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Objective:To discuss the influencing factors of neonatal scalp hematoma, and provide a basis for reducing the occurrence of neonatal scalp hematoma.Methods:Retrospectively analyzed the data of 13 151 parturients and their newborn infants who delivered in the Hangzhou Women′s Hospital from January to December 2020, counted the incidence of neonatal scalp hematoma, and Logistic regression analysis was used to analyze its influencing factors.Results:Among 13 151 newborn baby, 68 cases of neonatal head hematoma occurred, the incidence was 0.52%. Vaginal delivery, forceps, intraspinal analgesia were statistically significant in the occurrence of neonatal scalp hematoma ( χ2=19.26, 19.59, 6.11, all P<0.05). Conclusions:Vaginal delivery, forceps, and intraspinal analgesia are the risk factors for neonatal scalp hematoma. Lateral perineal incision during delivery did not reduce the incidence of neonatal scalp hematoma. In this study, many cases of neonatal scalp hematoma occurred before the crown of the fetal head. Labor management, improve the rate of non-drug analgesia, promote natural delivery, early detection, early prevention, and reduce the incidence of neonatal hematoma.
RESUMO
Objective To investigate the status of cognitive function and leisure activity participation among the elderly in urban communities, and to explore the relationship between cognitive activities and leisure activities. Methods Using the General Demographic Data Questionnaire,the Montreal Cognitive Assessment Scale and Leisure Activities Questionnaire, 528 elderly people were investigated. Results The cognitive function were (25.65 ± 2.58), (25.76 ± 2.48)points in elderly with recreation and intelligence activities respectively, and (25.21 ± 2.53), (25.58 ± 2.60)points in elderly without recreation and intelligence activities respectively, the difference was statistically significant ( Z=5.56, 8.16, P<0.01). There was no significant difference between elderly with physical activity and social activities and without physical activity and social activities (P>0.05). The participation of intelligence and recreation was positively correlated with cognitive function (r =0.347, 0.270, P < 0.01), while social activities and physical activities were not correlated with cognitive function (P>0.05). Conclusions Nursing staff should pay more attention to the decline of cognitive function of the elderly, so that the elderly can recognize the importance of leisure activity, improve their enthusiasm, participate in science, enrich the quality of life in later years, improve cognitive function.