BACKGROUND Colorectal cancer(CRC)has become the third leading cancer with the third highest occurrence rate and the second highest death ratio globally.Its incidence and mortality rates have been increasing annually i...BACKGROUND Colorectal cancer(CRC)has become the third leading cancer with the third highest occurrence rate and the second highest death ratio globally.Its incidence and mortality rates have been increasing annually in recent years,posing a serious threat to global public health.Digestive endoscopy technology can not only be used for the diagnosis of CRC,but it can also be used in determining the depth of infiltration in early CRC.There are significant deficiencies in care measures in this area.METHODS A total of 120 CRC patients were randomly and equally divided into a control group and an observation group.The patients in the control group received basic routine nursing care,and the patients in the observation group received sys-tematic digestive endoscopy center nursing care.The patients'compliance and nursing satisfaction were observed and recorded,as well as the Self-Rating Anxiety Scale(SAS),Self-Rating Depression Scale(SDS)and Visual Analogue Scale(VAS)scores.RESULTS After care,the SAS and SDS scale scores of patients in both groups significantly decreased compared to before care(P<0.05).The VAS scale scores significantly increased for each group compared to before examination(P<0.05).The SAS,SDS and VAS scale scores of the observation group were significantly lower than those of the control group after nursing care(P<0.05),and compliance and satisfaction of nursing care were significantly higher than those of the control group(P<0.05).CONCLUSION Digestive endoscopy center nursing can effectively intervene in and improve the psychological state and pain level of CRC patients,suggesting it is a valuable approach to adopt in the clinic.展开更多
A research study collected intensive longitudinal data from cancer patients on a daily basis as well as non-intensive longitudinal survey data on a monthly basis. Although the daily data need separate analysis, those ...A research study collected intensive longitudinal data from cancer patients on a daily basis as well as non-intensive longitudinal survey data on a monthly basis. Although the daily data need separate analysis, those data can also be utilized to generate predictors of monthly outcomes. Alternatives for generating daily data predictors of monthly outcomes are addressed in this work. Analyses are reported of depression measured by the Patient Health Questionnaire 8 as the monthly survey outcome. Daily measures include numbers of opioid medications taken, numbers of pain flares, least pain levels, and worst pain levels. Predictors are averages of recent non-missing values for each daily measure recorded on or prior to survey dates for depression values. Weights for recent non-missing values are based on days between measurement of a recent value and a survey date. Five alternative averages are considered: averages with unit weights, averages with reciprocal weights, weighted averages with reciprocal weights, averages with exponential weights, and weighted averages with exponential weights. Adaptive regression methods based on likelihood cross-validation (LCV) scores are used to generate fractional polynomial models for possible nonlinear dependence of depression on each average. For all four daily measures, the best LCV score over averages of all types is generated using the average of recent non-missing values with reciprocal weights. Generated models are nonlinear and monotonic. Results indicate that an appropriate choice would be to assume three recent non-missing values and use the average with reciprocal weights of the first three recent non-missing values.展开更多
