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Investigation of the quality of life,mental status in patients with gynecological cancer and its influencing factors 被引量:1
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作者 Hai-Xia Shang Wen-Ting Ning +5 位作者 Jin-Fen Sun Nan Guo Xin Guo Jan-Nan Zhang Hong-Xin Yu Su-Hui Wu 《World Journal of Psychiatry》 SCIE 2024年第7期1053-1061,共9页
BACKGROUND Having a gynecological tumor or undergoing treatment can be a traumatic experience for women,as it affects their self-image and sexual relationships and can lead to psychological reactions.Psychological adj... BACKGROUND Having a gynecological tumor or undergoing treatment can be a traumatic experience for women,as it affects their self-image and sexual relationships and can lead to psychological reactions.Psychological adjustment following cancer occurrence remains a key issue among the survivors.AIM To examine the current status of quality of life(QoL),anxiety,and depression in patients with gynecological cancer and to analyze the factors associated with it.METHODS Data for 160 patients with gynecological malignancies treated at Shanxi Bethune Hospital from June 2020 to June 2023 were collected and analyzed retrospectively.Patients’QoL was assessed using the European Organization for Research on Treatment of Cancer Quality of Life Questionnaire Core 30 and the Functional Assessment of Cancer Therapy-General Questionnaire.Their emotional status was evaluated using the Self-Rating Anxiety/Depression Scale.The associated factors of anxiety and depression were analyzed.RESULTS The overall QoL score of the patients 6 months after surgery was 76.39±3.63 points.This included low levels of social and emotional function and severe fatigue and pain.The scores for physiological,functional,emotional,social,and family well-being exhibited an upward trend following surgery compared with those before surgery.One month after surgery,some patients experienced anxiety and depression,with an incidence of 18.75%and 18.13%,respectively.Logistic analysis revealed that good sleep was a protective factor against anxiety and depression in patients with gynecological tumors,whereas physical pain was a risk factor.CONCLUSION Patients with gynecological malignancies often experience anxiety and depression.By analyzing the factors that affect patients’QoL,effective nursing measures can be administered. 展开更多
关键词 gynecologicAL tumorS Quality of life ANXIETY DEPRESSION
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The Pre-Diagnosis History of Gynecologic Tumors in Children
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作者 Othmane Alaoui Fatoumata Binta Baldé +2 位作者 Abdelhalim Mahmoudi Khalid Khattala Bouabdallah Youssef 《Open Journal of Pediatrics》 CAS 2023年第2期207-213,共7页
Introduction: Gynecologic tumors represent less than 5% of all solid tumors in children. Patients and Method: Through a prospective and descriptive study over 4-years, we included girls aged less than 15 years admitte... Introduction: Gynecologic tumors represent less than 5% of all solid tumors in children. Patients and Method: Through a prospective and descriptive study over 4-years, we included girls aged less than 15 years admitted for a gynecologic tumor. We collected and analyzed the medical data, and paid particular attention to the pre-diagnosis history. Results: Eleven girls met our criteria with a mean age of 8.5 years (2 - 13 years). Abdominal pain, abdominal distension or protrusion of a vaginal mass was the main symptoms. The patients were seen at least by one doctor outside the surgical structure [1] [2] [3]. Four of eleven were received by two different doctors before carrying out the evocative radiological assessment. The average consultation delay was 7-months (24 hours to 18 months). There were nine ovarian tumors and two vaginal tumors. The histological study revealed five of eleven (45%) malignant tumors. Conclusion: Gynecological tumors in children are rare. However, there is a significant proportion of malignant tumors. All doctors can be confronted with it and should not delay the radiological assessment. 展开更多
