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Psychological impact of different admission patterns on patients undergoing day hysteroscopic surgery and its influential factors 不同入院方式对日间宫腔镜手术患者的心理影响及其影响因素
Pub Date : 2025-12-01 DOI: 10.1016/j.wcn.2025.08.001
Yuqiong Yang , Jing He , Hengxi Chen , Mingxuan Li

Objective

To assess the incidence and influential factors of anxiety and depressive symptoms among patients admitted to different models of ambulatory gynecologic hysteroscopic surgery and to explore the effects of centralized and decentralized admission models on their anxiety and depressive symptoms.

Methods

This retrospective study recruited 8212 participants who underwent ambulatory gynecologic hysteroscopic surgery at West China Second University Hospital, Sichuan University, between January 2021 and January 2023. According to the different models of admission, the participants were divided into centralized and decentralized admission groups. The General Information Questionnaire and Hospital Anxiety and Depression Scale were used to assess the participants’ sociodemographic information and anxiety and depressive symptoms, respectively. A chi-square test was used to compare the prevalence of anxiety and depressive symptoms among participants in different groups. Subsequently, univariate and multivariate binary logistic regressions were used to explore the factors influencing participants’ anxiety and depressive symptoms.

Results

The prevalence of anxiety symptoms was 12.6% and 6.2% in the centrally and decentrally admitted participants, respectively, and that of depressive symptoms was 10.8% and 4.0%, respectively. Being centrally admitted and diagnosed with intrauterine adhesions were risk factors for anxiety and depressive symptoms. Old age was a protective factor against anxiety and depressive symptoms. Moreover, being married was a protective factor against anxiety symptoms, and a higher level of education was a protective factor against depressive symptoms.

Conclusion

The centrally admitted participants were more likely to have anxiety and depressive symptoms than those admitted decentrally. The medical staff should provide rational health education, effective preoperative assessment, and targeted health care to minimize psychological stress in patients undergoing day surgery, especially for the centrally admitted patients.
目的评价不同模式妇科门诊宫腔镜手术患者焦虑、抑郁症状的发生率及影响因素,探讨集中式和分散式住院模式对患者焦虑、抑郁症状的影响。方法回顾性研究招募了8212名于2021年1月至2023年1月在四川大学华西第二大学医院行门诊妇科宫腔镜手术的患者。根据进入模式的不同,将参与者分为集中式和分散式两组。采用《一般信息问卷》和《医院焦虑抑郁量表》分别评估受试者的社会人口学信息和焦虑抑郁症状。采用卡方检验比较不同组参与者焦虑和抑郁症状的发生率。随后,采用单因素和多因素二元logistic回归探讨影响被试焦虑和抑郁症状的因素。结果集中住院和分散住院患者焦虑症状的患病率分别为12.6%和6.2%,抑郁症状的患病率分别为10.8%和4.0%。中心住院和诊断为宫腔粘连是焦虑和抑郁症状的危险因素。老年是防止焦虑和抑郁症状的保护因素。此外,结婚是防止焦虑症状的保护因素,较高的教育水平是防止抑郁症状的保护因素。结论中心入院的参与者比分散入院的参与者更容易出现焦虑和抑郁症状。医务人员应提供合理的健康教育,有效的术前评估和有针对性的保健,以减少日间手术患者,特别是集中住院患者的心理压力。
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引用次数: 0
Exploring the impact of socioeconomic factors and emotional distress on the well-being of women with obstetric fistula in selected Nigerian hospitals: A cross-sectional study 探讨社会经济因素和情绪困扰对尼日利亚选定医院产科瘘妇女福祉的影响:一项横断面研究
Pub Date : 2025-12-01 DOI: 10.1016/j.wcn.2025.10.001
Helen Foluke Fatoke , Omolola Irinoye , Olaolorunpo Olorunfemi

Background

An avoidable birth injury that has serious social and emotional repercussions is an obstetric fistula (OF). Although it has been eradicated in high-income nations, it is still common in low- and middle-income areas, particularly in Sub-Saharan Africa. With an emphasis on the impact of socioeconomic factors and emotional distress in particular hospitals, this study investigates the social and emotional well-being of women with OF in South-West Nigeria.

