Objective To explore the mediating effect of self-perceived aging on social isolation and cognitive function among older people in the community.Methods A questionnaire survey was conducted among 527 elderly people in Chengdu from January to June 2024.SPSS 25.0 and Process were used for statistical analysis.Results The scores of social isolation,self-perceived aging and cognition were (13.14±4.306)points,(47.21±8.107)points and (25.06±3.587)points,respectively.Self-perceived aging was negatively correlated with social isolation (r=-0.659,P<0.01) and cognitive function(r=-0.541,P<0.01).Social isolation was positively correlated with cognitive function(r=0.600,P<0.01).In the causal path from social isolation to self-perceived aging and cognition,the total effect was 0.581,with a direct effect of 0.359,and an intermediate effect of 0.222,accounting for 38% of the total effect. Conclusion Social isolation and self-perceived aging have significant effects on cognitive function among older adults in the community,and self-perceived aging plays a partial mediating role between social isolation and cognitive function.
Objective To investigate the risk factors for pulmonary contusion complicated with traumatic subarachnoid hemorrhage and to establish a random forest model to conduct its performance validation.Methods A total of 407 patients with pulmonary contusion admitted to Guangchang County People's Hospital from November 2022 to December 2024 were selected.They were randomly divided into the training set(n=272) and test set(n=135) according to the ratio of 2∶1.Patients in the training set were subdivided into the combined group(n=71) and non-combined group(n=201) according to the combination of traumatic subarachnoid hemorrhage.Similarly,patients in the test set were subdivided into the combined group(n=36) and non-combined group(n=99) according to the combination of traumatic subarachnoid hemorrhage.Logistic regression analysis was used to screen the risk factors for pulmonary contusion complicated with traumatic subarachnoid hemorrhage.R software was used to establish a random forest model for predicting pulmonary contusion complicated with traumatic subarachnoid hemorrhage.Results Out of 407 patients with pulmonary contusion,107(26.29%) were complicated with traumatic subarachnoid hemorrhage.Random forest modeling showed oxygen saturation， platelet count， hypersensitive C-reactive protein and fasting blood glucose were factors affecting pulmonary contusion complicated with traumatic subarachnoid hemorrhage in order of importance.The area under the curve(AUC) of the random forest model was 0.946 in the training set,and 0.935 in the test set.The random forest model constructed in this study had a high predictive efficacy for pulmonary contusion combined with traumatic subarachnoid hemorrhage.Conclusion The random forest model can effectively establish the diagnostic model of pulmonary contusion complicated with traumatic subarachnoid hemorrhage,which is helpful for simple and rapid clinical risk analysis of pulmonary contusion complicated with traumatic subarachnoid hemorrhage and early development of scientific prevention and treatment measures.
Objective To observe the changing trajectories of serum regulated upon activation,normal T cell expressed and presumably secreted(RANTES),chemokine CC motif ligand 3(CCL3),and Beclin-1 in elderly patients with acute cerebral infarction(ACI)，and to analyze their prognostic predictive values.Methods A total of 120 elderly patients with ACI in Shangqiu Hospital of Traditional Chinese Medicine from October 2021 to October 2024 were selected，and 40 healthy volunteers in the same period were selected as the control group.Serum RANTES，CCL3，and Beclin-1 of the two groups were compared.Patients in the study group were subdivided into the poor prognosis subgroup and good prognosis subgroup according to the 3-month prognostic outcome.Their clinical data and serum RANTES，CCL3，and Beclin-1 levels were compared.The impact of RANTES，CCL3，and Beclin-1 on the prognosis of ACI was analyzed，and their predictive value for the prognosis was analyzed.Results Serum RANTES([285.64±35.21]pg/mL VS [146.29±33.76]pg/mL),CCL3([32.36±6.78]pg/mL VS [12.28±3.09]pg/mL),and Beclin-1([2.16±0.52]ng/mL VS [0.96±0.28]ng/mL) in the study group were significantly higher than those of the control group(P<0.05).The age([72.54±2.25]years VS [68.01±3.06]years),the National Institutes of Health Stroke Scale(NIHSS) score on admission([18.63±2.61]points VS [12.25±2.19]points),proportion of diabetes(61.90% VS 25.64%),and proportion of coronary heart disease(57.14% VS 19.23%) in the poor prognosis subgroup were significantly higher than those of the good prognosis subgroup(P<0.05).After 4 weeks of treatment,serum RANTES([206.39±51.78]pg/mL VS [150.74±30.24]pg/mL),CCL3([25.91±7.63]pg/mL VS [16.22±3.40]pg/mL),and Beclin-1([1.79±0.55]ng/mL VS [1.12±0.27]ng/mL) in the poor prognosis subgroup were significantly higher than those of the good prognosis subgroup(P<0.05).After adjusting for age,NIHSS score on admission,history of diabetes,and history of coronary heart disease,serum RANTES,CCL3,and Beclin-1 were still independent risk factors for the prognosis of ACI(P<0.05).Serum RANTES,CCL3,and Beclin-1 levels were positively correlated with the prognosis(P<0.001).A conventional prediction model was created by incorporating variables of the age,NIHSS score on admission,history of diabetes,and history of coronary heart disease,and another novel prediction model was created by incorporating serum RANTES,CCL3,and Beclin-1 at 4 weeks of treatment.The area under the curve(AUC) of the novel prediction model in predicting the prognosis of ACI was significantly larger than that of the conventional prediction model(P<0.05).Conclusion Serum RANTES,CCL3,and Beclin-1 in elderly patients with ACI are elevated and positively correlated with the prognosis.Measuring their levels has certain predictive value for prognosis,and combined measurement of their levels can improve the predictive efficacy.
