Objective: To explore the application value of personalized nursing intervention in obstetric pregnant women's nursing.Methods: 112 pregnant women in our hospital from February 2019 to February 2021 were rand...Objective: To explore the application value of personalized nursing intervention in obstetric pregnant women's nursing.Methods: 112 pregnant women in our hospital from February 2019 to February 2021 were randomly divided into two groups.The control group applied routine nursing, and the study group applied personalized nursing intervention on this basis.Results: the satisfaction rate of the study group was higher than that of the control group (P < 0.05);The length of production and hospitalization in the study group were longer than those in the control group, and the amount of bleeding was lower than that in the control group (P < 0.05).Conclusion: the effect of personalized nursing intervention in obstetric pregnant women's nursing is better, which can effectively shorten the length of delivery and hospitalization, reduce the amount of bleeding and improve satisfaction.展开更多
BACKGROUND Perinatal anxiety disorder is the main problem affecting mother-infant bonding.Though the impact of perinatal anxiety in primiparous women on the motherinfant relationship is well established,appropriate in...BACKGROUND Perinatal anxiety disorder is the main problem affecting mother-infant bonding.Though the impact of perinatal anxiety in primiparous women on the motherinfant relationship is well established,appropriate interventions need to be explored.AIM To explore the synergistic intervention effect of mindfulness-based stress reduction combined with cognitive behavioral therapy(CBT)on perinatal anxiety disorders and mother-infant bonding in primiparas.METHODS A total of 150 primiparas with perinatal anxiety disorders admitted to the hospital from January 2020 to October 2024 were selected and divided into two groups according to the random number method.The control group(n=75)received CBT,and the observation group(n=75)received mindfulness-based stress reduction combined with CBT.The anxiety and depressive emotions,as well as the mother-infant emotional bonding situation,were compared between the two groups.RESULTS After the intervention,the anxiety and depressive states in the observation group were lower than those in the control group(P<0.05).The mother-infant bonding(sense of pleasure,recognition,understanding,and love)in the observation group was higher than that in the control group,and the role adaptation ability was also higher than in the control group(P<0.05).CONCLUSION Mindfulness-based stress reduction combined with CBT can reduce perinatal anxiety disorders in primiparas,promote mother-infant bonding,and improve their ability to adapt to the mother role.展开更多
AIM:To investigate the clinicopathological features of cranial-nasal-orbital communicating lesions and identify key diagnostic indicators for differentiating benign and malignant neoplasms.METHODS:The retrospective co...AIM:To investigate the clinicopathological features of cranial-nasal-orbital communicating lesions and identify key diagnostic indicators for differentiating benign and malignant neoplasms.METHODS:The retrospective cohort study analyzed 74 histologically confirmed cases stratified by anatomical involvement at the Wuhan Union Hospital between January 2010 and December 2020:Group A(orbital-nasal group,n=29),Group B(orbital-cranial group,n=27),and Group C(cranial-nasal-orbital group,n=18).Clinicopathological profiles including symptom presentation,histopathology,and invasion patterns were systematically evaluated.RESULTS:The cohort comprised 49(66.2%)benign and 25(33.8%)malignant lesions.Compared with benign lesions,malignant lesions had a shorter onset time(12mo vs 2.5mo,P=0.004)and resulted in poorer vision(0.6 vs 1.53,P=0.025).Headache was reported in 28.6%of patients with benign lesions,but none in those with malignant lesions(P=0.002).Conjunctival congestion and edema were observed in 32.7%of patients with benign lesions and 60%of patients with malignant lesions(P=0.028).The ethmoid sinus was the most frequently invaded site(35 cases).Malignant lesions showed greater invasion in the nasal cavity(28.0%vs 0,P=0.000)and anterior cranial fossa(40.0%vs 8.2%,P=0.003)than benign lesions.The orbital-cranial group was more likely to invade through osseous foramina compared with the orbitalnasal group(P=0.002).Neurogenic tumors predominated benign cases(34.7%),whereas blood derived(28%)and glandular tumors(28%)were most prevalent in malignant subgroups.The proportion of malignant tumors in multidisciplinary combined surgery was higher than that of benign lesions(61.5%vs 38.5%).CONCLUSION:Malignant cranial-nasal-orbital communicating lesions exhibit distinct clinicopathological signatures characterized by rapid progression,aggressive anterior fossa and nasal region,and severe visual morbidity.展开更多
