Levels Of Hope Research Articles

Whole-process case management effects on mental state and self-care ability in patients with liver cancer.

Regarding the incidence of malignant tumors in China, the incidence of liver cancer ranks fourth, second only to lung, gastric, and esophageal cancers. The case fatality rate ranks third after lung and cervical cancer. In a previous study, the whole-process management model was applied to patients with breast cancer, which effectively reduced their negative emotions and improved treatment adherence and nursing satisfaction. To explore Mental state and self-care ability in patients with liver cancer: effects of whole-process case management. In this single-center, randomized, controlled study, 60 randomly selected patients with liver cancer who had been admitted to our hospital from January 2021 to January 2022 were randomly divided into an observation group (n = 30), who received whole-process case management on the basis of routine nursing measures, and a control group (n = 30), who were given routine nursing measures. We compared differences between the two groups in terms of anxiety, depression, the level of hope, self-care ability, symptom distress, sleep quality, and quality of life. Post-intervention, Hamilton anxiety scale, Hamilton depression scale, memory symptom assessment scale, and Pittsburgh sleep quality index scores in both groups were lower than those pre-intervention, and the observation group had lower scores than the control group (P < 0.05). Herth hope index, self-care ability assessment scale-revision in Chinese, and quality of life measurement scale for patients with liver cancer scores in both groups were higher than those pre-intervention, with higher scores in the observation group compared with the control group (P < 0.05). Whole-process case management can effectively reduce anxiety and depression in patients with liver cancer, alleviate symptoms and problems, and improve the level of hope, self-care ability, sleep quality, and quality of life, as well as provide feasible nursing alternatives for patients with liver cancer.

Effects of family dignity interventions combined with standard palliative care on family adaptability, cohesion, and anticipatory grief in adult advanced cancer survivors and their family caregivers: A randomized controlled trial

BackgroundFamily involvement and comfort are equally important in palliative care. Dignity undertook a new meaning and novel challenges as a result of restrictions on visits and companionship during the pandemic. Family-centered family dignity interventions have been shown to be effective in increasing patients’ sense of dignity, increasing levels of hope, and reducing psychological distress; however, the effectiveness in enhancing family adaptability and intimacy in the survivor-caregiver binary and reducing expected grief have been inconclusive. ObjectivesThe primary objective of this study was to assess the efficacy of family dignity interventions on family adaptability and cohesion. The secondary objective was to explore the effects of the interventions on anticipatory grief and psychological distress, and the lasting effect 1 month after the intervention. DesignA single-blinded, two-arm parallel group, randomized controlled trial was conducted in China. Settingsand methods: Ninety-eight dyads who met the inclusion criteria were randomly assigned to the family dignity intervention (n = 51) or standard palliative care group (n = 47) between June and August 2022. Study outcomes were measured at baseline, immediately post-intervention, and at the 1-month follow-up post-intervention evaluation. Data were analyzed using the Kolmogorov-Smirnov test, chi-square test, Fisher's exact test, independent sample t-test, Wilcoxon rank-sum test, and generalized estimation equations. The Intention-To-Treat analysis was performed for all available data. ResultsIn comparison to the control group, significant improvements in family adaptability and cohesion and anticipatory grief over post-intervention and 1-month follow-up were demonstrated among the patients in the intervention group. The intervention group of caregivers had significant improvement in anticipatory grief at post-intervention and 1-month follow-up. The level of psychological distress was significantly lower in the intervention group than the control group (p < 0.05) at 1-month follow-up but the differences were not statistically significant at post-intervention. All outcomes showed clear differences from baseline after the intervention and at the 1-month follow-up evaluation but not between post-intervention and at the 1-month follow-up evaluation. ConclusionThis study further verifies the actual effect of family dignity intervention program through randomized controlled trials, and provides a reference for improving the family relationship between advanced cancer patients and their family caregivers, and improving their mental health. The addition of family dignity intervention to standard palliative care greatly increased the adaptability and cohesion between survivors and their families, lessened the anticipatory grief of the survivor-caregiver pair, and relieved caregivers’ anxiety and despair. We did not detect a statistically significant difference between post-intervention and the 1-month follow-up evaluation, suggesting that the intervention may have a durable impact at least 1 month.

