组(MCS-)的反应时间明显比最小意识状态加组(MCS+)和最小意识状态紧急组(EMCS)的反应时间长;(2)固定时间,与MCS+和EMCS组相比,MCS-组的固定时间更长;(3)屏幕注视点数量,其中MCS-组的注视点数量明显低于MCS+组和EMCS组。眼动仪Tobii X-120可以作为一种有价值的工具,帮助在经历意识减少状态的个体进行神经心理学诊断。区分不同意识受损程度的指标包括第一次注视的时间、屏幕上注视点的数量和注视的总数。
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引用次数: 0
DETERMINANTSOF BURNOUT AND ITS PREVALENCE AMONG EMPLOYEES IN A MOROCCAN PRIVATE COMPANY 摩洛哥一家私营公司员工职业倦怠的影响因素及其流行程度
Q4 PSYCHOLOGY Pub Date : 2023-10-25 DOI: 10.5604/01.3001.0053.9565
Samira Arji, Rabea Ziri, Youssef Aboussaleh, Fatima Zahra Azzaoui, Kamil Krupa, Ahmed O.T. Ahami
Burnout or occupational exhaustion syndrome is a neuropsychological disorder resulting from chronic stress at work. Employees of private companies are highly exposed to this risk because of the overload of work in addition to the long daily working hours. We have therefore conducted a study whose aim is to assess the prevalence of burnout and its components, as well as to study socio-professional determinants among employees.We tested 102 employees aged between 22 and 60 years with an average age of 36.76 years 10.5 years. 77% were men and 24% were women. They were asked to complete freely and anonymously a general information sheet and the MBI questionnaire “Maslach Burn-out Inventory” in its French version with language adaptation. This consists of 22 items, evaluating three dimensions: emotional exhaustion (EE), depersonalization (DP) and personal accomplishment (PA). A score was calculated and a rating in the degree of severity (low, moderate and high) was given for each of the dimensions, according to internationally accepted standards.The analysis of the results showed a high prevalence of burnout. Statistical analyses show that the rate of burnout in the age group over 40 equals 47.2% against 31.8% only among employees aged under 40. Similarly, the burnout rate among women is about the same as men (p=0.977). Emotional exhaustion (EE) is the most widespread component in exhausted subjects. It was found to be high for 14.7% of em- ployees; while depersonalization (DP) or high cynicism affects only 3.9% of subjects. Significant links between depersonalization and gender as well as professional seniority are obtained. Concerning the level of schooling, the rate of burnout decreases when the school level increases but without significance (p = 0.474). The rate of burnout is high among executing workers followed by senior managers. However, this link remains statistically insignificant. Concerning seniority, we note that the prevalence of burnout increases with professional seniority and even in the meaningless position. We also observe a higher rate of burnout among employees withcompany seniority of less than 10 years in addition to the oldest, but without any meaning.Professional exhaustion or burnout exists strongly in Moroccan compa- nies. In order to be able to adapt to the rapid development of the market and its increased demands, it is essential that business leaders prevent this pathology by improving the psychosocial work environment.
