新标准日本语中级上下词汇

1、1Qualification: Master of Nursing, Certificated psychological consultant Position: Head nurse , Nursing Department 302 Military Hospital of China Address: No.100 West 4th ring road, Beijing, China, 100039Email: Deployment experience: Joining the medical team deployed to Sierra Leone during the Ebola

2、 outbreak2outlineoutline1234BackgroundsSurvey & Intervention MethodsResultsDiscussion31Backgrounds4BackgroundsBackgroundsEbola virus disease (EVD)high infectivityhigh mortalityOutbreak Guinea Sierra Leone Liberia56BackgroundsBackgrounds67BackgroundsBackgroundsNational Civil-Military Coordination

3、 Mechanism for Ebola Prevention Control BackgroundsBackgroundsCivilian Medical ResourcesPLA8BackgroundsBackgroundsConfirmed cases globally(27181)11162DeathsHealth-care workers been infected in the three West African countries(874)509Deaths(WHO: 31 May, 2015)9BackgroundsBackgroundsThe first batchThe

4、second batchThe third batch302 Military Hospital of China （Sep 16. 2014 Mar 21. 2015）10BackgroundsBackgroundsstress reactionInadequate overseas military medical rescue experienceSeverity of the epidemicUnfamiliar oversea environments11.ResearchBackgroundsBackgroundsStaffs carrying out special missio

5、ns overseas like peacekeepers was the population at a high risk of psychological problems.LI Jie, XUE Li, YANG Ruijin, et al. Investigation on acute stress response status of peace-keeping forces, 2014, 12 (30): 1601-160312.ResearchBackgroundsBackgrounds10% -30% of combat losses were caused by psych

6、ological problems.30%-80% of combat strength loss was the consequence of decreased mental ability. Gray GC, Kaiser KS, Hawksworth AW, et al. Increased postwar symptoms and psychological morbidity among U.S.Navy Gulf War veteransJ. Am-J-Trop-Med -Hyg, 1999, 60(5):758-766.13.ResearchBackgroundsBackgro

7、undsVeterans who had been involved in the war had lower scores of physical and psychological function than those veterans without combat exposures and general U.S. population norms. Proctor SP , Harley R, Wolfe J, et al. Health- related quality of life in Persian Gulf War VeteransJ. Military Medicin

8、e, 2001, 166(6):510-519.14BackgroundsBackgrounds152Materials & Methods16Materials & MethodsMaterials & MethodsStudy population Cluster sampling（41 members of the second PLA medical team dispatched to Sierra Leone in November 2014 to carry out the mission of fighting Ebola outbreak）17Mate

9、rials & MethodsMaterials & MethodsStudy populationmalefemale2021command groupmedical grouplogistical group4307Age：2346 (35.596.18)18Materials & MethodsMaterials & Methods Preparation stage (2 weeks before leaving China) Early stage (1 week after arrival in Sierra Leone) Middle stage

10、(1 month after arrival in Sierra Leone) Later stage (1 week before return to China) Medical isolation stage (1 week after return to China)Mission（Five stages）19Materials & MethodsMaterials & MethodsSurvey toolsu Self-designed general data collection formu Symptom Checklist90 (SCL-90) 10 fact

11、ors: Somatization, Obsessive-Compulsive, Interpersonal Sensitivity, Depression, Anxiety, Hostility, Phobia Anxiety, Paranoid Ideation, Psychoticism and Miscellaneous (mainly referring to sleep and appetite). 20Materials & MethodsMaterials & MethodsSurvey method u Group psychological test in

12、five stages u A chief tester together with an assistant testeru On site uniform instructions, test methods and procedures were used, and the questionnaires were collected on site after completion of the test.u In anonymous way. None was aware of the name each number corresponded to except the chief

13、tester.21Materials & MethodsMaterials & Methods Intervention methods u Collective interventionu Individualized intervention22Materials & MethodsMaterials & MethodsCollective interventionPsychological counseling groupDeveloping a collective psychological intervention protocolPreparati

14、on stage23Materials & MethodsMaterials & MethodsCollective interventionPreparation stageComprehensive theoretical training24Materials & MethodsMaterials & MethodsCollective interventionPreparation stageSimulation exercise25Materials & MethodsMaterials & MethodsCollective inte

