1.Correlation between anxiety level of residents and needs of traditional Chinese medicine nursing during the COVID-19 epidemic
Huihui REN ; Qin ZHONG ; Fang YANG ; Shilan JIANG ; Zihao TAN ; Jianjun LIU
Sichuan Mental Health 2021;34(1):30-33
ObjectiveTo understand the current situation of anxiety level and traditional Chinese medicine (TCM) nursing needs among residents during the COVID-19 epidemic, and to discuss the relationship between them,so as to provide references for maintaining their mental health. MethodsA total of 560 residents were recruited using convenience sampling method, and the selected individuals completed three questionnaires based on online platform, including self-designed general information questionnaire, Generalized Anxiety Disorder Scale (GAD-7), and TCM nursing needs questionnaire. Then the correlation between anxiety level and TCM nursing needs was analyzed by Spearman correlation test. ResultsA total of 552 valid questionnaires were collected. The results of GAD-7 showed that the total score was (11.04±3.72), and average score of each item was (1.58±0.53). There were 328 cases (59.4%) without anxiety symptoms, 180 cases (32.6%) with mild anxiety, 33 cases (6.0%) with moderate anxiety, and 11 cases (2.0%) with severe anxiety. The analysis of TCM nursing needs questionnaire showed that the total score was (21.59±7.92), and dominated by the needs of medical knowledge (2.90±1.15) and TCM dietary care (2.82±1.13). The item score and total score of TCM nursing needs questionnaire of residents during the COVID-19 epidemic were positively correlated with GAD-7 total score (r=0.240~0.331, P<0.01). ConclusionResidents suffer from different levels of anxiety during the COVID-19 epidemic, and TCM nursing needs is on the rise, indicating that the anxiety level of residents is correlated with the needs of TCM nursing.
2.Prognostic impact of adjuvant therapy on patients with esophageal squamous cell carcinoma receiving neoadjuvant therapy plus esophagectomy: A systematic review and meta-analysis
Zihao HU ; Peidong SONG ; Donglai CHEN ; Sukai XU ; Lijie TAN ; Yonghua SANG ; Yongbing CHEN
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery 2024;31(10):1505-1513
Objective To investigate whether adjuvant therapy can bring survival benefits to patients with esophageal squamous cell carcinoma (ESCC) who have received neoadjuvant therapy plus esophagectomy. Methods Studies were identified by searching databases including PubMed, EMbase, Web of Science, The Cochrane Library and CNKI from inception to November 2022 to collect studies which conformed to the objective of this study. Clinical outcomes including overall survival (OS) and recurrence-free survival (RFS) were extracted from eligible studies after screening. RevMan 5.4 and Stata 14.0 were used to perform the meta-analysis. Results A total of 9 studies were selected including 1 340 patients. Compared with the neoadjuvant therapy plus surgery (NS) group, the neoadjuvant therapy plus surgery+adjuvant therapy (NS+A) group had no significant benefit in the OS [HR=0.88, 95%CI (0.75, 1.02), P=0.09], but had remarkable benefit in the RFS [HR=0.75, 95%CI (0.58, 0.97), P=0.03]. Subgroup analysis by nodal status showed that adjuvant therapy could improve the RFS of patients with node-positive disease. Prolonged OS was observed in the patients with both positive and negative nodes but not in the patients with only positive nodes. In terms of the subgroup analysis by prescription, it revealed that triple agents exhibited advantages in improving RFS but not OS. However, dual agents did not bring additional survival benefits to the NS+A group compared with the NS group. Subgroup analysis by adjuvant therapy indicated that neither postoperative chemoradiotherapy nor chemotherapy improved OS, whereas postoperative chemoradiation elongated RFS. Conclusion Adjuvant therapy can improve the prognosis of patients with ESCC after neoadjuvant therapy followed by esophagectomy.