Objective:To explore and the relationships among the symptoms of postpartum depression and perceived social support,sleep quality and postpartum stress in elderly postpartum women.Methods:Totally 267 elderly pregnant women were selected[average age(37±2)years]from three hospitals.The Edinburgh Postnatal Depression Scale(EPDS),Perceived Social Support Scale(PSSS),Pittsburgh Sleep Quality Index(PSQI)and the Maternal Postpartum Stress Scale(MPSS)were used to conduct the questionnaire survey.Results:The elderly preg-nant women with lower perceived social support(β=-0.11),poorer the sleep quality(β=0.43),higher the post-partum stress(β=0.12),being primipara(β=-1.19),having mastitis(β=1.43),and having a male infant(β=-0.83)had more severe postpartum depression symptoms.Conclusion:Postpartum depression symptoms in elder-ly pregnant women may be related to perceived social support,sleep quality,postpartum stress,delivery history,mastitis,and infant gender.

Objective To construct a theoretical framework of multidimensional level of matemal labour satisfaction to provide a scientific basis for taking measures to improve matemal labour satisfaction,in order to promote the improvement of nursing care quality.Methods A purposive sampling method was used to select 30 mothers who underwent a 42 days postpartum review in the postpartum clinics of 3 tertiary A hospitals in Nantong City from July to September 2023 for semi-structured in-depth interviews,and programmatic grounded theory was used for data analysis.Results A theoretical framework for multidimensional matemal satisfaction in childbirth was established,comprising 4 dimensions of the basic level(knowledge dissemination,resource acquisition,psychological adjustment),the core level(professionalism,interaction and cooperation,information sharing),the spiritual level(respect for autonomy,emotional care,empowerment),and the practical level(comfort and safety,skill enhancement,comprehensive recovery).Conclusion This study constructs a multidimensional theoretical framework for assessing childbirth satisfaction among parturient women,providing innovative perspectives and methodological guidance to optimize nursing practices and elevate service quality.Nursing personnel should utilize this framework to ensure the ongoing improvement and enhancement of nursing services,meeting the evolving needs of parturient women and facilitating a smooth transition through the critical life event of childbirth.

Objective:To explore and the relationships among the symptoms of postpartum depression and perceived social support,sleep quality and postpartum stress in elderly postpartum women.Methods:Totally 267 elderly pregnant women were selected[average age(37±2)years]from three hospitals.The Edinburgh Postnatal Depression Scale(EPDS),Perceived Social Support Scale(PSSS),Pittsburgh Sleep Quality Index(PSQI)and the Maternal Postpartum Stress Scale(MPSS)were used to conduct the questionnaire survey.Results:The elderly preg-nant women with lower perceived social support(β=-0.11),poorer the sleep quality(β=0.43),higher the post-partum stress(β=0.12),being primipara(β=-1.19),having mastitis(β=1.43),and having a male infant(β=-0.83)had more severe postpartum depression symptoms.Conclusion:Postpartum depression symptoms in elder-ly pregnant women may be related to perceived social support,sleep quality,postpartum stress,delivery history,mastitis,and infant gender.

Objective To construct a theoretical framework of multidimensional level of matemal labour satisfaction to provide a scientific basis for taking measures to improve matemal labour satisfaction,in order to promote the improvement of nursing care quality.Methods A purposive sampling method was used to select 30 mothers who underwent a 42 days postpartum review in the postpartum clinics of 3 tertiary A hospitals in Nantong City from July to September 2023 for semi-structured in-depth interviews,and programmatic grounded theory was used for data analysis.Results A theoretical framework for multidimensional matemal satisfaction in childbirth was established,comprising 4 dimensions of the basic level(knowledge dissemination,resource acquisition,psychological adjustment),the core level(professionalism,interaction and cooperation,information sharing),the spiritual level(respect for autonomy,emotional care,empowerment),and the practical level(comfort and safety,skill enhancement,comprehensive recovery).Conclusion This study constructs a multidimensional theoretical framework for assessing childbirth satisfaction among parturient women,providing innovative perspectives and methodological guidance to optimize nursing practices and elevate service quality.Nursing personnel should utilize this framework to ensure the ongoing improvement and enhancement of nursing services,meeting the evolving needs of parturient women and facilitating a smooth transition through the critical life event of childbirth.

Objective:To investigate the effect of regional leptomeningeal collateral circulation (rLMC) score based on CT angiography (CTA) and onset-to-reperfusion time (OTR) on the outcome after endovascular treatment (EVT) in patients with anterior circulation acute large vessel occlusive stroke (ACA-LVOS).Methods:Patients with ACA-LVOS underwent EVT in the Department of Neurology, the Affiliated Hospital of Yangzhou University from July 2017 to July 2023 were included retrospectively. The rLMC score 0-10 was defined as poor collateral circulation, and 11-20 were defined as good collateral circulation. At 90 days after EVT, the modified Rankin Scale (mRS) was used to evaluate the outcome. A score of 0-2 was defined as a good outcome and 3-6 were defined as a poor outcome. Multivariate logistic regression analysis was used to determine the independent influencing factors of the outcome after EVT. Results:A total of 144 patients with ACA-LVOS underwent EVT were enrolled, including 78 males (54.2%), median aged 73 years. The median baseline National Institutes of Health Stroke Scale (NIHSS) score was 16, the median baseline Alberta Stroke Program Early CT Score (ASPECTS) was 9, and the median OTR was 330.5 minutes. Eighty patients (55.6%) had good collateral circulation, 63 (43.8%) had poor outcome, including 13 deaths. Univariate analysis showed that there were significant differences in hypertension, previous stroke history, smoking, triglycerides, baseline NIHSS score, baseline ASPECTS, OTR, and collateral circulation status between the good outcome group and the poor outcome group (all P<0.05). Multivariate logistic regression analysis showed that good collateral circulation (odds ratio [ OR] 0.223, 95% confidence interval [ CI] 0.077-0.643; P=0.005) was an independent predictor of good outcome. In the poor collateral circulation group, longer OTR was an independent predictor of poor outcome ( OR 1.020, 95% CI 1.008-1.032; P=0.001). In the good collateral circulation group, longer OTR was not an independent risk factor for poor outcome ( OR 1.005, 95% CI 1.000-1.010; P=0.062). Conclusion:rLMC score based on CTA and OTR are the independent predictors of the outcome after EVT in patients with ACA-LVOS.