<strong>Background:</strong><span><span><span style="font-family:""><span style="font-family:Verdana;"> Many factors influence the expressions of pain in pr...<strong>Background:</strong><span><span><span style="font-family:""><span style="font-family:Verdana;"> Many factors influence the expressions of pain in primiparous women aside from contractions of the uterus. </span><b><span style="font-family:Verdana;">Objective:</span></b><span style="font-family:Verdana;"> This study aimed to describe the level labor pain, level of labor pain behaviors based on cultural pain behaviors at 3 - 4 cm of cervical dilation or the beginning of the active phase of labor among primiparous Muslim women in Indonesia. </span><b><span style="font-family:Verdana;">Methods:</span></b><span style="font-family:Verdana;"> This was a study with 42 primiparous Muslim women who gave birth in the labor room at Bhinneka Bhakti Husada Hospital and Community Health Center Pamulang, Indonesia from June until January 2017. The women were asked to describe on a 100 mm Visual Analogue Scale the intensity of level of labor pain in their abdomen during the last contractions at 3 - 4 cm of cervical dilation, and Pain Behaviors Observation Scale to observe pain behaviors. Descriptive statistics were used to analyze the data. </span><b><span style="font-family:Verdana;">Results:</span></b><span style="font-family:Verdana;"> The findings showed that the mean score of level of labor pain at 3 - 4 cm of cervical dilation was 86.38 (SD = 4.47) and most participants experienced high level of labor pain (97.6%). The expression of cultural labor pain behaviors including saying praises to Allah, </span><i><span style="font-family:Verdana;">Asma</span></i><span style="font-family:Verdana;">’</span><i><span style="font-family:Verdana;">aul husna</span></i><span style="font-family:Verdana;">, reciting the Qur’an, </span><i><span style="font-family:Verdana;">sholawat</span></i><span style="font-family:Verdana;">.</span></span></span></span>展开更多
Objective:To investigate the clinical application value of bundled nursing care in postoperative recovery of lung cancer patients.Methods:Eighty lung cancer patients who underwent surgical treatment from October 2022 ...Objective:To investigate the clinical application value of bundled nursing care in postoperative recovery of lung cancer patients.Methods:Eighty lung cancer patients who underwent surgical treatment from October 2022 to May 2024 were selected as the study subjects.Their clinical data were retrospectively analyzed and grouped by nursing methods.The bundled nursing care group(n=40)received bundled nursing care,while the conventional nursing care group(n=40)received routine nursing care.Lung function,immune function,complication rate,pain level,exercise tolerance,and quality of life were compared between the two groups.Results:Before nursing,there were no statistically significant differences in lung function,immune function,pain level,exercise tolerance,and quality of life between the bundled nursing care group and the conventional nursing care group(P>0.05).After nursing,both groups showed improvement in lung function,immune function,pain level,exercise tolerance,and quality of life,but the bundled nursing care group had better results and a lower complication rate,with statistical significance(P<0.05).Conclusion:The bundled nursing care has a higher clinical application value in postoperative recovery of lung cancer patients and is worthy of widespread clinical use.展开更多