Methods

A descriptive cross-sectional design was used, with data collected through a structured questionnaire. The study targeted women aged 15–49 who received OF treatment at Wesley Guild Hospital, Ilesa, and University College Hospital, Ibadan. A purposive sample of 120 participants was selected. Data were collected over six months (24th January – July 23, 2023) and analyzed using descriptive and inferential statistics.

Results

Among respondents, 41.7% reported low well-being, 40.8% high well-being, and 17.5% moderate well-being. Chi-square tests showed significant associations between marital status (χ2 = 11.02, P = 0.02), religion (χ2 = 17.11, P = 0.01), and place of residence (χ2 = 7.26, P = 0.02) with well-being, while age, ethnicity, education, occupation, and parity had no significant influence.

Conclusions

The social and emotional health of women with OF is greatly impacted by their marital status, place of residence, and religious affiliation. This study highlight the significance of community-based efforts to reduce stigma, context-specific psychological interventions, and improved access to healthcare services. In order to help impacted women recover and reintegrate into society, nursing practice must incorporate these sociodemographic factors into thorough, patient-centered care plans that holistically address the psychosocial difficulties they face.
产科瘘是一种可避免的分娩损伤,具有严重的社会和情感影响。尽管它在高收入国家已经被根除,但在低收入和中等收入地区,特别是在撒哈拉以南非洲,它仍然很常见。本研究着重于特定医院的社会经济因素和情绪困扰的影响,调查了尼日利亚西南部of妇女的社会和情感福祉。方法采用描述性横断面设计,通过结构化问卷收集数据。该研究的对象是在伊莱萨卫斯理公会医院和伊巴丹大学学院医院接受OF治疗的15-49岁的妇女。有目的的120名参与者被选中。在六个月内(2023年1月24日至7月23日)收集数据,并使用描述性和推断性统计进行分析。结果41.7%的受访者幸福感低,40.8%的受访者幸福感高,17.5%的受访者幸福感中等。卡方检验显示,婚姻状况(χ2 = 11.02, P = 0.02)、宗教信仰(χ2 = 17.11, P = 0.01)和居住地(χ2 = 7.26, P = 0.02)与幸福感有显著相关,年龄、种族、教育程度、职业和性别对幸福感无显著影响。结论of妇女的社会和情感健康受婚姻状况、居住地和宗教信仰的影响较大。这项研究强调了以社区为基础的努力的重要性,以减少耻辱,具体情况的心理干预,并改善获得医疗保健服务的机会。为了帮助受影响的妇女康复并重新融入社会,护理实践必须将这些社会人口因素纳入彻底的、以患者为中心的护理计划中,全面解决她们面临的社会心理困难。
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引用次数: 0
Cerebral palsy in Nigeria 尼日利亚的脑瘫
Pub Date : 2025-12-01 DOI: 10.1016/j.wcn.2025.05.001
Christian Inya Oko, Abdullahi Tunde Aborode, Oche Joseph Otorkpa, Azeezat Modesola Abereijo, Abbas Lateefat Olanike, Isreal Ayobami Onifade, Abdulhammed Opeyemi Babatunde
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引用次数: 0
Establishment and application of a training program for new neonatal nurses based on the dialectical dynamic dual-main teaching theory 基于辩证动态双主体教学理论的新生儿护士培训方案的建立与应用
Pub Date : 2025-12-01 DOI: 10.1016/j.wcn.2025.08.002
Xiujuan Zhang , Yanling Hu , Yingxin Li , Qiong Chen , Xi Huang
<div><h3>Background</h3><div>The dialectical dynamic dual-main teaching theory, based on He Kekang’s dual-main teaching model, emphasizes the dynamic adjustment of teacher and student roles to enhance learning. This study applies this theory to in-service training for neonatal nurses and aims to empower students and optimize training by integrating teacher–student competition mechanisms.</div></div><div><h3>Objectives</h3><div>This study aims to evaluate the effectiveness of the dialectical dynamic dual-main teaching model in training new neonatal nurses and to provide a reference for improving in-service nursing education.</div></div><div><h3>Design</h3><div>Nurses were divided into two groups based on their year of entry using a historical control design.