情绪调节量表的信度和效度研究

目的 考察情绪调节量表的信度和效度.方法 采用新近编制的情绪调节量表对5个样本共1163名大学生被试进行了测试.结果 情绪调节量表具有良好的信度指标,重新评价和表达抑制维度的重测信度系数分别是0.85和0.87;5个样本和总样本两个维度的α系数和G系数均达到了0.76以上.验证性因素分析的结果显示两因子相关为自由估计的标准测量模型与实际数据的拟合程度良好(χ2为364.21,χ2/DF为4.79,NFI为0.96,NNFI为0.96,IFI为0.97,CFI为0.97,RMSEA为0.057),两因子相关为0的独立模型与标准测量模型之间无显著差异.效标效度的研究显示5个样本和总样本两个维度的效标指数均达到了0.70以上.实证效度的研究发现男性被试在表达抑制维度上的得分要显著高于女性被试.结论 情绪调节量表具有良好的心理测量学品质,值得进一步推广和应用.     

情绪调节量表的信度和效度研究

目的考察情绪调节量表的信度和效度。方法采用新近编制的情绪调节量表对5个样本共1163名大学生被试进行了测试。结果情绪调节量表具有良好的信度指标,重新评价和表达抑制维度的重测信度系数分别是0.85和0.87;5个样本和总样本两个维度的α系数和G系数均达到了0.76以上。验证性因素分析的结果显示两因子相关为自由估计的标准测量模型与实际数据的拟合程度良好（2为364.21,2/DF为4.79,NFI为0.96,NNFI为0.96,IFI为0.97,CFI为0.97,RMSEA为0.057）,两因子相关为0的独立模型与标准测量模型之间无显著差异。效标效度的研究显示5个样本和总样本两个维度的效标指数均达到了0.70以上。实证效度的研究发现男性被试在表达抑制维度上的得分要显著高于女性被试。结论情绪调节量表具有良好的心理测量学品质,值得进一步推广和应用。     

青少年家庭满意度量表结构探索与验证性因素分析

目的 对青少年家庭满意度量表进行验证性因素分析.方法 以1306名12～23岁在校青少年学生为研究对象,采用验证性因素分析和交互效度分析对量表进行检验.结果 青少年家庭满意度结构包括家庭人际氛围10条目、父母子女的情绪互动7条目、抚养人的管理方式6条目三因素共23条目,修订后拟合指数X2/af＜5,RMSEA＜0.08,GFI、NFI、TFI、IFI等拟合数据均＞0.90;交互效度验证以及信度均较理想.结论 青少年学生家庭满意度为一阶三因子结构,青少年学生家庭满意度量表有良好的信效度,可作为评估青少年家庭满意度的测评工具.     

认知情绪调节问卷维文版在医学院校大学生中的信效度研究

目的 评估认知情绪调节问卷(CERQ)维文版在医学院校维吾尔族大学生中的信度和效度.方法 2014年331名维吾尔族医学大学生完成认知性情绪调节问卷,进行量表的内部一致性和验证性因素分析.结果 CERQ全量表的α系数为0.88,9个分量表的α系数在0.57~0.89之间;全量表的分半信度系数为0.70,9个分量表的分半信度系数为0.57~0.89.验证性因子分析结果显示CFI=O.93,IFI=0.93,NNFI=0.92,RMSEA=0.06.结论 CERQ的信度与效度都达到了心理测量学要求,能够有效地评估维吾尔族大学生的认知情绪调节策略.     

拒绝敏感性量表中文版的信度和效度

目的 评估拒绝敏感性量表(Rejection Sensitivity Questionnaire,RSQ)中文版的信度和效度.方法 问卷调查813名大学生,每个被试在4周后进行重测.应用SPSS13.0和Amos7.0进行信效度分析.结果 (1)各题项具有较好的区分度.(2)探索性因素分析发现量表由3个因素构成,可解释项目总方差的45.986％,各因素与总量表相关显著(r=0.661～0.851,P＜0.001),验证性因素分析验证了三因素模型和二阶模型具有良好的拟合度.(3)全量表α系数为0.809,分量表α系数分别为0.684,0.631,0.534,重测相关系数为0.892(P＜0.001).结论 RSQ中文版具有较好的信度和效度,可以用来评定中国大学生对拒绝的敏感程度.     