职业倦怠或职业疲劳综合症是一种由长期工作压力引起的神经心理障碍。私营公司的员工由于每天工作时间长,工作负荷过重,因此极易受到这种风险的影响。因此,我们进行了一项研究,其目的是评估倦怠的患病率及其组成部分,以及研究员工中的社会专业决定因素。我们测试了102名年龄在22岁到60岁之间的员工,平均年龄为36.76岁到10.5岁。77%是男性,24%是女性。他们被要求自由和匿名地完成一份一般信息表和MBI问卷“马斯拉克倦怠量表”的法语版本,并进行语言改编。本研究包括22个项目,评估三个维度:情绪耗竭(EE)、人格解体(DP)和个人成就(PA)。根据国际公认的标准,计算一个分数,并对每个维度的严重程度(低、中、高)进行评级。分析结果显示,职业倦怠的发生率较高。统计分析显示,40岁以上员工的倦怠率为47.2%,而40岁以下员工的倦怠率仅为31.8%。同样,女性的倦怠率与男性大致相同(p=0.977)。情绪衰竭(EE)是疲惫受试者中最普遍的组成部分。调查发现,14.7%的员工有较高的抑郁情绪;而人格解体(DP)或高度玩世不恭只影响了3.9%的受试者。人格解体与性别和专业年资之间存在显著联系。在学校教育水平方面,随着学校教育水平的提高,职业倦怠率降低,但无显著性意义(p = 0.474)。执行型员工的倦怠率最高,其次是高级管理人员。然而,这种联系在统计上仍然不显著。在资历方面,我们注意到职业倦怠的患病率随着职业资历的增加而增加,甚至在无意义的职位上也是如此。我们还观察到,在公司工作不到10年的员工中,除了资历最老的员工之外,倦怠率更高,但没有任何意义。职业疲劳或职业倦怠在摩洛哥的公司中非常普遍。为了能够适应市场的快速发展及其日益增长的需求,企业领导者必须通过改善社会心理工作环境来预防这种病理。
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引用次数: 0
Access to mental health services for the carers of persons suffering from dementia in Poland – proposal for a system solution 为波兰痴呆症患者的护理人员提供精神卫生服务-系统解决方案提案
Q4 PSYCHOLOGY Pub Date : 2023-09-11 DOI: 10.5604/01.3001.0053.8795
Ludmiła Zając-Lamparska, Alina Grabowska, Aleksandra Gawrońska
Caregivers of persons suffering from dementia constitute a group displaying a great need for mental health support, while at the same time being largely neglected in terms of receiving this support. In this context, the aim of this article is to propose the Stepped Care 2.0 (S.C. 2.0) model as a mental health care systemic solution for carers of persons with dementia.In this article, we focus on presenting the argumentation that proves the need and validity of introducing the proposed mental health care model for carers of persons with dementia. For this purpose, we draw on the results of our own pilot study, as well as a review of the subject literature.As the literature review indicates, caring for individuals with dementia is a source of multidimensional burden and deterioration in well-being. Results obtained in our own study indicate that there exists a burden of care among carers of persons with dementia in Poland and their well-being is significantly lower compared to non-carers. Moreover, the results suggest that the degree of negative consequences of being a caregiver varies depending of the degree of the patient’s disability. The flexibility of support and client-centric approach assumed in the S.C. 2.0 model can provide a good response to the diverse and changing needs of the carers of persons with dementia. It can also serve as a kind of hub encompassing and organising existing forms of support for carers. Moreover, the effectiveness of the selected types of support included in this model is confirmed by existing research findings.The need for mental health support for carers of individuals with dementia is undeniable. In the light of the arguments provided, the S.C. 2.0 model is a suitable solution for the systemic organisation of such support.
痴呆症患者的照料者是一个非常需要心理健康支持的群体,但同时在获得这种支持方面却在很大程度上被忽视。在这种情况下,本文的目的是提出阶梯式护理2.0 (S.C. 2.0)模型作为痴呆症患者护理人员的精神卫生保健系统解决方案。在这篇文章中,我们的重点是提出论证,证明了引入痴呆患者护理人员提出的精神卫生保健模式的必要性和有效性。为此,我们借鉴了我们自己的初步研究结果,以及对主题文献的回顾。正如文献综述所表明的那样,照顾痴呆症患者是多维负担和福祉恶化的来源。在我们自己的研究中获得的结果表明,在波兰痴呆症患者的护理人员中存在护理负担,与非护理人员相比,他们的福祉显着降低。此外,结果表明,作为一个照顾者的负面后果的程度取决于病人的残疾程度。S.C. 2.0模型所假定的支持的灵活性和以客户为中心的方法可以很好地响应痴呆症患者照顾者的多样化和不断变化的需求。它还可以作为一种中心,包括和组织现有形式的护理人员支持。此外,本模型所选取的支持类型的有效性也得到了已有研究成果的证实。对痴呆症患者护理人员的心理健康支持的需求是不可否认的。根据所提供的论据,S.C. 2.0模型是系统组织此类支持的合适解决方案。
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引用次数: 0
THE IMPACT OF PERSONALITY TRAITS AND STUDY MODE ON MENTAL HEALTH AND STIMULANT USE AMONG UNIVERSITY STUDENTS DURING COVID-19 PANDEMIC 新冠肺炎大流行期间大学生人格特质和学习模式对心理健康和兴奋剂使用的影响
Q4 PSYCHOLOGY Pub Date : 2023-09-11 DOI: 10.5604/01.3001.0053.8796
Katarzyna Markiewicz, Bożydar L.J. Kaczmarek, Zbigniew B. Gaś
