Application Effect of Psychological Nursing Combined with Pain Intervention on Postoperative Patients undergoing Limb Fracture Surgery
[Journal Article]TANG Jiejuan, LIAN Xirong, HUANG Qiling et al.-Chinese Practical Journal of Rural Doctor2026, No.01

Abstract:Objective To explore the application effect of psychological nursing combined with pain nursing on postoperative patients with limb fracture surgery.Methods A total of 180 patients who underwent surgical treatment for limb fractures at the 910th Hospital of the Chinese People's Liberation Army Joint Logistic Support Force from October 2023 to October 2024 were selected.All patients were divided into a control group and a combined group based on the different postoperative nursing protocols.The control group received conventional nursing care,while the combined group received psychological nursing combined with pain nursing.The nursing satisfaction of two groups,as well as the psychological resilience,negative emotions,pain,sleep,and quality of life before and after intervention were observed and compared.Results After intervention,the psychological resilience,negative emotions,pain,sleep,and quality of life scores of both groups improved compared to before intervention,and the above scores of the combined group were significantly better than those of the control group after intervention(P<0.05).The nursing satisfaction of the combined group was significantly higher than that of the control group(P<0.05).Conclusion The combination of psychological and pain nursing for postoperative patients undergoing limb fracture surgery can effectively improve their psychological resilience,reduce negative emotions and postoperative pain,and enhance their quality of life and nursing satisfaction.It is worth promoting and using.

Application Value of Targeted Nursing with Posture Management as the Core in Patients with COPD Complicated with Respiratory Failure undergoing Mechanical Ventilation
[Journal Article]LIU Junchao, GUO Qianran-Chinese Practical Journal of Rural Doctor2026, No.01

Abstract:Objective To explore the effect of targeted nursing with posture management as the core in patients with chronic obstructive pulmonary disease(COPD)complicated with respiratory failure undergoing mechanical ventilation.Methods A total of 150 COPD patients with respiratory failure who received mechanical ventilation intervention in Baodi Hospital Affiliated to Tianjin Medical University from November 2022 to November 2024.All patients were divided into a routine nursing group and a targeted nursing group with 75 cases in each group by random number table method.The routine nursing group adopts routine nursing,while the targeted nursing group adopts targeted nursing with posture management as the core.The nursing effect between two groups were compared.Results The duration of mechanical ventilation and ICU stay in the targeted nursing group were significantly shorter than those in the routine nursing group(P<0.05).After intervention,the psychological resilience,negative emotions,sleep quality,and quality of life scores of both groups improved compared to before intervention,and the scores of the targeted nursing group were significantly better than those of the routine nursing group after intervention(P<0.05).The total incidence of complications in the targeted nursing group was significantly lower than that in the routine nursing group,and the nursing satisfaction was significantly higher than that in the routine nursing group(all P<0.05).Conclusion For patients with COPD complicated with respiratory failure undergoing mechanical ventilation treatment,implementing targeted nursing with posture management as the core has good effects,which can promote patient recovery,improve patient psychological resilience,negative emotions,sleep and quality of life,reduce the incidence of complications,and improve nursing satisfaction.It is worth promoting and using.

Effect Analysis of Acupoint Application Combined with Press-needle in Vertigo Patients

Abstract:Objective To explore the effect of acupoint application combined with press-needle in the nursing of patients with vertigo.Methods A total of 82 patients with vertigo admitted to the First Affiliated Hospital of Guangzhou University of Chinese Medicine from April 2024 to March 2025 were selected as the research subjects.They were divided into an observation group and a control group,with 41 cases in each group,according to the random number table method.Both groups were given routine care,and the observation group was simultaneously treated with acupoint application and press-needle intervention.The efficacy of the two groups,as well as the main clinical symptoms and vertigo before and after intervention were compared.Results The total effective rate of the observation group was significantly higher than that of the control group(P<0.05).After intervention,the scores of dizziness,vertigo,nausea and vomiting,balance instability,and vestibular visual symptoms in both groups were significantly lower than before intervention,and the scores of the above symptoms in the observation group were significantly lower than those in the control group after intervention(P<0.05).After intervention,the scores and total scores of each dimension of the dizziness handicap inventory in both groups were significantly lower than before intervention,and the above scores in the observation group were significantly lower than those in the control group after intervention(P<0.05).Conclusion On the basis of routine care,acupoint application combined with press-needle intervention can effectively improve clinical symptoms and vertigo level in patients with vertigo,and it is worth promoting and using.