医师共情能力自评问卷的编制

目的 编制一个适用于医师共情能力评测的问卷,并检验其信度和效度.方法 通过文献研究、访谈和专家咨询,编制医师共情能力自评问卷的初测版.按照便利取样的方法简单随机抽取某医院200名临床医师试测,并进行讨论分析,形成正式版的问卷.采用分层抽样的方法,抽取3所医院600名临床医师正式施测,并填答中文版人际反应指针量表.间隔4周抽取100人进行重测.对所得的586份有效问卷的数据进行验证性分析,并检验问卷的信度和效度.结果 探索性因素分析得到观点采择能力、情绪共享能力、积极关怀能力和共情表达技能4个因素,因素负荷值为0.516 ～ 0.828.问卷的内部一致性信度为0.840,重测信度为0.728,与中文版人际反应指针量表的相关系数为0.712.结论 所编制的医师共情能力自评问卷具有较好的信度和效度,可以用于临床医师共情能力的评测.     

操纵策略量表的修订及在大学生中的信效度研究

目的 在大学生群体中修订操纵策略量表,考察其测量学指标.方法 对583名武汉市大学生进行测量,对操纵策略量表进行因素分析和效、信度检验.结果 ①经项目分析和探索性因素分析,保留24个项目,抽取6个因子,可解释方差总变异的64.559%.②验证性因素分析显示此6因素模型拟合良好;操纵策略和人格特质、人际关系相关显著.③内部一致性信度为0.714,0.866,重测信度为0.701,0.837.结论 修订后的操纵策略量表信、效度良好.     

中文修订版生命意义量表在大学生中应用的信效度

目的 评价中文修订版生命意义量表(MLM-CR)测量中国大学生生命意义感的适用性.方法 用MLM-CR、生命满意度量表(SWLS)、生活目的量表(PIL)和病人健康问卷-2(PHQ-2)对1035名大学生进行施测,对MLM-CR进行项目分析、验证性因素分析和信度、效度检验.结果(1)MLM-CR的23个项目鉴别指数均在0.7以上(r=0.753~0.838,P<0.001);(2)验证性因素分析所得结构方程模型具有良好的拟合度(χ2/df=3.4;GFI=0.946;AGFI=0.924;RMR=0.069;NFI=0.953;CFI=0.966;RMSEA=0.048),结果支持MLM-CR具有兴奋感、成就感、原则性、目的性、价值感的五因子结构;(3)MLM-CR总量表Cronbachα系数为0.942,各因子的Cronbach a系数在0.782~0.877之间;MLM-CR总量表的分半信度为0.920,各因子的分半信度在0.752~0.830之间;MLM-CR总量表的重测信度为0.871,各因子的重测信度在0.783~0.805之间;(4)MLM-CR与SWLS,PIL和PHQ-2的效标相关分别为0.666,0.755,-0.388;(5)大学生MLM-CR总均分为(5.20±0.90),总体生命意义感处于中等偏上水平,女生的生命意义感高于男生(P<0.001).结论 MLM-CR具有良好的信、效度,适用于综合地反映个体的生命意义感.     

中文版躯体变形障碍量表在大学生群体中的信效度分析

目的修订躯体变形障碍量表并在中国大学生群体中检验其信效度。方法 2022年10月, 采用躯体变形障碍量表、体象障碍自评量表、简版外观焦虑量表、中文身体羞耻量表及简式抑郁量表对大学生进行施测, 其中, 样本1进行通俗度检验(n1=59), 样本2进行项目分析与探索性因子分析(n2=493), 样本3进行验证性因素分析(n3=457), 样本4进行重测信度分析(n4=89)。运用SPSS 25.0进行项目分析、探索性因素分析、信度分析、Pearson相关分析;运用AMOS 24.0进行验证性因素分析、聚敛效度分析。结果 (1)中文版躯体变形障碍量表包含病态信念、外表焦虑和过度打扮3个维度, 且三因子模型拟合良好(χ2/df=3.14, GFI=0.93, CFI=0.91, TLI=0.91, RMSEA=0.07);(2)中文版躯体变形障碍量表得分与体象障碍自评量表、简版外观焦虑量表、中文身体羞耻量表及简式抑郁量表得分均呈正相关(r=0.41～0.81, 均P<0.01), 其组合信度在0.75～0.95, 平均方差抽取量在0.51～0.56;(3)信度检验发现, 中文版躯体变形障...     

