【Objective】 To compare the efficacy of transurethral columnar balloon dilation of the prostate (TUCBDP) and transurethral resection of prostate (TURP) in the treatment of small volume prostatic hyperplasia. 【Methods】 A total of 96 patients with small volume prostatic hyperplasia diagnosed in our hospital during Jan.2019 and Jan.2021 were enrolled and divided into the observation group and control group,with 48 patients in either group. The observation group received TUCBDP while the control group TURP. The International Prostate Symptom score (IPSS),Quality of Life Score (QOL), international index of erectile function-erectile function (IIEF-EF),maximum urinary flow rate (Qmax),postvoid residual urine (PVR) and maximum detrusor pressure (MDP) of the two groups were compared before surgery and 24 months after surgery. The surgery-related complications and occurrence of new or aggravated sexual dysfunction were observed. 【Results】 Both groups successfully completed the treatment. The operation time and indwelling catheterization time were shorter in the observation group than in the control group (P<0.05). The scores of QOL,IPSS and IIEF-EF,the levels of Qmax,PVR and MDP of both groups 24 months after surgery were significantly improved compared with those before surgery (P<0.05). The IPSS score of the observation group was lower than that of the control group 24 months after surgery (P<0.05),while the IIEF-EF score and Qmax of the observation group were higher than those of the control group (P<0.05). The incidences of surgery-related complications and new or aggravated sexual dysfunction were significantly lower in the observation group than in the control group (P<0.05). 【Conclusion】 TUCBDP is significantly effective in the treatment of small volume prostatic hyperplasia,showing greater advantages than TURP in improving postoperative IPSS,IIEF-EF score and Qmax,with higher safety.

【Objective】 To investigate the efficacy of in vitro local high-frequency hyperthermia combined with drugs in the treatment of type Ⅲb chronic prostatitis (CP). 【Methods】 A total of 148 patients with type Ⅲb CP treated in our hospital during Jun.2020 and Jun.2022 were randomly divided into control group (n=74) and combination group (n=74). The control group received only drug treatment, while the combination group received extracorporeal local high-frequency hyperthermia treatment. The National Institutes of Health Chronic Prostatitis Symptom Index (NIH-CPSI), maximum urinary flow rate (MFR), average urinary flow rate (AFR) and International Index of Erectile Function-5 (IIEF-5) score were compared between the two groups. 【Results】 There were no significant differences between the two groups in terms of NIH-CPSI, MFR, AFR and IIEF-5 score before treatment(P>0.05). After treatment, these indexes increased in both groups (P<0.05), and the improvements in the combination group were more significant (P<0.05). 【Conclusion】 Medication combined with in vitro local high-frequency hyperthermia is effective in improving the clinical symptoms of type Ⅲb CP, which is worth clinical promotion.

Objective:To investigate the filial piety value level and the influencing factors of filial piety among children whose parents were diagnosed as advanced cancer.Methods:A convenient sampling method was used to recruit 383 participants in Tumor Hospital, Tianjin Medical University.Results:The total score of Filial Piety Value Scale among children whose parents were advanced cancer patients was (66.50±4.10) . The age of the patient, the number of hospitalization and the degree of awareness of the condition, the age of the children, whether the child was the-only-child, whether the child was living with the patient, and the average daily care time influenced the filial piety values of children whose parents were advanced cancer patients ( Z=16.64-62.94, U=2.04-4.27, P<0.05). Conclusion:Children whose parents were with advanced cancer have a better understanding of filial piety. Nurses understand the values of filial piety of children in the context of traditional filial piety and family care mode in China, which can enhance the experience of filial piety and filial piety of both children and parents, also improve the mental health problems of patients, and finally improve the quality of life of patients with advanced cancer.

Objective:To test the reliability and validity of the Chinese version of the Quality of Life in Adult Cancer Survivors (QLACS) in Chinese cancer Survivors.Methods:We translated the scale following the procedure of translation, integration and back translation. After modifying the scale and adapting it in Chinese culture, the reliability and validity of the QLACS scale was tested in a large sample of 222 cancer survivors.Results:The Chinese version of QLACS had 47 items with a total of twelve domains. Principal component analysis resulted in an 8-factor structure of the explaining 74.393% of the seven generic domains′ variance, and an 5-factor structure of the explaining 71.937% of the five cancer-specific domains′ variance. The item level content validity index (I-CVI) was 0.89-1.00, and the total content average content validity index (S-CVI/) was 0.93. The Cronbach′s α coefficient for the total QLACS score was 0.935, and 0.933 for generic domains, and 0.865 for cancer-specific domains.Conclusions:The Chinese version of QLACS appears to possess adequate validity, reliability and internal consistency. The newly translated Chinese version of QLACS may be used to assess the quality of cancer survivors in China.