Objective To explore the research hotspots and trends of health examination literature in China in the past 10 years,and to provide references for future research.Methods The relevant studies on health examinations from the databases of China National Knowledge Infrastructure(CNKI),Wanfang Data knowledge service platform and VIP journal official website were systematically retrieved,and the literatures were analyzed by Citespace 6.4R1 software.Results A total of 24 311 Chinese literatures were included in this study.The annual publication volume generally showed a trend of being stable at first and then declining from 2014 to 2024.There is a certain degree of cooperation among the authors,but the degree of institutional dispersion is relatively high.The research hotspots mainly focus on blood glucose,blood pressure,blood lipid,the elderly,health education,health status and nursing intervention.Psychological state,blood glucose control,high-risk population,influencing factors,regular follow-up,etc.are the research hotspots and development trends in the field of health examinations.Conclusion The content of domestic scientific research articles on health examinations is relatively extensive,and the cooperation among authors needs to be further strengthened.Research related to psychological state,blood glucose control,etc.is a cutting-edge direction in the field of health examinations,providing important references for building a prevention and treatment system for the health of the entire population.
Objective To explore the dominant diseases and clinical application progress of Wuqinxi by sorting out the clinical literature of Wuqinxi in both Chinese and English.Methods The clinical research literatures of Wuqinxi included in China National Knowledge Infrastructure(CNKI),Wanfang data,VIP Chinese Journal Database,PubMed,Embase and Cochrane Library were retrieved.The current situation of clinical research and disease spectrum of Wuqinxi were summarized based on the bibliometric method to analyze and summarize the indications and dominant disease types of Wuqinxi.Results The number of published literatures on the treatment of clinical diseases with Wuqinxi has roughly shown an increasing and decreasing trend year by year.The authors who have published a relatively large number of Chinese literature articles are YANG Yu and SHEN Mao-rong,while the authors of foreign literature have published only one article each.The publishing institutions are all from within China.Among them,Shanghai University of Sport,Jiangsu Provincial Hospital of Traditional Chinese Medicine and Shanghai University of Traditional Chinese Medicine have the largest number of publications.The journal with the largest number of published research literature on Wuqinxi in China is "Journal of Clinical Chinese medicine",and abroad it is "Evidence-based complementary and alternative medicine".Shanghai has conducted the largest number of clinical trials of Wuqinxi,and Guangxi has the largest number of meticulous scholars studying Wuqinxi.Conclusion The Wuqinxi therapy mainly focuses on the prevention and treatment of diseases in the departments of orthopedics,neurology and respiratory medicine.The dominant disease types of Wuqinxi are chronic obstructive pneumonia,Parkinson's disease,osteoporosis and cervical spondylosis,which can provide reference and direction for clinical application.
Objective To investigate the effects of scalp-neck acupuncture combined with swallowing rehabilitation training on swallowing function in stroke convalescent patients with pseudobulbar palsy,with a particular focus on improvements in pharyngeal secretion retention，vallecula/piriform sinus residue,penetration-aspiration,and Kubota Water Swallow Test(KWST) grading.Methods A randomized single-blind controlled trial was conducted.Eighty patients with dysphagia due to pseudobulbar palsy in the stroke recovery phase，admitted to Guangzhou Panyu Rehabilitation Hospital from October 2022 to June 2024,were randomized into the combined group and control group(40 cases each) using a computer-generated random number table.After excluding one case from the combined group,there were finally 39 cases in the combined group,and 40 cases in the control group.Conventional treatment of stroke and swallowing rehabilitation training were applied to all patients.Patients in the combined group were additionally treated with scalp-needling therapy on the acupoints of the Temporal Three Needles,Brain Three Needles,Fengchi(GB20),Yifeng(TE17),and Wangu(GB12) for 3 weeks.A fiberoptic endoscopic evaluation of swallowing(FEES) test was used to assess pharyngeal secretion retention(Murray secretion scale),food residue in the pyriform sinus/epiglottic vallecula(Yale scale),and penetration-aspiration function(Penetration-aspiration scale,PAS) before and after treatment.The KWST was also employed to evaluate swallowing function.Results After treatment,significant improvements in the Murray grading(pharyngeal retention),Yale grading(piriform sinus/vallecula residue),PAS grading(penetration-aspiration),and KWST scores compared to baseline were seen in both groups(P<0.05).Intergroup comparisons revealed that the combined group exhibited significantly greater improvements in all outcome measures than the control group(P<0.05).Conclusion Scalp-neck acupuncture combined with swallowing rehabilitation effectively reduces pharyngeal secretion retention,piriform sinus/vallecula food residue,and penetration-aspiration function in stroke patients with pseudobulbar palsy during recovery.It demonstrates superior efficacy in improving swallowing function compared to the monotherapy of swallowing rehabilitation.