Foster parenting in old age as a crisis. Baseline hope, generalised self-efficacy, and positive orientation of foster parents in late adulthood

The article presents the results of own research presenting differences in the level of basic hope, the sense of generalized self-efficacy and positive orientation depending on the function of a foster parent for one’s grandchildren. For this purpose, the Basic Hope Questionnaire (BHI-12), the Generalized Self-Efficacy Scale (GSES), the Positive Orientation Scale (P Scale) and the self-survey were used. 160 people took part in the study. The study group consisted of 80 foster parents in late adulthood. The control group consisted of 80 elderly people who did not perform this function.&#x0D; Statistical analysis showed statistically significant differences in the level of all the studied variables. It turned out that foster parents are characterized by a higher level of basic hope (this effect is strong), a higher level of a sense of generalized self-efficacy, and a lower level of positive orientation. In the case of the last variable, the effect was very strong. On this basis, it can be concluded that elderly people acting as foster parents, in the situation of a crisis occurring in the family, consisting in the disintegration of the previous way of its functioning, having a sense of agency and conviction that it is possible to build a new order, i.e. a strong basic hope, decide to take over the care of their grandchildren. At the same time, the results of research in the field of positive orientation indicate that it is a difficult situation for them related to the experience of lower satisfaction with themselves and their lives.&#x0D; Surrogate parenting in late adulthood has been shown as a difficult situation in which the family and human life cycle are disrupted. The psychological situation of elderly people acting as foster parents for their grandchildren is particularly interesting, because the natural developmental crisis resulting from the aging process is superimposed by an additional situational crisis consisting in the loss of the care of the biological parents by the minors and the assumption of this responsibility by the grandparents

Determination of nurses’ happiness, hope, future expectations, and the factors influencing them: a descriptive study that can guide policy development to prevent nurse migration*

BackgroundThe happiness and hopefulness of nurses are not only known that contribute to their emotional well-being but also professional creativity, improve the quality of nursing services and organizational performance. Therefore, knowing which factors affect nurses’ mental well-being and future expectations can provide information for nursing workforce planning policies. This study was conducted to determination of Nurses’ happiness, hope, and future expectations and the factors influencing them.Method326 nurses from 52 provinces of Turkey participated in this descriptive study. The data collection instruments included a Demographic Characteristics Form and questions from the Turkish Statistical Institute’s Life Satisfaction Survey to assess overall happiness, hope, and expectation levels. The study data was collected using an e-survey prepared through Google Forms in line with the principle of voluntarism. In the study adhered to the EQUATOR checklist for descriptive studies.ResultsThe average scores for overall happiness, hope, and future expectations among the participating nurses were found to be 2.34 ± 0.98, 2.22 ± 0.95, and 1.26 ± 0.54, respectively. It was determined that the levels of happiness, hope, and future expectations of nurses are influenced by satisfaction with income, income’s ability to meet needs, and personal development over the last five years.ConclusionThe study concluded that the overall happiness and hope levels of nurses are low, while their future expectations are at a moderate level. Satisfaction with income affects the happiness and hope levels of nurses. Three quarters of the nurses participating in the study want to work abroad. This situation may lead to a need for qualified nurses in the future.

The Development of Curriculum Based on Happiness Theory to Improve the Hope of College Students

The research objectives were 1) to study the factors affecting the development of hope of collage freshman students in Guangxi International Business Vocational College. 2) to develop curriculum based on the happiness theory. 3) to compare the hopes of college freshman students before and after learning by curriculum based on the happiness theory. With a carefully selected sample of 35 students from the first-year Thai class at Guangxi International Business Vocational College, researchers conducted a thorough analysis of various factors affecting students' hope. A range of research tools was utilized, including 1) a questionnaire about the factors affecting the development of hope level. 2) interview form about influencing factors of hope level. 3) lesson plans. 4) the Hope Scale. 5) observation form about student behavior. (6) interview form about opinions on teaching. This study was conducted in 3 steps: 1) study the factors affecting the development of hope. 2) develop curriculum based on the happiness theory. 3)experiment and improvement of curriculum model. The results of the study shown that: 1) factors that affect the development of college students' hopes include personal factors and environmental factors. Personal factors are related to goals thinking, pathways thinking and agency thinking, and environmental factors include family, school, and society.2) The curriculum based on happiness theory includes 6 elements: principle, goal, contents, and time, learning process, learning resource, and Evaluation. The learning process in the curriculum includes 4 processes: positive emotion, engagement, relationship, meaning, accomplishment, and present. 3) students' hope is improved after the implementation of the curriculum based on happiness theory. This change was statistically significant, especially at the level of 0.1.