The COVID-19 pandemic has significantly increased feelings of insecurity and anxiety for the health of oneself and those of one’s loved ones, as well as for the future, which has led to an increased level of stress. This has resulted in a tendency to use alcohol and drugs. Studies show that such behaviors are triggered both by external and internal factors. Therefore, the study has looked for interrelations between personality traits, mental state, and learning mode (online versus hybrid) and the frequency of stimulants and tranquilizers consumption in the last 6-12 months of the COVID-19 pandemic.The study involved 113 university students aged 19-34. Due to pandemic-related limitations, 51.3% of students took online courses, while 48.7% were involved in hybrid learning.. The participants were all asked to complete an online questionnaire that included 17 questions regarding mental health, drug and alcohol use. Additionally, the TIPI questionnaire was used to assess personality traits.The study found that online learning as well as feelings of loneliness and emptiness resulted in increased use of alcohol, antidepressants and sleeping pills. On the other hand, personality traits such as extraversion, agreeableness and emotional stability helped to limit the use of this type of stimulants.Online learners more often reported deterioration in their mental state, related to difficulties in adapting to pandemic-related conditions. This group was also more likely to use sedatives, sleeping pills, and antidepressants, with a significant difference in means, compared to hybrid students. In contrast, hybrid learners frequently reported a sense of the loss of meaning as well as worrying about the fate of loved ones, thinking back to a situation no longer under their control, and difficulties in making decisions. At the same time, most respondents of this group reported a positive vision of their future and a high sense of responsibility.
COVID-19大流行大大增加了对自己和亲人健康以及未来的不安全感和焦虑感,从而导致压力增加。这导致了酗酒和吸毒的倾向。研究表明,这种行为是由外部因素和内部因素共同引发的。因此,该研究寻找了在COVID-19大流行的过去6-12个月里,人格特征、精神状态和学习模式(在线与混合)与兴奋剂和镇静剂消费频率之间的相互关系。这项研究涉及113名年龄在19-34岁之间的大学生。受疫情限制,51.3%的学生选择在线课程,48.7%的学生选择混合学习。所有参与者都被要求完成一份在线问卷,其中包括17个关于心理健康、药物和酒精使用的问题。此外,还使用了TIPI问卷来评估人格特征。研究发现,在线学习以及孤独感和空虚感导致酗酒、抗抑郁药和安眠药的使用增加。另一方面,外向性、亲和性和情绪稳定性等性格特征有助于限制这类兴奋剂的使用。在线学习者更多地报告说,由于难以适应与流行病有关的情况,他们的精神状态出现恶化。与混血学生相比,这一组更有可能使用镇静剂、安眠药和抗抑郁药,在手段上有显著差异。相比之下,混合型学习者经常感到失去意义,担心亲人的命运,回想起不再受自己控制的情况,以及做出决定的困难。与此同时,这一群体的大多数受访者都对自己的未来抱有积极的看法,并有高度的责任感。
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引用次数: 0
HEALTH CARE WORKERS STRATEGIES FOR COPING WITH STRESS 卫生保健工作者应对压力的策略
Q4 PSYCHOLOGY Pub Date : 2023-09-11 DOI: 10.5604/01.3001.0053.8853
Jacek Łukasiewicz, Bożydar L.J. Kaczmarek
Working as a doctor, nurse, and midwife is associated with great responsibility for the health and life of patients. It is a source of many burdens, which result in marked, chronic stress leading to professional burnout and related consequences affecting all spheres of life. The research aimed to analyze healthcare workers’ preferred stress-coping strategies.The study encompassed 134 healthcare workers practicing the profession of doctor, nurse, and midwife, working in the cities of Lublin in the period from May 2022 to February 2023. We employeda self-made questionnaire and the Stress Coping Inventory (Mini-COPE). The PS IMAGO 9.0 program was used for the calculations and analysis of the results.The strategies of coping with stress most often used by doctors, nurses, and midwives were based on active coping and planning. The three surveyed groups of healthcare workers differ statistically significantly in using the denial strategy. Nurses are more likely than physicians to use denial as a coping strategy. There were no statistically significant differences in the remaining strategies of coping with stress.Healthcare workers in stressful situations often choose active ways of dealing with them, especially active coping and planning. An important factor that strengthens the choice of active strategies for coping with stress seems to be training aimed at improving the professional qualifications of healthcare workers.