Objective To study the effect of Snyder Hope theory combined with Five-element Music therapy on patients with coronary heart disease.Methods The subjects of this study were all patients with CHD admitted to Luoyang Hospital of Dongzhimen Hospital,Beijing University of Chinese Medicine.The inclusion period was from December 2023 to May 2024.According to different intervention plans,they were divided into the control group(n=60 cases,receiving the intervention of Snyder Hope theory) and the study group(n=60 cases,receiving the intervention of Snyder Hope theory combined with the Five-element Music therapy).The psychological state,physical symptoms,self-harmony,quality of life and satisfaction of the two groups were evaluated.Results The scores of the Patient Health Questionnaire-9(PHQ-9),Generalized Anxiety Disorder-7(GAD-7),and Somatic Self-rating Scale(SSS) Scale in the study group were lower than those in the control group,and the difference was statistically significant(P<0.05).The score of the self-flexibility dimension of the Self Consistency and Congruence Scale(SCCS) in the study group was higher than that in the control group,and the difference was statistically significant(P<0.05).The scores of the self-rigidity and self-disharmony with experience dimensions in the study group were lower than those in the control group,and the difference was statistically significant(P<0.05).The score of the Chinese Questionnaire of Quality of Life in patients with cardiovascular diseases(CQQC)in the study group was higher than that in the control group,and the difference was statistically significant(P<0.05).The satisfaction rate of the study group was 96.67%(58/60),which was higher than that of the control group 78.33%(47/60),and the difference was statistically significant(P<0.05).Conclusion Patients with CHD who receive Snyder Hope theory combined with the Five-element Music therapy can effectively improve their psychological state and somatization symptoms,promote self-harmony,and enhance the quality of life.
Objective To analyze the outcome of continuous care based on the Siebens domain management model in patients with diabetic retinopathy after surgery.Methods A total of 120 patients with diabetic retinopathy admitted in the 910th Hospital from August 2021 to July 2024 were retrospectively analyzed,including 60 patients in the control group and 60 in the study group based on the postoperative nursing mode.Patients in the control group received routine continuity care,while those in the study group received continuity care based on the Siebens domain management.Blood glucose levels,visual function,and quality of life were compared.Results After the intervention,the fasting blood glucose (6.20±0.52)mmol/L VS (6.41±0.34)mmol/L,glycated hemoglobin (5.78±0.62)mmol/L VS (6.11±0.69)mmol/L,and visual function score (0.29±0.09)points VS (0.32±0.07)points were significantly lower in the study group than the control group,while the score of quality of life was significantly higher (84.72±1.24)points VS (80.29±1.06)points(P<0.05).Conclusion Both of two continuous nursing models can exert certain effects in improving patients' blood glucose levels and quality of life.The continuous nursing care based on the Siebens domain management model can exert significant effect,showing a better control of visual function.
Objective To explore the combined application effect of acupotomy and Jingshu granules in cervical spondylotic radiculopathy.Methods According to a random number table,60 patients with cervical spondylotic radiculopathy admitted to Xiangcheng Hospital of Traditional Chinese Medicine of Zhangzhou City from June 2020 to June 2023 were divided into two groups: 30 patients in the control group were treated with oral Jingshu granules,and 30 patients in the observation group were treated with oral Jingshu granules combined with acupotomy.The TCM syndrome scores,pain degree,cervical physiological curvature,cervical functional status and sleep quality of the two groups were compared.Results After 3 weeks of treatment,the TCM syndrome scores and the scores of each dimension of the Pittsburgh Sleep Quality Index in both groups were lower than those before treatment,and the scores in the observation group were even lower(P<0.05).After 3 weeks of treatment,the cervical physiological curvature and the score of the cervical spondylosis clinical evaluation scale in the observation group were(18.91±3.34)mm and (88.65±11.16)points respectively,which were both higher than those in the control group ([15.35±3.21]mm and [80.76±12.32]points),and the difference was statistically significant([t=-4.209,2.600],P<0.05).The score of the Short-form McGill pain scale was (9.21±2.81)points,which was lower than that of the control group (12.65±3.67)points,and the difference was statistically significant(t=4.076,P<0.05).Conclusion Based on Jingshu granules,the use of acupotomy can further improve the TCM syndrome of patients with cervical spondylotic radiculopathy,significantly reduce pain,improve the physiological curvature of the cervical vertebrae and enhance sleep quality.
