1.Attentional bias for cancer-related stimuli in breast cancer survivors with fear of cancer recurrence
Rongqian LIU ; Li PENG ; Yanli CHEN ; Ying YANG ; Jia XIAO ; Jun JIANG ; Chen XU ; Qiao ZHANG ; Min LI
Journal of Army Medical University 2025;47(4):360-368
Objective To investigate the characteristics of attentional bias towards cancer-related stimuli in breast cancer patients with fear of cancer recurrence(FCR)under subthreshold and suprathreshold stimulus conditions.Methods A total of 94 female breast cancer patients admitted in First Affiliated Hospital of Army Medical University from September 2022 to March 2023 were recruited to complete the Fear of Cancer Recurrence Inventory-Short Form(FCRI-SF)and the dot-probe task.According to the FCRI-SF cut-off score of 13,they were divided into clinical and non-clinical FCR groups,with 47 cases in each group.One-sample t-test and repeated-measures ANOVA were used to statistically analyze the subjects in the 2 groups in terms of attentional bias score,attentional orienting score and attentional disengagement difficulty score.Results The patients in the clinical FCR group showed a significant attentional bias toward cancer-related negative words(P<0.05).Under the subthreshold stimulus condition,its main component was attentional orienting to cancer-related negative words(P<0.05).In the suprathreshold stimulus condition,the main components were attentional orienting to neutral words matched by cancer-related negative words and difficulty in attentional disengagement from cancer-related negative words as well as attentional avoidance for cancer-related positive words(P<0.05).Conclusion Breast cancer patients with clinical FCR have an attentional bias toward cancer-related negative stimuli.Reducing their attention to cancer-related negative stimuli may be an effective measure to reduce FCR level in the patients.
2.Construction of nursing emergency management system for sudden acute infectious diseases in Operating Room of general hospital based on 4R crisis management theory
Wenjing QIAN ; Rongqian YU ; Jia LIU ; Wei WANG ; Qianjian QIAN
Chinese Journal of Modern Nursing 2022;28(4):478-484
Objective:To build a scientific, systematic and standardized index system suitable for emergency management of sudden acute infectious diseases in Operating Rooms of general hospitals.Methods:From June 2020 to March 2021, guided by the 4R crisis management theory, the index framework was initially formulated by scientific methods of literature research and expert interviews. A total of 16 medical and nursing experts from the fields of Operating Room nursing, nursing management, nosocomial infection, disease prevention and control and infectious diseases were further screened and determined indicators at all levels by applying the Delphi expert consultation method. The weight values of indexes at all levels were determined by analytic hierarchy process (AHP) and priority map method, and the emergency management system of nursing for sudden acute infectious diseases in Operating Rooms of general hospitals was finally formed.Results:The positive coefficients of experts in the two rounds of consultation were both 100.00%. The experts who provided opinions accounted for 68.75% and 31.25% respectively. The authoritative coefficient of experts was 0.906 3. The coefficient of variation of indicators at all levels was less than 0.25. The coordination coefficients of the first-level, secondary and tertiary indexes were 0.228, 0.322, 0.288 and 0.252, 0.406, 0.326 (all P<0.01) , respectively. Finally, a nursing emergency management system for sudden acute infectious diseases in Operating Rooms of general hospitals was formed, including 4 first-level indicators, 13 second-level indicators and 64 third-level indicators, and the weight distribution of indicators was reasonable. Conclusions:The constructed nursing emergency management system for sudden acute infectious diseases in Operating Rooms of general hospitals is scientific and reliable, which can provide scientific references for Operating Room nursing managers to deal with emergency nursing management of acute infectious diseases.

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