</div></div><div><h3>Methods</h3><div>The study included 46 new nurses who received first-year training in the neonatal department of a single hospital between July 1, 2018, and June 30, 2022. They were divided into two groups: a control group (those who received traditional training between 2018 and 2019) and an experimental group (those who received training using the dialectical dynamic dual-main teaching model between 2020 and 2021). Evaluation was conducted using theoretical, practical, and comprehensive nursing assessment scores, and results were obtained using the nurse core competency scale.</div></div><div><h3>Results</h3><div>There were no significant differences between the two groups of new nurses in terms of age (<em>P</em> ​= ​0.772), gender (<em>P</em> ​= ​0.151), educational level (<em>P</em> ​= ​0.936), and standardized training experience (<em>P</em> ​= ​0.084). The significance level for hypothesis testing was set at α ​= ​0.05. Except for the first month’s theoretical scores (<em>P</em> ​= ​0.139, Cohen’s d ​= ​−0.447), the experimental group had significantly higher scores on theoretical, practical, and comprehensive nursing assessments at all time points compared with the control group (<em>P</em> ​< ​0.05). The overall competency (25.98 ​± ​4.14, <em>P</em> ​= ​0.018, Cohen’s d ​= ​−0.709), management (3.45 ​± ​0.55, <em>P</em> ​= ​0.002, Cohen’s d ​= ​−0.965), communication (3.39 ​± ​0.53, <em>P</em> ​= ​0.012, Cohen’s d ​= ​−0.764), teaching (3.30 ​± ​0.40, <em>P</em> ​= ​0.001, Cohen’s d ​= ​−1.049), and comprehensive knowledge ability (3.36 ​± ​0.69, <em>P</em> ​= ​0.010, Cohen’s d ​= ​−0.766), and critical thinking ability (3.09 ​± ​0.61 vs. 2.67 ​± ​0.56, <em>P</em> ​= ​0.018, Cohen’s d ​= ​−0.731) scores of the experimental group were significantly higher than those of the control group. These findings suggest that the dialectical dynamic dual-main teaching theory significantly improves training outcomes for newly hired nurses.</div></div><div><h3>Conclusion</h3><div>The dialectical dynamic dual-main teaching model significantly improved the training of new neonatal nurses and enhanced their theoretical, practical, and comprehensive nursing assessment scores as
辩证动态双主体教学理论以何克康的双主体教学模式为基础,强调教师和学生角色的动态调整,以促进学习。本研究将此理论应用于新生儿护士的在职培训,旨在通过整合师生竞争机制,增强学员的能力,优化培训。目的评价辩证动态双主体教学模式在新生儿护士培训中的效果,为改进在职护理教育提供参考。设计护士根据入职年份采用历史对照设计分为两组。方法研究对象为2018年7月1日至2022年6月30日在某医院新生儿科接受第一年培训的46名新护士。他们被分为两组:对照组(2018 - 2019年接受传统培训)和实验组(2020 - 2021年接受辩证动态双主教学模式培训)。分别采用理论、实践和综合护理评估得分进行评价,并采用护士核心能力量表进行评价。结果两组新护士在年龄(P = 0.772)、性别(P = 0.151)、文化程度(P = 0.936)、规范化培训经历(P = 0.084)方面差异均无统计学意义。假设检验的显著性水平设为α = 0.05。除第1个月的理论评分(P = 0.139, Cohen’s d = - 0.447)外,实验组在各时间点的理论评分、实践评分和综合评分均显著高于对照组(P < 0.05)。综合能力(25.98±4.14,P = 0.018, Cohen’s d = - 0.709)、管理能力(3.45±0.55,P = 0.002, Cohen’s d = - 0.965)、沟通能力(3.39±0.53,P = 0.012, Cohen’s d = - 0.764)、教学能力(3.30±0.40,P = 0.001, Cohen’s d = - 1.049)、综合知识能力(3.36±0.69,P = 0.010, Cohen’s d = - 0.766)、批判性思维能力(3.09±0.61比2.67±0.56,P = 0.018,实验组的Cohen’s d =−0.731)评分显著高于对照组。这些结果表明,辩证动态双主体教学理论显著提高了新聘护士的培训效果。结论辩证动态双主体教学模式对新生儿护士的培训有明显的促进作用,提高了新生儿护士的理论、实践和综合护理评估成绩,提高了新生儿护士的核心能力。这种方法是有效的,值得进一步研究。
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引用次数: 0
Parents' perspectives on the quality of life of adolescents living with autism spectrum disorder in Ghana 加纳父母对自闭症谱系障碍青少年生活质量的看法
Pub Date : 2025-09-01 DOI: 10.1016/j.wcn.2025.05.002
Khadija Atchulo , Kwadwo Ameyaw Korsah , Ahmed Farhan Abubakr