目的探究女性良性乳腺肿瘤患者行超声引导微创旋切术对手术相关指标、创伤应激指标的影响。方法102例女性良性乳腺肿瘤患者,按手术方式不同分为对照组和观察组,各51例。对照组行传统开放手术治疗,观察组行超声引导微创旋切手术治疗。对...目的探究女性良性乳腺肿瘤患者行超声引导微创旋切术对手术相关指标、创伤应激指标的影响。方法102例女性良性乳腺肿瘤患者,按手术方式不同分为对照组和观察组,各51例。对照组行传统开放手术治疗,观察组行超声引导微创旋切手术治疗。对比两组手术相关指标、创伤应激指标[肾上腺素(E)、皮质醇(Cor)、去甲肾上腺素(NE)]、疼痛因子[神经肽Y(NPY)、前列腺素E_(2)(PGE_(2))、5-羟色胺(5-HT)]水平、乳房美观度、并发症发生情况。结果观察组手术时间(17.61±2.18)min、切口长度(3.41±0.52)mm、住院时间(4.33±1.24)d短于对照组的(34.15±3.64)min、(22.64±5.13)mm、(6.25±1.89)d,术中出血量(10.62±2.93)ml少于对照组的(18.61±3.44)ml(P<0.05)。两组术后24 h E、Cor、NE水平均较术前升高,但观察组术后24 h E(68.24±6.13)ng/ml、Cor(102.39±12.55)nmol/L、NE(71.05±4.16)ng/ml均低于对照组的(95.63±8.24)ng/ml、(180.44±16.18)nmol/L、(99.43±5.19)ng/ml(P<0.05)。两组术后24 h NPY、PGE_(2)、5-HT均较术前升高,但观察组术后24 h NPY(132.09±13.44)ng/L、PGE_(2)(272.09±16.51)ng/L、5-HT(187.31±18.55)ng/ml均低于对照组的(140.43±15.78)ng/L、(288.61±18.47)ng/L、(196.69±20.01)ng/ml(P<0.05)。观察组优良率96.08%(49/51)高于对照组的82.35%(42/51)(P<0.05)。观察组并发症发生率3.92%(2/51)低于对照组的15.69%(8/51)(P<0.05)。结论女性良性乳腺肿瘤患者行超声引导微创旋切手术可进一步优化手术相关指标,减轻疼痛及创伤应激,减少并发症,提高乳房美观度,具有临床推广应用价值。展开更多
文摘BACKGROUND Colorectal cancer(CRC)has become the third leading cancer with the third highest occurrence rate and the second highest death ratio globally.Its incidence and mortality rates have been increasing annually in recent years,posing a serious threat to global public health.Digestive endoscopy technology can not only be used for the diagnosis of CRC,but it can also be used in determining the depth of infiltration in early CRC.There are significant deficiencies in care measures in this area.METHODS A total of 120 CRC patients were randomly and equally divided into a control group and an observation group.The patients in the control group received basic routine nursing care,and the patients in the observation group received sys-tematic digestive endoscopy center nursing care.The patients'compliance and nursing satisfaction were observed and recorded,as well as the Self-Rating Anxiety Scale(SAS),Self-Rating Depression Scale(SDS)and Visual Analogue Scale(VAS)scores.RESULTS After care,the SAS and SDS scale scores of patients in both groups significantly decreased compared to before care(P<0.05).The VAS scale scores significantly increased for each group compared to before examination(P<0.05).The SAS,SDS and VAS scale scores of the observation group were significantly lower than those of the control group after nursing care(P<0.05),and compliance and satisfaction of nursing care were significantly higher than those of the control group(P<0.05).CONCLUSION Digestive endoscopy center nursing can effectively intervene in and improve the psychological state and pain level of CRC patients,suggesting it is a valuable approach to adopt in the clinic.
文摘A research study collected intensive longitudinal data from cancer patients on a daily basis as well as non-intensive longitudinal survey data on a monthly basis. Although the daily data need separate analysis, those data can also be utilized to generate predictors of monthly outcomes. Alternatives for generating daily data predictors of monthly outcomes are addressed in this work. Analyses are reported of depression measured by the Patient Health Questionnaire 8 as the monthly survey outcome. Daily measures include numbers of opioid medications taken, numbers of pain flares, least pain levels, and worst pain levels. Predictors are averages of recent non-missing values for each daily measure recorded on or prior to survey dates for depression values. Weights for recent non-missing values are based on days between measurement of a recent value and a survey date. Five alternative averages are considered: averages with unit weights, averages with reciprocal weights, weighted averages with reciprocal weights, averages with exponential weights, and weighted averages with exponential weights. Adaptive regression methods based on likelihood cross-validation (LCV) scores are used to generate fractional polynomial models for possible nonlinear dependence of depression on each average. For all four daily measures, the best LCV score over averages of all types is generated using the average of recent non-missing values with reciprocal weights. Generated models are nonlinear and monotonic. Results indicate that an appropriate choice would be to assume three recent non-missing values and use the average with reciprocal weights of the first three recent non-missing values.
