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The occurrence of stillbirth influences the pregnant women,their husbands,and spousal relationship,and it is easy to produce complex grief.The nursing measures for complex grief are still existing ethical dilemma,including the ethical dilemma of meeting with stillbirth,the ethical issue of the afterward disposal of stillbirth and ethical dilemma of fetal autopsy.This paper stated the ethical reflection of clinical nursing of stillbirth from the perspective of the legal ethical attribute of the remains of stillbirth,the attribution and disposal of the remains of stillbirth,ethical thinking on cultural beliefs,whether to hold a farewell ceremony for fetus and the grief care of the spouse and families of stillbirth maternal.
RESUMO
Objective To observe the clinical efficacy of acupoint thread embedding on the peripheral serum leptin and insulin levels in simple obesity patients, and to further explore the mechanism of acupoint thread embedding in treating simple obesity.Method A total of 120 patients with simple obesity were randomized into a control group, an eletroacupuncture (EA) group and a thread embedding group, 40 cases in each group. The control group was intervened by diet plus exercise intervention, the EA group by EA treatment in addition to the intervention given to the control group and the thread embedding group by acupoint thread embedding treatment in addition to the intervention given to the control group. The levels of blood serum leptin and insulin in the three groups were observed before and after 2 treatment courses and the clinical efficacies were compared among the three groups.Result The total effective rate was 87.5% in the thread embedding group, 85.0% in the EA group, and 47.5% in the control group. The total effective rates in the thread embedding group and EA group were significantly different from the rate in the control group (P<0.05). The levels of the fasting serum leptin and insulin were significantly changed in the thread embedding group and EA group after the treatment (P<0.01). After the treatment, the levels of the fasting serum leptin and insulin in the thread embedding group and EA group were significantly different from those in the control group (P<0.01,P<0.05). The insulin level in the thread embedding group was better than that in the EA group, and the difference was statistically significant (P<0.05).Conclusion Acupoint thread embedding is an effective approach for simple obesity, and it can down-regulate the fasting peripheral serum leptin and insulin levels.