15、rventionPre-deployment stage Physical and endurance training 26Materials & MethodsMaterials & MethodsCollective interventionThe early stage of missionu Bedtime light music u Effective sedative-hypnotic drugs for medical team members who had troubles in sleeping27Materials & MethodsMateri

16、als & MethodsCollective interventionThe early stage of mission YogaTCM Baduanjin Exercise28Materials & MethodsMaterials & MethodsCollective interventionThe early stage of missionu Divided into several fixed groups and work the shifts in a reasonable combination u Avoid fatigue from work2

17、9Materials & MethodsMaterials & MethodsCollective interventionThe middle and later stages of missionuSharing tips in Wechat group on how to keep psychological health and relaxation weekly.30Materials & MethodsMaterials & MethodsCollective interventionThe middle and later stages of mi

18、ssionuDiverse recreational & sports activities31Materials & MethodsMaterials & MethodsCollective interventionThe middle and later stages of missionuCollective mental and psychological counseling weekly32Materials & MethodsMaterials & MethodsCollective interventionThe middle and l

19、ater stages of missionuPsychological comforting33Materials & MethodsMaterials & MethodsCollective interventionRepatriation Isolation stageuCollective recreational & sports activities urelaxation training in the form of group psychological counseling were organized uOvercome jet lag and a

20、dapt to work and life after returning34Materials & MethodsMaterials & Methods Intervention methods u Collective interventionu Individualized intervention35Materials & MethodsMaterials & MethodsIndividualized interventionuTeam members positive for psychological testuone-on-one psychol

21、ogical counseling urelaxation training and cognitive therapy 36Materials & MethodsMaterials & MethodsIndividualized intervention( )Positive screening criteria（SCL-90）u a total score of over 160uor more than 43 positive itemsuor a score of 2 for any factor37Materials & MethodsMaterials &a

22、mp; MethodsIndividualized interventionu Taught on how to relax ( once daily, 30 minutes each time)uPre-recorded uniform instructions( breathe relaxation muscle relaxation imagination relaxation）uIn any posture and body position as long as they feel comfortable Relaxation training38Materials & Me

23、thodsMaterials & MethodsIndividualized intervention Ellis rational-emotive behavior therapy（ REBT）ABCDEF(activating event)(belief)(consequence)(disputing intervention) (effecting)(new feeling)( once a week, 30 minutes each time)39Materials & MethodsMaterials & MethodsStatistical methodsu

24、 Comparison of differentials in SCL-90 scores at various stages and between different jobs, genders, ages and education levels Method1：Repetitive measure analysis of variance (ANOVA) u Comparison of differentials in SCL-90 scores for detected positive factor items before and after intervention Metho

25、d2： Paired-Samples T Test403Results41Results(1)Results(1)FactorPreparation stageEarly stageof missionMiddle stageof missionLater stageof missionMedical isolation stageFPSomatization1.170.281.160.251.190.381.150.261.150.330.120.974Obsession1.390.321.200.31b1.190.30b1.160.29b1.170.34b3.810.005Interper

26、sonal sensitivity1.180.301.160.271.150.331.120.251.120.330.310.868Depression1.190.36c1.370.411.170.40c1.160.26d1.150.32d2.750.029Anxiety1.360.271.160.25b1.150.36b1.130.29b1.150.30b4.270.002Hostility1.080.261.100.311.100.411.120.311.090.280.050.995Phobia anxiety1.060.311.080.241.100.331.080.271.060.2

27、90.140.969Paranoid ideation1.080.231.100.271.110.391.080.211.060.270.200.940Psychoticism1.060.241.070.211.080.371.070.231.080.220.040.997Miscellaneous1.120.25d1.400.361.170.40d1.160.25d1.180.39d4.440.002Mean total score1.180.291.180.261.140.371.120.271.120.310.360.838a: P0.05, b: P 0.01, compared wi

28、th the preparation stage; c: P0.05, d: P 0.01, compared with the early stage of mission42DepressionObsessionMiscellaneousAnxietyResults(1)Results(1)43command group4medical group30logistical group7Results(2)Results(2)44Nature of jobFactorPreparation stageEarly stage of missionMiddle stage of missionL