BACKGROUND Colorectal cancer(CRC)is a prevalent malignant tumor involving adenomas that develop into malignant lesions.Carcinoembryonic antigen(CEA)is a non-specific serum biomarker upregulated in CRC.The concentratio...BACKGROUND Colorectal cancer(CRC)is a prevalent malignant tumor involving adenomas that develop into malignant lesions.Carcinoembryonic antigen(CEA)is a non-specific serum biomarker upregulated in CRC.The concentration of CEA is modulated by tumor stage and grade,tumor site in the colon,ploidy status,and patient smoking status.This study aimed to evaluate current evidence regarding the diagnostic power of CEA levels in the early detection of CRC recurrence in adults.AIM To evaluate current evidence regarding the diagnostic power of CEA levels in the early detection of CRC recurrence in adults.METHODS A systematic search was performed using four databases:MEDLINE,Cochrane Trials,EMBASE,and the Web of Science.The inclusion criteria were as follows:Adult patients aged≥18 years who had completed CRC curative treatment and were followed up postoperatively;reporting the number of CRC recurrences as an outcome;and randomized,clinical,cohort,and case-control study designs.Studies that were not published in English and animal studies were excluded.The following data were extracted by three independent reviewers:Study design,index tests,follow-up,patient characteristics,and primary outcomes.All statistical analyses were performed using the RevMan 5.4.1.RESULTS A total of 3232 studies were identified,with 73 remaining following the elimination of duplicates.After screening on predetermined criteria,12 studies were included in the final analysis.At a reference standard of 5 mg/L,CEA detected only approximately half of recurrent CRCs,with a pooled sensitivity of 59%(range,33%–83%)and sensitivity of 89%(range,58%–97%).CONCLUSION CEA is a significant marker for CRC diagnosis.However,it has insufficient sensitivity and specificity to be used as a single biomarker of early CRC recurrence,with an essential proportion of false negatives.展开更多
BACKGROUND There are many drawbacks to the traditional midwifery service management model,which can no longer meet the needs of the new era.The Internet+continuous midwifery service management model extends maternal m...BACKGROUND There are many drawbacks to the traditional midwifery service management model,which can no longer meet the needs of the new era.The Internet+continuous midwifery service management model extends maternal management from prenatal to postpartum,in-hospital to out-of-hospital,and offline to online,thereby improving maternal and infant outcomes.Applying the Internet+continuous midwifery service management model to manage women with highrisk pregnancies(HRP)can improve their psycho-emotional opinion and,in turn,minimize the risk of adverse maternal and/or fetal outcomes.AIM To explore the effectiveness of a midwife-led Internet+continuous midwifery service model for women with HRP.METHODS We retrospectively analyzed the clinical data of 439 women with HRP who underwent prenatal examination and delivered at Shanghai Sixth People's Hospital(affiliated to the Shanghai Jiao Tong University School of Medicine)from April to December 2022.Among them,239 pregnant women underwent routine obstetric management,and 200 pregnant women underwent Internet+continuous midwifery service mode management.We used the State-Trait Anxiety Inventory,Edinburgh Postnatal Depression Scale,and analysis of delivery outcomes to compare psychological mood and the incidence of adverse delivery outcomes between the two groups.RESULTS The data showed that in early pregnancy,the anxiety and depression levels of the two groups were similar;the levels gradually decreased as pregnancy progressed,and the decrease in the continuous group was more significant[31.00(29.00,34.00)vs 34.00(32.00,37.00),8.00(6.00,9.00)vs 12.00(10.00,13.00),P<0.05].The maternal self-efficacy level and strategy for weight gain management were better in the continuous group than in the traditional group,and the effective rate of midwifery service intervention in the continuous group was significantly higher than in the control group[267.50(242.25,284.75)vs 256.00(233.00,278.00),74.00(69.00,78.00)vs 71.00(63.00,78.00),P<0.05].The incidence of adverse delivery outcomes in pregnant women and newborns and fear of maternal childbirth were lower in the continuous group than in the traditional group,and nursing satisfaction was higher[10.50%vs 18.83%,8.50%vs 15.90%,24.00%vs 42.68%,89.50%vs 76.15%,P<0.05].CONCLUSION The Internet+continuous midwifery service model promotes innovation through integration and is of great significance for improving and promoting maternal and child health in HRP.展开更多