大学生偶像崇拜量表的初步编制及信效度检验

目的 编制大学生偶像崇拜量表.方法 通过查阅文献、访谈及小组讨论,建立量表结构,并确定初始量表项目54条.在广州的高校大学生中施测,3次选取110、182和277名大学生为样本.采用项目分析、探索性因素分析、信度分析和验证性因素分析等统计方法对数据进行统计分析.结果 大学生偶像崇拜量表由四个分量表构成:迷恋程度、理性认识程度、关注程度、行为改变程度.共有20个项目,各项目因素负荷为0.552～0.841.四个分量表的α系数分别为0.894,0.715,0.769,0.758,总量表的α系数为0.889.验证性因素分析拟合度较高(RESEA=0.064,GFI=0.89,NFI=0.96,NNFI=0.98,CFI=0.98,IFI=0.98).结论 量表具有良好的心理测量学特性,可以作为大学生偶像崇拜的工具.     

Value of D-Dimers in patients with acute aortic dissection

Objective: To evaluatel the value of D-dimers in patients with acute aortic dissection (AAD). Methods: This study consisted of 16 patients with AAD and 27 non-AAD patients. Serum D-dimets were measured by Sta-Liatest D-DI immunoturbidimetric assay. Results: D-dimer level was higher (P ＜ 0.001) in patients with AAD(7.91 ± 5.52 μg/ml) than that in non- AAD group(1.57±1.24 μg/ml). D-dimer was positive (＞0.4 μg/ml) in all patients with AAD and in 10 control group patients (37%). Among patients with acute AAD, D-dimers tended to be higher in Stanford A than in Stanford B (8.67 ± 4.31 μg/ml vs. 3.24±1.27 μg/ml, P ＜0.01). D-dimer values tended to be higher in more extended disease(3.84 ± 1.65 μg/ml, 8.57 ± 3.58 μg/ml and 11.87 ± 5.69 μg/ml in thoracic aorta, thoracic and abdominal aorta, thoracic and abdominal aorta and iliacal arteries, respectively, P ＜ 0.05 for both 8.57 ± 3.58 and 11.87 ± 5.69 vs. 3.84 ± 1.65 ). Including the control group into the analysis, we found a sensitivity of 100%, a negative predictive value of 100%, and a specificity of 66% and a positive predictive value of 64% for D-dimer in diagnosis of AAD in our patients with suspected AAD. Conclusion: D-dimer was elevated in patients with AAD. A negative D-dimer test result could be useful in excluding AAD.     

Research of combined liver-kidney transplantation model in rats

Objective： To set up a simple and reliable rat model of combined liver-kidney transplantation. Methods： SD rats served as both donors and recipients. 4℃ sodium lactate Ringer＇s was infused from portal veins to donated livers,and from abdominal aorta to donated kidneys, respectively. Anastomosis of the portal vein and the inferior vena cava （IVC） inferior to the right kidney between the graft and the recipient was performed by a double cuff method, then the superior hepatic vena cava with suture. A patch of donated renal artery was anastomosed to the recipient abdominal aorta. The urethra and bile duct were reconstructed with a simple inside bracket. Results： Among 65 cases of combined liver-kidney transplantation, the success rate in the late 40 cases was 77.5%. The function of the grafted liver and kidney remained normal. Conclusion： This rat model of combined liver-kidney transplantation can be established in common laboratory conditions with high success rate and meet the needs of renal transplantation experiment.     