Positive effects of parent-child group emotional regulation and resilience training on nonsuicidal self-injury behavior in adolescents: a quasi-experimental study.

Nonsuicidal self-injury (NSSI) among adolescents is a growing global concern. However, effective interventions for treating NSSI are limited. A 36-week quasi-experimental study design of parent-child group resilience training (intervention group) for adolescents aged 12-17 years was used and compared with treatment-as-usual (control group). The primary endpoint was the frequency of NSSI assessed with the Ottawa Self-Injury Inventory (OSI), and the secondary endpoints were the levels of depression, hope, resilience, and family adaptability and cohesion as assessed by the 24-item Hamilton depression rating scale (HAMD-24), Herth Hope Scale (HHS), Connor-Davidson Resilience Scale (CD-RISC), and Family Adaptability and Cohesion Evaluation Scale, second edition (FACES-II-CV), respectively. A total of 118 participants completed the trial. Both groups showed a significant reduction in NSSI frequency after 12, 24, and 36 weeks of intervention (p< 0.05), although the intervention group did not differ significantly from the control group. After 12, 24, and 36 weeks of intervention, the CD-RISC, HHS, HAMD-24, and FACES-II-CV scores in the intervention and control groups improved over baseline (p< 0.05). Furthermore, the intervention group had higher scores on the CD-RISC, HHS, and FACES-II-CV and lower scores on the HAMD-24 than the control group after 12, 24, and 36 weeks of intervention (p < 0.05). Parent-child group emotional regulation and resilience training showed promise as treatment options for NSSI among adolescents, leading to increased hope, resilience, and improved family dynamics among NSSI teens. Moreover, NSSI frequency significantly decreased in the intervention group compared to baseline.

A Pilot Study of the Coping Together Virtual Family Intervention: Exploring Changes in Family Functioning and Individual Well-Being.

In this pilot study, we tested a virtual family strengthening and mental health promotion intervention, Coping Together (CT), during the COVID-19 pandemic. We explored changes at the family and individual levels, as well as mechanisms of change. Participants included 18 families (24 caregivers, 24 youth) with children aged 7 to 18 years. Community health workers delivered the 8-session CT intervention using videoconferencing software. We used qualitative semi-structured interviews with 14 of the families to explore changes and mechanisms of change using a thematic content analysis approach. We also administered pre-post surveys with the 18 families to explore the direction of changes, using only descriptive statistics in this small sample. Qualitative findings supported positive changes across family and individual level outcomes including family functioning, relationship quality, and individual psychosocial well-being. Results also confirmed several hypothesized mechanisms of change with improved communication providing the foundation for increased hope and improved problem solving and coping. Pre-post survey results were mixed, showing positive, but very small, changes in family closeness, caregiver-child communication, and levels of hope; almost no change was observed on measures of caregiver and child mental health. Families reported few problems at baseline quantitatively despite qualitative descriptions of pre-intervention difficulties. Results provide preliminary support for benefits of CT with the most consistent improvements seen across family relationships. Findings were mixed related to individual-level mental health benefits. Results have implications for revising content on mental health coping strategies and suggest the need to revise the quantitative measurement strategy for this non-clinical sample.

Behavioral and psychosocial correlates of hope among youth

IntroductionHope plays a crucial role in the well-being of youth, impacting various aspects of their lives. However, less is known about the role of hope in pre-adolescents. This study aims to explore the psychosocial and behavioral correlates of hope in 9–10-year-old pre-youth transitioning into adolescence. MethodsUsing data from the Adolescent Brain Cognitive Development (ABCD) study, 4631 youth entered our study. The investigation follows these individuals for up to 36 months, specifically observing the initiation of marijuana and tobacco use. The methods employed include bivariate correlations. ResultsBaseline high hope offered protection against marijuana and tobacco use over the following 36 months. Elevated levels of hope could be seen in pre-youth with higher family income and those experienced lower levels of stressful life events and financial difficulties. High hope was also linked to lower behavioral problems, improved emotional function, lower impulsivity, lower sensation seeking, and higher cognitive function. Notably, hope was not correlated with parental education, neighborhood income, family conflict, blood pressure, body mass index, grade point average, prosocial behaviors, or puberty. ConclusionIn conclusion, the findings suggest a close interplay between hope and various dimensions of resilience including lower tobacco and marijuana use. Higher levels of hope, influenced by factors such as family income and life events, may be a mechanism that connects hope to enhanced emotional and cognitive functioning and acts as a protective factor against early initiation of substance use. These findings underscore the potential utility of fostering hope as a strategy to promote positive development and reduce tobacco and marijuana use.