Objective To explore the clinical research on the treatment of herpes zoster of qi stagnation and blood stasis type by needle-embedding therapy combined with Xuci acupuncture method.Methods A total of 107 patients with herpes zoster of qi stagnation and blood stasis type admitted to the Third People's Hospital of Luoyang City from January 2022 to January 2024 were selected and divided into two groups using a random number table.Patients in the control group were treated with pregabalin capsules,while those in the study group were given the same medication as the control group and were given auricular point needle-embedding therapy combined with Xuci(needle-cluster) acupuncture therapy.The therapeutic effects of the two groups were observed.Results Before treatment,there was no statistically significant difference in immune function indicators between the two groups of patients(P>0.05).After treatment,CD4+ and CD4+/CD8+ in the study group were higher than those in the control group,and CD8+ was lower than that in the control group,with differences of statistical significance(P<0.05).There was no statistically significant difference in the Visual Analogue Scale(VAS) scores between the two groups before treatment and at 15 days of treatment(all P>0.05).At 30 days of treatment,the VAS score of the study group was significantly lower than that of the control group,and the difference was statistically significant(P<0.05).Before treatment,there was no statistically significant difference in the levels of tumor necrosis factor-α(TNF-α) and prostaglandin E2(PGE2) between the two groups(P>0.05).After treatment,the levels of TNF-α and PGE2 in the two groups decreased significantly.The level of TNF-α was(14.19±1.38)ng/L.and the level of PGE2 was (56.11±5.27)U/L in the study group,while the level of TNF-α was(20.67±3.87)ng/L,and the level of PGE2 was (98.15±10.37)U/L in the control group.All the levels in the study group were lower than those in the control group,and the difference was statistically significant(P<0.05).After treatment,the scores of Hamilton Anxiety Scale(HAMA) and Hamilton Depression Scale(HAMD) of the two groups of patients decreased significantly.The scores of HAMA and HAMD of the study group after treatment were(10.05±1.03) points and (11.49±1.93) points respectively.After treatment,the scores of HAMA and HAMD of the control group were(19.16±2.96)points and (18.37±2.53)points respectively.The scores of the study group were significantly lower than those of the control group.The comparison between the groups showed differences of statistical significance(P<0.05).Conclusion The needle-embedding therapy combined with Xuci acupuncture therapy has a remarkable effect on the treatment of herpes zoster caused by qi stagnation and blood stasis.It can significantly reduce the pain degree of patients and improve their negative emotions.
Objective To explore the effects of Mulligan manipulation on cervical spine function,physiological curvature and sleep quality in patients with cervical spondylosis of the cervical type.Methods A total of 120 patients with cervical spondylosis of the cervical type in the Surgery Department of Zhengzhou Jingeng Traditional Chinese Medicine Rehabilitation Hospital from August 2022 to November 2024 were selected as the research subjects.They were grouped by random number tables.60 cases in the control group were treated with basic cervical traction,and 60 cases in the study group were treated with Mulligan manipulation.The cervical spine function,cervical spine physiological curvature(magnetic resonance,CT examination),pain,sleep quality and quality of life of the two groups of patients after treatment were compared.Results After the treatment,the scores of each dimension of the clinical assessment scale for cervical spondylosis(CASCS),such as subjective symptoms,increased in both groups,and those in the control group were lower than those in the study group(P<0.05).The cervical horizontal displacement values and vertebral angular displacement values of both groups of patients decreased.The vertebral angular displacement value of the control group(2.28±0.55)° was higher than that of the study group (1.70±0.41)°(t=6.549,P<0.001).Horizontal displacement value of the control group(0.36±0.04) ° was higher than the study group (0.22±0.03)°(t=21.689,P<0.001);The cervical physiological curvature values of the two groups of patients increased.The cervical physiological curvature value of the control group (4.34±0.80)° was lower than that of the study group (4.95±0.75)°(t=-4.309,P<0.001).The Pittsburgh Sleep Quality Index(PSQI) and Visual Analogue Scale(VAS) scores of both groups of patients decreased,and those of the control group were higher than those of the study group(P<0.05).The scores of each dimension of the brief Quality of Life scale(QOL-BREF),such as mental health and physical health,in both groups of patients increased,and those in the control group were lower than those in the study group(P<0.05).Conclusion Mulligan manipulation can effectively alleviate the pain of patients with cervical spondylosis of the cervical type,promote the recovery of the physiological curvature of the cervical vertebrae,improve the sleep quality of patients,and enhance the cervical spine function and quality of life of patients.
Knee osteoarthritis is one of the common chronic diseases among the elderly， characterized by degenerative changes in articular cartilage and osteophyte formation.It may accompany pain,stiffness,limited mobility and other symptoms.Knee osteoarthritis seriously affects walking and balance functions,and significantly reduces the quality of life of patients.Aquatic exercise therapy,as a special treatment method,can alleviate pain,reduce swelling,enhance muscle strength and improve walking function by exercising in water and taking advantage of the special properties of water like buoyancy,viscosity,temperature and pressure.Thus,it can improve the emotional state,sleep quality and quality of life of patients with knee osteoarthritis.With the improvement of medical techniques,the combined application of many rehabilitation regimens and aquatic exercise therapy can greatly enhance the treatment outcome of knee osteoarthritis.This article summarized the mechanism of action of aquatic exercise therapy,the latest treatment results of aquatic exercise therapy and its combination with other treatment methods for knee osteoarthritis,providing new ideas and guidance for the rehabilitation treatment plan of this disease.