Background

Autism Spectrum Disorder (ASD) is a challenging public health condition with significant impacts on the wellbeing and quality of life of adolescents. This study uses Betty Ferrel's Quality of Life Model (1996) to investigate Parents' perspectives on the quality of life of adolescents living with ASD. The study focuses on three main constructs: physical wellbeing, social wellbeing, and support systems. The study explores the challenges faced by children with ASD through parental perspectives and offers insights into coping mechanisms.

Methodology

An exploratory descriptive qualitative design was employed to investigate the physical, and social wellbeing of adolescents with ASD. Thirteen participants from the Accra Metropolis were interviewed using a semi-structured guide, with participants’ consent. The interviews were recorded, transcribed, coded, and analyzed using thematic content analysis. Three major themes and 11 subthemes were identified.

Results

A thematic content analysis identified three main themes and eleven sub-themes. The findings revealed that adolescents with autism experienced varying degrees of quality of life across different domains: physical wellbeing, social wellbeing, and support systems. Adolescents with autism exhibited low physical wellbeing, marked by significant dependency and co-existing conditions, and an inability to perform basic life functions independently. Despite poor oral communication skills, they maintained good social wellbeing with cordial relationships. A notable absence of support systems was identified. Additionally, Muslim respondents were absent due to cultural practices, highlighting a need for future research in this area.