关键词 gynecologic tumor DIAGNOSTIC CHILDREN
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Application of traditional Chinese medicine acupoint needle embedding combined with emotional nursing in patients with gynecological malignant tumors
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作者 Zhen Ren Wen Cui Ya-Ping Li 《World Journal of Psychiatry》 SCIE 2023年第9期645-653,共9页
BACKGROUND Few relevant literature reports on applying acupoint press-needle embedding combined with emotional nursing in patients with a gynecological malignant tumor.AIM To explore the effect of traditional Chinese ... BACKGROUND Few relevant literature reports on applying acupoint press-needle embedding combined with emotional nursing in patients with a gynecological malignant tumor.AIM To explore the effect of traditional Chinese medicine acupoint needle embedding combined with emotional nursing on chemotherapy-related nausea and vomiting(CINV),cancer-related fatigue(CRF)and psychological state in patients with gynecological malignant tumors.METHODS Retrospective analysis of the clinical information of 84 patients with gynecological malignant tumors treated in our hospital from August 2020 to December 2022 Led to the development of an observation group(n=42)and a control group(n=42)based on various nursing approaches.Ondansetron hydrochloride injection was administered to the individuals in the control group.However,the observation group received emotional nursing based on the control group and acupoint pressneedle embedding of traditional Chinese medicine.Patients in both groups received the chemotherapy regimen of paclitaxel liposome+carbo-platin/cisplatin.For four weeks,both groups intervened.The CINV grade,quality of life,CRF,psychological status and sleep quality scores of the two groups before and RESULTS After intervention,the degree of CINV in the observation group was significantly better than that in the control group.After intervention,the scores of each dimension and total score of FLIE scale were significantly higher than those in the control group.After intervention,the scores of each dimension and total score of Piper Fatigue Scale were significantly lower than those in the control group(P<0.05).After intervention,the scores of avoidance and yield dimensions in the observation group were significantly lower than those in the control group,and the scores of confrontation dimension were significantly higher than those in the control group(P<0.05).After intervention,the sleep quality score of the observation group was significantly lower than that of the control group,and the Karnofsky Performance Status scale score was significantly higher than that of the control group(P<0.05).CONCLUSION The acupuncture point needle embedding of traditional Chinese medicine combined with emotional nursing can further reduce the incidence of chemotherapy-related nausea and vomiting in patients with gynecological malignant tumors,improve the quality of life and the degree of CRF,alleviate the bad psychological state,adopt a positive way to face the disease and treatment,and improve the quality of sleep and quality of life. 展开更多
关键词 Press-needle ACUPOINT Emotional nursing gynecologic malignant tumor Sleep quality Chemotherapy-induced nausea and vomiting Cancer-related fatigue Mental state
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Gynecological tumors in patients with Peutz-Jeghers syndrome (PJS) 被引量:4