A methodology for using players’ chat content for dynamic difficulty adjustment in metaverse multiplayer games

Personalization of game difficulty is a critical task in leveraging artificial intelligence (AI) technologies to enhance player engagement in virtual worlds like metaverse. One of the key challenges in this area is developing methods for assessing a player’s perception of game difficulty. This information can be used to dynamically adjust the game difficulty to match the player’s skill level and preferences, which can improve the player’s experience and engagement. The existing approaches have limitations such as relying on costly external devices, requiring time-consuming feedback or questionnaires, and being specific to certain game genres and narratives. In this paper, we propose a new method called ChatDDA for evaluating a player’s perception of game difficulty by analyzing the content of their chat messages. Our method uses a pre-trained language model to extract semantic features from the chat messages, which are then used to train a feed-forward neural network to predict the player’s level of hopefulness or despair about succeeding in the game. Three pre-trained language models—BERT, RoBERTa, and Twitter-roBERTa—are fine-tuned on a purpose-built dataset of player chat messages of the popular multiplayer online game PlayerUnknown’s Battlegrounds (PUBG) tagged as expressing optimism or pessimism regarding game success. The results showed that our method can accurately predict a player’s perception of game difficulty, with an accuracy of 0.953 on the test dataset of player chat messages. This suggests that our method has the potential to enhance player engagement and immersion within the game, ultimately leading to more satisfying and enjoyable metaverse experiences.

The unique effects of hope and gratitude on psychological distress and well-being in trauma-exposed Hispanic/Latino adults.

Gratitude and hope are well-established predictors of well-being and buffers against posttraumatic stress disorder (PTSD) and anxiety symptoms. However, scarce literature exists that investigates these relationships in a Hispanic/Latino sample. The current study investigates gratitude's and hope's relationship to PTSD and anxiety symptoms and different domains of well-being in trauma-exposed Hispanic/Latino young adults at a large southern university. The sample was composed of 732 undergraduate students who were mostly female (80.7%) and young adults, (Mage = 21.8, SD = 4.3), who endorsed experiencing one or more traumatic events via the Life Events Checklist. Students completed an online survey for course credit. Structural equation models were used to analyze the data. Gratitude had a stronger inverse relationship with PTSD symptoms (β = -.43, 95% CI [-0.50, -0.35]) and anxiety symptoms (β = -.28, 95% CI [-0.36, -0.20]) compared to hope (β = .06, 95% CI [-0.01, 0.14]) (β = -.06, 95% CI [-0.14, 0.02]). Both gratitude and hope were robust predictors of the three domains of well-being. The current study found that hope and gratitude predicted resilience in trauma-exposed Hispanic/Latino young adults. Decreased levels of gratitude were a stronger predictor of psychological distress and subjective well-being than decreased levels of hope, but hope was a robust predictor of the three well-being domains. The findings of this study may lend support for the development of hope and gratitude interventions in a Hispanic/Latino population for the prevention of PTSD symptoms and anxiety symptoms via engendering higher levels of resilience. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Mental health outcomes and their influencing factors on patients with COVID-19 in the Fangcang shelter hospital in China.