Effects of Diversified Health Education under Hospital-community Combination on Self-management Ability and Quality of Life of Elderly Patients with Type 2 Diabetes Mellitus in Community
[Journal Article]LI Caidi, GUO Yanping-Chinese Practical Journal of Rural Doctor2026, No.01

Abstract:Objective To explore the effects of diversified health education under hospital-community combination on self-management ability and quality of life of elderly patients with type 2 diabetes mellitus in community.Methods A total of 100 elderly patients with type 2 diabetes mellitus treated in a community health service center from January 2023 to December 2024 were selected.All patients were stratified randomly into a control group and a joint nursing group,with 50 cases in each group.The control group received routine nursing care,while the joint nursing group received diversified health education under the hospital-community combination.The nursing effects of the two groups were compared.Results After the intervention,the scores of diabetes knowledge,self-management ability and quality of life in the two groups were better than those before the intervention,and the scores of the above indicators in the joint nursing group were significantly better than those in the control group(P<0.05).The satisfaction rate in the joint nursing group was significantly higher than that in the control group(P<0.05).Conclusion In the daily management of elderly patients with type 2 diabetes mellitus in the community,diversified health education under the hospital-community combination can effectively enhance patients'self-management ability and disease related knowledge reserves,promote them to actively follow medical advice,and improve patients'quality of life and nursing satisfaction,which is worth promoting.

Effect and Safety Analysis of Remimazolam Combined with Ciprofol in General Anesthesia for Elderly Orthopedic Surgery

Abstract:Objective To explore the effect and safety of remimazolam combined with ciprofol in general anesthesia for elderly orthopedic surgery patients.Methods A total of 100 elderly patients who underwent orthopedic surgery at Nanping First Hospital in Fujian Province from January 2024 to January 2025 were selected.All patients received general anesthesia and were divided into a control group and an observation group,50 cases in each group based on different anesthesia protocols.The control group was administered midazolam combined with propofol anesthesia,while the observation group received remimazolam combined with ciprofol anesthesia.The study compared the onset time of anesthesia,postoperative recovery time,time to leave the operating room,incidence of adverse reactions,as well as heart rate,mean arterial pressure,and cognitive function at various time points between the two groups.Results The observation group had significantly shorter durations for anesthesia onset,postoperative recovery,and discharge compared to the control group(P<0.05).Heart rate and mean arterial pressure at 3 and 10 minutes post-anesthesia in the observation group were significantly higher than those in the control group(P<0.05).Cognitive function scores at 10 and 30 minutes post-recovery in the observation group were significantly higher than those in the control group(P<0.05).The total incidence of adverse effects during anesthesia in the observation group was significantly lower than that in the control group(P<0.05).Conclusion The combination of remimazolam and ciprofol in general anesthesia has good anesthesia effect and safety for elderly orthopedic surgery,and is worthy of promotion and use.