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作者 Arisa Ueki Iori Kisu +5 位作者 Kouji Banno Megumi Yanokura Kennta Masuda Yusuke Kobayashi Akira Hirasawa Daisuke Aoki 《Open Journal of Genetics》 2011年第3期65-69,共5页
Peutz-Jeghers syndrome (PJS) is an autosomal dominant disorder characterized by the development of hamartomatous polyposis in the gastrointestinal tract and melanin-pigmented macules on the skin mucosa. The responsibl... Peutz-Jeghers syndrome (PJS) is an autosomal dominant disorder characterized by the development of hamartomatous polyposis in the gastrointestinal tract and melanin-pigmented macules on the skin mucosa. The responsible gene is a tumor suppressor, STK11/LKB1, on chromosome 19p13.3. PJS complicates with benign and malignant tumors in various organs. In gynecology, there has been a particular focus on complications of PJS with sex cord tumor with annular tubules (SCTAT) and minimal deviation adenocarcinoma (MDA), which are rare diseases. Approximately 36% of patients with SCTAT are complicated with PJS and these patients are characterized by multifocal, bilateral, small and benign lesions that develop into tumors with mucinous to serous ratios of 8:1. In addition, 10% of cases of MDA are complicated with PJS and mutation of STK11, the gene responsible for PJS, has a major effect on onset and prognosis. The disease concept of lobular endocervical glandular hyper-plasia (LEGH) has recently been proposed and LEGH is thought to be a potential premalignant lesion of MDA, however, the relationship between PJS and LEGH remains unclear. Several case reports of PJS patients complicated with gynecological tumors have been published and further studies are needed to determine the underlying 展开更多
关键词 gynecologic tumor Minimal Deviation Adenocarcinoma PEUTZ-JEGHERS Syndrome Sex Cord tumor STK11/LKB1
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Advances of Prevention and Nursing of Deep Venous Thrombosis after Gynecological Tumor Operation 被引量:1
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作者 Yongxian Wei Lijin Tan 《Proceedings of Anticancer Research》 2019年第5期15-19,共5页
Emainly includes deep venous thrombosis(DVT)and pulmonary thromboembolism(PTE).DVT is caused by the thrombogenesis of red blood cells,platelets and fibrous protein which obstructs the venous backflow leading to inflam... Emainly includes deep venous thrombosis(DVT)and pulmonary thromboembolism(PTE).DVT is caused by the thrombogenesis of red blood cells,platelets and fibrous protein which obstructs the venous backflow leading to inflam-matory changes in the wall of the vein.PTE is caused by the caducous blood clots of DVT that runs with the blood to the lungs.Because DVT and PTE are the venous thromboembolic disease process in two stages,the prevention of DVT and PTE is very important for preventing the rapid onset of PTE and high mortality rate of the postoperative complications.The changes of female hormones and the blood concentration and lipid metabolism disorders make venous thromboembolism more likely to occur during pregnancy.Once the pulmonary vessels were blocked,the patients’life would be threatened severely.To find a more effective way to prevent postoperative venous thrombosis in gynecology we review the prevention and treatment of deep venous thrombosis after gynecological surgery in this paper. 展开更多
关键词 gynecologicAL tumor Surgery Deep VEIN THROMBOSIS NURSING progress
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Roles of endoplasmic reticulum stress and apoptosis signaling pathways in gynecologic tumor cells:A systematic review 被引量:2
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作者 Kangsheng Liu Weimin Fang +1 位作者 Erhu Sun Yajun Chen 《Oncology and Translational Medicine》 2017年第3期131-135,共5页