APPLICATION OF LORNOXICAM TO PATIENT-CONTROLLED ANALGESIA IN PATIENTS UNDERGOING ABDOMINAL SURGERIES

FOR anesthesiologis s ,treatingpostoperativepainhas alwaysbeen a problem.Althoughopioidshave been provedtobe effective,theirsideeffectscouldnotbeignored.With thedevelopmentofscienceand pharmacology,many drugs with aspectsof satisfactoryanalgesicefficacyand couldbe welltoleratedby patientshave been developed.And lornoxicamisone of them, which isa non-steroidalanti-inflammatorydrug (NSAID ), with analgesic, anti-infl-ammatory,andantipyreticproperties.Itseliminationhalf-time(3 to 5 hours) isle…     

Development on Adjustable Calibration Marker for Shock Wave Focus

Shock wave lithotripsy （SWL） is a treatment of choice for upper urinary stones. However, this procedure is inappropriate for obese patients because the focus is often unable to reach the target owing to the limited focal distance in shock wave source. Although treating such patients in a blast path may increase the application length of shock wave source, it＇s difficult to find this path on the lithotripter monitor. For this reason, we invented an adjustable calibration marker in order to set an effective focus in the shock wave hath.     

Study on the TCM Pathogenesis of Angiopathic Complications of Type II Diabetes

Excess production of reactive oxygen species(ROS)of mitochondrion mediated by hyperglycemia is the common pathogenesis of angiopathic complications of diabetes.TCM holds that the damp from the dysfunction of spleen.kidney and liver is the causative factor of complications of diabetes.This is similar to the mechanism of Ros resulting in angiopathic complications of diabetes.When the angiopathic complications of type II diabetes mellitus(T2DM)are difierentiated as caused by turbid damp in TCM can be explained as ROS.Since the obstruction of pathogenic damp in channels and collaterals is said to be the main pathogenesis,the treating principle should be dissolving the damp to remove the obstruction.     

Leptin, Ghrelin and TNF-α before and after Hypo-caloric Traditional Chinese Diet and Auricular Acupuncture

INTRODUCTION Obesity is a complex emergent problem, which can be possibly solved not only by the diet but also by the life style and promotion of a constant physical exercise. 1, 2 No doubt careful attentions must be given to the nutritional condition of obese people, the dietary habits, the somatic build (i.e. distribution of fat mass) and the organic functions linked to formation of the fat mass. All the parameters should be constantly monitored before, during and after a diet treatment. 3, 4, 5     

Relationship between Dysglycemia and Carotid Atherosclerosis in Tibetan Population

People with dysglycemia are at high risk for atherosclerotic diseases. This study aims at investigating the atherosclerotic vascular damage in dysglycemia and its metabolic origin in Tibetan population.     

Acupuncture Combined with Spinal Tui Na for Treatment of Primary Dysmenorrhea in 30 Cases

Objective: To observe the therapeutic effects in acupunture treatment of primary dysmenorrhea combined with spinal Tui Na, and study its mechanism. Methods: Thirty cases of the treatment group were treated by acupuncture combined with spinal Tui Na, and thirty cases in the control group were treated by routine acupuncture. Results: The total effective rate was 93.3% in the treatment group, and 73.3% in the control group, with a significant difference between the two groups (P<0.05). Conclusions: Acupuncture combined with spinal Tui Na has good prospects for treatment of primary dysmenorrhea.     

Luo Lingjie's Experience in Treating Chronic Nephropathy

In treating chronic nephropathy,Luo Lingjie,a chief physician,pays attention to regulating the balance between yin and yang,treating infection if present,and removing pathogenic factors.He prescribes gentle drugs and uses carefully strongly warming-tonifying ones,emphasizes the importance of persuading the patient to persist in treatment with medication and nurse one's health for recuperation,and is good at combined use of TCM and western medicine therapy and brings the merits of various therapies into full play,with obvious theraoeutic effects.     

Dr.Zhang Ren's Experience in the Acupuncture Treatment of Different Diseases with the Same Therapeutic Principle

Dr.Zhang Ren,the chief physician,is the chairman of Shanghai Acupuncture and Moxibustion Association.Having been engaged in medicine for about 40 years,he is experienced in treating various intractable diseases.In his long years of clinical practice,he advocates taking the TCM differentiation as the basis to seek for the acupuncture method for treatment of modern intractable diseases.The author of this essay had the fortune to follow Dr.Zhang in study.The following is a summary of Dr.Zhang's experience in the acupuncture treatment for different intractable diseases with the same therapeutic principle.