1.Correlations between social support and effective disorder perceived by nurses in operating rooms
Xiaomei QIN ; Weilian JIANG ; Cuiji SHI ; Cuiyu HUANG
Modern Clinical Nursing 2017;16(5):1-4
Objective To investigate the status quo of social support and effective disorder nurses perceived in the operating room and analyze the correlation between them. Methods A total of 200 nurses in the operating room of four general hospitals in Guangxi Zhuang Autonomous Region were enrolled to investigate the social support and the effective disorders using the perceived social support scale (PSSS) and Toronto Alexithymia Scale (TAS). Results The total scores by PSSS and TAS were (66.08 ± 10.64) and ( 53 . 85 ± 8 . 89 ) , respectively . The scores by PSSS and its dimensions were all negatively correlated with the score by TAS ( r=-0 . 492 , P < 0 . 05 ) . Conclusions The nurse-perceived social support is generally at the medium or above level and their affective disorder at a lower level. The nursing managers should pay attention to the nurses in the operating room, taking corresponding measures to improve their affective disorder and improve the quality of nursing.
2.Risk factors for the recurrence of cervical intraepithelial neoplasia after cervical conization
Chinese Journal of Primary Medicine and Pharmacy 2023;30(12):1828-1832
Objective:To analyze the relevant risk factors for recurrence of cervical intraepithelial neoplasia (CIN) in patients undergoing cervical conization.Methods:The clinical data of 205 patients with high-grade CIN (CIN ≥ II) who received treatment in Anxi County Maternal and Child Health Hospital from January 2016 to December 2022 were retrospectively analyzed. All of these patients received loop electrosurgical excision procedure or cold knife conization. The relevant risk factors for CIN recurrence were analyzed using univariate and multivariate risk models.Results:Univariate analysis results showed that there were significant differences in the number of full-term births ( HR = 1.512, 95% CI: 1.191-1.920, P < 0.05), history of premature birth ( HR = 7.255, 95% CI: 2.645-19.900, P < 0.05), history of miscarriage ( HR = 2.158, 95% CI: 1.273-3.660, P < 0.05), positive surgical margins ( HR = 1.724, 95% CI: 1.092-2.720, P < 0.05), conization depth ( HR = 0.953, 95% CI: 0.918-0.989, P < 0.05), history of smoking ( HR = 2.143, 95% CI: 1.264-3.634, P < 0.05), and history of comorbidities ( HR = 3.392, 95% CI: 2.022-5.691, P < 0.05) among the 205 included patients. Cox multivariate risk model indicated that positive surgical margins ( HR = 2.144, 95% CI: 1.317-3.492, P < 0.05), history of premature birth ( HR = 4.515, 95% CI: 1.598-12.754, P < 0.05), and history of comorbidities ( HR = 3.552, 95% CI: 1.952-6.462, P < 0.05) were independent risk factors for recurrence of CIN after cervical conization. Conclusion:In patients with high-grade CIN undergoing cervical conization, positive surgical margins, history of premature birth, and history of comorbidities are associated with an increased risk of CIN recurrence, while a conization depth of > 0.5 cm is associated with a low risk of CIN recurrence.
3.The value of DCEGMRI in predicting response to neoadj uvant chemotherapy in tripleGnegative breast cancer
Dezhang LIU ; Xiaozhong ZHOU ; Xin HUANG ; Zhi LI ; Cuiyu LIU ; Dihang LI
Journal of Practical Radiology 2019;35(6):909-913
Objective To investigate the correlation of DCEGMRI findings with pathologic tumor response to neoadjuvant chemotherapy for patients with tripleGnegative breast cancer (TNBC).Methods SixtyGnine patients with TNBC were enrolled,who underwent DCEG MRI before neoadj uvant chemotherapy,then completed neoadjuvant chemotherapy and surgery.Patterns of tumor volume reduction were divided into two types.Univariate and multivariate Logistic regression analyses were performed to detect the independent predictors of pathological tumor response.Results 30.4% (21/69)patients achieved a pathologic complete response.Multivariate Logistic regression analysis showed that homogenous enhancement on preGneoadj uvant chemotherapy MRI (OR=1 0.87 ,9 5%CI=2.94-48.3 1 ,P<0.00 1 )and concentric shrinkage pattern on postGneoadj uvant chemotherapy (OR=1 3.04,9 5%CI=2.0 1-54.1 1 ,P<0.00 1 )were the independent predictors of pathologic complete response.Conclusion Homogeneous enhancement on preGneoadj uvant chemotherapy MRI and the presence of concentric shrinkage pattern are correlated with pathologically complete response in patients with TNBC.