29、ater stage of missionMedical isolation stageCommand groupSomatization1.160.241.160.181.100.201.120.231.080.33（n=4）Obsession1.610.331.430.381.160.331.170.241.150.22 Interpersonal sensitivity1.220.231.200.311.190.281.090.331.120.25 Depression1.060.30i1.080.22i1.070.36i1.070.27i1.080.32 Anxiety1.180.26

30、i1.140.35i1.130.33i1.110.41i1.160.18 Hostility1.120.231.120.251.120.171.090.361.090.24 Phobia anxiety1.100.551.060.321.120.111.110.201.120.42 Paranoid ideation1.120.431.120.271.130.261.100.181.100.22 Psychoticism1.080.341.100.191.100.331.120.361.100.19 Miscellaneous 1.140.451.510.431.150.241.140.261

31、.170.24 Total mean score1.230.261.190.371.130.291.110.331.120.30Medical groupSomatization1.220.261.200.331.220.401.230.341.200.41(n=30)Obsession1.380.24g1.180.43ag1.200.36a1.160.30b1.170.23a Interpersonal sensitivity1.190.251.160.251.150.361.130.421.130.40 Depression1.360.33 e1.400.42 f1.390.28e1.37

32、0.37e1.160.30 Anxiety1.400.28 f1.430.34f1.390.22f1.380.32f1.150.21 Hostility1.090.241.110.261.100.351.130.191.100.40 Phobia anxiety1.070.291.090.261.100.401.090.431.060.17 Paranoid ideation1.090.331.100.301.120.341.080.251.060.32 Psychoticism1.050.341.070.201.080.381.070.281.080.29 Miscellaneous1.12

33、0.41d1.420.381.160.42c1.160.42c1.180.33c Total mean score1.150.301.220.351.190.331.180.401.130.31Logistical groupSomatization1.150.281.120.291.140.321.140.261.170.34（n=7）Obsession1.140.41h1.180.37g1.160.281.150.301.130.31 Interpersonal sensitivity1.060.371.130.291.090.221.120.341.080.26 Depression1.

34、060.35i1.100.23i1.110.31i1.090.33i1.140.36 Anxiety1.190.35i1.120.27i1.080.38i1.090.19i1.120.43 Hostility1.060.331.080.311.080.451.070.201.080.24 Phobia anxiety1.050.271.060.231.080.231.060.341.080.20 Paranoid ideation1.070.291.090.381.100.421.070.351.070.21 Psychoticism1.080.211.060.271.060.241.050.

35、201.060.24 Miscellaneous1.110.241.360.361.200.331.180.221.190.35 Total mean score1.130.301.130.281.110.301.100.271.110.29a: P0.05, b: P 0.01, compared with the preparation stage; c: P0.05, d: P 0.01, compared with the early stage of mission; e: P0.05, f: P 0.01, compared with the medical isolation s

36、tage; g: P0.05, h: P 0.01, compared with the command group; i: P0.05, j: P 0.01, compared with the medical groupResults(2)Results(2)45Table3 Repetitive measure analysis of variance (ANOVA) scores between different medical jobsFactorEffect of groupEffect of timeInteraction between group and timeFPFPF

37、PSomatization0.004 0.996 0.163 0.957 0.247 0.981 Obsession8.331 0.001 2.498 0.045 0.513 0.845 Interpersonal sensitivity0.002 0.998 0.175 0.951 0.542 0.823 Depression7.351 0.002 2.640 0.036 0.886 0.530 Anxiety6.111 0.005 3.876 0.005 0.282 0.971 Hostility0.001 0.999 0.032 0.998 0.105 0.999 Phobia anxi

38、ety0.041 0.960 0.040 0.997 0.465 0.879 Paranoid ideation0.015 0.985 0.181 0.948 0.413 0.912 Psychoticism0.040 0.961 0.095 0.984 0.480 0.869 Miscellaneous0.425 0.657 2.897 0.024 0.638 0.745 Mean total score0.060 0.942 0.070 0.991 0.512 0.846 Results(2)Results(2)46Results(2)Results(2)ObsessionDepressi