Conclusion

The study highlights the multifaceted challenges faced by adolescents with autism, particularly in physical wellbeing, while also noting their capacity for social engagement. The absence of Muslim participants underscores the need for culturally sensitive research to address gaps in understanding. Public education and sensitization about ASD are imperative. Moreover, governmental and non-governmental organizations should establish training and educational support systems for autistic adolescents to enhance their quality of life. Findings revealed barriers to education, social integration, and access to healthcare.
自闭症谱系障碍(ASD)是一种具有挑战性的公共卫生状况,对青少年的健康和生活质量产生重大影响。本研究采用Betty Ferrel的生活质量模型(1996)来调查父母对自闭症青少年生活质量的看法。该研究主要关注三个主要结构:身体健康、社会健康和支持系统。该研究从父母的角度探讨了自闭症儿童面临的挑战,并提供了应对机制的见解。方法采用探索性描述性定性设计对青少年ASD患者的身体和社会健康状况进行调查。在参与者同意的情况下,我们使用半结构化指南对来自阿克拉大都会的13名参与者进行了采访。访谈被记录、转录、编码,并使用主题内容分析进行分析。确定了三个主要主题和11个次级主题。结果主题内容分析确定了3个主题和11个副主题。研究结果显示,患有自闭症的青少年在不同的领域经历了不同程度的生活质量:身体健康、社会健康和支持系统。患有自闭症的青少年表现出较低的身体健康水平,表现为严重的依赖性和共存条件,无法独立完成基本的生活功能。尽管他们的口头沟通能力较差,但他们的社交能力良好,人际关系融洽。人们发现明显缺乏支持系统。此外,由于文化习俗,穆斯林受访者缺席,突出了这一领域未来研究的必要性。该研究强调了自闭症青少年面临的多方面挑战,特别是在身体健康方面,同时也注意到他们的社会参与能力。穆斯林参与者的缺席强调了对文化敏感的研究的必要性,以解决理解上的差距。公众教育和提高对自闭症谱系障碍的认识势在必行。此外,政府和非政府组织应为自闭症青少年建立培训和教育支助系统,以提高他们的生活质量。调查结果揭示了教育、社会融合和获得医疗保健方面的障碍。
{"title":"Parents' perspectives on the quality of life of adolescents living with autism spectrum disorder in Ghana","authors":"Khadija Atchulo ,&nbsp;Kwadwo Ameyaw Korsah ,&nbsp;Ahmed Farhan Abubakr","doi":"10.1016/j.wcn.2025.05.002","DOIUrl":"10.1016/j.wcn.2025.05.002","url":null,"abstract":"<div><h3>Background</h3><div>Autism Spectrum Disorder (ASD) is a challenging public health condition with significant impacts on the wellbeing and quality of life of adolescents. This study uses Betty Ferrel's Quality of Life Model (1996) to investigate Parents' perspectives on the quality of life of adolescents living with ASD. The study focuses on three main constructs: physical wellbeing, social wellbeing, and support systems. The study explores the challenges faced by children with ASD through parental perspectives and offers insights into coping mechanisms.</div></div><div><h3>Methodology</h3><div>An exploratory descriptive qualitative design was employed to investigate the physical, and social wellbeing of adolescents with ASD. Thirteen participants from the Accra Metropolis were interviewed using a semi-structured guide, with participants’ consent. The interviews were recorded, transcribed, coded, and analyzed using thematic content analysis. Three major themes and 11 subthemes were identified.</div></div><div><h3>Results</h3><div>A thematic content analysis identified three main themes and eleven sub-themes. The findings revealed that adolescents with autism experienced varying degrees of quality of life across different domains: physical wellbeing, social wellbeing, and support systems. Adolescents with autism exhibited low physical wellbeing, marked by significant dependency and co-existing conditions, and an inability to perform basic life functions independently. Despite poor oral communication skills, they maintained good social wellbeing with cordial relationships. A notable absence of support systems was identified. Additionally, Muslim respondents were absent due to cultural practices, highlighting a need for future research in this area.</div></div><div><h3>Conclusion</h3><div>The study highlights the multifaceted challenges faced by adolescents with autism, particularly in physical wellbeing, while also noting their capacity for social engagement. The absence of Muslim participants underscores the need for culturally sensitive research to address gaps in understanding. Public education and sensitization about ASD are imperative. Moreover, governmental and non-governmental organizations should establish training and educational support systems for autistic adolescents to enhance their quality of life. Findings revealed barriers to education, social integration, and access to healthcare.</div></div>","PeriodicalId":101283,"journal":{"name":"Women and Children Nursing","volume":"3 3","pages":"Pages 64-74"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145183574","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A bibliometric analysis of ovarian cancer care from 2000 to 2023 via CiteSpace 通过CiteSpace对2000年至2023年卵巢癌护理的文献计量学分析
Pub Date : 2025-09-01 DOI: 10.1016/j.wcn.2025.05.003
Anqi Xiong , Xiujing Guo

Purpose

This study aimed to analyze the existing research on ovarian cancer in the context of multidisciplinary care and identify the contemporary debates.

Methods

We used CiteSpace to generate visual collaborative networks and summarize the external characteristics of publications from the Web of Science Core Collection database published between January 1, 2000, and December 5, 2023.

Results

In total, 1261 publications were identified, originating from 284 institutions across 80 countries, published in 113 journals, and authored by 235 researchers. The United States and Gynecologic Oncology had the highest number of publications on this topic. The research was categorized into six major clusters: quality of life, surgery, paclitaxel, ovarian cancer, nurseshealth, and prophylactic oophorectomy. The main hotspots included society, validation, experiences, guidelines, quality of life, breast, association, and uterine cancer.

