Mental health problems and potential psychological crises affect the healthy growth and learning performance of college students.Effective and suitable prevention of psychological crises among college students is a co...Mental health problems and potential psychological crises affect the healthy growth and learning performance of college students.Effective and suitable prevention of psychological crises among college students is a continuous challenge university managers face.To explore a method of preventing psychological crises among college students,we measured 38661 students by using SCL-90(symptom check list-90)and screened out 5790 students with positive results.Then,we measured 33188 students by using PHQ-9(patient health questionnaire-9)and screened out 603 students with suicidal ideation or behavior;we interviewed 392 students by using GAQ(growth adversity questionnaire).The number of students who had positive results at both phases is 155.As a result,we obtained a data set(N=76)by integrating the students who tested positive on the PHQ-9(i.e.total score≥20)with those who completed the PHQ-9 and GAQ.In addition,we obtained a data set(N=50)by excluding the cases in which the GAQ score is 0.With regard to QCA(qualitative comparative analysis)results,the data set(N=76)exhibits 5 constellations of solutions with a coverage rate greater than 0.7,and the first eight indicators of the PHQ-9 constitute the explanatory variables in the combined solutions.About the data set(N=50),the combined solutions are extremely complicated and the explanatory variables encompass indicators from both the PHQ-9 and GAQ.All these mean that the multi-scale could more comprehensively reflect mental health states of college students,thus enhance the accuracy and effectiveness of the corresponding hierarchical intervention,and finally provide support for preventing psychological crises in universities.展开更多
The large global outbreak of coronavirus disease 2019(COVID-19)has seriously endangered the health care system in China and globally.The sudden surge of patients with severe acute respiratory syndrome coronavirus 2 in...The large global outbreak of coronavirus disease 2019(COVID-19)has seriously endangered the health care system in China and globally.The sudden surge of patients with severe acute respiratory syndrome coronavirus 2 infection has revealed the shortage of critical care medicine resources and intensivists.Currently,the management of non-critically ill patients with COVID-19 is performed mostly by non-intensive care unit(ICU)physicians,who lack the required professional knowledge,training,and practice in critical care medicine,especially in terms of continuous monitoring of the respiratory function,intervention,and feedback on treatment effects.This clinical problem needs an urgent solution.Therefore,here,we propose a series of clinical strategies for non-ICU physicians aimed at the standardization of the management of non-critically ill patients with COVID-19 from the perspective of critical care medicine.Isolation management is performed to facilitate the implementation of hierarchical monitoring and intervention to ensure the reasonable distribution of scarce critical care medical resources and intensivists,highlight the key patients,timely detection of disease progression,and early and appropriate intervention and organ function support,and thus improve the prognosis.Different management objectives are also set based on the high-risk factors and the severity of patients with COVID-19.The approaches suggested herein will facilitate the timely detection of disease progression,and thus ensure the provision of early and appropriate intervention and organ function support,which will eventually improve the prognosis.展开更多
文摘Mental health problems and potential psychological crises affect the healthy growth and learning performance of college students.Effective and suitable prevention of psychological crises among college students is a continuous challenge university managers face.To explore a method of preventing psychological crises among college students,we measured 38661 students by using SCL-90(symptom check list-90)and screened out 5790 students with positive results.Then,we measured 33188 students by using PHQ-9(patient health questionnaire-9)and screened out 603 students with suicidal ideation or behavior;we interviewed 392 students by using GAQ(growth adversity questionnaire).The number of students who had positive results at both phases is 155.As a result,we obtained a data set(N=76)by integrating the students who tested positive on the PHQ-9(i.e.total score≥20)with those who completed the PHQ-9 and GAQ.In addition,we obtained a data set(N=50)by excluding the cases in which the GAQ score is 0.With regard to QCA(qualitative comparative analysis)results,the data set(N=76)exhibits 5 constellations of solutions with a coverage rate greater than 0.7,and the first eight indicators of the PHQ-9 constitute the explanatory variables in the combined solutions.About the data set(N=50),the combined solutions are extremely complicated and the explanatory variables encompass indicators from both the PHQ-9 and GAQ.All these mean that the multi-scale could more comprehensively reflect mental health states of college students,thus enhance the accuracy and effectiveness of the corresponding hierarchical intervention,and finally provide support for preventing psychological crises in universities.
基金Supported by The National Natural Science Foundation of China,No.81770276Nn10 Program of Harbin Medical University Cancer Hospital+1 种基金Novel Coronavirus Pneumonia Emergency Treatment and Diagnosis Technology Research Project of Heilongjiang Provincial Science and Technology DepartmentScientific Research Project of Heilongjiang Health and Family Planning Commission,No.2018086。
文摘The large global outbreak of coronavirus disease 2019(COVID-19)has seriously endangered the health care system in China and globally.The sudden surge of patients with severe acute respiratory syndrome coronavirus 2 infection has revealed the shortage of critical care medicine resources and intensivists.Currently,the management of non-critically ill patients with COVID-19 is performed mostly by non-intensive care unit(ICU)physicians,who lack the required professional knowledge,training,and practice in critical care medicine,especially in terms of continuous monitoring of the respiratory function,intervention,and feedback on treatment effects.This clinical problem needs an urgent solution.Therefore,here,we propose a series of clinical strategies for non-ICU physicians aimed at the standardization of the management of non-critically ill patients with COVID-19 from the perspective of critical care medicine.Isolation management is performed to facilitate the implementation of hierarchical monitoring and intervention to ensure the reasonable distribution of scarce critical care medical resources and intensivists,highlight the key patients,timely detection of disease progression,and early and appropriate intervention and organ function support,and thus improve the prognosis.Different management objectives are also set based on the high-risk factors and the severity of patients with COVID-19.The approaches suggested herein will facilitate the timely detection of disease progression,and thus ensure the provision of early and appropriate intervention and organ function support,which will eventually improve the prognosis.