Belly Fire Dragon Cup comprehensive moxibustion through Nine Palaces Eight Trigrams method,based on the inheritance of the essence of traditional Chinese medicine nursing techniques such as Fire Dragon Cupping comprehensive moxibustion,combines the abdominal Nine Palaces Eight Trigrams massage method to leverage the characteristics of traditional Chinese medicine nursing,providing patients with a practical traditional Chinese medicine nursing approach.The abdomen is located in the middle of the human body and serves as the connection point between the upper and lower parts,closely related to the five Zang-organs and six Fu-organs.The Belly Fire Dragon Cupping comprehensive moxibustion through Nine Palaces Eight Trigrams method discussed in this article takes the Shenque as its center.The Shenque is the core where meridians converge and the key area where qi and energy are concentrated.It is connected to the twelve meridians and also communicates with the internal Zang-Fu organs.By performing the Belly Fire Dragon Cupping comprehensive moxibustion through Nine Palaces Eight Trigrams method on the abdomen,the stimulation of meridians and acupoints can enable heat to reach the affected area directly,effectively promoting the unobstructed flow of meridians and regulating the functions of internal Zang-Fu organs,thereby restoring the normal functions of the human body.It has high safety,high comfort,and remarkable therapeutic effects in clinical applications,demonstrating unique therapeutic advantages.Therefore,this article aims to briefly elaborate on the operation process,precautions,mechanism of action and innovative advantages of the Belly Fire Dragon Cupping comprehensive moxibustion through Nine Palaces Eight Trigrams method.
Objective To systematically evaluate the impact of palliative care in wards on the daily life and subsequent progression of end-stage patients.Methods The articles on the intervention effect of palliative care in wards on end-stage patients in Chinese and English databases such as CNKI,Wan-Fang,VIP,Sino-Med,PubMed,ScienceDirect,Web of Science,and the Cochrane Library were systematically retrieved.The retrieval period was from the establishment of the database to June 2024.The quality of the literature was evaluated based on version 2 of the Cochrane risk-of-bias tool (RoB2) for randomized trials,and Meta-analysis was performed using Review Manager 5.3 software.Results Finally,9 literatures were included,and a total of 1 552 patients were studied and investigated.The results of the Meta-analysis showed that palliative care in wards could improve the daily living functions (MD[95%CI]=8.59[8.05,9.14],Z=31.13,P<0.01) and motor functions (MD[95%CI]=10.52[8.24,12.80],Z=9.03,P<0.01)of end-stage patients.It can improve the nursing satisfaction of end-stage patients and reduce the incidence of medical disputes (OR[95%CI]=0.13[0.05,0.34],Z=4.27,P<0.01).Conclusion Palliative care in wards can improve the activities of daily living and motor functions of end-stage patients.It can improve the satisfaction of end-stage patients and reduce the incidence of medical disputes.It cannot be considered yet that palliative care in wards can change the disease/cancer treatment,mortality rate,survival rate,readmission rate and emergency visit rate of end-stage patients.
Objective The aim of this study was to retrieve，evaluate and summarise the evidence related to the prevention and management of feeding intolerance in neurocritical care patients on mechanical ventilation，and to provide guidance on the prevention and management of feeding intolerance in neurocritical care patients on mechanical ventilation.Methods A computerised system was used to search UpToDate，the British Medical Journal (BMJ) Clinical Practice Optimisation website，the International Guidelines Collaboration website，the National Institute for Health and Clinical Excellence website，the Scottish Interhospital Guidelines Network，and MediPulse; databases searched included Web of Science，the Cochrane Library，PubMed ，Embase，CNKI，CBM，Wanfang，and VIP databases of expert consensus，guidelines，evidence summaries，Meta-analyses，and systematic evaluations on the prevention and management of feeding intolerance in neurologically critically ill mechanically ventilated patients.The search was conducted from the time of database construction-July 2023.Two researchers were responsible for literature quality assessment，evidence extraction and integration.Results Fifteen papers were finally included，including three guidelines，four Meta-analyses，three systematic evaluations，two best evidence，and three expert consensuses，resulting in 31 pieces of evidence in nine areas： assessment of nutritional status，nutritional preparations，feeding modality，feeding speed，feeding temperature，feeding position，identification of feeding intolerance，management of feeding intolerance，and improvement of tolerance.Conclusion This study summarises the best evidence for the prevention and management of feeding intolerance in mechanically ventilated patients with neurocritical illness，provides an evidence-based clinical basis，and suggests that the evidence should be applied with full clinical consideration and individualised protocols.