Efficient functioning of the endoplasmic reticulum(ER) is very important for most cellular activities, such as protein folding and modification. The ER closely interacts with other organelles, including the Golgi body... Efficient functioning of the endoplasmic reticulum(ER) is very important for most cellular activities, such as protein folding and modification. The ER closely interacts with other organelles, including the Golgi body, endosome, membrane, and mitochondria, providing lipids and proteins for the repair of these organelles. ER stress can be induced by various abnormal materials in the cell. ER stress is a compensatory intracellular environment disorder that occurs during areaction. ER can sense the stress and respond to it through translational attenuation, upregulation of the genes for ER chaperones and related proteins, and degradation of unfolded proteins by a quality-control system, but excessive ER activation can cause cell death. The Pubmed and Web of Science databases were searched for full-text articles, and the terms "endoplasmic reticulum stress/unfolded protein response/gynecologic tumor cell apoptosis" were used as key words. Thirty-five studies of ER stress and unfolded protein response published from 2000 to 2016 were analyzed. Stress triggers apoptosis through a variety of signaling pathways. Increasing evidence has shown that the ER plays an important role in tumor cell diseases. The present review discusses the molecular mechanisms underlying unfolded protein response and its ability to promote survival and proliferation in gynecologic tumor cells. 展开更多
关键词 endoplasmic reticulum(ER) unfolded protein response(UPR) inositol-requiring-JNK(IRE1-JNK) caspase CCAAT-enhancer-binding protein homologous protein(CHOP) gynecologic tumor cell
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Clinical analysis of abdominal aorta block in operation of gynecologic tumor
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作者 穆玉兰 汤春生 +2 位作者 温泽清 尹福波 刘鸣 《Journal of Medical Colleges of PLA(China)》 CAS 2006年第2期133-136,F0003,共5页
Objective:To evaluate the clinical effects of the abdominal aorta block in controlling haemorrhage during operations of the gynecologic tumor. Methods: From July 1965 to January 2005. we collected patients (n = 49) of... Objective:To evaluate the clinical effects of the abdominal aorta block in controlling haemorrhage during operations of the gynecologic tumor. Methods: From July 1965 to January 2005. we collected patients (n = 49) of gynecologic tumor complicated with haemorrhage during operations, who were divided into 3 groups: preventive blocking group (PG, n=12), treatment blocking group (TG, n = 20) used abdominal aorta block technique with sterilized cotton band and silica gel tube, and control group (CG, n = 17) which were used the regular haemostatic methods, such as ligature, suture and ribbon gauze packing. During operations, the vital signs including the amount of bleeding and transfusion were measured. Results: Compared with the CG, the amount of bleeding and transfusion in the PG and TG decreased significantly (P<0. 01). After using the technique, 32 cases of haemorrhage were controlled completely. All patients finished operation smoothly in the end and the vital signs were stable. The vision field of operation was clear and the operating time was shortened dramatically (3. 0 h vs 5. 7 h and 3. 8 h vs 5. 7 h, P< 0. 01). No complications caused by the block occurred in the post-operation. Conclusion: Lower abdominal aorta block is safe and effective in controlling haemorrhage during operations of the gynecologic tumor. 展开更多
关键词 abdominal aorta block gynecologic tumor operation HAEMORRHAGE
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Psychological Intervention and Nursing Analysis of Gynecological Malignant Tumors during Chemotherapy