Coronavirus disease 2019 (COVID-19) affects physical and mental health of patients. This study aimed to investigate the psychological distress, level of hope, and the role of families of patients with COVID-19 in the Fangcang shelter hospital (FSH) and explore potential influencing factors. We conducted an online observational cross-sectional study on 397 patients with mild to moderate COVID-19 from two FSH in Shanghai, China from 12 April to 16 May 2022. The questionnaire included demographic information, distress thermometer (DT), family adaptation, partnership, growth, affection, resolve (APGAR) index, and the Herth hope index (HHI). The patients reported symptoms of severe psychological distress (n = 109, 27.46%) and low levels of family care (n = 152, 38.29%). More than half of the patients (n = 244, 61.46%) exhibited high levels of hope, and around one-third of the patients (n = 151, 38.04%) reported moderate levels of hope. The study noted a significant negative correlation between the scores for psychological distress and APGAR and a significant positive correlation between the scores for APGAR and HHI (p < 0.05). The FSH living experience, diet, and symptoms of COVID-19 were closely associated with psychological distress among patients (p < 0.05). Patients with COVID-19 living in the FSH reported high levels of symptoms of psychological distress and low levels of family care, but relatively high levels of hope. Health care workers should improve the living and eating conditions in the FSH, strengthen family support, and alleviate the COVID-19 related symptoms of patients.

Predictors of hope among at-risk young adults in Israel during the transition to adulthood.

This exploratory study examined hope among at-risk young adults and the factors associated with hope including income, housing, self-rated health, and education. The study, conducted among Israeli at-risk young adults, included 589 participants, ages 18-25 who received some form of treatment at one of Israel's social welfare service agencies. Findings indicated that young adults who had experienced housing instability/insecurity during the past year had lower levels of hope compared to participants who had not experienced housing instability/insecurity. Structural equation modeling revealed housing security, higher income sufficiency, and higher education were associated with higher levels of hope. The discussion addresses the importance of recognizing both protective and risk factors for positive adjustment among at-risk young adults. Implications for practice emphasize the importance of considering instrumental, as well as psychological and motivational, aspects in intervention programs that support at-risk young adults during the transition to adulthood. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Psychological capital and work functioning of workers with recurrent or metastatic cancer beyond return to work.

The existing studies among workers with a past cancer diagnosis have rarely focused on workers confronted with cancer recurrence or metastases specifically, so knowledge is lacking. The aim of this study, therefore, was to investigate the work functioning (work ability, burnout complaints, and work engagement) of workers with recurrent or metastasized cancer. Furthermore, the association of psychological capital (hope, optimism, resilience, and self-efficacy) with work functioning was studied. Data from a survey study among workers 2-10 years past cancer diagnosis were used (N = 750); 73% reported a diagnosis of breast cancer and 27% a diagnosis of cancer other than breast cancer. Analysis of variance was used to compare participants with and without cancer recurrence or metastases regarding work functioning (work ability, burnout complaints, and work engagement) and psychological capital (hope, optimism, resilience, and self-efficacy). Multivariate regression analyses were used to analyze the association of type of cancer and psychological capital with work functioning among workers with cancer recurrence or metastatic cancer (n = 54), controlling for age. Work ability is significantly lower among workers with cancer recurrence or metastases (controlling for age); however, burnout complaints and work engagement are at comparable levels. Among workers with cancer recurrence or metastases, a higher level of hope is positively associated with work ability and work engagement, and a higher level of hope or resilience is negatively associated with burnout complaints. Among workers with cancer recurrence or metastases, work ability needs attention. Furthermore, especially the element hope of psychological capital is important to focus on because of the association with more favorable work functioning in general. The clinical psycho-oncological practice may benefit from these insights in guiding this vulnerable group of workers who are living with active cancer and many uncertainties.

The impact of hope levels on treatment adherence in psychiatric patients

PurposeIn this study, aimed to determine the status of hope and treatment adherence in psychiatric patients and the relationship between the two. Material and methodThe sample of the study consisted of participants (n = 103) in a university hospital psychiatric clinic. Research data were collected using personal information form, Morisky treatment adherence scale and Herth Hope Index (HHI). Statistical analysis of the data was carried out with SPSS 22.0 program using descriptive tests, student t-test, one-way variance analysis, chi-square test and Spearman correlation analysis. ResultsThe average score of the patients' hope scale is 34.23 ± 9.59 and is above the intermediate level. 43.7 % of patients have low adherence with treatment. It was found that as patients' hope scores increased (r = −0.417) non-adherence with treatment decreased; as annual hospitalization increased non-adherence increased (r = 0.274); as the duration of disease increased score of hope (r = −0.271), non-adherence with therapy (r = 0.353) and annual hospitalization increased (r = 0.211) (p < .05). Among the patients who took part in the study, 36.9 % were diagnosed with bipolar disorder, 33.0 % with schizophrenia and other psychotic disorders, 20.4 % with depression. Patients with bipolar disorder had higher treatment non-adherence scores. It was determined that 29.1 % of the patients stopped taking medication thinking they had recovered and 28.2 % did not adhere to the treatment due to drug side effects. ConclusionThe findings underscore the crucial role of hope in influencing treatment adherence among psychiatric patients. Clinicians should consider strategies to bolster hope as a potential avenue for improving adherence rates.