Objective: to evaluate the value of doula midwifery in pregnant women for their mood, stage of labor and satisfaction. Methods: from March 1, 2020 to March 1, 2021, 78 pregnant women in our hospital were selected and ...Objective: to evaluate the value of doula midwifery in pregnant women for their mood, stage of labor and satisfaction. Methods: from March 1, 2020 to March 1, 2021, 78 pregnant women in our hospital were selected and divided into two groups under the coin method. The control group received routine delivery care, while the observation group received whole-course doula delivery. The emotional state, duration of labor and nursing satisfaction of the two groups of pregnant women were compared. Results: SAS anxiety score (36.69±5.15) and SDS depression score (35.51±6.84) of the observation group were lower than those of the control group, while the satisfaction score (95.63±2.12) of the observation group was higher than that of the control group (P < 0.05). The duration of the first, second and third stages of labor and the total duration of labor in the observation group were (8.31±2.25) hours, (0.55±0.15) hours, (0.20±0.12) hours and (8.25±2.21) hours shorter than those in the control group (P < 0.05). Conclusion: midwifery with doula can better improve pregnant women's emotional state and clinical satisfaction, and has a positive effect on shortening the duration of labor.展开更多
Objective: To explore the clinical effect and application value of pregnancy health education in outpatient nursing of Obstetrics and gynecology.Methods 100 pregnant women treated in our hospital from January 2017 to ...Objective: To explore the clinical effect and application value of pregnancy health education in outpatient nursing of Obstetrics and gynecology.Methods 100 pregnant women treated in our hospital from January 2017 to January 2019 were randomly divided into observation group (n = 50) and control group (n = 50).The control group received obstetrics and gynecology nursing, and the observation group carried out health knowledge education during pregnancy on the basis of it.The delivery mode and complications, incidence of postpartum hemorrhage, full-term pregnancy body mass index and labor process time were compared between the two groups.Results the natural delivery rate and cesarean section rate in the observation group were 84.00% and 4.00%, which were significantly better than 62.00% and 14.00% in the control group (P < 0.05);The incidence of complications in the observation group was 42.00%, lower than 88.00% in the control group (P <0.05);The incidence of postpartum hemorrhage in the observation group was 4.00%, significantly lower than 12.00% in the control group, but the results of this study were not statistically significant (P > 0.05).The body mass index of full-term pregnancy in the observation group was significantly better than that in the control group (P < 0.05);Conclusion pregnancy health education can effectively reduce the occurrence of obesity and pregnancy complications. Through the guidance of delivery skills, it can effectively shorten the labor process, reduce the incidence of dystocia, midwifery and postpartum hemorrhage, and then significantly improve the natural delivery rate.展开更多
文摘Objective: To explore the application value of personalized nursing intervention in obstetric pregnant women's nursing.Methods: 112 pregnant women in our hospital from February 2019 to February 2021 were randomly divided into two groups.The control group applied routine nursing, and the study group applied personalized nursing intervention on this basis.Results: the satisfaction rate of the study group was higher than that of the control group (P < 0.05);The length of production and hospitalization in the study group were longer than those in the control group, and the amount of bleeding was lower than that in the control group (P < 0.05).Conclusion: the effect of personalized nursing intervention in obstetric pregnant women's nursing is better, which can effectively shorten the length of delivery and hospitalization, reduce the amount of bleeding and improve satisfaction.
文摘BACKGROUND Perinatal anxiety disorder is the main problem affecting mother-infant bonding.Though the impact of perinatal anxiety in primiparous women on the motherinfant relationship is well established,appropriate interventions need to be explored.AIM To explore the synergistic intervention effect of mindfulness-based stress reduction combined with cognitive behavioral therapy(CBT)on perinatal anxiety disorders and mother-infant bonding in primiparas.METHODS A total of 150 primiparas with perinatal anxiety disorders admitted to the hospital from January 2020 to October 2024 were selected and divided into two groups according to the random number method.The control group(n=75)received CBT,and the observation group(n=75)received mindfulness-based stress reduction combined with CBT.The anxiety and depressive emotions,as well as the mother-infant emotional bonding situation,were compared between the two groups.RESULTS After the intervention,the anxiety and depressive states in the observation group were lower than those in the control group(P<0.05).The mother-infant bonding(sense of pleasure,recognition,understanding,and love)in the observation group was higher than that in the control group,and the role adaptation ability was also higher than in the control group(P<0.05).CONCLUSION Mindfulness-based stress reduction combined with CBT can reduce perinatal anxiety disorders in primiparas,promote mother-infant bonding,and improve their ability to adapt to the mother role.