作为医生、护士和助产士,对病人的健康和生命负有重大责任。它是许多负担的来源,导致显著的、长期的压力,导致职业倦怠和影响生活各个领域的相关后果。本研究旨在分析医护人员偏好的压力应对策略。该研究包括在2022年5月至2023年2月期间在卢布林市从事医生、护士和助产士职业的134名卫生保健工作者。采用自制问卷和压力应对量表(Mini-COPE)。使用PS IMAGO 9.0程序对结果进行计算和分析。医生、护士和助产士最常用的应对压力的策略是基于积极的应对和计划。三个被调查的医疗工作者群体在使用拒绝策略方面有统计学上的显著差异。护士比医生更有可能使用否认作为应对策略。在其余应对压力的策略上没有统计学上的显著差异。医护人员在压力情况下往往选择积极的方式来处理,特别是积极的应对和规划。加强积极应对压力策略选择的一个重要因素似乎是旨在提高保健工作者专业资格的培训。
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引用次数: 0
Empathy and resilience in health care professionals 医疗保健专业人员的同理心和适应力
Q4 PSYCHOLOGY Pub Date : 2023-09-11 DOI: 10.5604/01.3001.0053.9172
Ewa Wilczek-Rużyczka
Empathy and resilience have an indirect effect on raising the level of the quality of care, as empathy is the basis for good interactions between medical workers and patients, and resilience, as a dynamic process, helps caregivers adapt well to difficult working conditions, risks or traumas experienced. The development of empathy and resilience of these medical workers is possible by a training method already employed among medical students in order to both improve the quality of care, but also to more effectively prevent professional burnout. The purpose of the study was to determine the level of empathy and the level of resilience, their possible correlations with each other, as well as the relationship of these variables with socio-demographic variables.The study was carried out in 2021 among 31 doctors and 45 nurses using two main tools - the Emotional-Cognitive Empathy Questionnaire (EEP)by Ewa Wilczek-Rużyczka and the Resilience Measurement Scale(SPP-25) by Nina Oginska-Bulik and Zygfryd Juczynski, as well as a socio-demographic questionnaire.The most valuable results of the study turned out to be the demonstration of statistically significant concordant associations of empathy level with resilience level both in general, and their individual factors as statistically significant intercorrelations. In addition, statistically significant differences were shown in the case of cognitive empathy - higher levels of empathy were found among people with longer work experience and women when compared to men. In the case of the level of other components of empathy, as well as resilience, differences so as to be statistically significant could not be confirmed.It is recommended that empathy and resilience training sessions be implemented for health care workers, and that the study be continued with larger research groups, with additional control groups, to refine the programs of these training sessions.
