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Objective:To analyze the research hotspots of hospice care, and to understand the research status and development trend in this field, so as to provide reference for the development of hospice care in China.Methods:PubMed was retrieved systematically from June 2012 to June 2019, and the key words in the literature were taken as the research object. Bicomb and SPSS 23.0 software were used for co-word cluster analysis.Results:A total of 4 766 relevant literatures were retrieved and 46 high-frequency keywords were intercepted. Seven hot spots of hospice care were summarized through co-word cluster analysis: the demand for hospice care for terminal patients and its impact on their quality of life; the psychological status of caregivers and the social support they received; the upgrade of hospice care model; the promotion and Implementation of advance directives and advanced care plans; personnel's investigation and training on knowledge, belief and practice of hospice care; the best time for referral and treatment of hospice care; pain management of hospice care.Conclusions:In recent years, hospice care has attracted more and more attention, but there are relatively few studies in China. Through co-word cluster analysis of high-frequency subject words, we can realize the research hotspots of hospice care in the world, so as to provide references for domestic hospice care researchers.
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Aortic dissection is a life-threatening cardiovascular condition. The elevated blood pressure plays an important role in the development and the formation of aortic dissection, thus treatment of aortic dissection requires the management of blood pressure control. In this paper, we reported the current situation and summarized the influencing factors of blood pressure management in the treatment of patients with aortic dissection. Suggestions were provided to improve the management of blood pressure control and to support the future research in China.
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Objective To investigate the risk factors of abnormal circadian rhythm of blood pres-sure in patients with Stanford type B aortic dissection. Methods Case information of 204 patients with Stanford type B aortic dissection admitted to vascular surgery department of the Second Xiangya hospital of Central South University from January 2016 to December 2018 were retrospectively analyzed. According to patients'blood pressure rhythm during hospitalization, patients were divided into normal blood pressure cir-cadian rhythm group (127 cases) and abnormal blood pressure circadian rhythm group (77 cases). Demo-graphic information, ambulatory blood pressure monitoring results, comorbilities and medication treatment of the two groups were compared by using multivariate logistics regression analysis. Results The difference of the ambulatory blood pressure monitoring results{average night systolic blood pressure [(112. 90 ± 10. 00) mmHg vs (128. 15 ± 15. 20) mmHg], average night diastolic blood pressure [(66. 40 ± 7. 91) mmHg vs (76. 10 ± 7. 97) mmHg]}, comorbilities hyperlipidemia, renal failure, obstructive sleep apnea hypopnea syndrome, smoking and the medication treatment ( analgesics, hypnotics and intravenous antihypertensive medicine) were statistically significant (P<0. 05);multivariate logistic regression analysis showed that ob-structive sleep apnea hypopnea syndrome and renal failure were independent risk factors of abnormal blood pressure rhythm in Stanford type B aortic dissection patients. While analgesics, hypnotics and intravenous antihypertensive medicine were protective factors. Conclusions The risk factors of abnormal circadian rhythm of blood pressure in patients with Stanford type B aortic dissection are renal failure and obstructive sleep apnea hypopnea syndrome. Protective factors were the usage of analgesics, hypnotics and intravenous antihypertensive medicine.
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Aortic dissection is a life-threatening cardiovascular condition. The elevated blood pressure plays an important role in the development and the formation of aortic dissection, thus treatment of aortic dissection requires the management of blood pressure control. In this paper, we reported the current situation and summarized the influencing factors of blood pressure management in the treatment of patients with aortic dissection. Suggestions were provided to improve the management of blood pressure control and to support the future research in China.
