The different timing of removing indwelling urinary catheter for puerperas who use patient controlled analgesia after cesarean section:a meta- analysis / 中国实用护理杂志

Objective To assess the effects of removing indwelling urinary catheter at different timing on urinary retention puerper as who use patient controlled analgesia(PCA)after cesarean section. Methods Taking the database of PubMed,Embase,Cochrane Library,Medline,CNKI,CBM,VIP and Wanfang before December 2016 as the retrieval sources; collecting the Results of randomized controlled trial(RCT) about the incidence of postpartum urinary retention with PCA which removing the ureteral catheter after 24 hours, 36 hours, and 48 hours respectively; using RevMan 5.3 software for statistical analysis. Results A total of 10 study papers were collected, included involving 1 639 maternity patients.The incidence of urinary retention with ureteral catheter removal after 24 hours was higher than after 36 hours, the difference was statistically significant (RR=4.95, 95% CI 3.67-6.68, P<0.01); the incidence of urinary retention with ureteral catheter removal after 36 hours was higher than after 48 hours, the difference was statistically significant(RR=3.00,95% CI 1.66-5.41,P<0.01);the incidence of urinary retention with ureteral catheter removal after 24 hours was higher than after 48 hours the difference was statistically significant (RR=11.84, 95% CI 7.84-18.66, P<0.01). Conclusion In order to prevent the occurrence of urinary retention,the more appropriate timing to remove the urinary catheter after cesarean section with PCA is after 48 hours.

Prevalence of neurasthenia and its related multivariate analysis among population attending postgraduate exam in medical class / 重庆医学

Objective To explore the neurasthenia situation of the population attending the postgraduate exam in medical class and its influencing factors .Methods The random cluster sampling method was adopted .The influencing factors were per‐formed the χ2 test and Logistic regression analysis .Results According to the inclusion criteria and exclusion criteria ,36 positive ca‐ses were screened out ,accounting for 8 .89% of participants ,which was higher than the value of the general population ;the statisti‐cally significant differences were noted in the factors of the confidence of attending the postgraduate exam ,stress ,adjusting ability , interpersonal situation ,reading duration ,sleep ,nutrition and dietary (P<0 .05) .Conclusion Attending the postgraduate exam such highly intensitive mental activity is the important reason causing neurasthenia among the population attending the postgraduate ex‐am ,which mainly display in the aspects of stress size ,bearing ability facing stress and regulation .