Effect of Whole-course Nursing Combined with Respiratory Function Training on Early Ambulation and Prevention of Pulmonary Complications in Patients undergoing Hiatal Hernia Surgery
[Journal Article]CHEN Yanhong, HONG Zhou, CHEN Huimin-Chinese Practical Journal of Rural Doctor2026, No.01

Abstract:Objective To explore the effect of whole-course nursing combined with respiratory function training on early ambulation and the prevention of pulmonary complications in patients undergoing hiatal hernia surgery.Methods A total of 90 patients undergoing hiatal hernia surgery in the First Affiliated Hospital of Xiamen University from January 2022 to December 2024 were selected and divided into an observation group and a control group,with 45 cases in each group,according to the random number table method.The control group received conventional nursing,while the observation group received whole-course nursing combined with respiratory function training.The early ambulation time,hospital stay time,incidence of pulmonary complications,pulmonary function and quality of life between the two groups were compared.Results The early ambulation time and hospital stay time of the observation group were significantly shorter than those of the control group(P<0.05).The total incidence of pulmonary complications in the observation group was significantly lower than that in the control group(P<0.05).Seven days after surgery,the lung function of the observation group was significantly better than that of the control group(P<0.05).One month after surgery,the quality of life of the observation group was significantly better than that of the control group(P<0.05).Conclusion Implementing whole-course nursing combined with respiratory function training for patients undergoing hiatal hernia surgery can effectively promote early ambulation and prevent the occurrence of pulmonary complications.It is worth promoting and using.

Application Effect of Targeted Nursing based on Goal-oriented Strategy in Patients with Liver Failure Treated by Bilirubin Adsorption Combined with Plasma Exchange

Abstract:Objective To explore the nursing effect of targeted nursing based on goal-oriented strategy in patients with liver failure treated by bilirubin adsorption combined with plasma exchange.Methods A total of 98 patients with liver failure who received combined treatment of bilirubin adsorption and plasma exchange in Nanjing University of Traditional Chinese Medicine(the Second Hospital of Nanjing)from February 2024 to February 2025 were selected as the research subjects.They were divided into the observation group and the control group according to the method of flipping a coin,with 49 cases in each group.The observation group received targeted nursing based on goal-oriented strategy.The control group received conventional nursing.The liver function and nursing satisfaction after nursing,the psychological resilience and self-efficacy before and after nursing between the two groups were compared.Results The levels of liver function indicators in the observation group after nursing were significantly lower than those in the control group(P<0.05).After nursing,the psychological resilience and self-efficacy scores of both groups were significantly higher than before nursing,and the psychological resilience and self-efficacy scores of the observation group after nursing were significantly higher than those of the control group(P<0.05).The nursing satisfaction of the observation group was significantly higher than that of the control group(P<0.05).Conclusion The application of targeted nursing based on goal-oriented strategies in the treatment of liver failure patients with bilirubin adsorption and plasma exchange can effectively improve their liver function,enhance their psychological resilience,self-efficacy,and nursing satisfaction,and is worthy of promoting and using.

Influence of CICARE Communication Model Combined with Doctor-nurse Cooperative Responsibility System Nursing on the Quality of Bowel Preparation and Psychological Stress of Patients undergoing Digestive Endoscopy
[Journal Article]CHEN Xinmei, YI Mengli, CHEN Binbin-Chinese Practical Journal of Rural Doctor2026, No.01

Abstract:Objective To explore the quality of bowel preparation and psychological stress in patients undergoing digestive endoscopy with the CICARE communication model combined with the doctor-nurse cooperative responsibility system nursing.Methods A total of 80 patients who underwent digestive endoscopy in Digestive Endoscopy Center of No.95 Hospital of Putian from January 2024 to May 2025 were selected as the research subjects and randomly divided into the combined group and the control group,with 40 cases in each group.The control group adopted the conventional nursing,while the combined group adopted the CICARE communication model combined with the doctor-nurse cooperative responsibility system nursing.The quality of bowel preparation,as well as the psychological pressure and physiological stress before and after the examination between the two groups were compared.Results The quality of bowel preparation in the combined group was significantly better than that in the control group(P<0.05).After the examination,both groups showed improvement in psychological pressure and physiological stress compared to before the examination,and the combined group showed significantly better psychological pressure and physiological stress than those in the control group after the examination(P<0.05).Conclusion The use of CICARE communication model combined with doctor-nurse cooperative responsibility system nursing for patients undergoing digestive endoscopy examination has shown good results,which can effectively improve the quality of patients'intestinal preparation,regulate psychological pressure,and improve their physiological stress level after examination.It is worth promoting and using.