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To investigate the effect of the aroma therapy and music intervention on anxious and pain for the breast cancer patients in the perioperative period and the potential mechanisms. Methods: A total of 100 breast cancer patients who received surgical treatment in the comprehensive hospitals of Hunan province were recruited for this study. Patients were assigned randomly into a control group, an aroma therapy group, a music intervention group, and a joint-therapy group (n=25 per group). The patients in the control group received regular post-surgical nursery, while the patients from other groups received aroma therapy, music intervention, or both in addition to the regular nursery. The scale of anxiety and pain were measured. The measurements were carried at three time points, namely 30 min before the surgery (T1), 30 min after the recovery period of anesthesia (T2), and 4 hours after the removal of anesthesia tubing (T3). Repeated ANOVA was used to perform statistic analysis. Results: The scale of pain was significantly increased at the post-operation (T2, T3) compared to pre-surgery (T1). The therapeutic group showed significant decrease in pain at post-operation (T3) comparing with the control group (P<0.05). The scale of anxiety was the highest at pre-surgery (T1). During anaesthesia recovery, the anxiety of patients at post-operation T2 and T3 in the therapeutic groups significantly decreased compared with the control group (P<0.05). Conclusion: Both the aroma therapy and the music therapy can decrease the stress-responsive anxiety and pain for the breast cancer patients in the perioperative period.
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Female , Humans , Analysis of Variance , Anxiety , Therapeutics , Aromatherapy , Breast Neoplasms , Nursing , Psychology , General Surgery , Music Therapy , Pain, Postoperative , Therapeutics , Perioperative Period , Preoperative Care , Time FactorsABSTRACT
<p><b>OBJECTIVE</b>To discuss through retrospective study associated factors influencing orthodontists to develop orthodontic treatment plans and to calculate constituent ratio of a typical extraction in orthodontic treatment.</p><p><b>METHODS</b>Systematic sampling was performed among 7 344 orthodontic patients, who received orthodontic treatment from April 2012 to March 2014 in the Department of Orthodontics, West China Hospital of Stomatology, Sichuan University. The study included statistical data on factors that may influence development of treatment plans. Samples were used to calculate extraction-ratio and atypical-extraction-ratio. Research focused on associated factors influencing development of treatment plans while evaluating correlation significances of each factor. Finally, treatment outcomes of atypical-extraction were compared with those of typical-extraction.</p><p><b>RESULTS</b>Among studied patients, 55.31% (406/734) received orthodontic extraction treatment. In orthodontic-extraction-treated patients, typical-extraction accounted for 59.11% (240/406), orthodontists-selected atypical-extraction accounted for 23.15% (94/406), and passive atypical-extraction accounted for 17.73% (72/406). With statistical analysis, we inferred associated factors influencing development of treatment plans as follows: sex and age of patients, sex of orthodontists, accurate condition of specific teeth, Angle's classification, and degree of midline deviation. Tooth loss before treatment also directly influences passive atypical-extraction. Statistically significant factors were not obtained. Significant difference of treatment outcome was not observed between atypical-extraction and typical-extraction-orthodontic treatment (P>0.05).</p><p><b>CONCLUSIONS</b>Above mentioned factors may influence orthodontists to develop treatment plans. However, orthodontists should also consider expected results of treatment strategies to prepare individual treatment plans on the basis of comprehensive analysis. .</p>
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Humans , Dental Care , Malocclusion , Orthodontics , Orthodontics, Corrective , Patient Care Planning , Retrospective Studies , Tooth , Tooth Extraction , Treatment OutcomeABSTRACT
<p><b>OBJECTIVE</b>To assess the quality of reporting by randomized controlled trial (RCT) related to dental implants in China during 2000 to 2012 by using the revised Jadad scale and consolidated standards of reporting trials (CONSORT) (2010) statement.</p><p><b>METHODS</b>The following electronic databases were searched: Chinese Biomedical Literature Database, Database for Chinese Technical Periodicals, China National Knowledge Infrastructure, PubMed, and EMBASE. A total of 19 journals of stomatology in China were also searched manually. The qualities of RCT with dental implant published between 2000 and 2012 were assessed using CONSORT (2010) statement and revised Jadad scale.</p><p><b>RESULTS</b>Twenty-eight RCTs related to dental implants were identified. The quality of reporting in 28 articles was low. The mean revised Jadad score was 1.29 ± 0.71 and the CONSORT (2010) score was 9.75 ± 3.60.</p><p><b>CONCLUSION</b>The methodological qualities of the included studies on dental implants are generally low, and reporting quality remain unsatisfactory.</p>