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作者 Yaning Liu Yan Zhang +1 位作者 Xiaoying Wang Xinjuan Yang 《Journal of Oncology Research》 2019年第1期10-13,共4页
Objectives:To explore the clinical effect of psychological intervention and nursing during the chemotherapy of gynecological malignant tumor.Methods:120 patients with gynecologic malignancies were selected as subjects... Objectives:To explore the clinical effect of psychological intervention and nursing during the chemotherapy of gynecological malignant tumor.Methods:120 patients with gynecologic malignancies were selected as subjects.According to the nursing method,these patients were divided into intervention group and control group,with 60 cases in each group.The patients in the control group were given routine care,and the patients in the observation group were given psychological intervention care on the basis of routine nursing.Before and after treatment,the anxiety and depression of the two groups were compared using the Self-rating Anxiety Scale(SAS)and the Self-rating Depression Scale(SDS).The satisfaction and adverse reactions of the two groups were compared.The results were statistically analyzed.Results:After nursing intervention,the anxiety and depression scores of the intervention group were lower than those of the control group(P<0.05).The incidence of nausea,vomiting and fatigue in the intervention group was significantly lower than that in the control group(P<0.01).There was no significant difference in the symptoms of diarrhea between the two groups(P>0.05).After the treatment,the satisfaction of the intervention group was significantly higher than that of the control group(P<0.05).Conclusions:During the chemotherapy of gynecological malignant tumor patients,psychological intervention nursing can alleviate the anxiety and depression of patients,improve the complications,and improve the satisfaction of patients.It is worthy of clinical application. 展开更多
关键词 gynecologicAL MALIGNANT tumor CHEMOTHERAPY PSYCHOLOGICAL INTERVENTION Clinical effect
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Innovative insights into extrachromosomal circular DNAs in gynecologic tumors and reproduction
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作者 Ning Wu Ling Wei +5 位作者 Zhipeng Zhu Qiang Liu Kailong Li Fengbiao Mao Jie Qiao Xiaolu Zhao 《Protein & Cell》 SCIE CSCD 2024年第1期6-20,共15页
Originating but free from chromosomal DNA,extrachromosomal circular DNAs(eccDNAs)are organized in circular form and have long been found in unicellular and multicellular eukaryotes.Their biogenesis and function are po... Originating but free from chromosomal DNA,extrachromosomal circular DNAs(eccDNAs)are organized in circular form and have long been found in unicellular and multicellular eukaryotes.Their biogenesis and function are poorly understood as they are characterized by sequence homology with linear DNA,for which few detection methods are available.Recent advances in high-throughput sequencing technologies have revealed that eccDNAs play crucial roles in tumor formation,evolution,and drug resistance as well as aging,genomic diversity,and other biological processes,bringing it back to the research hotspot.Several mechanisms of eccDNA formation have been proposed,including the breakage-fusion-bridge(BFB)and translocation-deletion-amplification models.Gynecologic tumors and disorders of embryonic and fetal development are major threats to human reproductive health.The roles of eccDNAs in these pathological processes have been partially elucidated since the first discovery of eccDNA in pig sperm and the double minutes in ovarian cancer ascites.The present review summarized the research history,biogenesis,and currently available detection and analytical methods for eccDNAs and clarified their functions in gynecologic tumors and reproduction.We also proposed the application of eccDNAs as drug targets and liquid biopsy markers for prenatal diagnosis and the early detection,prognosis,and treatment of gynecologic tumors.This review lays theoretical foundations for future investigations into the complex regulatory networks of eccDNAs in vital physiological and pathological processes. 展开更多