Construction of an Efficacy Evaluation System for Traditional Chinese Medicine in the Treatment of Idiopathic Pulmonary Fibrosis under the Model of Combination of Disease and Syndrome
[Journal Article]YANG Xiaoxuan, PANG Lijian, LYU Xiaodong et al.-Chinese Practical Journal of Rural Doctor2026, No.01

Abstract:Objective To address the issues of inconsistent evaluation systems and unclear standards for assessing the efficacy of traditional Chinese medicine(TCM)in treating idiopathic pulmonary fibrosis(IPF)under the current syndrome-disease combination model,this study systematically analyzes existing clinical research to construct a scientific,practical,and TCM-characterized framework for efficacy evaluation.Methods The systematic search of the China National Knowledge Infrastructure(CNKI)database identified randomized controlled trials of TCM treatment for IPF under the disease syndrome combination model in the past decade.The efficacy evaluation indicators in the trials were mined,frequency analyzed,and summarized.Based on clinical feasibility and the characteristics of TCM diagnosis and treatment,a TCM treatment efficacy evaluation system for IPF was constructed.Results This study included a total of 135 literature sources.The findings indicated that current efficacy evaluation metrics were primarily based on Western medicine"disease"outcomes,supplemented by TCM"syndrome"indicators.For TCM indicators,syndrome score results served as the primary efficacy metric,while the 6-minute walk test and quality of life scales acted as secondary metrics.Under the disease-syndrome integrated model,there remained inconsistency in efficacy evaluation criteria for TCM treatment of IPF,with unclear primary and secondary metrics,their quantitative standards,and standardized evaluation processes.Conclusion Screening specific indicators that can sensitively reflect and evaluate the efficacy of patients with IPF,and forming a efficacy evaluation system that can meet both the individualized diagnosis and treatment characteristics of TCM and the common diagnostic criteria of Western medicine,are urgent problems that need to be solved.Based on the research results,we have preliminarily constructed a multidimensional efficacy evaluation framework that includes TCM syndromes and core symptoms(core layer),key Western medicine indicators(objective layer),quality of life and functional status(effect layer),and safety layer.This framework strives to balance the individualized characteristics of TCM with the objective standards of Western medicine,in order to provide reference for future clinical research and practice.

Influence of Midwives-led Delivery Companionship Model on the Psychological State and Delivery Outcome of Primiparas
[Journal Article]ZHENG Qiaohong, CHEN Yafeng, CHEN Xiaoming-Chinese Practical Journal of Rural Doctor2026, No.01

Abstract:Objective To explore the influence of midwives-led delivery companionship model on the psychological state and delivery outcome of primiparas.Methods A total of 120 primiparas who were registered and delivered in the Obstetrics and Gynecology Department of Yongchun County Hospital from January 2024 to December 2024 were selected as the research subjects and randomly divided into a companion group and a control group,with 60 cases in each group.The control group adopted the conventional obstetric nursing,on this basis the companion group combined with midwives-led delivery companion model.The delivery outcomes,labor process,and psychological states were compared between the two groups before and after care.Results The natural delivery rate in the companion group was significantly higher than that in the control group(P<0.05).The durations of all stages of labor and the total labor duration in the companion group were significantly shorter than those in the control group(P<0.05).After nursing care,the psychological state scores in both groups were significantly lower than before the care,and the scores in the companion group were significantly lower than those in the control group(all P<0.05).Conclusion The midwife-led delivery companionship model can improve the outcomes of primiparas,shorten the labor process,and alleviate negative emotions,which is worth promoting and using.

