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OBJECTIVE: To investigate the efficacy of comprehensive care during the nursing process of parturients with gestational hypertension and postpartum depression. METHODS: This prospective study recruited 70 patients with gestational hypertension concurrent with postpartum depression, and the patients were randomly divided into a control group (35 patients received routine care) and an observation group (35 patients, treated by comprehensive care). Indicators including psychological condition, life quality, thyroid function, the incidence of eclampsia, and nursing satisfaction were recorded and compared before intervention (at the diagnosis of postpartum depression) and after intervention (three months after delivery) in the two groups. RESULTS: The Hamilton Anxiety (HAMA) Scale and Hamilton Depression (HAMD) Scale scores were decreased in both groups after care intervention. Scores of Quality of Life Comprehensive Assessment Questionnaire (GQOLI-74) in all dimensions were higher after intervention than those of before intervention, and improvement was greater in the observation group (P<0.05). The levels of thyroid-stimulating hormone, free triiodothyronine and free thyroxine after the intervention were higher than those before the intervention in the two groups, and the increase in the observation group was greater significant than that in the control group (P<0.05). The incidence of postpartum eclampsia in the observation group was lower than that of the control group, and the nursing satisfaction of patients in the observation group was higher than that of the control group (both P<0.05). CONCLUSION: Comprehensive care effectively relieved the abnormal psychological condition, promoted thyroid function, reduced the risk of postpartum eclampsia and improved the quality of life in patients with gestational hypertension and postpartum depression.
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The analysis of biodiversity spatial patterns and the detection of hotspots are effective ways for conservation planning and scientific management of biodiversity. Based on field investigation, historical data and literature information, we constructed the comprehensive index of biodiversity by considering habitat quality, species diversity and landscape diversity within Chongqing Pengxi River Wetland Nature Reserve. Combined with spatial autocorrelation analysis, we analyzed spatial distribution pattern and the degree of spatial autocorrelation of biodiversity in the nature reserve, identified biodiversity hotspots, and discussed the protection effectiveness of existing nature reserve for the hotspots. The results showed that the spatial pattern of biodiversity in the nature reserve tended to decrease with the increases of distance from the river and riparian zone. Areas with high value of biodiversity index were mainly concentrated in Pengxi River, Puli River, Baijiaxi Stream and alongshore areas. There was significant positive correlation in the spatial distribution of biodiversity. The spatial autocorrelation of local areas was mainly characterized by high-high aggregation and low-low aggregation. The area of biodiversity hotspots was 457 hm2, accounting for 11.1% of the total nature reserve. The core area of current nature reserve covered 51% of the hotspots and 50% of the secondary hotspots. The structure and functional zone distribution of nature reserve should be further optimized and adjusted. We suggested that other hotspots should become part of the core area, including the Longwangtang area of Puli River, Xiaoyakou, Dengjiawan, Dongziyan, Longwangtang, Jiuwuju, Huatouju, Xinpuzi and Longjia yard of Baijiaxi Stream. The cold spots should be removed from the core area, to improve the function zoning of nature reserve. Our results could provide quantitative basic references for the boundary optimization and control zoning of nature reserve, and the reasonable promotion of the adjustment of "three zones to two zones", and could have guiding significance for improving effectiveness of species conservation and formulating scientific protection strategies.