关键词 extrachromosomal circular DNAs gynecologic tumors REPRODUCTION liquid biopsy non-invasive prena-tal testing
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Prognostic value of fibrinogen and D-dimer-fibrinogen ratio in resectable gastrointestinal stromal tumors 被引量:19
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作者 Hua-Xia Cai Xu-Qi Li Shu-Feng Wang 《World Journal of Gastroenterology》 SCIE CAS 2018年第44期5046-5056,共11页
AIM To investigate the prognostic value of preoperative fbri-nogen concentration (FIB) and D-dimer-fibrinogen ratio (DFR) in gastrointestinal stromal tumors (GISTs).METHODS The purpose of this study was to retro... AIM To investigate the prognostic value of preoperative fbri-nogen concentration (FIB) and D-dimer-fibrinogen ratio (DFR) in gastrointestinal stromal tumors (GISTs).METHODS The purpose of this study was to retrospectively ana-lyze 170 patients with GISTs who were admitted to our hospital from January 2010 to December 2015. The op-timal cutoff values of related parameters were estimated by receiver operating characteristic (ROC) curve analysis. The recurrence free survival (RFS) rate was evaluated using Kaplan-Meier curves. Univariate analysis and multivariate Cox regression models were used to analyze the prognostic factors of GISTs. The relationship between the FIB, D-dimer, DFR, platelet count (PLT), and the clinicopathological features of GISTs was described by the chi-square test or nonparametric rank sum test (Mann-Whitney test).RESULTS In ROC analysis, the optimal cutoff values of FIB, D-dimer, DFR, and PLT were 3.24 g/L, 1.24 mg/L, 0.354, and 197.5 (× 109/L), respectively. Univariate analysis and the Kaplan-Meier survival curve showed that FIB, D-dimer, DFR, PLT,National Institutes of Health (NIH) risk category, tumor size, tumor location, and mitotic index were signifcantly relevant to the 3-year and 5-year survival rate of patients ( P 〈 0.05). Cox multivariate regression analysis illustrated that FIB (RR: 0.108, 95%CI: 0.031-0.373), DFR (RR: 0.319, 95%CI: 0.131-0.777), and NIH risk category ( RR: 0.166, 95%CI: 0.047-0.589) were independent prognostic factors of the RFS rate ( P 〈 0. 05). Moreover, FIB, D-dimer, DFR, and PLT were correlated with the clinical features of GISTs.CONCLUSIONFIB, D-dimer, DFR, and PLT are all related to the prognosis of GISTs. Moreover, FIB and DFR may be independent risk factors for predicting the prognosis of resectable GISTs. 展开更多
关键词 D-DIMER D-dimer-fbrinogen ratio PROGNOSIS fibrinogen Gastrointestinal stromal tumor
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手术机器人在妇科恶性肿瘤手术中的临床应用分析 被引量:1
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作者 齐金红 邓萍 +2 位作者 刘彦江 钱艳红 左佳 《机器人外科学杂志(中英文)》 2024年第1期31-36,共6页
目的:分析探讨机器人辅助下妇科恶性肿瘤手术的安全性、可行性及临床价值。方法:回顾性总结吉林省肿瘤医院2014年10月—2020年3月实施的213例达芬奇机器人妇科恶性肿瘤手术病例,其中宫颈癌122例,子宫内膜癌89例,卵巢癌(补充手术)1例,阴... 目的:分析探讨机器人辅助下妇科恶性肿瘤手术的安全性、可行性及临床价值。方法:回顾性总结吉林省肿瘤医院2014年10月—2020年3月实施的213例达芬奇机器人妇科恶性肿瘤手术病例,其中宫颈癌122例,子宫内膜癌89例,卵巢癌(补充手术)1例,阴道癌1例。分析患者的临床资料、手术情况及治疗效果,并对手术时间、术中失血量、术后肠道功能恢复时间、膀胱功能恢复时间、腹部切口愈合时间、淋巴结切除数目、术后并发症发生情况(出血、感染、尿潴留、肠梗阻、下肢静脉血栓等)、总住院时间、至少1年的随访结果等指标进行评估。结果:213例手术均顺利完成,无中转开腹或更改术式。无术中并发症(如重要血管大出血,膀胱、输尿管、肠道损伤等)发生。术后出现双侧淋巴囊肿4例,单侧淋巴囊肿10例,其中1例淋巴囊肿感染,经超声穿刺、抗感染后好转,其余经对症处置后减轻;单侧下肢肌间静脉血栓1例,经溶栓治疗后好转;尿潴留1例,经膀胱功能锻炼后导尿管顺利拔出;阴道断端愈合差1例,经阴道消毒、上药后愈合良好。术后规范治疗,随访时间为12~52个月,其中1例宫颈高级别神经内分泌癌患者于术后13个月发生肺转移、锁骨上淋巴结转移,于术后25个月死亡;1例阴道癌患者于治疗结束31个月后复发,后放弃治疗失访;1例卵巢癌补充根治术患者于术后17个月复发,后放弃治疗并死亡。结论:达芬奇机器人手术系统应用于妇科恶性肿瘤手术安全、可行,其微创优势明显,患者创伤小、出血少、恢复快,手术安全性高,具有临床应用价值,值得临床推广。 展开更多