Application Effect of Psychological Intervention Combined with Goal Oriented Rehabilitation Measures in Patients undergoing Spinal Fracture Surgery
[Journal Article]ZHENG Mingmian, QIU Aling, ZHENG Huiyun et al.-Chinese Practical Journal of Rural Doctor2026, No.01

Abstract:Objective To explore the application effect of psychological nursing combined with goal oriented rehabilitation nursing in postoperative spinal fracture patients.Methods A total of 120 patients with spinal fractures who underwent surgical treatment at the 910th Hospital of the Chinese People's Liberation Army Joint Logistics Support Force from August 2023 to August 2024 were selected as the research subjects.All patients were randomly divided into a routine group and a combined nursing group,with 60 patients in each group.The routine group received routine nursing,while the combined nursing group received psychological nursing combined with goal oriented rehabilitation nursing on the basis of routine nursing.Compare the spinal function,treatment compliance,negative emotions,self-efficacy,sleep status,and quality of life before and after nursing interventions,and compare the incidence of postoperative complications and nursing satisfaction between the two groups.Results After intervention,the spinal function,treatment compliance,negative emotions,self-efficacy,sleep status,and quality of life scores of both groups improved compared to before intervention.Moreover,after intervention,the scores of the above indicators in the combined nursing group were significantly higher than those in the routine group(P<0.05).The incidence of complications in the combined nursing group was significantly lower than that in the routine group,and the nursing satisfaction was significantly higher than that in the routine group(P<0.05).Conclusion The combination of psychological nursing and goal oriented rehabilitation nursing for patients undergoing spinal fracture surgery can effectively improve their negative emotions,promote postoperative recovery,and have high nursing satisfaction.It is worth promoting and using.

Application Effect of Preventive Safety Management Combined with Psychological Intervention of Companions in Vaccinated Children in Planned Immunization Clinic

Abstract:Objective To explore the effect of preventive safety nursing combined with psychological nursing of companions in vaccinated children in planned immunization clinic.Methods A total of 360 children and their companions who received planned vaccination at the Chengtangzhuang Street Community Health Service Center in Hexi District,Tianjin,from January to September 2024 were selected as study subjects.They were randomly divided into a control group and a combined nursing group,with 180 children and their companions in each group.The control group received routine care,while the combined nursing group received preventive safety nursing combined with psychological support for companions.The compliance with vaccination,incidence of adverse emotions,occurrence of vaccine-related adverse reactions,and psychological status before and after the intervention were compared between the two groups of children.Additionally,the nursing satisfaction of companions and their negative emotions before and after the intervention were compared between the two groups.Results The compliance rate of childhood vaccination in the combined nursing group was significantly higher than that in the control group,while the incidence rates of adverse emotions and adverse reactions in the combined nursing group were significantly lower than those in the control group(P<0.05).After the intervention,the psychological condition scores of children in both groups improved compared to before the intervention,and the scores in the combined nursing group were significantly superior than those in the control group(P<0.05).Similarly,the negative emotion scores of accompanying individuals in both groups improved after the intervention compared to before the intervention,and those in the combined nursing group were significantly better than those in the control group(P<0.05).Additionally,the combined nursing group scored significantly higher across all dimensions of nursing satisfaction compared to the control group(P<0.05).Conclusion During the vaccination process of children in the planned immunization clinic,the combination of preventive safety care and psychological care of companions can improve children's vaccination compliance,reduce the occurrence of adverse emotions and reactions,improve children's psychological status,and effectively improve the negative emotions of companions,thereby increasing their satisfaction with care.

Effect of Targeted Nursing on Patients with Periodontitis during Pregnancy
[Journal Article]LI Jinfeng, LIU Jing-Chinese Practical Journal of Rural Doctor2026, No.01

