Objective:To explore the effect of personalized psychological intervention based upon acceptance and commitment therapy on paternal donors and spouses after pediatric liver transplantation.Methods:From July 2017 to November 2019, a total of 160 parental donors and spouses undergoing pediatric liver transplantation were selected as research objects.Through a random number table, 40 donors and 40 liver donor spouses were assigned into control and experimental groups.The control group received routine psychological intervention while the experimental group had personalized psychological intervention with acceptance and commitment therapy based upon conventional psychological intervention.Symptom checklist-90, numeric rating scale, chronic pain acceptance questionnaire-8, length of stay, hospitalization cost, complication rate, initial postoperative ambulation time and hospital satisfaction were employed as evaluation tools.Results:After interventions, SCL-90 score, pain assessment score and initial ambulation time of donor group were significantly lower than those of control group( P<0.05). Hospitalization satisfaction and chronic pain acceptance were significantly higher than those of control group( P<0.05). SCL-90 score was significantly lower in liver spouse observation group than that in control group and hospitalization satisfaction higher than control group( P<0.05). Conclusions:Personalized psychological intervention based upon acceptance and commitment therapy can help parental donors and spouses to improve their mental health, help donors to recover sooner and boost hospitalization satisfaction.

Objective: To understand the psychological experience of the pediatric living donor liver transplantation who is the child`s parent, identify the problems and gains that donors face in the event of donor liver, help donors to solve their difficulties to promote early recovery of donors and children, and help potential donors better understand the surgical. Methods: The phenomenological methodology in qualitative research was used in the study, and the Colaizzi 7-step data analysis method was used for analysis the interview recording. Results: Total of four themes are summarized. Preoperative psychological path: excitement, impatience, anxiety. Postperative growth: grateful, regain hope, hard work and proactive. Postnatal negative emotions: fear and jealousy. Family and social support. Conclusion Medical staff should strengthen psychological care and health education, use narrative care and other methods to mobilize the donor′s positive psychological experience, while providing perioperative quality care, strengthen social and family support, and help donors to restore physical and mental health.

Objective: To investigate the association between serum vitamin A levels and clinical factors in preterm infants. Methods: A retrospective study was conducted on neonates admitted to Peking University Third Hospital from May 2013 to May 2014. Totally, 89 preterm neonates were recruited (preterm group). Fifty term babies with hyperbilirubinemia were selected as hyperbilirubinemia group and 50 healthy term babies were chosen as control group. High-performance liquid chromatography (HPLC) was used to examine the serum vitamin A concentrations for preterm babies at the age of 2, 7, 14 and 28 days, while those for babies in hyperbilirubinemia group was measured on one week old. Umbilical cord blood serum vitamin A concentrations were determined in control group. t-test, univariate analysis of variance or multiple linear regression was used for statistical analysis. Results: (1) In the preterm group, the mean serum vitamin A levels at the age of 2, 7, 14 and 28 days were (0.136±0.060), (0.141±0.047), (0.122±0.053) and (0.134±0.073) mg/L, respectively, while (0.168±0.109) and (0.159±0.049) mg/L in hyperbilirubinemia and the control group. The proportions of vitamin A deficiency (lower than 0.20 mg/L) in preterm babies were 91.2% (62/68), 92.1% (58/63), 91.3% (42/46) and 84% (21/25) at the age of 2, 7, 14 and 28 days respectively. There was no significant difference in serum vitamin A levels between the age of 2 days and the rest in preterms (P>0.05). However, the vitamin A levels in preterm babies at the age of 2 and 7 days were lower than that of control and hyperbilirubinemia group, respectively (t=-2.068 and -1.790, both P<0.05). (2) Vitamin A levels showed no significant difference among different gestational age ( ≤ 32 weeks vs 33 to 36 weeks) or different birth weight groups (<1 500 g vs 1 500-2 000 g) at the age of 2, 7, 14 and 28 days ( all P>0.05). (3) Multiple factor analysis showed that respiratory distress syndrome, neonatal pneumonia, small for gestational age and maternal hypertensive diserders of pregnancy were associated with serum vitamin A level in early life of newborns (all P<0.05). Conclusion Preterm infants might require sufficient vitamin A supplementation due to low vitamin A level in their first month of life. Small for gestational age, maternal hypertensive disorders of pregnancy, respiratory distress syndrome and neonatal pneumonia are associated with serum vitamin A level in preterm infants.