Conclusions

Research on ovarian cancer care has rapidly expanded to encompass multidisciplinary care. However, international and institutional collaboration remains limited. This study provides researchers with valuable insights into the current landscape, collaborative networks, and major research hotspots in ovarian cancer care. Additionally, the psychological experiences of patients with ovarian cancer and interdisciplinary nursing interventions are promising areas for future research and development.
目的本研究旨在分析卵巢癌在多学科护理背景下的现有研究,并找出当代的争论。方法利用CiteSpace建立可视化协同网络,对Web of Science Core Collection数据库2000年1月1日至2023年12月5日发表的论文进行外部特征分析。结果共发现1261篇论文,来自80个国家284个机构,发表在113种期刊上,作者235名。美国妇科肿瘤学在这方面的出版物数量最多。该研究分为六大类:生活质量、手术、紫杉醇、卵巢癌、护士健康和预防性卵巢切除术。主要热点包括社会、验证、经验、指南、生活质量、乳腺癌、协会和子宫癌。结论卵巢癌的治疗研究已迅速扩展到多学科治疗。然而,国际和机构合作仍然有限。本研究为研究人员了解卵巢癌治疗的现状、协作网络和主要研究热点提供了有价值的见解。此外,卵巢癌患者的心理体验和跨学科护理干预是未来研究和发展的有希望的领域。
{"title":"A bibliometric analysis of ovarian cancer care from 2000 to 2023 via CiteSpace","authors":"Anqi Xiong ,&nbsp;Xiujing Guo","doi":"10.1016/j.wcn.2025.05.003","DOIUrl":"10.1016/j.wcn.2025.05.003","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aimed to analyze the existing research on ovarian cancer in the context of multidisciplinary care and identify the contemporary debates.</div></div><div><h3>Methods</h3><div>We used CiteSpace to generate visual collaborative networks and summarize the external characteristics of publications from the Web of Science Core Collection database published between January 1, 2000, and December 5, 2023.</div></div><div><h3>Results</h3><div>In total, 1261 publications were identified, originating from 284 institutions across 80 countries, published in 113 journals, and authored by 235 researchers. The United States and <em>Gynecologic Oncology</em> had the highest number of publications on this topic. The research was categorized into six major clusters: <em>quality of life</em>, <em>surgery</em>, <em>paclitaxel</em>, <em>ovarian cancer</em>, <em>nurses</em>’ <em>health</em>, and <em>prophylactic oophorectomy</em>. The main hotspots included <em>society</em>, <em>validation</em>, <em>experiences</em>, <em>guidelines</em>, <em>quality of life</em>, <em>breast</em>, <em>association</em>, and <em>uterine cancer</em>.</div></div><div><h3>Conclusions</h3><div>Research on ovarian cancer care has rapidly expanded to encompass multidisciplinary care. However, international and institutional collaboration remains limited. This study provides researchers with valuable insights into the current landscape, collaborative networks, and major research hotspots in ovarian cancer care. Additionally, the psychological experiences of patients with ovarian cancer and interdisciplinary nursing interventions are promising areas for future research and development.</div></div>","PeriodicalId":101283,"journal":{"name":"Women and Children Nursing","volume":"3 3","pages":"Pages 51-57"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145183572","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Understanding drug anaphylactic shock: A narrative review on its recognition and first aid strategies 了解药物过敏性休克:对其识别和急救策略的叙述回顾
Pub Date : 2025-09-01 DOI: 10.1016/j.wcn.2025.06.001
Qin Zeng , Shaoyu Su , Yanling Hu
Drug allergies are the most common cause of fatal anaphylaxis and a public health problem that plagues every clinician. Based on the actual situation of clinical nursing, the author consulted the latest guidelines, expert consensus, literature, etc., and summarized and analyzed the definition, diagnostic criteria, and mechanism of drug anaphylaxis/anaphylactic shock; common allergic drugs and their routes of administration; the fourth-grade symptoms of drug allergic reactions; the manifestations and outcomes of anaphylactic shock; and the first aid of drug anaphylaxis, such as the application timing, route, dosage, and precautions of first- and second-line rescue drugs and other auxiliary first aid measures. The importance of effectively preventing anaphylaxis/anaphylactic shock from the perspective of understanding the patient's allergy history before medication, conducting drug allergy testing according to norms, prohibiting the use of drugs with clear allergies, and strengthening post-medication evaluation. It has been proposed that the rapid identification of the manifestations of various drug-induced anaphylactic shock systems and the precise use of epinephrine are key to the success of first aid. The goal of this narrative review was to synthesize the current evidence on drug anaphylactic shock recognition and first-aid strategies. By consolidating clinical guidelines, pharmacological protocols, and expert consensus, this review aimed to enhance medical personnel's vigilance and intervention efficacy, particularly among junior healthcare providers, in managing drug-induced anaphylaxis.
药物过敏是致死性过敏反应最常见的原因,也是困扰每位临床医生的公共卫生问题。笔者结合临床护理的实际情况,查阅最新的指南、专家共识、文献等,对药物过敏反应/过敏性休克的定义、诊断标准、机制等进行了总结分析;常见过敏药物及其给药途径;药物过敏反应的四级症状;过敏性休克的临床表现及转归;以及药物过敏反应的急救,如一线和二线抢救药物的应用时机、途径、剂量、注意事项等辅助急救措施。从用药前了解患者过敏史、按规范进行药物过敏试验、禁止使用明确过敏反应的药物、加强药后评价等角度有效预防过敏反应/过敏性休克的重要性。因此,快速识别各种药物性过敏性休克的表现和准确使用肾上腺素是急救成功的关键。这篇叙述性综述的目的是综合目前关于药物过敏性休克识别和急救策略的证据。通过巩固临床指南、药理学方案和专家共识,本综述旨在提高医务人员,特别是初级卫生保健提供者在管理药物性过敏反应方面的警惕性和干预效果。
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引用次数: 0
Dietary diversity practices and determinants among pregnant women in Jigjiga, Ethiopia: insight from a community-based cross-sectional study 埃塞俄比亚吉吉加孕妇饮食多样性实践和决定因素:来自社区横断面研究的见解
Pub Date : 2025-09-01 DOI: 10.1016/j.wcn.2025.06.002
Muhiyadin Abdi Farah , Sahardiid Ali Abdilahi , Mohamed Omar Osman