Lower back pain includes specific lower back pain and non-specific lower back pain (NSLBP).NSLBP is characterized by no clear pathological or imaging changes,but affects the patient's quality of life and work ability.Due to the special nature of work and life,the incidence of NSLBP among ship personnel is relatively high,which is one of the main factors affecting the generation of combat effectiveness among ship personnel.Under the influence of various factors such as bumps,humidity,and mental stress,a series of consequences like decreased lumbar stability,lumbar degenerative changes,and small joint disorders can occur.At present,various monotherapies or combined treatments like traditional Chinese medicine,physical therapy,and exercise therapy are mainly used both domestically and internationally,which can achieve certain therapeutic effects,but each has its own advantages and disadvantages.By adopting a healthy lifestyle and implementing scientific preventive measures,the effect of prevention is greater than cure.This article provided a systematic review of the diagnosis and treatment progress of NSLBP in recent years by domestic and foreign scholars through literature review,providing new ideas for the in-depth study of prevention and treatment measures for NSLBP in ship personnel.
Sleep disorder(SD) is a common disease that causes sleep awake rhythm disorders and abnormal sleep quality due to a variety of reasons.Active-duty military personnel in tasks are facing high-intensity long-term training.An exposure to extreme working environments,and bearing high-risk work content cause disruption of the normal sleep pattern and an increased risk of sleep disorders.Long-term severe SD resulted in decreased memory,attention,alertness and execution abilities of military personnel,which not only affect the execution of tasks,but even increase the prevalence of physical and psychological diseases of military personnel,as well as serious consequences.This article reviewed the current status,measurement tools,and influencing factors for SD among military personnel,analyzed the specific issue of SD in this population,and looked forward to the future research direction of SD in military personnel,thus providing a reference for conducting relevant research on SD during military personnel tasks and improving the sleep quality.
Patellar tendinopathy(PT),as a chronic knee disorder prevalent among jumping athletes,is characterized by pain at the inferior patellar pole,restricted athletic performance， prolonged duration,and high recurrence rates.It severely affects the quality of life.Overload-repair imbalance caused by chronic tendon overloading is the core pathogenesis of PT，leading to collagen disorganization and degenerative changes.This study systematically analyzed the anatomical,biomechanical,and pathophysiological mechanisms of PT.The findings revealed that the proximal patellar tendon is structurally more vulnerable to injuries.Biomechanical abnormalities (ankle inversion,hip muscle weakness) significantly increase tendon stress.Imaging features of PT include tendon thickening,hypoechoic areas,and calcification.Pathological stages encompass reactive tendinopathy,failed healing,and degenerative tendinopathy.Based on these insights,a staged-combined rehabilitation strategy based on the stratification of pain degree is proposed as follows.In the acute phase(marked by severe pain),pain relief and load management are prioritized through isometric training combined with low-intensity shock wave therapy to suppress inflammation.In the chronic phase (characterized by structural degeneration),medium-to-high-intensity shock wave therapy and eccentric training are employed to promote collagen synthesis,integrated with progressive loading exercises to enhance tendon function.Concurrently,comprehensive lower-limb biomechanical adjustments(targeting the ankle,knee,and hip joints) are emphasized to reduce tendon stress at its source.This strategy demonstrates advantages in symptom alleviation,functional restoration,and recurrence prevention.However,future studies are required to validate its long-term efficacy and explore precision staging and individualized treatment approaches,ultimately advancing PT management from symptomatic control to full functional recovery.
Objective To investigate the expression level and clinical significance of protein tyrosine phosphatase 1B(PTP1B) in patients with chronic heart failure(CHF).Methods A total of 100 CHF patients admitted to Ganzhou People's Hospital from June 2023 to June 2024 were included as the observation group.Based on their all-cause mortality within 3 months after discharge,they were divided into the survival group(45 cases) and death group(55 cases).Additionally,40 healthy controls who underwent physical examinations in the physical examination center during the same period were selected as the control group.Enzyme linked immunosorbent assay(ELISA) was used to detect serum PTP1B in the observation group and control group.Univariate and multivariate logistic regression analyses were used to analyze the independent predictive factors for all-cause mortality in CHF patients.The predictive efficacy of serum PTP1B and logistic model for the all-cause mortality of CHF was evaluated by calculating the area under the curve(AUC),sensitivity,specificity,and Youden index of the receiver operating characteristic(ROC) curve.Results Serum PTP1B in the observation group was significantly higher than that of the control group(P<0.05).Age,the New York Heart Association Functional(NYHA) class,amino terminal N-terminal pro-B-type natriuretic peptide(NT-proBNP),left ventricular ejection fraction(LVEF),PTP1B,diastolic blood pressure (DBP) on admission were independent predictors of all-cause mortality in CHF patients.The AUC,sensitivity,specificity,and Youden index of serum PTP1BD index were 0.803(0.712-0.894),0.745,0.778,and 0.523,respectively.The AUC,sensitivity,specificity,and Youden index of the logistic model were 0.973(0.946-0.989),0.945,0.911 and 0.856,respectively.Conclusion Serum PTP1B increases in CHF patients,and it is an independent predictor of all-cause mortality in CHF patients.
