ABSTRACT
Objective To survey the epidemiological characteristics of adverse life events among secondary vocational nursing students and to investigate the relationship between adverse life events and post-traumatic stress disorder(PTSD) so as to provide the basis for their psychological health intervention.Methods The cross-sectional survey method was adopted to conduct the questionnaire investigation among secondary vocational nursing students as the research subjects in Health School Attached to Shanghai Jiaotong University(SJTU) and Shanghai Municipal Nursing School.The EPIDATA3.1 software was used to input the data and conduct the logic error correction.The data were processed by the SAS 8.2 software.Results The average age of respondents was (17.00±0.88) years old,87 respondents(15.56%) were male and 472 respondents(84.44%) were female;in adverse life event,failure in the exam or unsatisfactory achievement had higher occurrence frequency(81.64%);the detection rate of PTSD was 5.53%,the difference in various factors of life events between positive PTSD and non-positive PTSD had statistical significance (P<0.01).The multivariate Logistic regression analysis showed that the influencing factors of PTSD were interpersonal relation factor (OR=2.93,95%CI=1.43-6.00),punishment factor (OR=3.91,95%CI=1.41-10.87) and adaptation factor (OR=4.12,95%CI=1.70-9.99).Conclusion The incidence rate of adverse life events in the secondary vocational school students is relatively high,increasing the psychological health should start in the aspects of alleviating the study burden,changing the teaching mode,increasing the interpersonal communication ability and elevating the social adaptability of secondary vocational nursing students.
ABSTRACT
The cultivation of general practitioner is a key to improve China's community-based medical and health care system.Zunyi Medical University,in the process of cultivating tuition-free students with the mode of serving and staying in the countryside after their graduation,always upholds the principles of being oriented by post competence,being led by medical humanities,optimizing featured courses about general practitioner,carrying out students-centered teaching methodology,focusing on training students' autonomous learning ability,and fully building the practical teaching system,so as to strive to cultivate high-quality talents in the field of general medicine to make them better serve the rural community-based medical institutions.
ABSTRACT
Objective To investigate the safe zone and the soft tissue damage of two-incision minimally in-vasive total hip replacement,and to retrospectively analyze the clinical result.Method 20 adult cadavers(40 hips) were used for anatomic research.The Course of the later femoral cutaneous nerve was recorded.The angle between the intermission of the piriformis muscle and gluteus medius muscle with horizontal plane was also recorded.Analogue operation was taken on 3 fresh cadavers to assess the injury extent of soft tissues around incisions.27 cases under-went two-incision minimally invasive total hip replacement.Results LFCN was found potentially at risk as far as 6～71 mm medial to anterior superior iliac spine(ASIS)along the inguinal ligament,as much as 21～112 mm distal on the lateral border sartorius muscle from the ASIS.With the operative leg fully adducted,flexed over the nonopera～tire leg and the patella placed horizontal,the angle between the intermission of the piriformis muscle and gluteus medius muscle with horizontal plane is(60±5)°(range 55°-68°).Imitating modified two-incision THA on 3 freshhips revealed muscle contused on gluteus medius-piriformis muscle and gluteus minimus muscle.The average length of the anterior incision was 5.0 cm(4.6～6.5 cm)and of the posterior incision 3.7 em(3.0～4.2 cm).All of the patients were ambulant the day after surgery.Blood transfusion was carried out in 4 cases including one case of femo-ral neck fracture.The patients were followed up for 18 months(13～25 months).No other complications occurred.The mean Harris score was 94.5(92～96).Conclusion Front incision from the point inferior ASIS 3 cm and 1cmlater from ASIS vertically 6 cm should be chosen and the real incision should be 60°with horizontal plane.GIuteus medius,piriformis muscle and ghteus minimus muscle will be contused in two-incision minimally invasive surgeryto-tal hip replacement.Two-incision total hip replacement has the advantage of being muscle sparing and minimally in-vasive with less blood loss and rapid recovery.However,this technique is time consuming,technically demanding,and requires fluoroscopy.