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Objective:To investigate the effect of laparoscopic cholecystectomy (LC) combined with common bile duct exploration (LCBDE) on pain stress and inflammatory factors in elderly patients with gallbladder stones and common bile duct stones.Methods:Eighty elderly patients with cholecystolithiasis and choledocholithiasis in Huadong Hospital Affiliated to Fudan University from January 2020 to January 2021 were selected. According to the surgical method, they were divided into observation group of 40 cases and control group of 40 cases. Patients in the observation group were treated with LC combined with LCBDE, and patients in the control group were treated with traditional open surgery. The perioperative indicators and complications, changes in pain stress and inflammatory factors before and 3 days after operation, and the quality of life before operation, 1 month after operation and 6 months after operation were compared between the two groups. Normally distributed measurement data were represented by mean±standard deviation ( Mean± SD), and t test was used to compare between groups. The chi-square test was used to compare the count data between groups. Results:The operation time, time to get out of bed, postoperative exhaust time, intraoperative blood loss, and postoperative complications in the observation group were (98.39±7.23) min, (1.56±0.37) d, (1.29±0.28) d, (38.94±5.64) mL, 5%, the control group were (107.53±9.98) min, (2.53±0.52) d, (2.16±0.34) d, (65.87±7.96) mL, 25%, the observation group were excellent in all indicators compared with the control group, the differences between the two groups were statistically significant ( P<0.05). After operation 3rd day, the serum 5-hydroxytryptamine, substance P and norepinephrine in the two groups were higher than before operation ( P<0.05); after operation 3rd day, serum 5-hydroxytryptamine, substance P and norepinephrine the observation group were (0.70±0.12) pg/mL, (175.42±17.87) ng/mL and (378.52±26.57) ng/mL, the control group were (1.02±0.18) pg/mL, (248.98±18.98) ng/mL, and (460.92±35.42) ng/mL. The indexes of the observation group were smaller than those of the control group, the differences between the two groups were statistically significant ( P<0.05). After operation 3rd day, the serum tumor necrosis factor-α, C-reactive protein and interleukin-6 in the two groups were higher than before operation ( P<0.05); after operation 3rd day, Serum tumor necrosis factor-α, C-reactive protein and interleukin-6 in the observation group were (108.76±10.86) pg/mL, (14.23±3.18) mg/L and (17.84±3.98) pg/mL, respectively, on the 3rd day after operation. The control group were (156.95±16.67) pg/mL, (26.52±4.59) mg/L and (28.53±5.67) pg/mL, the observation group indexes were all smaller than control group, the differences between the two groups were statistically significant ( P<0.05). The quality of life scores of the two groups at 1 month and 6 months after the operation were higher than before operation ( P<0.05); The quality of life scores of patients in the observation group at 1 month and 6 months after surgery were higher than control group ( P<0.05). Conclusion:LC combined with LCBDE treatment has little effect on pain stress and inflammatory factors in elderly patients with cholecystolithiasis and choledocholithiasis, and has fewer postoperative complications, and can improve the quality of life of patients.
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Objetivo: Descrever o efeito da Terapia Reiki, enquanto intervenção, na dor musculoesquelética e estresse em estudantes de enfermagem. Método: Estudo de intervenção, junto a 10 estudantes de enfermagem, utilizando-se instrumento para a caracterização socio-demográfica, Avaliação de Estresse de Estudantes de Enfermagem (AEEE), Autopercepção de estresse, Questionário Nórdico de Sintomas Osteomusculares (QNSO) e a Terapia Reiki como intervenção. Os dados quantitativos foram analiasadas por meio do Pacote Estatístico para Ciências Sociais - SPSS, versão 17.0. E os dados qualitativos analisados por análise de seus conteúdos. Resultados: QNSO - A média pré-intervenção de 2,18 pontos, e após a intervenção 1,45 pontos de media; Autopercepção de estresse pré- intervenção média de 7,5 e após media de 5,7; AEEE pré-intervenção intensidade de estresse Alta/Muito alta e após intervenção intensidade de estresse Média. Conclusão: Os resultados demonstram a influencia positiva da terapia reiki sobre a diminuição dos parâmetros alcançados, caracterizando-se como uma possibilidade de intervenção de enfermagem enquanto Prática Integrativa e Complementar em Saúde.
Objective: Describe the effect of Reiki therapy, as a nursing intervention, on musculoskeletal pain and stress in nursing students. Method: Intervention study, with 10 nursing students, using an instrument for socio-demographic characterization, Nursing Student Stress Assessment (AEEE), Stress Self perception, Nordic Musculoskeletal Questionnaire (QNSO) and Reiki Therapy as an intervention. Quantitative data were analyzed using the Statistical Package for Social Sciences - SPSS, version 17.0. Qualitative data was analyzed by analyzing its contents. Results: QNSO - The pre-intervention average of 2.18 points, and after the intervention 1.45 points of average; Self perception of pre-intervention stress average of 7.5 and after average of 5.7; AEEE - pre-intervention stress intensity High / Very high and after intervention intensity stress Medium. Conclusion:. The results demonstrate the positive influence of reiki therapy on the reduction of the parameters reached, being characterized as a possibility for nursing intervention as an Integrative and Complementary Health Practice.
Objetivo: Describir el efecto de la terapia de Reiki, coomo intervención de enfermería, sobre el dolor y el estrés musculoesqueléticos en estudiantes de enfermería. Método: Estudio de intervención, con 10 estudiantes de enfermería, utilizando un instrumento para caracterización sociodemográfica, Evaluación de Estrés de Estudiantes de Enfermería (AEEE), Autopercepción de estrés, Cuestionario Musculoesquelético Nórdico (QNSO) y Terapia de Reiki como una intervención. Los datos cuantitativos se analizaron usando el Paquete Estadístico para Ciencias Sociales - SPSS, versión 17.0. Los datos cualitativos se analizaron analizando sus contenidos. Resultados: QNSO - El promedio previo a la intervención de 2.18 puntos, y después de la intervención 1.45 puntos de promedio; Autopercepción del estrés previo a la intervención promedio de 7.5 y después del promedio de 5.7; AEEE: intensidad de estrés previa a la intervención Alta / Muy alta y después de la intensidad de estrés de la intervención Media. Conclusión: Los resultados demuestran la influencia positiva de la terapia de Reiki en la reducción de los parámetros alcanzados, caracterizando-se como una posibilidad de intervención de enfermería como práctica de salud integral y complementaria.
Subject(s)
NursingABSTRACT
Objective To investigate the effects and traumas of uniportal and two-portal thoracoscopic surgery in treatment for lung cancer. Methods 100 patients with non-small cell lung cancer between May 2013 and December 2016 were collected, reviewed and divided into single-portal thoracoscope group (n = 40) and two-portal thoracoscope group (n = 60). The surgical efficiency of the two groups was recorded, and the differences in serum levels of tumor markers, inflammatory factors and pain stress indexes were compared before and after surgery. Results Differences in surgical success rate, intraoperative ratio of conversion to thoracotomy as well as serum tumor markers CEA, CYFRA21-1, SCC and CA125 levels were not statistically significant between the two groups (P > 0.05). Serum inflammatory factors IL-1, PCT and CRP levels as well as pain stress indexes SP, PGE2, NE and Cor levels of both groups after operation were higher than those before operation (P < 0.05), and serum inflammatory factors IL-1, PCT and CRP levels as well as pain stress indexes SP, PGE2, NE and Cor levels of single-portal thoracoscope group after operation were lower than those of two-portal thoracoscope group (P < 0.05). Conclusion Single-portal thoracoscope can be successfully used in the treatment of lung cancer and is less traumatic.