ABSTRACT
ObjectiveTo investigate the prevenance rate and related factors of anxiety among the public before and after outbreak of COVID-19， and to provide scientific guidance for public health emergency response in psychological intervention field. MethodsBy using the convenient sampling method， residents in Chinese mainland participated in predesigned questionnaire survey from February 7th to February 14th， 2020， meantime， all the selected individuals were assessed using Self-rating Anxiety Scale （SAS）. The anxiety status was also retrospectively evaluated before January 20th， prior to the outbreak. Thereafter， a before-and-after comparison was conducted on the anxiety status， and the related influencing factors were discussed. ResultsA total of 1 222 valid questionnaires were collected， with a valid rate of 93.8%. After the outbreak， the number of people with anxiety symptoms increased from 90 （7.4%） to 172 （14.1%）， with statistical difference （P<0.01）. The SAS score increased from （40.65±10.43） to （36.32±8.46）， with statistical difference （P<0.01）. For overall sample， the independent risk factors of anxiety aggravation included serious disruptions of daily life （P<0.01）， older age （P<0.01）， female （P<0.01）， poor education background （P=0.005）， occupied in medical staff （P=0.031） and lack of medical education （P=0.039）. For medical staff， the independent risk factors of anxiety aggravation included sense of being-alienated （P<0.01）， older age （P<0.01）， female （P=0.002） and serious disruptions of daily life （P=0.044）. ConclusionThe prevalence rate of anxiety is increased after the outbreak of COVID-19， especially among the general public with serious disruptions of daily life， older age， females， poor education background， and the lack of medical education， and among medical staff with sense of being-alienated， older age， females， and serious disruptions of daily life.
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Objective To summarize the nursing experience of a patient with secondary catheter complications caused by cerebrospinal fluid drainage after endovascular aorticrepair. Methods A retrospective analysis was made on the clinical situation of a patient who received cerebrospinal fluid drainage afterendovascular aorticrepair in 2017, and the cause of secondary catheter complications, symptoms and signs were identified and nursing. Results After careful observation, mean arterial pressure maintenance, painmanagement, cerebrospinal fluid drainage velocity management, catheter infection risk and control, psychological intervention and exercise rehabilitation, the patient was finally recovered and discharged. Conclusions In order to evaluate the postoperative complications, we should not only focus on the surgery but also on the adverse events caused by cerebrospinal fluid drainage. In addition,we should improve the ability to identify the source of problems, to risk management and to disease assessment.
ABSTRACT
<p><b>OBJECTIVE</b>By explore the role of serum soluble Fas (sFas) in occurrence and progression of delayed encephalopathy after acute carbon monoxide poisoning (DEACMP).</p><p><b>METHODS</b>Enzyme-linked immunosorbent assay (ELISA) was used to detect serum sFas levels in 40 patients with DEACMP in acute stage and convalescent stage, with 36 healthy elderly subjects as the control group.</p><p><b>RESULTS</b>Serum sFas levels of the patients with DEACMP in both the acute and convalescent stages showed no significant difference from those in the control group (P=0.737 and 0.137, respectively), nor was any significant difference found between the patients in acute and exacerbation stages (P=0.059).</p><p><b>CONCLUSION</b>Serum sFas is not involved in the occurrence and progression of DEACMP.</p>