39、onAnxietyMiscellaneousMedical group47Results(2)Results(2)Obsession48Results(2)Results(2)DepressionAnxiety49a: P0.05, b: P 0.01, compared with the preparation stage; c: P0.05, d: P 0.01, compared with the early stage of mission; e: P0.05, f: P 40 yearsSomatization1.210.191.180.251.220.201.170.341.160

40、.32（n=11）Obsession1.490.22d1.400.25d1.320.14d1.390.40d1.360.41d Interpersonal sensitivity1.240.271.180.211.190.311.150.111.140.25 Depression1.410.22d1.440.25d1.360.27d1.350.18d1.320.29d Anxiety1.520.31d1.330.26d1.350.24d1.350.23d1.330.19d Hostility1.080.331.090.271.120.431.120.341.090.43 Phobia anxi

41、ety1.060.201.080.261.080.241.080.311.060.10 Paranoid ideation1.100.251.090.381.130.201.080.231.050.16 Psychoticism1.050.131.080.231.100.261.100.171.090.06 Miscellaneous1.130.281.400.191.190.191.170.241.190.28 Total mean score1.230.281.230.251.210.331.200.281.180.25a: P0.05, b: P 0.01, compared with

42、the early stage of mission; c: P0.05,d: P 0.01, compared with the age group of 30 yearsResults(4)Results(4)54Table7 Repetitive measure analysis of variance (ANOVA) scores between different age groupsFactorEffect of groupEffect of timeInteraction between group and timeFPFPFPSomatization0.040 0.961 0.

43、104 0.981 0.632 0.750 Obsession4.579 0.0240.061 0.993 0.445 0.892 Interpersonal sensitivity0.002 0.998 0.470 0.758 0.447 0.891 Depression0.447 0.891 0.809 0.521 0.787 0.615 Anxiety3.934 0.028 1.278 0.281 0.476 0.872 Hostility0.198 0.821 0.423 0.792 0.234 0.984 Phobia anxiety0.249 0.781 0.617 0.651 0

44、.395 0.922 Paranoid ideation0.092 0.912 0.279 0.891 0.397 0.921 Psychoticism0.005 0.995 0.382 0.821 0.601 0.776 Miscellaneous0.567 0.572 2.715 0.032 0.577 0.796 Mean total score0.061 0.941 0.232 0.920 0.458 0.884 Results(4)Results(4)55Results(4)Results(4)The age group of 3040 yearsMiscellaneous56Res

45、ults(4)Results(4)AnxietyObsessionDepression57Education levelFactorPreparation stageEarly stage of missionMiddle stage of missionLater stage of missionMedical isolation stagePostgraduateSomatization1.090.261.100.151.100.181.090.251.090.11（n=17）Obsession1.100.271.050.141.050.181.060.241.050.18 Interpe

46、rsonal sensitivity1.100.201.090.271.100.311.100.091.100.16 Depression1.060.221.090.311.060.181.050.191.050.20 Anxiety1.090.201.060.171.070.221.070.271.060.21 Hostility1.080.151.090.301.070.331.120.341.110.18 Phobia anxiety1.070.251.080.231.110.361.090.261.060.23 Paranoid ideation1.060.331.120.271.08

47、0.081.070.241.060.13 Psychoticism1.090.331.050.171.060.261.060.241.070.23 Miscellaneous 1.080.221.370.301.100.221.070.231.070.21 Total mean score1.080.261.110.201.080.311.080.331.070.19GraduateSomatization1.180.231.160.301.200.331.140.301.150.27(n=14)Obsession1.400.33d1.300.34d1.290.37d1.310.26d1.36

48、0.30d Interpersonal sensitivity1.180.421.170.401.150.361.120.161.120.41 Depression1.340.28d1.440.19d1.330.20d1.360.24d1.330.34d Anxiety1.340.29d 1.340.33d1.350.32d1.360.28d1.330.36d Hostility1.080.221.120.281.100.441.120.201.100.18 Phobia anxiety1.050.351.080.421.090.431.070.261.060.17 Paranoid idea