Prediction of individual, community and societal resilience in the Czech Republic compared to Slovakia during the war in Ukraine

The present study examines, as research questions, which and to what extent psychological and demographic variables significantly predict individual, community, and societal resilience among a sample of Czech Republic adults (N = 1,100) six months after the Russian invasion of Ukraine. The research tools included the following scales: Societal, community, and individual resilience; hope, well-being; morale; distress symptoms; a sense of danger; and perceived threats. The results indicated the following: (a) Correlation analysis shows that resilience is significantly and positively correlated with supporting coping factors and significantly and negatively correlated with suppressing coping factors. (b) A comparison of supporting coping indicators (hope, well-being, and morale) and suppressing coping indicators (distress symptoms, sense of danger, and perceived threats) in the Czech Republic with those variables in Slovakia and Israel indicated that Israel reported higher resilience, higher supporting coping indicators, and lower suppressing coping factors. Three-path analysis among the Czech sample indicated that the best predictor of SR was the level of hope, the best predictor of CR was morale, and the best predictor of IR was the sense of danger. In an attempt to explain these findings in the discussion section, we refer to the background of Czech society and a possible connection to the findings.

Post-stroke fatigue, hope and discharge readiness: A cross-sectional survey.

To explore the relationships among post-stroke fatigue, hope and discharge readiness in stroke patients, and to determine whether hope mediates the relationship between post-stroke fatigue and discharge readiness. In stroke patients, inadequate discharge readiness has been found to correlate with higher readmission and mortality rates. Although previous qualitative studies have confirmed the impact of fatigue on discharge readiness, few studies explore the impact of post-stroke fatigue and hope on discharge readiness of stroke patients. Consequently, the current research on this relationship and its underlying mechanisms is still quite limited. Cross-sectional study. Data were collected from 340 stroke patients. The research tools included demographic and disease characteristics, Discharge Readiness Assessment Scale for Stroke, Neurological Fatigue Index for Stroke and Herth Hope Index. The STROBE checklist was used to guide the presentation of this study. Discharge readiness was negatively correlated with post-stroke fatigue and positively correlated with hope. Additionally, post-stroke fatigue was negatively correlated with hope. Post-stroke fatigue had a direct negative effect on discharge readiness, and it can also generate indirect effects through hope. Hope was the partial mediator between post-stroke fatigue and discharge readiness, explaining 55.8% of the total effect. Discharge readiness of this population can be improved by reducing post-stroke fatigue and increasing hope. Therefore, effective management of post-stroke fatigue and hope will help improve discharge readiness. It is recommended that nursing staff should monitor the occurrence and development of post-stroke fatigue in stroke patients, dynamically evaluate the patient's level of hope, and pay attention to the important role of positive psychological qualities in the outcome of discharge. If medical staff can formulate corresponding intervention measures based on the influence path of discharge readiness, then the discharge readiness of stroke patients can be improved.

Level of basic hope and symptoms of anxiety and depression in women after miscarriage.

The study aimed to determine the level of basic hope and symptoms of anxiety and depression in women after miscarriage.Methods: To evaluate the symptoms of anxiety and depression, and basic hope, the standardized questionnaires the Hospital Anxiety and Depression Scale (HADS) and the Basic Hope Inventory (BHI-12), respectively, were used. Patients hospitalized at the Department of Obstetrics and Gynaecology of the Provincial Combined Hospital in Kielce due to miscarriage in the period from September 2019 to August 2021 were included in the study. The sense of basic hope increased after 3 months (p < 0.001). The intensity of symptoms of anxiety and depression decreased (p < 0.001). The BHI-12 correlated significantly and negatively with the level of anxiety (r = -0.438, p < 0.001) and depression symptoms (r = -0.456, p < 0.001) during and after hospitalization (anxiety r = -0.649, p < 0.001; depression r = -0.643, p < 0.001). It was found that the level of hope significantly increased after 3 months compared to this level during hospitalization. Hope was associated with lower levels of anxiety and depression symptoms.