同理心和恢复力对提高护理质量水平有间接影响,因为同理心是医务工作者和患者之间良好互动的基础,而恢复力作为一个动态过程,可以帮助护理人员很好地适应困难的工作条件、风险或经历的创伤。这些医务工作者的同理心和适应能力的发展是可能的,通过一种已经在医学生中使用的培训方法,既可以提高护理质量,又可以更有效地防止职业倦怠。本研究的目的是确定共情水平和弹性水平,它们之间可能的相关性,以及这些变量与社会人口变量的关系。该研究于2021年在31名医生和45名护士中进行,使用了两种主要工具——Ewa Wilczek-Rużyczka的情绪认知共情问卷(EEP)和Nina Oginska-Bulik和Zygfryd juzynski的弹性测量量表(SPP-25),以及社会人口调查问卷。本研究最有价值的结果是共情水平与心理弹性水平在总体上具有显著的一致性,且它们的个体因素具有显著的统计学相关性。此外,在认知同理心的情况下,统计上也显示出显著的差异——工作经验较长的人和女性的同理心水平高于男性。在同理心的其他组成部分,以及弹性的水平的情况下,差异到统计显着性无法得到证实。建议对卫生保健工作者实施移情和恢复力培训课程,并在更大的研究小组和额外的对照组中继续研究,以完善这些培训课程的计划。
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引用次数: 2
QUALITY OF LIFE OF A PATIENT AFTER ENDARTERECTOMY OF THE INTERNAL CAROTID ARTERY (ICA) FOLLOWINGAN ACUTE ISCHEMIC STROKE (AIS) DURING COVID-19 科维德-19 期间急性缺血性中风(AIS)后颈内动脉(ICA)内膜剥脱术后患者的生活质量
IF 0.7 Q4 PSYCHOLOGY Pub Date : 2023-07-03 DOI: 10.5604/01.3001.0053.8593
Ksenia Cielebąk, Mikołaj Kobos, Jolanta Góral-Półrola
The aim of the study was to evaluate the quality of life of a patient af- terendarterectomy (CEA) of the Internal Carotid Artery (ICA) following an Acute ischemic stroke (AIS) during COVID-19.A right-handed, 51-year-old patient, a visual artist, single, in good health and no chronic illnesses to date, became infected with SARS-CoV-2 and contracted COVID-19. The presence of SARS-CoV-2 virus was confirmed by a RT PCR antigen test. The patient was hospitalized, and required mechanical ventilation at an Intensive Care Unit (ICU) before an acute ischemic stroke (AIS) onset. Except for untreated hypertension, her medical history was unremarkable. Her blood pressure was 180/100 mm Hg; her pulse was 76 beats per minute and was regular. AIS from the left middle cerebral artery (MCA) has resulted primarily in damage to the left hemisphere, and secondary effects on the right side resulting in body weakness and mild anomic aphasia. Magnetic resonance imaging (MRI) confirmed stroke and detected brain tissue damaged by an AIS. It revealed hyperintense foci in the T2 and FLAIR sequences, 21 mm in size in the left hemisphere of the brain. In search of the cause of AIS, CT angiography was performed. It revealed a large (90%) ICA occlusion. The patient was admitted to the emergency room at the Vascular Surgery Clinic with an Endovascular Subunit. The revascularization procedure (CEA) was performed under general endotracheal anesthesia with the use of the protocol and techniques (elaborated at the Department of Vascular Surgery and Endovascular Procedures, The John Paul II Hospital in Krakow). The CEA procedure improved her general health: she regained the ability to name objects and her HRQOL also improved in her perception. The improvement achieved was statistically significant. She returned to painting and functions well in society.The patient’s perception of HRQoL measured by the SF-36 domains was better after the CEA: a significant improvement in self-reported overall health has occured. The HRQoL outcome measures may be valuable in future clinical trials of comparing different methods of treatment offered after AIS.