文摘<strong>Background:</strong><span><span><span style="font-family:""><span style="font-family:Verdana;"> Many factors influence the expressions of pain in primiparous women aside from contractions of the uterus. </span><b><span style="font-family:Verdana;">Objective:</span></b><span style="font-family:Verdana;"> This study aimed to describe the level labor pain, level of labor pain behaviors based on cultural pain behaviors at 3 - 4 cm of cervical dilation or the beginning of the active phase of labor among primiparous Muslim women in Indonesia. </span><b><span style="font-family:Verdana;">Methods:</span></b><span style="font-family:Verdana;"> This was a study with 42 primiparous Muslim women who gave birth in the labor room at Bhinneka Bhakti Husada Hospital and Community Health Center Pamulang, Indonesia from June until January 2017. The women were asked to describe on a 100 mm Visual Analogue Scale the intensity of level of labor pain in their abdomen during the last contractions at 3 - 4 cm of cervical dilation, and Pain Behaviors Observation Scale to observe pain behaviors. Descriptive statistics were used to analyze the data. </span><b><span style="font-family:Verdana;">Results:</span></b><span style="font-family:Verdana;"> The findings showed that the mean score of level of labor pain at 3 - 4 cm of cervical dilation was 86.38 (SD = 4.47) and most participants experienced high level of labor pain (97.6%). The expression of cultural labor pain behaviors including saying praises to Allah, </span><i><span style="font-family:Verdana;">Asma</span></i><span style="font-family:Verdana;">’</span><i><span style="font-family:Verdana;">aul husna</span></i><span style="font-family:Verdana;">, reciting the Qur’an, </span><i><span style="font-family:Verdana;">sholawat</span></i><span style="font-family:Verdana;">.</span></span></span></span>
基金Science and Technology Support Program of Baoding City,Hebei Province(Project No.:2241ZF326)。
文摘Objective:To investigate the clinical application value of bundled nursing care in postoperative recovery of lung cancer patients.Methods:Eighty lung cancer patients who underwent surgical treatment from October 2022 to May 2024 were selected as the study subjects.Their clinical data were retrospectively analyzed and grouped by nursing methods.The bundled nursing care group(n=40)received bundled nursing care,while the conventional nursing care group(n=40)received routine nursing care.Lung function,immune function,complication rate,pain level,exercise tolerance,and quality of life were compared between the two groups.Results:Before nursing,there were no statistically significant differences in lung function,immune function,pain level,exercise tolerance,and quality of life between the bundled nursing care group and the conventional nursing care group(P>0.05).After nursing,both groups showed improvement in lung function,immune function,pain level,exercise tolerance,and quality of life,but the bundled nursing care group had better results and a lower complication rate,with statistical significance(P<0.05).Conclusion:The bundled nursing care has a higher clinical application value in postoperative recovery of lung cancer patients and is worthy of widespread clinical use.
文摘目的探究女性良性乳腺肿瘤患者行超声引导微创旋切术对手术相关指标、创伤应激指标的影响。方法102例女性良性乳腺肿瘤患者,按手术方式不同分为对照组和观察组,各51例。对照组行传统开放手术治疗,观察组行超声引导微创旋切手术治疗。对比两组手术相关指标、创伤应激指标[肾上腺素(E)、皮质醇(Cor)、去甲肾上腺素(NE)]、疼痛因子[神经肽Y(NPY)、前列腺素E_(2)(PGE_(2))、5-羟色胺(5-HT)]水平、乳房美观度、并发症发生情况。结果观察组手术时间(17.61±2.18)min、切口长度(3.41±0.52)mm、住院时间(4.33±1.24)d短于对照组的(34.15±3.64)min、(22.64±5.13)mm、(6.25±1.89)d,术中出血量(10.62±2.93)ml少于对照组的(18.61±3.44)ml(P<0.05)。两组术后24 h E、Cor、NE水平均较术前升高,但观察组术后24 h E(68.24±6.13)ng/ml、Cor(102.39±12.55)nmol/L、NE(71.05±4.16)ng/ml均低于对照组的(95.63±8.24)ng/ml、(180.44±16.18)nmol/L、(99.43±5.19)ng/ml(P<0.05)。两组术后24 h NPY、PGE_(2)、5-HT均较术前升高,但观察组术后24 h NPY(132.09±13.44)ng/L、PGE_(2)(272.09±16.51)ng/L、5-HT(187.31±18.55)ng/ml均低于对照组的(140.43±15.78)ng/L、(288.61±18.47)ng/L、(196.69±20.01)ng/ml(P<0.05)。观察组优良率96.08%(49/51)高于对照组的82.35%(42/51)(P<0.05)。观察组并发症发生率3.92%(2/51)低于对照组的15.69%(8/51)(P<0.05)。结论女性良性乳腺肿瘤患者行超声引导微创旋切手术可进一步优化手术相关指标,减轻疼痛及创伤应激,减少并发症,提高乳房美观度,具有临床推广应用价值。