The psychological intervention and clinical efficacy of Rosenthal effect and acupuncture bleeding on middle-aged and young patients with sudden hearing loss.

Combining traditional Chinese medicine theory and modern medical knowledge, this study explores the pathogenesis of sudden hearing loss in middle-aged and young people. Sixty-four young and middle-aged patients with sudden hearing loss who visited a public tertiary hospital in China are chosen as experimental objects. All experimental patients are broken into an experimental group (n = 32) and a control group (n = 32). The control group receive conventional Western medicine treatment regimen. The experimental group receive select acupoint acupuncture and bloodletting combined with Rosenthal effect for psychological intervention, and both groups have a treatment course of 14 days. The changes in the patient's condition before and after treatment are observed, and the differences in hearing threshold values, tinnitus, and dizziness clinical efficacy before and after treatment are observed and recorded. It evaluates the efficacy using the Anxiety, Depression Scale, and Hope Scale and statistically analyzes the data. The dizziness score of the experimental group decreased rapidly, the treatment onset time was shorter, and the improvement effect on dizziness symptoms was better (P < .05). After 1 month of intervention treatment, the intervention of the experimental group was better (P < .05). The hope level and self-efficacy of both groups of patients were raised in contrast with before treatment (P < .05). After 1 month, the intervention effect of the experimental group was more significant (P < .01). Both groups could improve patient ear blood circulation, but the experimental group had lower plasma viscosity, hematocrit, and red blood cell aggregation index, higher red blood cell deformation index, and more significant improvement effect (P < .05). The effective rates of improving hearing and tinnitus in the experimental group reached 87.5% and 81.5%, and the clinical treatment efficacy was better than that in the control group (P < .05). The level of depression and anxiety in the experimental group remained relatively stable, while that in the control group showed a significant rebound (P < .05). In conclusion, both groups had a certain effect in treating sudden deafness, both of which could effectively improve the patient's hearing. But in contrast with the control group, the experimental group had better clinical efficacy, higher safety, and better psychological intervention results, which is worthy of clinical promotion.

THE RELATIONSHIP OF HOPE WITH QUARTER LIFE CRISIS IN FINAL YEAR STUDENTS IN WEST SUMATRA

This research aims to determine the relationship between hope and quarter life crisis in final year students in West Sumatra. Hope is the ability possessed by an individual to create a strategy in achieving a goal with the overall motivation he has to recognize the strategy chosen in achieving a goal. Meanwhile, the quarter life crisis is a process of high instability, drastic changes, too many choices and feelings of panic and helplessness. This phase appears in individuals aged 18 to 29 years. This research uses quantitative methods with a quantitative correlational research design. The population in this study were final year students in West Sumatra with a total of 195 students as subjects. The sampling technique used was purposive sampling. The data collection tool uses the quarter life hope and crisis scale. Data analysis uses the product moment correlation coefficient. The results of the research show that there is a negative relationship between hope and the quarter life crisis in final year students in West Sumatra (r=-0.514: p=0.00). A significant negative relationship means that if an individual has high hopes then the level of quarter life crisis for the individual will be low, and if the level of quarter life crisis is high then the level of hope experienced by the individual will tend to be low.

THE RELATIONSHIP OF HOPE WITH QUARTER LIFE CRISIS IN FINAL YEAR STUDENTS IN WEST SUMATRA

This research aims to determine the relationship between hope and quarter life crisis in final year students in West Sumatra. Hope is the ability possessed by an individual to create a strategy in achieving a goal with the overall motivation he has to recognize the strategy chosen in achieving a goal. Meanwhile, the quarter life crisis is a process of high instability, drastic changes, too many choices and feelings of panic and helplessness. This phase appears in individuals aged 18 to 29 years. This research uses quantitative methods with a quantitative correlational research design. The population in this study were final year students in West Sumatra with a total of 195 students as subjects. The sampling technique used was purposive sampling. The data collection tool uses the quarter life hope and crisis scale. Data analysis uses the product moment correlation coefficient. The results of the research show that there is a negative relationship between hope and the quarter life crisis in final year students in West Sumatra (r=-0.514: p=0.00). A significant negative relationship means that if an individual has high hopes then the level of quarter life crisis for the individual will be low, and if the level of quarter life crisis is high then the level of hope experienced by the individual will tend to be low.