Abstract:Objective To explore the effect of targeted nursing on patients with periodontitis during pregnancy.Methods A total of 120 patients with periodontitis during pregnancy admitted to the Periodontal Mucosa Department of Yinchuan Stomatological Hospital from January 2022 to December 2024 were selected as the study objects,and all the patients were divided into a targeted group and a control group with 60 cases in each group by random number table method.The targeted group accepted routine nursing combined targeted nursing,and the control group accepted routine nursing.The periodontal health-related indicators,quality of life,pain levels before and after nursing,and post nursing satisfaction between two groups were compared.Results After nursing,both groups showed improvement in periodontal health-related indicators compared to before nursing,and the targeted group showed significantly better periodontal health-related indicators than those of the control group(P<0.05).After nursing,the pain visual analogue score and quality of life score of both groups were significantly lower than before nursing,and the pain visual analogue score and quality of life score of the targeted group after nursing were significantly lower than those of the control group(P<0.05).The nursing satisfaction of targeted group was significantly higher than that of the control group(P<0.05).Conclusion Targeted nursing for patients with periodontitis during pregnancy has a good effect,which can effectively improve their periodontal status,relieve pain,enhance their quality of life and nursing satisfaction.It is worth promoting and using.

The Improvement Effect of People-Oriented Health Education on Shoulder Joint Function,Self-Care Ability,and Quality of Life of Patients with Shoulder Periarthritis

Abstract:Objective To explore the clinical effect of people-centered health education on patients with periarthritis of shoulder.Methods Eighty patients with shoulder periarthritis admitted to Yanping District Mangdang Town Health Center of Nanping from January 2023 to April 2024 were randomly divided into a control group(n=40)and an observation group(n=40)using a random number method.The control group received routine care,while the observation group received people-oriented health education on the basis of the control group.The shoulder joint function,self-care ability,and quality of life between two groups of patients before and after nursing care were compared.Results After nursing,the scores of shoulder joint function,self-care ability,and quality of life in the observation group were higher than those in the control group(P<0.05).Conclusion In the nursing intervention of patients with frozen shoulder,adopting a people-oriented health education can help enhance patients'self-care ability,promote shoulder joint function recovery,and improve their quality of life.

The Effect of Cisplatin+Pemetrexed Chemotherapy Combined with Osimertinib Targeted Therapy on EGFR Mutation Positive Advanced Non-Small Cell Lung Cancer
[Journal Article]OU Xianhui, HE Fumei, HU Wanying-Chinese Practical Journal of Rural Doctor2025, No.12

Abstract:Objective Investigation of the efficacy of cisplatin+pemetrexed chemotherapy combined with osimertinib for epidermal growth factor receptor(EGFR)mutation-positive non-small cell lung cancer(NSCLC).Methods One hundred of EGFR mutation positive NSCLC patients from May 2017 to July 2023 at Nanping First Hospital affiliated to Fujian Medical University were retrospectively collected.They were divided into a conventional group of 49 patients(receiving cisplatin+pemetrexed chemotherapy)and a study group of 51 patients(receiving cisplatin+pemetrexed chemotherapy combined with osimertinib)according to different treatment plans.The treatment efficacy and changes in tumor markers between two groups were compaerd.Results The disease control rate and objective remission rate of the research group were 82.35%and 45.10%,respectively,which were higher than the conventional group's 61.22%and 24.49%(P<0.05).The serum levels of cytokeratin 19 fragment,carcinoembryonic antigen,and squamous cell carcinoma antigen in the study group were lower than those in the control group(P<0.05).There was no statistically significant difference in the incidence of diarrhea,fatigue,nausea and vomiting,leukopenia,transaminase abnormalities,and rash between the two groups(P>0.05).The median progression free survival time for the study group and the control group was 13.5 months and 10.5 months,respectively,the median survival times were 17.5 months and 14.0 months,and the Log rank test showed no statistically significant difference between the groups(P>0.05).Conclusion The combination therapy of cisplatin+pemetrexed chemotherapy and osimertinib can further reduce the expression of tumor markers and improve the short-term therapeutic effect of EGFR mutation positive NSCLC.