Objective To investigate the current status of emotional intelligence and conflict management strategy among online-hailing nurses(OHNs),and to explore the correlation between emotional intelligence and conflict strategies,in order to provide basis for training and management of OHNs.Methods A cross-sectional questionnaire survey was conducted among 157 OHNs in Weifang City who had made at least 5 out-calls,using the Wong and Law Emotional Intelligence Scale(WLEIS) and the Rahim Organizational Conflict Inventory-Ⅱ(ROCI-Ⅱ) Improvement scale.Results The most conflicts faced by OHNs were with patients and their families (45.22%),followed by conflicts with nursing family members (5.10%).The total average score of conflict resolution patterns was (3.59±0.73),with the highest scores in the following order: compromise (4.10±0.94),integration (3.95±0.80),accommodation (3.70±0.88),domination (3.04±0.92),and avoidance (2.97±1.09).The total average score of emotional intelligence was (4.33±0.59),with the highest scores in the following order: self-emotional assessment and expression ability (4.37±0.53),self-emotional management ability (4.35±0.74),emotional use ability (4.35±0.58),and ability to identify and evaluate others' emotions (4.22±0.68).Correlation analysis showed that whether the OHNs had participated in emotional management and communication training was positively correlated with their emotional intelligence level (P<0.05),while the nursing management position was negatively correlated with emotional intelligence level (P<0.05).Hospital grade,technical title,emotional management training,and nursing management position were positively correlated with conflict management strategies (P<0.05),while emotional intelligence level was strongly correlated with conflict resolution patterns (P<0.01).Stepwise regression analysis showed that self-emotional assessment and expression ability were the main predictors of conflict management strategy.Conclusion OHNs in Weifang City have higher emotional intelligence levels,with compromise,integration,and accommodation being their commonly used conflict management strategies.
Objective To analyze the value of spontaneous breathing test(SBT) combined with ultrasound in assessing diaphragm function during the weaning off process of mechanical ventilation in the intensive care unit (ICU) patients.Methods A total of 88 patients with mechanical ventilation admitted to the ICU of Xinyu People's Hospital from January to November 2024 were included in the study.SBT for 120 min plus bedside ultrasound for assessing diaphragmatic function for 48 h was performed on all patients.Patients with a success of weaning off were assigned into the study group,otherwise,they were divided into the control group.SBT and ultrasound parameters were compared between the two groups.Results The diaphragmatic rapid shallow breathing index (D-RSBI) was significantly lower in the study group than the control group,while the diaphragmatic activity(DE),diaphragm thickening fraction (DTF) and diaphragmatic contraction velocity (DCV) during inspiration were significantly higher than those of the control group (all P<0.05).The receiver operating characteristic (ROC) curve was drawn.It was found that the area under the curve (AUC) of SBT combined with the ultrasound parameters of diaphragm function (D-RSBI,DE,DTF,and DCV) in predicting the failure of weaning off was 0.862,0.893,0.875,0.891,and 0.990,respectively,all of which had certain value.Conclusion SBT combined with ultrasound assessment of diaphragm function parameters (D-RSBI,DE,DTF,DCV) is highly accurate in predicting the success of weaning off in ICU patients with mechanical ventilation,and can be used as an effective clinical decision-making tool.
Objective To analyze the changing trends and interrelationships of self-efficacy and care dependency over time in elderly patients with lower extremity fractures.Methods By using the convenience sampling method,220 elderly patients with lower extremity fractures admitted to the Fifth People's Hospital of Ganzhou City from October 2021 to October 2024 were selected as the research objects.At the time of admission (T1),discharge (T2),and one month after discharge (T3),the General Self-Efficacy Scale (GSES) and the Care Dependency Scale (CDS-R) were used to conduct questionnaire surveys on the patients to evaluate their self-efficacy and care dependency levels.The Amos was applied to construct a cross-lagged model to analyze the causal temporal relationship and direction of action between patients' self-efficacy and care dependency.Results The GSES scores of T1,T2 and T3 were (19.14±4.11) points,(24.48±4.27) points and (30.86±4.20) points respectively.The CDS-R scores of T1,T2 and T3 were (30.59±6.30) points,(47.12±6.05) points and (61.83±6.21) points respectively.Both showed a continuous upward trend over time (all P<0.05).T1 self-efficacy significantly predicted T2 care dependency,and T1 care dependency significantly predicted T2 self-efficacy,with path coefficients of 0.422 and 0.154 respectively (both P<0.05).T2 self-efficacy significantly predicted T3 care dependency,and T2 care dependency significantly predicted T3 self-efficacy,with path coefficients of 0.316 and 0.304 respectively (both P<0.05).Conclusion The self-efficacy level of elderly patients with lower extremity fractures shows an upward trend over time,while the level of care dependency shows a downward trend.Moreover,both the self-efficacy and care dependency of patients have a bidirectional predictive relationship across time points and are mutually causal.Clinical medical staff need to dynamically assess the changing characteristics of patients' self-efficacy and care dependency,and promptly provide targeted intervention measures to improve the level of patients' self-efficacy,reduce the degree of care dependency,and promote the rehabilitation process.