关键词 机器人辅助手术 妇科恶性肿瘤 临床价值
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FGL2在胃肠间质瘤的表达及临床意义
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作者 张向莲 王兴芬 梁锐 《中国免疫学杂志》 CAS CSCD 北大核心 2024年第4期752-755,共4页
目的:探讨纤维蛋白原样蛋白2(FGL2)在胃肠道间质瘤(GIST)中的表达及临床意义。方法:运用免疫组化EnVision二步法检测158例GIST患者中FGL2蛋白的表达情况,分析其与临床病理参数之间的相关性,并探讨FGL2蛋白与GIST中肿瘤浸润性淋巴细胞(TI... 目的:探讨纤维蛋白原样蛋白2(FGL2)在胃肠道间质瘤(GIST)中的表达及临床意义。方法:运用免疫组化EnVision二步法检测158例GIST患者中FGL2蛋白的表达情况,分析其与临床病理参数之间的相关性,并探讨FGL2蛋白与GIST中肿瘤浸润性淋巴细胞(TILs)CD3^(+)T、CD8^(+)T、CD20^(+)T及CD68^(+)T细胞计数之间的关系。结果:FGL2蛋白在GIST中的表达与肿瘤大小、NIH危险度分级、坏死及核分裂象计数呈负相关(P<0.05),与患者性别及肿瘤发生部位差异无统计学意义(P>0.05)。在GIST中,FGL2表达与低CD3^(+)T细胞计数相关(P<0.05),而与CD8^(+)T、CD20^(+)T及CD68^(+)T细胞计数差异无统计学意义(P>0.05)。结论:FGL2蛋白参与GIST的发生和发展,其表达水平在一定程度上可预测GIST的恶性潜能。FGL2蛋白可能通过调节肿瘤微环境参与GIST的发生和发展。 展开更多
关键词 纤维蛋白原样蛋白2 胃肠道间质瘤 肿瘤浸润相关淋巴细胞
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妇科恶性肿瘤患者家庭照顾负荷现状调查及影响因素分析
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作者 张云 杨瑛 贾冬梅 《中国计划生育学杂志》 2024年第5期1002-1008,共7页
目的:分析妇科恶性肿瘤患者家庭照顾负荷现状及影响因素。方法:采用便利抽样方法,选取2022年3月-2024年1月在本院就诊的妇科恶性肿瘤患者的照顾者进行问卷调查。使用照顾负荷问卷(CBI)评估照顾者照顾负荷水平,总分96分,0~32分为CBI较低... 目的:分析妇科恶性肿瘤患者家庭照顾负荷现状及影响因素。方法:采用便利抽样方法,选取2022年3月-2024年1月在本院就诊的妇科恶性肿瘤患者的照顾者进行问卷调查。使用照顾负荷问卷(CBI)评估照顾者照顾负荷水平,总分96分,0~32分为CBI较低组,33~96分为CBI较高组。采用单因素及logistic回归分析影响照顾者CBI评分可能影响因素。结果:共发放问卷297份,有效问卷290份,有效率97.6%。290例照顾者的CBI为60.36±5.55分,其中CBI≤32分110例(37.9%),≥33分180例(62.1%)。单因素及多元回归分析显示,照顾者年龄大、文化程度低、月收入低、居住在农村、每日照顾时间长、患者患病时间长、患者年住院次数多是妇科恶性肿瘤患者照顾者CBI评分升高影响因素(P<0.05)。结论:本次调查的妇科肿瘤患者CBI评分较高,照顾负荷相对较重,照顾者年龄大、文化程度低、月收入低、居住农村、每日照顾时间长,以及患者患病时间长、年住院次数多是影响照顾者CBI独立因素。提高恶性肿瘤患者社会及家庭支持,构建基于医院-社区-家庭三元联动的健康管理模式等将有助于缓解恶性肿瘤患者家庭照顾负荷,对恶性肿瘤患者的疾病治疗和康复有重要意义。 展开更多
关键词 妇科恶性肿瘤 家庭照顾负荷 调查 影响因素
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基于加速康复外科理念的术前预康复护理模式在妇科肿瘤患者中的应用
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作者 夏玲玲 代丽娜 邓超 《中国当代医药》 CAS 2024年第2期162-165,共4页
目的探讨基于加速康复外科(ERAS)理念的术前预康复护理模式在妇科肿瘤患者中的应用效果。方法选取2022年7月至2023年3月于九江市妇幼保健医院接受手术治疗的50例妇科肿瘤患者为研究对象,采用随机数表法将患者分为对照组和观察组,各25例... 目的探讨基于加速康复外科(ERAS)理念的术前预康复护理模式在妇科肿瘤患者中的应用效果。方法选取2022年7月至2023年3月于九江市妇幼保健医院接受手术治疗的50例妇科肿瘤患者为研究对象,采用随机数表法将患者分为对照组和观察组,各25例。对照组采取常规护理,观察组在对照组基础上采取基于ERAS理念的术前预康复护理。比较两组心理状态、术后康复进程以及术后并发症发生率。结果干预前,两组患者焦虑自评量表(SAS)、抑郁自评量表(SDS)评分比较,差异无统计学意义(P>0.05);干预后,两组患者SAS、SDS评分均低于干预前,且观察组患者SAS、SDS评分均低于对照组,差异有统计学意义(P<0.05);观察组患者胃肠通气时间、术后下床平均活动时间、术后首次进食时间和住院时间均短于对照组,差异有统计学意义(P<0.05);观察组患者并发症总发生率低于对照组,差异有统计学意义(P<0.05)。结论在妇科肿瘤患者中采取基于ERAS理念的术前预康复护理模式,可有效减少患者负面情绪,降低术后腹胀、尿潴留等并发症发生率,从而促进患者康复。 展开更多
关键词 妇科肿瘤 加速康复外科 术前预康复护理 心理状态 术后康复 并发症
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妇科恶性肿瘤患者配偶创伤后成长现状及其影响因素
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作者 步胜楠 赵粉 王静 《河南医学研究》 CAS 2024年第21期3924-3928,共5页
目的了解妇科恶性肿瘤患者配偶创伤后成长现状,并探析其影响因素。方法通过方便抽样法,选取商丘市第一人民医院妇科恶性肿瘤患者配偶为研究对象。统计患者配偶创伤后成长状况(采用创伤后成长评定量表),设计一般资料调查表,比较不同特征... 目的了解妇科恶性肿瘤患者配偶创伤后成长现状,并探析其影响因素。方法通过方便抽样法,选取商丘市第一人民医院妇科恶性肿瘤患者配偶为研究对象。统计患者配偶创伤后成长状况(采用创伤后成长评定量表),设计一般资料调查表,比较不同特征下妇科恶性肿瘤患者配偶的创伤后成长水平,并采用Pearson相关分析自我效能感、反刍性沉思与创伤后成长水平的关系,通过线性回归分析创伤后成长水平的影响因素。结果妇科恶性肿瘤患者配偶创伤后成长得分(63.45±18.41)分;自我效能感量表(GSES)得分(26.91±6.13)分;侵入性反刍性沉思得分(15.19±5.88)分;目的性反刍性沉思得分(18.62±6.79)分。线性回归分析显示,配偶的受教育程度、自我效能、侵入性以及目的性反刍沉思均是创伤后成长的影响因素(P<0.01)。结论妇科恶性肿瘤患者配偶创伤后成长水平不高,配偶的受教育程度、自我效能、侵入性反刍、目的性反刍均是其影响因素。建议临床护理人员应指导配偶进行心理调适,提高配偶照护能力与信心,改善自身创伤后成长的水平。 展开更多
关键词 创伤后成长 妇科恶性肿瘤 配偶 护理 影响因素
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加速康复外科模式下药物治疗管理在妇科恶性肿瘤疼痛管理中的应用效果
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作者 黄春 贺伟平 +1 位作者 颜志婷 王文华 《当代医学》 2024年第19期136-140,共5页
