1.Application of cognitive behavior intervention in patients with cubital tunnel syndrome
Baoyue YIN ; Yinling SONG ; Yang YANG ; Xin XU ; Liming PAN
Chinese Journal of Modern Nursing 2021;27(36):4964-4969
Objective:To explore the influence of cognitive behavioral intervention on self-perceived burden and coping style of patients with cubital tunnel syndrome (CuTS) , so as to provide theoretical basis and practical guidance for the psychological care of patients with cubital tunnel syndrome.Methods:Using the convenient sampling method, a total of 84 patients with cubital tunnel syndrome who were admitted to the Department of Hand and Foot Surgery of the First Hospital of Jilin University from July 2018 to August 2019 were selected as the research objects. According to the random number table method, they were divided into the intervention group (43 cases) and the control group (41 cases) . The control group was given routine nursing care, while the intervention group was given cognitive behavioral intervention on the basis of the control group. The general situation and injury characteristics questionnaire, Self-Perceived Burden Scale (SPBS) and Medical Coping Modes Questionnaire (MCMQ) were used to compare self-perceived burden and medical response methods of patients in the two groups before and after the intervention.Results:In the end, 42 patients in the intervention group and 40 patients in the control group completed the study. Before the intervention, there was no statistically significant difference in scores of SPBS and MCMQ of patients between the two groups ( P>0.05) . After the intervention, the total score of SPBS and the scores of all dimensions of the intervention group were lower than those of the control group, and the differences were statistically significant ( P<0.05) . After the intervention, the score of MCMQ face style dimension of the intervention group was higher than that of the control group, the score of yielding method dimension was lower than that of the control group, and the differences were statistically significant ( P<0.05) . There was no statistically significant difference in the avoidance style dimension scores between the two groups after the intervention ( P>0.05) . Conclusions:Cognitive behavior intervention can effectively reduce self-perceived burden level of the patients and enable them to adopt a positive coping style during the treatment process, which can help recovery of them.
2.A multicenter population investigation on precancerous lesions of gastric cancer in Lishui District,Nan-jing
Chunyan NIU ; Xiaoping WANG ; Xiangyang ZHAO ; Jiankang HUANG ; Yue CHEN ; Yongqiang SHI ; Yongqiang SONG ; Hui WANG ; Xinguo WU ; Yongdan BU ; Jijin LI ; Tao TAO ; Jinhua WU ; Changlin XUE ; Fuyu ZHANG ; Jinming YANG ; Chunrong HAN ; Juan YUAN ; Yinling WU ; Hongbing XIONG ; Peng XIAO
The Journal of Practical Medicine 2024;40(20):2929-2934
Objective By population survey,to explore the epidemiological characteristics of gastric precancerous lesions in Lishui District of Nanjing and provide objective basis for the prevention and treatment of early gastric cancer.Methods From July 2021 to December 2022,21 977 patients who received endoscopy and/or 13C-UBT in Lishui District People's Hospital and 6 medical community units in Nanjing City were retrospectively analyzed for demography characteristics,detection rate of gastric precancerous lesions,and H.Pylori infection rate.Results(1)590 cases of gastric precancerous lesions were detected(detection rate 2.68%);(2)The total detection rate of precancerous lesions and three pathological types in males were all higher than those in females(all P<0.001);(3)The minimum age for the total detection rate of precancerous lesions in males and the mini-mum age for each pathological type were lower than in females(P<0.001,0.009,0.005,0.002);(4)The popu-lation total H.pylori infection rate was 23.10%,the H.pylori infection rate in patients with precancerous lesions was higher than that in non-precancerous lesions(P<0.001),both H.pylori infection rate of male and female in precancerous lesions were all higher than those of non-precancerous lesions of the same sex(all P<0.001),in addition,the H.pylori infection rate of male whether in precancerous or non-precancerous lesions was higher than that of female(all P<0.001);(5)The precancerous lesions detection rate in male,female,and the overall age range of 20~29 to 70~79 years is positively correlated with age growth(P<0.001),and rapidly decreases after the age of 79,the of H.pylori infection rate was also positively correlated with age growth(P<0.001),and the trend of age change(P<0.001)was parallel to the precancerous lesions detection rate.Conclusions The detec-tion rate of gastric precancerous lesions in this region is above the average level in China;the total H.pylori infec-tion rate is at a relatively low level in China;the H.pylori infection rate is parallel to the age trend of the detection rate of gastric precancerous lesions,and increases with age.