Objective To explore the changing trend and correlation between sleep quality and negative emotion in patients with cerebral hemorrhage after surgery.Methods A total of 206 cases of cerebral hemorrhage patients and surgically treated in the Putian University Affiliated Hospital from March 2022 to March 2024 were prospectively selected as the research subjects.Patients were surveyed using the Self-rating anxiety scale (SAS)，Self-rating depression scale (SDS) and Pittsburgh Sleep Quality Index (PSQI) at the end of the 1st,4th and 7th month (T1,T2 and T3,respectively).Amos was used to construct a cross-lag analysis model.Results At T1, T2, and T3, the SAS, SDS, and PSQI scores were positively correlated (all P<0.05). The cross-lagged model showed that at T1, SAS affected PSQI and SDS scores at T2 (coefficients=0.302, and 0.253, respectively).The SAS scores at T2 affected PSQI and SDS scores at T3 (coefficients=0.285, and 0.241, respectively). The PSQI at T1 affected the SDS scores at T2 (coefficients=0.367), and the PSQI at T2 affected SAS and SDS scores at T3 (coefficients=0.302, and 0.253, respectively). The SDS score at T1 affected the PSQI and SAS scores at T2 (coefficient =0.279 and 0.230, respectively). The SDS scores at T2 affected the PSQI and SAS scores at T3 (coefficients=0.192, and 0.342, respectively). Except for the path from the PSQI at T1 to the SAS scores at T2 (P>0.05), all other paths were statistically significant (P<0.05).Conclusion There is a cross-lagged effect between sleep quality and negative emotion in patients with cerebral hemorrhage.Nursing measures can be formulated according to the relationship between them.
Objective To investigate the clinical characteristics of patients with transient ischemic attack (TIA) across different age groups.Methods Clinical data of 128 TIA patients hospitalized in the Affiliated Hospital of Jiangxi University of TCM from September 2021 to December 2024 were retrospectively collected.The patients were divided into two groups at the cut-off of 60 years,with 61 patients in the elderly group (≥60 years) and 67 patients in the young and middle-aged group (<60 years).The clinical data were analyzed,and univariate and multivariate Logistic regression analyses were performed to compare the clinical characteristics of the two groups.The influencing factors for the prognosis of TIA were explored.Results Compared between groups,the incidence of coronary heart disease was significantly higher in the elderly group (P<0.05),and patients in the elderly group had significantly higher rates of large area ischemia and negative diffusion-weighted imaging (P<0.05).The proportion of large artery atherosclerosis subtype was significantly higher,while the proportion of unknown cause subtype was significantly lower in the elderly group according to the Trial of Org 10172 in Acute Stroke Treatment (TOAST) classification (P<0.05).The dementia rate was significantly higher in the elderly group (P<0.05),and the proportion of patients with poor prognosis within 60 days was significantly higher in the elderly group (P<0.05).Within groups,patients with poor prognosis after TIA had significantly higher rates of pneumonia and aggravated neurological deficits than those with good prognosis (P<0.05).Age ≥65 years was an independent risk factor for poor prognosis in TIA patients (OR=2.247,95%CI=1.254,5.254,P<0.05).The National Institutes of Health Stroke Scale (NIHSS) score,post-stroke pneumonia and coronary heart disease were independent risk factors for the poor prognosis of TIA in the elderly group (OR=2.124,95%CI=1.302,5.852,P<0.05;OR=3.987,95%CI=1.415,5.874,P<0.05;OR=2.669,95%CI=1.157,6.174,P<0.05,respectively).The NIHSS score,post-stroke pneumonia,and aggravated neurological deficits were independent risk factors for the poor prognosis of TIA in the young and middle-aged group (OR=3.244,95%CI=1.105,7.175,P<0.05;OR=3.152,95%CI=1.021,7.996,P<0.05;OR=2.854,95%CI=1.175,7.658,P<0.05;respectively).Conclusion The clinical characteristics of TIA are correlated with age.For young and middle-aged TIA patients,effective intervention should be provided early to prevent aggravated neurological deficits.Elderly TIA patients are more likely to have cardiovascular and cerebrovascular diseases,dementia,and pneumonia.The clinical prognosis of TIA patients over 65 years old is relatively poor,and the focus should be on preventing infection and improving cardiopulmonary function.
Objective To observe and evaluate the clinical effects of the Yangxue Rougan needling method in the treatment of tinnitus caused by different reasons,with the aim of providing new ideas and methods for the traditional Chinese medicine (TCM) treatment of tinnitus.Methods Three clinical cases of tinnitus treated the Yangxue Rougan needling method after cerebral infarction,cerebral hemorrhage,and herpes zoster were listed,and the treatment effects observed,recorded,and evaluated.Results The degree of tinnitus in the three patients was significantly reduced or disappeared,and the hearing was significantly improved.The accompanying symptoms were also relieved.Conclusion The Yangxue Rougan needling method showed good curative effects in the treatment of different types of tinnitus,which significantly improves the clinical and accompanying symptoms,and improves the quality of life.This therapy,based on the unique TCM theory and combined the research methods of modern medicine,provides reliable ideas and methods for the treatment of tinnitus.