基金Supported by Natural Science Foundation of Hubei Province(No.2023BCB147,No.2023AFB1026).
文摘AIM:To investigate the clinicopathological features of cranial-nasal-orbital communicating lesions and identify key diagnostic indicators for differentiating benign and malignant neoplasms.METHODS:The retrospective cohort study analyzed 74 histologically confirmed cases stratified by anatomical involvement at the Wuhan Union Hospital between January 2010 and December 2020:Group A(orbital-nasal group,n=29),Group B(orbital-cranial group,n=27),and Group C(cranial-nasal-orbital group,n=18).Clinicopathological profiles including symptom presentation,histopathology,and invasion patterns were systematically evaluated.RESULTS:The cohort comprised 49(66.2%)benign and 25(33.8%)malignant lesions.Compared with benign lesions,malignant lesions had a shorter onset time(12mo vs 2.5mo,P=0.004)and resulted in poorer vision(0.6 vs 1.53,P=0.025).Headache was reported in 28.6%of patients with benign lesions,but none in those with malignant lesions(P=0.002).Conjunctival congestion and edema were observed in 32.7%of patients with benign lesions and 60%of patients with malignant lesions(P=0.028).The ethmoid sinus was the most frequently invaded site(35 cases).Malignant lesions showed greater invasion in the nasal cavity(28.0%vs 0,P=0.000)and anterior cranial fossa(40.0%vs 8.2%,P=0.003)than benign lesions.The orbital-cranial group was more likely to invade through osseous foramina compared with the orbitalnasal group(P=0.002).Neurogenic tumors predominated benign cases(34.7%),whereas blood derived(28%)and glandular tumors(28%)were most prevalent in malignant subgroups.The proportion of malignant tumors in multidisciplinary combined surgery was higher than that of benign lesions(61.5%vs 38.5%).CONCLUSION:Malignant cranial-nasal-orbital communicating lesions exhibit distinct clinicopathological signatures characterized by rapid progression,aggressive anterior fossa and nasal region,and severe visual morbidity.
文摘BACKGROUND Colorectal cancer(CRC)is a prevalent malignant tumor involving adenomas that develop into malignant lesions.Carcinoembryonic antigen(CEA)is a non-specific serum biomarker upregulated in CRC.The concentration of CEA is modulated by tumor stage and grade,tumor site in the colon,ploidy status,and patient smoking status.This study aimed to evaluate current evidence regarding the diagnostic power of CEA levels in the early detection of CRC recurrence in adults.AIM To evaluate current evidence regarding the diagnostic power of CEA levels in the early detection of CRC recurrence in adults.METHODS A systematic search was performed using four databases:MEDLINE,Cochrane Trials,EMBASE,and the Web of Science.The inclusion criteria were as follows:Adult patients aged≥18 years who had completed CRC curative treatment and were followed up postoperatively;reporting the number of CRC recurrences as an outcome;and randomized,clinical,cohort,and case-control study designs.Studies that were not published in English and animal studies were excluded.The following data were extracted by three independent reviewers:Study design,index tests,follow-up,patient characteristics,and primary outcomes.All statistical analyses were performed using the RevMan 5.4.1.RESULTS A total of 3232 studies were identified,with 73 remaining following the elimination of duplicates.After screening on predetermined criteria,12 studies were included in the final analysis.At a reference standard of 5 mg/L,CEA detected only approximately half of recurrent CRCs,with a pooled sensitivity of 59%(range,33%–83%)and sensitivity of 89%(range,58%–97%).CONCLUSION CEA is a significant marker for CRC diagnosis.However,it has insufficient sensitivity and specificity to be used as a single biomarker of early CRC recurrence,with an essential proportion of false negatives.