Objective

Maintaining a balanced diet throughout pregnancy is difficult for many pregnant women, despite the fact that appropriate nutrition is crucial for the health of both the mother and child. A wide variety of foods is essential to meet the increased nutritional demands during this key period. To shed light on the factors influencing pregnant women's food choices, this study aimed to assess the prevalence of dietary practices and their determinants among pregnant women in Jigjiga, Somali Region, Ethiopia.

Methods

A community-based cross-sectional study was conducted from June 1 to July 30, 2023. Pregnant women were selected using multistage sampling. Data were collected via face-to-face interviews using a structured questionnaire. Dietary diversity was assessed using a 24-h recall covering 10 food groups. Data were entered into EpiData version 7 and analyzed with SPSS version 26. Binary and multivariable logistic regression identified factors associated with dietary diversity, with odds ratios (OR) and 95% confidence intervals (CI). Statistical significance was set at P ​< ​0.05.

Result

This study revealed that 178 (44.7%) pregnant women had good dietary diversity practices, and 220 (55.3%) had poor dietary diversity practices. High school diploma and above (Adjusted Odds Ratio [AOR] ​= ​6.74, 95% CI ​= ​2.12, 21.37), monthly income of ≥3000 EB (AOR ​= ​2.46, 95% CI ​= ​1.17, 5.16), two or more visits during antenatal care (ANC) follow-up (AOR ​= ​15.29, 95% CI ​= ​6.26, 37.3), and food-secured households (AOR ​= ​2.893, 95% CI ​= ​1.58, 5.29) during pregnancy were factors positively associated with good dietary diversity practices among study areas.