Study on the Impact of Single-Dose and Divided-Dose Administration on Patient Comfort and Quality of Bowel Preparation during Bowel Preparation
[Journal Article]LIU Yi, QIN Hui, ZHOU Xinyuan-Chinese Practical Journal of Rural Doctor2025, No.12

Abstract:Objective To explore the impact of single-dose and divided-dose administration methods on the quality of bowel preparation in patients undergoing colonoscopy.Methods Eighty-six patients from January 2024 to March 2025 who underwent colonoscopy in Jiangyin Second People's Hospital were selected as the research subjects,and were randomly divided into a control group and an observation group,with 43 cases in each group by a random number table method.The control group received 3 L of medication 4~6 hours before the colonoscopy examination,while the observation group received 1.5 L of medication the night before the examination and another 1.5 L of medication 4~6 hours before the examination on the same day.The sleep disturbances,intestinal preparation quality,comfort,and incidence of adverse reactions between the two groups were compared.Results The non-sleep disturbance rate of the observation group was 18.60%,while the sleep disturbance rate of the control group was 58.14%(P<0.05).The observation group had a sufficient intestinal preparation rate of 95.35%,while the control group had a sufficient intestinal preparation rate of 76.74%(P<0.05).The comfort rate of the observation group was 93.02%,while that of the control group was 69.77%(P<0.05).The incidence of adverse reactions in the observation group was 4.66%,while the incidence of adverse reactions in the control group was 13.98%(P>0.05).Conclusion For patients undergoing colonoscopy,the divided-dose administration method is superior to the single-dose method in terms of bowel preparation quality and patient comfort,without severe adverse reactions.It can be widely promoted and applied in clinical practice.

Snyder's Hope Theory Combine with the Application of Free Position Labor in Painless Delivery for Primiparous Women

Abstract:Objective To explore the application effect of Snyder's hope theory combined with free position labor in painless delivery for first-time mothers.Methods One hundred and sixty-four primiparous women who gave birth at Jianou Maternal and Child Health Hospital from March 2023 to October 2024 were randomly divided into a control group and an observation group,with 82 cases in each group.The control group received routine nursing care.On the basis of routine nursing,the observation group adopted Snyder's hope theory combined with free position labor intervention.The scores of childbirth self-efficacy inventory(CBSEI-C32),childbirth experience questionnaire(CEQ),visual analogue scale(VAS),and labor process improvement between two groups of parturients were compared.Results After the intervention,the scores of the CBSEI-C32 sub-scale and total score of the observation group were higher than those of the control group(P<0.05).The scores of each dimension and total score of the CEQ in the observation group were higher than those of the control group(P<0.05).The VAS scores at each time point of the observation group were lower than those of the control group(P<0.05).The labor duration of each stage and the total labor duration of the observation group were shorter than those of the control group(P<0.05).Conclusion Snyder's hope theory that combined with free position waiting for delivery can enhance the mother's self perception and subjective efficacy during childbirth,as well as alleviate pain and shorten the labor process.

A 1:1 Retrospective Matched Study Comparing the Modified Pararectus Approach and the Modified Stoppa Approach with Open Reduction and Locking Plate Internal Fixation for Acetabular Fractures
[Journal Article]LAI Jiarui, SU Jinhui, LAI Chuanhao et al.-Chinese Practical Journal of Rural Doctor2025, No.12

Abstract:Objective To investigate the clinical efficacy of the modified pararectus approach with open reduction and locking plate internal fixation for the treatment of acetabular fractures.Methods A retrospective study was conducted,including the clinical data of 60 patients with acetabular fractures who underwent open reduction and locking plate internal fixation in Dehua County Hospital of Quanzhou from January 2021 to June 2025.Based on the different surgical approaches,patients were divided into control group(30 cases,accepted the modified Stoppa approach)and observation group(30 cases,accepted the modified pararectus approach).Perioperative indicators,hip joint function,and inflammatory markers were compared between the two groups.Results Compared with control group,the observation group had less intraoperative blood loss,shorter incision length,shorter time to expose the fracture site,shorter hospital stay,shorter operative time,and higher postoperative hemoglobin levels(P<0.05).The levels of various inflammatory markers at 3 days postoperatively were higher than preoperatively in both groups,but these levels were lower in observation group compared to control group(P<0.05).There was no statistically significant difference in hip joint function three months after the operation between the two groups(P>0.05).Conclusion Both approaches with open reduction and locking plate internal fixation can effectively improve hip joint function in patients with acetabular fractures.However,the modified pararectus approach can shorten operative time,reduce intraoperative blood loss,alleviate postoperative inflammatory response,and shorten patient recovery time.