目的探讨加速康复外科(enhanced recovery after surgery,ERAS)模式下药物治疗管理(medication therapy management,MTM)在妇科恶性肿瘤疼痛管理中的应用效果。方法选取2020年1月至2021年12月萍乡市人民医院收治的92例妇科恶性肿瘤患者... 目的探讨加速康复外科(enhanced recovery after surgery,ERAS)模式下药物治疗管理(medication therapy management,MTM)在妇科恶性肿瘤疼痛管理中的应用效果。方法选取2020年1月至2021年12月萍乡市人民医院收治的92例妇科恶性肿瘤患者作为研究对象,按照随机数字表法分为对照组与观察组,每组46例。对照组给予ERAS模式常规管理,观察组在对照组基础上给予MTM服务。比较两组疼痛缓解率、用药依从性、止痛药物使用情况、阿片类药物不良反应发生情况。结果观察组疼痛缓解率为95.65%,高于对照组的78.26%,差异有统计学意义(P<0.05)。干预后,观察组用药依从性好占比高于对照组,差异有统计学意义(P<0.05)。干预后,观察组强阿片类药物使用率低于对照组,弱阿片类和非甾体类药物使用率均高于对照组,差异有统计学意义(P<0.05)。观察组便秘、呼吸抑制发生率均低于对照组,差异有统计学意义(P<0.05);两组嗜睡、恶心呕吐发生率比较差异无统计学意义。结论ERAS模式下MTM用于妇科恶性肿瘤疼痛管理中效果显著,可调整止痛药物的使用种类,改善患者用药依从性,并缓解其疼痛,减少便秘、呼吸抑制不良反应的发生。 展开更多
关键词 加速康复外科 药物治疗管理 妇科恶性肿瘤 疼痛管理
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妇科恶性肿瘤患者灵性需求现状及影响因素分析
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作者 梅彩玲 朱萍 《中国当代医药》 CAS 2024年第15期99-102,107,共5页
目的了解妇科恶性肿瘤患者灵性需求现状并分析其影响因素。方法选取2021年10月至2023年10月赣州市人民医院收治的145例妇科恶性肿瘤患者作为研究对象,采用中文版领悟社会支持量表(PSSS)、中文版灵性需求量表(SNS)及一般资料调查表进行调... 目的了解妇科恶性肿瘤患者灵性需求现状并分析其影响因素。方法选取2021年10月至2023年10月赣州市人民医院收治的145例妇科恶性肿瘤患者作为研究对象,采用中文版领悟社会支持量表(PSSS)、中文版灵性需求量表(SNS)及一般资料调查表进行调查,根据患者是否存在灵性需求分为需求组(n=107)、对照组(n=38),通过单因素分析、logistic回归分析妇科恶性肿瘤患者灵性需求的影响因素。结果145例妇科恶性肿瘤患者灵性需求评分为(76.94±10.85)分,其中107例存在灵性需求,占比为73.79%;需求组与对照组患者的年龄、婚姻状况、子女数量、居住地、疾病种类、肿瘤分期、固定照顾者比较,差异无统计学意义(P>0.05);两组患者的文化水平、宗教信仰、病程、家庭人均收入及社会支持比较,差异有统计学意义(P<0.05)。logistic回归分析结果提示,专科及以上文化水平(β=1.138,OR=3.119,95%CI=1.098~8.864)、有宗教信仰(β=2.231,OR=10.108,95%CI=1.236~82.627)、病程>12月(β=1.385,OR=3.994,95%CI=1.491~10.698)、家庭人均收入≥4000元(β=1.668,OR=5.408,95%CI=1.443~20.265)及社会支持高(β=1.002,OR=2.724,95%CI=1.109~6.691)是妇科恶性肿瘤患者灵性需求的危险因素(P<0.05)。结论妇科恶性肿瘤患者灵性需求处于中高水平,其水平受患者文化水平、宗教信仰、病程、家庭人均收入及社会支持的影响。 展开更多
关键词 恶性肿瘤 灵性需求 社会支持 妇科
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低分子肝素钙联合逐级加压弹力袜预防妇科恶性肿瘤患者术后下肢深静脉血栓的临床研究
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作者 廖爱红 郭雪华 罗艳 《当代医学》 2024年第6期77-80,共4页
目的探讨低分子肝素钙联合逐级加压弹力袜预防妇科恶性肿瘤患者术后下肢深静脉血栓(DVT)的临床效果。方法选取2022年1—12月于赣南医学院第一附属医院经外科手术治疗的180例妇科肿瘤患者作为研究对象,按照随机数字表法分为对照组与研究... 目的探讨低分子肝素钙联合逐级加压弹力袜预防妇科恶性肿瘤患者术后下肢深静脉血栓(DVT)的临床效果。方法选取2022年1—12月于赣南医学院第一附属医院经外科手术治疗的180例妇科肿瘤患者作为研究对象,按照随机数字表法分为对照组与研究组,每组90例。对照组予低分子肝素钙进行常规治疗,研究组在对照组基础上联合逐级加压弹力袜治疗。比较两组血清学指标、凝血功能指标、血流速度、下肢周径及术后DVT发生情况。结果干预后,研究组血小板计数、纤维蛋白原、D-二聚体水平均低于对照组,差异有统计学意义(P<0.05)。干预后,研究组活化部分凝血活酶时间、凝血酶原时间、凝血酶时间均长于对照组,下肢血流峰速、血流平均速度均快于对照组,差异有统计学意义(P<0.05)。干预后,研究组下肢周径短于对照组,术后下肢DVT发生率低于对照组,差异有统计学意义(P<0.05)。结论低分子肝素钙联合逐级加压弹力袜治疗经外科手术的妇科肿瘤患者,有助于预防术后DVT形成,改善机体血流状态,值得临床推广应用。 展开更多
关键词 低分子肝素钙 逐级加压弹力袜 妇科患者 恶性肿瘤 下肢深静脉血栓
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妇科恶性肿瘤患者家庭复原力的潜在剖面分析
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作者 罗江山 张世西 陈静 《实用医院临床杂志》 2024年第4期84-88,共5页
目的 基于潜在剖面分析,探讨妇科恶性肿瘤患者家庭复原力的类别特征。方法 采用一般资料调查表、家庭复原力量表、医院焦虑抑郁量表及压力知觉量表对484例妇科恶性肿瘤患者进行调查,采用一般资料调查表对其家属进行调查。结果 潜在剖面... 目的 基于潜在剖面分析,探讨妇科恶性肿瘤患者家庭复原力的类别特征。方法 采用一般资料调查表、家庭复原力量表、医院焦虑抑郁量表及压力知觉量表对484例妇科恶性肿瘤患者进行调查,采用一般资料调查表对其家属进行调查。结果 潜在剖面分析显示,妇科恶性肿瘤患者的家庭复原力可分为低家庭复原力组(21.07%)、中家庭复原力组(44.63%)和高家庭复原力组(34.30%)3个潜在类别。初中及以下学历、夫妻关系不佳、与其他主要家庭成员关系不佳、家属身体健康状况好及家庭分担照顾者在1人及以下者归属于低家庭复原力组的可能性更大(P<0.05)。低家庭复原力组患者的焦虑抑郁、压力知觉得分最高,高家庭复原力组的焦虑抑郁与压力知觉得分最低(P<0.05)。结论 妇科恶性肿瘤患者的家庭复原力具有明显的异质性,护理人员应根据患者家庭复原力的特征,为患者制订个性化的干预策略,提升其家庭复原力水平。 展开更多
关键词 妇科恶性肿瘤 家庭复原力 焦虑 抑郁 压力知觉 潜在剖面分析
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妇科肿瘤患者心理护理干预模式规范化程序的实施
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作者 刘友珍 《中国医药指南》 2024年第8期167-169,共3页
目的 评价一般护理与心理护理在妇科肿瘤患者对心境状态、睡眠等影响效果。方法 将2022年11月至2023年11月期间江苏省徐州市妇幼保健院确诊的90例妇科肿瘤患者纳为研究对象,进行分组研究。使用随机法选择45例患者命名为观察组(心理护理... 目的 评价一般护理与心理护理在妇科肿瘤患者对心境状态、睡眠等影响效果。方法 将2022年11月至2023年11月期间江苏省徐州市妇幼保健院确诊的90例妇科肿瘤患者纳为研究对象,进行分组研究。使用随机法选择45例患者命名为观察组(心理护理干预模式规范化程序),另45例患者命名为对照组(一般护理)。评价心理护理与一般护理对患者心境状态、睡眠的影响。结果 护理前,两组紧张、抑郁、慌乱等POMS评分对比,差异无统计学意义(均P> 0.05);护理后,两组紧张、抑郁、慌乱等心境状态量表(POMS)指标得分较护理前均降低,且观察组低于对照组(均P <0.05);观察组睡眠时间、睡眠质量、睡眠障碍、睡眠效率等匹兹堡睡眠质量评分量表(PSQI)指标评分均低于对照组(均P <0.05)。结论 癌症是危及人类身心健康的重要疾病,尤其是妇科肿瘤,对女性生理、心理影响较大。情绪对疾病预后改善较为直接,因而辅以护理干预措施具有重要作用。试验通过实施心理护理规范化程序使患者恐惧、失望、忧郁等心境状态得到改善,客观公正认识肿瘤并积极配合护理实施,减轻生活影响,保持良好睡眠质量。由此可见,妇科肿瘤患者施行心理护理干预模式规范化程序利于改善不良心境,提高睡眠质量,且满意率占比高,护理作用显著。 展开更多
关键词 妇科肿瘤 心理护理干预模式规范化程序 心境状态 睡眠质量
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