Conclusion

Poor dietary diversity was common among pregnant women in Jigjiga. Key determinants included low education, low income, limited ANC visits, and household food insecurity. Health providers should counsel pregnant women to improve meal frequency and dietary diversity during ANC visits.
目的对许多孕妇来说,在整个怀孕期间保持均衡的饮食是困难的,尽管适当的营养对母亲和孩子的健康都至关重要。在这一关键时期,各种各样的食物对于满足日益增长的营养需求至关重要。为了揭示影响孕妇食物选择的因素,本研究旨在评估埃塞俄比亚索马里地区吉吉加孕妇饮食习惯的流行程度及其决定因素。方法于2023年6月1日至7月30日进行社区横断面研究。采用多阶段抽样方法选取孕妇。数据通过面对面访谈收集,采用结构化问卷。采用涵盖10个食物组的24小时召回法评估饮食多样性。数据录入EpiData version 7,用SPSS version 26进行分析。二元和多变量logistic回归通过比值比(OR)和95%置信区间(CI)确定了与饮食多样性相关的因素。P <; 0.05为统计学意义。结果178例(44.7%)孕妇饮食多样性良好,220例(55.3%)孕妇饮食多样性不佳。高中及以上学历(调整优势比[AOR] = 6.74, 95% CI = 2.12, 21.37)、月收入≥3000 EB (AOR = 2.46, 95% CI = 1.17, 5.16)、孕期两次或两次以上产前保健(ANC)随访(AOR = 15.29, 95% CI = 6.26, 37.3)和有食物保障的家庭(AOR = 2.893, 95% CI = 1.58, 5.29)是研究地区良好饮食多样性实践的正相关因素。结论吉吉加孕妇膳食多样性较差。主要决定因素包括教育程度低、收入低、ANC访问有限以及家庭粮食不安全。卫生保健提供者应建议孕妇在产前检查期间改善用餐频率和饮食多样性。
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引用次数: 0
Women's health: A geospatial and resource-distribution issue 妇女健康:一个地理空间和资源分配问题
Pub Date : 2025-06-01 DOI: 10.1016/j.wcn.2025.02.002
Mei Rosemary Fu PhD, RN, FAAN
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引用次数: 0
An exploration of the association of heart rate variability with daily stress and sleep in postpartum women 探讨产后妇女心率变异性与日常压力和睡眠的关系
Pub Date : 2025-06-01 DOI: 10.1016/j.wcn.2025.01.001
Iris A. Lesser, Cynthia J. Thomson
Heart rate variability (HRV) may provide feedback to post-partum women regarding need for recovery. We explored the associations between daily supine resting HRV and perceived stress and sleep quality using repeated measures correlation (rrm) between paired outcomes across two weeks. Repeated measures correlation between HRV and sleep quality, and between HRV and perceived stress were not significant. There was a significant correlation between sleep quality and stress across the two weeks, rrm(297) ​= ​−0.412, 95% CI (−0.502, −0.313), P < ​0.0001. Additional studies in this population are warranted to determine feasibility of using HRV to indicate sleep quality and stress.
心率变异性(HRV)可以为产后妇女提供关于恢复需要的反馈。我们利用两周内成对结果之间的重复测量相关性(rrm)来探索每日仰卧休息HRV与感知压力和睡眠质量之间的关系。重复测量HRV与睡眠质量、HRV与感知压力之间的相关性不显著。两周内,睡眠质量与压力之间存在显著相关性,rrm(297) = - 0.412, 95% CI (- 0.502, - 0.313), P <;0.0001。有必要在这一人群中进行进一步的研究,以确定使用心率变异来指示睡眠质量和压力的可行性。
{"title":"An exploration of the association of heart rate variability with daily stress and sleep in postpartum women","authors":"Iris A. Lesser,&nbsp;Cynthia J. Thomson","doi":"10.1016/j.wcn.2025.01.001","DOIUrl":"10.1016/j.wcn.2025.01.001","url":null,"abstract":"<div><div>Heart rate variability (HRV) may provide feedback to post-partum women regarding need for recovery. We explored the associations between daily supine resting HRV and perceived stress and sleep quality using repeated measures correlation (<em>r</em><sub><em>rm</em></sub>) between paired outcomes across two weeks. Repeated measures correlation between HRV and sleep quality, and between HRV and perceived stress were not significant. There was a significant correlation between sleep quality and stress across the two weeks, <em>r</em><sub>rm</sub>(297) ​= ​−0.412, 95% CI (−0.502, −0.313), <em>P</em> &lt; ​0.0001. Additional studies in this population are warranted to determine feasibility of using HRV to indicate sleep quality and stress.</div></div>","PeriodicalId":101283,"journal":{"name":"Women and Children Nursing","volume":"3 2","pages":"Pages 41-42"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144517102","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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Women and Children Nursing
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