Investigation on the Current Situation of Diet Health Education for Diabetes Patients Based on the Structure Process Outcome Model
[Journal Article]ZHENG Qiwen, XI Zhuo, LIN Hua et al.-Chinese Practical Journal of Rural Doctor2025, No.12

Abstract:Objective To systematically evaluate the current status of dietary health education for diabetic patients based on the structure process outcome model,and provide a basis for optimizing the educational management system.Methods A convenience sampling method was employed to select 120 patients with Type 2 diabetes mellitus who received treatment from January 2022 to December 2023.A self-designed questionnaire was used to collect general information and data across the three dimensions of structure,process,and outcome model.Results In the structure dimension,there was an imbalance in basic resource allocation,with only 37.5%of food models being fully equipped and a 25.0%configuration rate of full-time diabetes education nurses.In the process dimension,the educational methods were traditional and lacked individualization,with an implementation rate of individualized guidance at 35.8%,a follow-up rate of 29.2%,and 45.8%of patients receiving less than 15 minutes of education persession.In the outcome dimension,41.7%of patients had poor mastery of dietary knowledge,and only 45.8%demonstrated good adherence to dietary behaviors.At the last follow-up,the patient's fasting blood glucose,2-hour postprandial blood glucose,glycated hemoglobin and triglycerides,total cholesterol,high-density lipoprotein cholesterol,and low-density lipoprotein cholesterol were significantly improved compared to the time of enrollment(P<0.05).Conclusion The current situation of diabetes diet health education system has related defects in the three dimensions of structure,process and results.The insufficient allocation of resources has limited the depth and continuity of the education process,leading to poor conversion of patients'knowledge,belief and practice,and the improvement of key metabolic indicators has not reached the ideal goal.

Evaluation of the Predictive Efficacy of Anti-Müllerian Hormone and Sex Hormone Combined with Transvaginal Ultrasound for Ovarian Reserve Function
[Journal Article]MAI Liandi, YU Xianfeng, LIU Qun et al.-Chinese Practical Journal of Rural Doctor2025, No.12

Abstract:Objective To explore the predictive efficacy of combined anti-Müllerian hormone and sex hormone measurements with transvaginal ultrasound for ovarian reserve function.Methods A retrospective study was conducted on 168 female patients who underwent fertility assessment at Foshan Shunde Fifth People's Hospital/Foshan Shunde Longjiang Hospital from January 2019 to May 2025.Based on clinical diagnosis results,they were divided into a diminished ovarian reserve(DOR)group of 56 cases and a non-DOR group of 112 cases.Indicators such as anti-Müllerian hormone,basal sex hormones,and transvaginal ultrasound were compared between the two groups.Results After conducting univariate and multivariate regression analyses,predictive models were constructed using indicators with statistically significant differences,such as anti-Müllerian hormone(X1),follicle stimulating hormone(X2),esaadiol(X3),follicle stimulating hormone/luteinizing hormone(X4),ovaran volume(X5),peak systolic flow rate of uterine artery(X6),and antral follicle count(X7):logit(P)=-1.784×X1+1.213×X2-1.663×X3+1.315×X4-1.517×X5-1.843×X6-1.912×X7+1.211.The sensitivity,specificity,and area under the curve of the combined predictive model were 0.916,0.933,and 0.864,respectively,indicating superior predictive performance compared to single indicators.Conclusion Combined anti-Müllerian hormone,sex hormone measurements,and transvaginal ultrasound have high predictive efficacy for ovarian reserve function.