49、tion1.080.311.100.221.100.411.110.171.080.21 Psychoticism1.070.241.060.421.080.401.080.221.080.34 Miscellaneous1.120.30b1.440.281.160.31b1.160.37b1.170.33b Total mean score1.180.291.220.301.190.351.180.271.180.32College and belowSomatization1.210.191.180.251.220.201.170.341.160.32（n=11）Obsession1.49

50、0.22d1.400.25d1.320.14d1.390.40d1.360.41d Interpersonal sensitivity1.240.271.180.211.190.311.150.111.140.25 Depression1.410.22d1.440.25d1.360.27d1.350.18d1.320.29d Anxiety1.520.31d1.330.26d1.350.24d1.350.23d1.330.19d Hostility1.080.331.090.271.120.431.120.341.090.43 Phobia anxiety1.060.201.080.261.0

51、80.241.080.311.060.10 Paranoid ideation1.100.251.090.381.130.201.080.231.050.16 Psychoticism1.050.131.080.231.100.261.100.171.090.06 Miscellaneous1.130.281.400.191.190.191.170.241.190.28 Total mean score1.230.281.230.251.210.331.200.281.180.25a: P0.05, b: P 0.01, compared with the early stage of mis

52、sion; c: P0.05, d: P 0.01, compared with the medical isolation stage; e: P0.05, f: P0.01, compared with graduate groupResults(5)Results(5)58Table9 Repetitive measure analysis of variance (ANOVA) scores between different education levels FactorEffect of groupEffect of timeInteraction between group an

53、d timeFPFPFPSomatization0.162 0.851 0.223 0.925 0.578 0.795 Obsession3.978 0.027 0.286 0.887 0.333 0.952 Interpersonal sensitivity0.034 0.967 0.085 0.987 0.397 0.921 Depression1.067 0.354 2.542 0.042 0.817 0.589 Anxiety4.071 0.025 2.735 0.031 0.545 0.821 Hostility0.011 0.989 0.230 0.921 0.537 0.827

54、Phobia anxiety0.035 0.966 0.213 0.931 0.105 0.999 Paranoid ideation0.008 0.992 0.046 0.996 0.306 0.963 Psychoticism0.624 0.541 0.223 0.925 0.631 0.751 Miscellaneous1.171 0.321 2.735 0.031 0.447 0.891 Mean total score0.156 0.856 0.515 0.725 0.413 0.912 Results(5)Results(5)59Results(5)Results(5)Postgr

55、aduate groupMiscellaneousGraduate groupDepressionMiscellaneousAnxiety60Results(5)Results(5)AnxietyObsession61Results(5)Results(5)Groupt dfP Mean differentialSEM95%CIBefore and after psychological intervention for positive factors24.66170.000-0.8480.034-0.920.78Table10 Differences in SCL-90 scores fo

56、r the 18 detected positive items of the 10 symptom-positive team members before and after psychological intervention624Discussion63DiscussionDiscussionu When implementing missions overseas, uniformed personnel are psychologically susceptible to suffer from different degrees of psychological problems

57、. 64DiscussionDiscussion The studyu Based on the results of psychological test u According to the characteristics of psychological problems and rules of changeu Psychological crisis intervention administered stage by stage65DiscussionDiscussion Various stages of the missionPreparation stageEarly sta

58、ge of missionObsessionAnxietyDepressionsleep disordersu Temporarily selected and organizedu No experience of combat overseasu Major military medical rescue operationu Knowing little about fulminant infectious diseasesu Aversive stimulation and pressure from the epidemic u A totally strange environme

59、nt66.ResearchNearly 50% members of Chinese PLA medical teams who were dispatched to Liberia to fight against EVD outbreak suffered from sleep disorders.TAO Yong, LI Xunjun, XU Zhiqiang, et al. A study on the sleep and psychological stress status of Chinese military medical staff fighting against inf

60、ectious disease induced by Ebola virus in Liberia J. Med & Pharm J Chin PLA, 2015, 27(11): 40-43.DiscussionDiscussion67.ResearchSleep disorders may cause individuals to develop a series of psychological and physiological reactions, and may even lead to multiple physical diseases when severe.SHEN Juping, LUO Xianrong, WANG Zhenzhen. Correlation between psychological health level and quality of sleep & fatigue: a study in officers and soldiers from a certain airmen department J. Peoples