该研究旨在评估一名在 COVID-19 期间接受颈内动脉(ICA)内膜切除术(CEA)的急性缺血性中风(AIS)患者的生活质量。该患者右撇子,51 岁,视觉艺术家,单身,健康状况良好,迄今无慢性疾病,感染了 SARS-CoV-2,并感染了 COVID-19。经 RT PCR 抗原检测,证实感染了 SARS-CoV-2 病毒。在急性缺血性中风(AIS)发病前,患者曾住院治疗,并需要在重症监护室(ICU)进行机械通气。除了未经治疗的高血压外,她的病史并无异常。她的血压为 180/100 mm Hg,脉搏为每分钟 76 次,很规律。来自左侧大脑中动脉(MCA)的 AIS 主要导致左侧大脑半球受损,并继发右侧大脑半球受损,造成身体虚弱和轻度失语。磁共振成像(MRI)证实了中风,并检测到因 AIS 而受损的脑组织。它在 T2 和 FLAIR 序列中发现了左侧大脑半球 21 毫米大小的高密度灶。为了寻找 AIS 的病因,进行了 CT 血管造影。结果显示,大面积(90%)ICA闭塞。患者在血管外科诊所急诊室接受了血管内介入治疗。在气管内全身麻醉下,按照克拉科夫约翰-保罗二世医院血管外科和血管内手术部制定的方案和技术进行了血管重建手术(CEA)。CEA 手术改善了她的总体健康状况:她恢复了说出物体名称的能力,在感知方面,她的 HRQOL 也得到了改善。所取得的改善具有显著的统计学意义。CEA 术后,患者通过 SF-36 领域衡量的 HRQoL 感知有所改善:自我报告的总体健康状况有了明显改善。HRQoL 结果测量在未来比较 AIS 后不同治疗方法的临床试验中可能很有价值。
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引用次数: 0
NO CHEEK BIAS FOR NON-PRIMATES: AN INSTAGRAM REPLICATION OF THOMAS ET AL. (2006) 非原始人没有脸颊偏差:Instagram对托马斯等人(2006)研究的复制(2006)
IF 0.7 Q4 PSYCHOLOGY Pub Date : 2023-07-03 DOI: 10.5604/01.3001.0053.7563
A. Lindell
Previous research has established that photos of great apes, including humans, show a left cheek bias. As this bias is absent in images of lower primates and other animals, phylo-genetic proximity appears to influence humans’ depictions of nonhuman species. However Thomas et al.’s (2006) finding of a left cheek bias for dogs challenges this argument. As their analyses were underpowered, the present study sought to replicate Thomas et al.’s study with a larger sample to help determine whether human depictions of non-human animals vary as a function of their evolutionary relatedness.Photographs (N=2883) were sourced from Instagram’s ‘Most Recent’ feed using hashtags that matched Thomas et al.’s Google Image search terms: #dog, #cat, #fish, #lizard, #cute- baby, #cryingbaby. The first 401 lateral images for each hashtag were coded for pose orientation (left, right).Replicating Thomas et al., results confirmed a left cheek bias for mammals but not nonmammals. The left cheek bias was driven by images of human infants; there were no cheek biases for images of nonhuman animals (dogs, cats, lizards, fish).As a left cheek bias was evident in photos of primates (#cutebaby, #cryingbaby), but absent for other mammals (#dog, #cat) and nonmammals (#lizard, #fish), the data support the argument that phylogenetic proximity influences posing biases.
以前的研究已经证实,包括人类在内的类人猿的照片显示出左脸颊偏向。由于在低等灵长类动物和其他动物的照片中没有这种偏向,因此植物基因的亲缘关系似乎影响了人类对非人类物种的描述。然而,托马斯等人(2006 年)发现狗的左脸颊偏向性挑战了这一论点。由于他们的分析力量不足,本研究试图用一个更大的样本来复制托马斯等人的研究,以帮助确定人类对非人类动物的描绘是否会随着其进化亲缘关系的变化而变化。照片(N=2883)来自 Instagram 的 "最新 "feed,使用的标签与托马斯等人的谷歌图片搜索关键词相匹配:#dog, #cat, #fish, #lizard, #cute- baby, #cryingbaby.与托马斯等人的研究相同,结果证实哺乳动物的左脸颊偏向,而非哺乳动物则没有。左侧脸颊偏向是由人类婴儿的图片引起的;非人类动物(狗、猫、蜥蜴、鱼)的图片没有脸颊偏向。灵长类动物(#cutebaby、#cryingbaby)的照片有明显的左侧脸颊偏向,而其他哺乳动物(#dog、#cat)和非哺乳动物(#lizard、#fish)的照片则没有这种偏向。
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引用次数: 0
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Acta Neuropsychologica
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