Objective:To develop an assessment instrument for evaluating Filial Piety Value Scale among Children Whose Parents were Advanced Cancer Patients and to test the reliability and validity of the tool.Methods:Through literature review, semi-structured interview and expert letter consultation, the first version of the Filial Piety Value Scale (FVS) was developed. A convenience sampling method was adopted to recruit 352 children of patients with advanced cancer as respondents. Item analysis, reliability and validity were adopted to evaluate the items, and finally the formal version of FVS was developed.Results:The Internal Consistency of FVS was 0.86, and the content validity index of each item was 0.93-1.00.Two factors were extracted from exploratory factor analysis, and the cumulative contribution rate of variance was 60.25%. The two factors were named as Care (10 items) and Respect (5 items).The correlation coefficient between the total score of FVS and the total score of Filial Piety Values Index (FVI) was 0.496, and the correlation coefficient between the FVS total score and FVI Care and Respect score was 0.50 and 0.46, and the results were statistically significant ( P<0.01). Conclusion:The Filial Piety Value Scale of children whose parents were advanced cancer patients has good reliability and validity, which can be used to evaluate the filial piety value of children whose parents are advanced cancer.

Objective To suty the clinical efficacy of neuroendoscopic hematoma removal and small bone window craniotomy in elderly patients with hypertensive intracranial hemorrhage.Methods One hundred and twelve hypertensive intracranial hemorrhage patients admitted to our hospital from January 2014to January 2017were divided into neuroendoscopic hematoma removal group (n=50)and small bone window craniotomy group(n=62).They underwent neuroendoscopic hematoma removal and small bone window craniotomy respectively.The operation time,intraoperative blood loss,hematoma clearance rate and postoperative complications,ADL and NDS scores on admission and at month 3after operation were compared between the two groups.Results The total effective rate was significantly higher in neuroendoscopic hematoma removal group than in small bone window craniotomy group(90.0％vs 83.9％,P＜0.05).The operation time was significantly longer,the intraoperative hemorrhage volume was significantly smaller,the hematoma clearance rate was significantly higher in neuroendoscopic hematoma removal group than in small bone window craniotomy group(P ＜0.05).The ADL score was significantly higher while the NDS score was significantly lower in two groups at month 3after operation than at admission(P＜0.05)and in neuroendoscopic hematoma removal group than in small bone window craniotomy group at month 3after operation than at admission(P＜0.05).The incidence of complications was significantly higher in small bone window craniotomy group than in neuroendoscopic hematoma removal group(24.2％vs 20.0％,P＜0.05).Conclusion The clinical efficacy of neuroendoscopic hematoma removal is significantly higher than that of small bone window craniotomy in elderly patients with hypertensive intracerebral hemorrhage.Neuroendoscopic hematoma removal can shorten the operation time,reduce the intraoperational bleeding volume,and is thus worthy of popularization in clinical practice.

When cancer patients lose their independence and turn to depend on others after illness, their sense of personal value and meaning of life gradually lose, psychological pain increase, depression and anxiety occur, and their will to survive is lost because of despair and sense of burden towards other people. This paper introduces a new type of psychotherapy aiming at improving the sense of life value of cancer survivors, i.e. meaning-centered group psychotherapy. It summarizes the related concepts and theoretical sources, implementation methods and applications, and enlightenment of the application of this therapy in cancer survivors in China, with a view to providing clinical nurses with new nursing methods for cancer survivors.

Objective To investigate the correlation between asymmetric dimethylarginine (AD-MA) and endothelial dysfunction in patients with uremia.Methods Uremic patients who did not receive hemodialysis were defined as A group (n =40) ; uremic patients who had received hemodialysis were divided into B group (n =45) ;healthy people were defined as C group (n =20) ;and chronic kidney disease (stage 2 ～ 4) patients were defined as D group (n =20).The diameter of intima-media thickness,and endothelium-dependent or independent dilation (EDD or EID) of radial artery in right forearm were detected with diasonography.The levels of ADMA were determined by high-performance liquid chromatography.Results Compared to C group,the levels of ADMA in A,B and D groups were significantly increased [C:(0.78 ±0.19) μmol/L,A:(1.51 ±0.16) μ mol/L,B:(1.13 ±0.14) μmol/L,D:(0.92 ±0.11) μmol/L; P ＜0.05].Compared to A group,the levels of ADMA were significantly decreased in B group (P ＜0.05).EDD and EID were decreased significantly in A,B and D groups compared to C group [EDD:C:(13.52±1.73)％ vs A:(7.32 ±0.54)％,B:(9.02 ±0.86)％,D:(10.13 ±1.25)％,P ＜0.05;EID:C:(14.45±1.85)％ vsA:(10.37 ±1.51)％,B:(9.54±1.39)％,D:(11.17±1.56)％,P ＜0.05].EDD in B group was significantly lower than A group (P ＜0.05).In group A,a negative correlation was found between EDD and the level of ADMA (r =-0.81,P =0.020).Conclusions ADMA level was significantly increased in uremic patients.A close correlation existed between ADMA and endothelial dysfunction of radial artery.