文摘BACKGROUND There are many drawbacks to the traditional midwifery service management model,which can no longer meet the needs of the new era.The Internet+continuous midwifery service management model extends maternal management from prenatal to postpartum,in-hospital to out-of-hospital,and offline to online,thereby improving maternal and infant outcomes.Applying the Internet+continuous midwifery service management model to manage women with highrisk pregnancies(HRP)can improve their psycho-emotional opinion and,in turn,minimize the risk of adverse maternal and/or fetal outcomes.AIM To explore the effectiveness of a midwife-led Internet+continuous midwifery service model for women with HRP.METHODS We retrospectively analyzed the clinical data of 439 women with HRP who underwent prenatal examination and delivered at Shanghai Sixth People's Hospital(affiliated to the Shanghai Jiao Tong University School of Medicine)from April to December 2022.Among them,239 pregnant women underwent routine obstetric management,and 200 pregnant women underwent Internet+continuous midwifery service mode management.We used the State-Trait Anxiety Inventory,Edinburgh Postnatal Depression Scale,and analysis of delivery outcomes to compare psychological mood and the incidence of adverse delivery outcomes between the two groups.RESULTS The data showed that in early pregnancy,the anxiety and depression levels of the two groups were similar;the levels gradually decreased as pregnancy progressed,and the decrease in the continuous group was more significant[31.00(29.00,34.00)vs 34.00(32.00,37.00),8.00(6.00,9.00)vs 12.00(10.00,13.00),P<0.05].The maternal self-efficacy level and strategy for weight gain management were better in the continuous group than in the traditional group,and the effective rate of midwifery service intervention in the continuous group was significantly higher than in the control group[267.50(242.25,284.75)vs 256.00(233.00,278.00),74.00(69.00,78.00)vs 71.00(63.00,78.00),P<0.05].The incidence of adverse delivery outcomes in pregnant women and newborns and fear of maternal childbirth were lower in the continuous group than in the traditional group,and nursing satisfaction was higher[10.50%vs 18.83%,8.50%vs 15.90%,24.00%vs 42.68%,89.50%vs 76.15%,P<0.05].CONCLUSION The Internet+continuous midwifery service model promotes innovation through integration and is of great significance for improving and promoting maternal and child health in HRP.
文摘Objective: to evaluate the value of doula midwifery in pregnant women for their mood, stage of labor and satisfaction. Methods: from March 1, 2020 to March 1, 2021, 78 pregnant women in our hospital were selected and divided into two groups under the coin method. The control group received routine delivery care, while the observation group received whole-course doula delivery. The emotional state, duration of labor and nursing satisfaction of the two groups of pregnant women were compared. Results: SAS anxiety score (36.69±5.15) and SDS depression score (35.51±6.84) of the observation group were lower than those of the control group, while the satisfaction score (95.63±2.12) of the observation group was higher than that of the control group (P < 0.05). The duration of the first, second and third stages of labor and the total duration of labor in the observation group were (8.31±2.25) hours, (0.55±0.15) hours, (0.20±0.12) hours and (8.25±2.21) hours shorter than those in the control group (P < 0.05). Conclusion: midwifery with doula can better improve pregnant women's emotional state and clinical satisfaction, and has a positive effect on shortening the duration of labor.
文摘Objective: To explore the clinical effect and application value of pregnancy health education in outpatient nursing of Obstetrics and gynecology.Methods 100 pregnant women treated in our hospital from January 2017 to January 2019 were randomly divided into observation group (n = 50) and control group (n = 50).The control group received obstetrics and gynecology nursing, and the observation group carried out health knowledge education during pregnancy on the basis of it.The delivery mode and complications, incidence of postpartum hemorrhage, full-term pregnancy body mass index and labor process time were compared between the two groups.Results the natural delivery rate and cesarean section rate in the observation group were 84.00% and 4.00%, which were significantly better than 62.00% and 14.00% in the control group (P < 0.05);The incidence of complications in the observation group was 42.00%, lower than 88.00% in the control group (P <0.05);The incidence of postpartum hemorrhage in the observation group was 4.00%, significantly lower than 12.00% in the control group, but the results of this study were not statistically significant (P > 0.05).The body mass index of full-term pregnancy in the observation group was significantly better than that in the control group (P < 0.05);Conclusion pregnancy health education can effectively reduce the occurrence of obesity and pregnancy complications. Through the guidance of delivery skills, it can effectively shorten the labor process, reduce the incidence of dystocia, midwifery and postpartum hemorrhage, and then significantly improve the natural delivery rate.
