Journal of Clinical and Nursing Research

Operative Cooperation of One Case of Extracorporeal Membrane Oxygenation (ECMO)-Assisted Hybrid Sleeve Left Pneumonectomy

Jing Wang — 2025-08-19

A case of surgical nursing cooperation during extracorporeal membrane oxygenation (ECMO)-assisted hybrid sleeve left pneumonectomy, which included a right open carinal resection, tracheal bronchial anastomosis, and thoracoscopic left pneumonectomy, has been documented. A thorough nursing intervention focused on patient safety and proactive measures to address potential complications was implemented throughout the surgical process. The procedure was completed without incident, and no postoperative complications were reported.

Evaluating the Impact of Different Electrocardiogram Methods on Detecting Pacemaker Dysfunction and Cardiac Function Changes in Pacemaker Patients

Yan Li — 2025-08-19

Objective: To investigate the effect of 12-lead electrocardiogram and 24-hour dynamic electrocardiogram in detecting pacemaker dysfunction and changes in cardiac function indexes in patients with pacemaker implantation. Methods: A total of 136 patients with pacemaker implantation in the First Clinical Medical College of Three Gorges University, Institute of Cardiovascular Disease of Three Gorges University and Yicang Central People’s Hospital from January 2023 to December 2024 were selected as the research objects. All patients received 12-lead electrocardiogram and 24-hour holter 3–14 days after implantation. Results: The overall detection rate of various types of pacemaker dysfunction by Holter was significantly higher than that by conventional ECG (27.21% vs. 5.15%, χ²=24.402, P < 0.001). The overall arrhythmia detection rate of Holter was significantly higher than that of conventional electrocardiogram (57.35% vs. 10.29%, χ²=67.277, P < 0.001). The time domain indexes of heart rate variability obtained by 24-hour continuous monitoring of Holter were significantly improved compared with those of conventional electrocardiogram (P < 0.05). Conclusions: Compared with 12-lead electrocardiogram, 24-hour holter monitoring can more accurately detect pacemaker dysfunction and arrhythmia in patients with pacemaker implantation, and provide more comprehensive data of heart rate variability, which is helpful for clinicians to better evaluate the cardiac function of patients and adjust treatment plans.

Clinical Study on the Treatment of Diabetic Retinopathy (Qi-Yin Deficiency Type) with the Method of Soothing the Liver, Harmonizing the Spleen, and Opening the Orifices

Yu Jiang — 2025-08-19

Objective: To observe the clinical efficacy of the method of softening the liver, harmonizing the spleen, and unblocking the orifices in the treatment of Xiaoke Neizhang with Qi and Yin deficiency type. Methods: Seventy-two patients with Xiaoke Neizhang of qi and yin deficiency type were selected from March 2024 to May 2025 and divided into a treatment group and a control group with 36 cases each according to the random number table method. The treatment group was treated with the method of softening the liver, harmonizing the spleen, and unblocking the orifices, which included oral administration of Softening the Liver and Harmonizing the Spleen Pills combined with iontophoresis of Xuesaitong Injection. The control group was treated with oral administration of calcium dobesilate capsules. Both groups were treated for 2 courses, and multiple indicators such as visual acuity, fundus condition, and TCM syndrome scores were compared between the two groups. Results: The total effective rate of the treatment group was higher than that of the control group. There were significant differences in visual acuity, fundus condition, and TCM syndrome scores between and within the groups (P < 0.05). Conclusion: The method of softening the liver, harmonizing the spleen, and unblocking the orifices has a definite clinical effect in the treatment of Xiaoke Neizhang with Qi and Yin deficiency type. It has a direct effect, is painless, easy for patients to accept, and has high clinical application value.

The Efficacy of Tongxinluo Capsules in Treating Coronary Heart Disease with Angina Pectoris and Its Impact on Cardiac Function

Ruxin Ji — 2025-08-26

Objective: To analyze the efficacy of Tongxinluo Capsules in treating coronary heart disease (CHD) with angina pectoris. Methods: A total of 98 patients with CHD and angina pectoris admitted between May 2022 and May 2025 were enrolled and randomly divided into a control group and an experimental group, with 49 cases each. The control group was treated with atorvastatin + clopidogrel, while the experimental group received atorvastatin + clopidogrel + Tongxinluo Capsules. Clinical efficacy, cardiac function, angina attack frequency and duration, and adverse reactions were compared between the two groups. Results: The experimental group showed higher clinical efficacy than the control group (P < 0.05). Cardiac function in the experimental group was superior to that of the control group (P < 0.05). The duration and frequency of angina attacks in the experimental group were lower than those in the control group (P < 0.05). There was no significant difference in the incidence of adverse reactions between the two groups (P > 0.05). Conclusion: The use of Tongxinluo Capsules in the clinical treatment of CHD with angina pectoris can improve various clinical indicators, enhance therapeutic efficacy, and promote faster patient recovery.

Study on the Value of Bedside Brain Ultrasound Examination in Early Diagnosis of Brain Tissue Injury in Neonates with Intrauterine Distress

Dan Yang — 2025-09-04

Objective: To analyze the value of bedside cranial ultrasonography in the early diagnosis of neonatal brain tissue injury in intrauterine distress. Methods: 128 neonates with suspected intrauterine distress admitted to the Yichang Central People’s Hospital from January 2023 to December 2024 were selected as study subjects based on the inclusion and exclusion criteria, and all subjects underwent bedside craniocerebral ultrasonography and MRI, and the results of MRI were used as the gold standard to divide the infants into the brain-injury group (n = 31) and the no-brain-injury The children were divided into brain injury group (n = 31) and no brain injury group (n = 97), and the value of bedside cranial ultrasonography for early diagnosis of brain tissue injury in neonates with intrauterine distress was analyzed. Results: (1) Among the 128 cases of intrauterine distress neonates, 31 cases were examined for abnormal signs, including 22 cases (70.97%) examined by bedside craniocerebral ultrasonography and 28 cases (90.32%) examined by MRI. (2) Bedside cranial ultrasound detected hypoxic-ischemic encephalopathy in 6 cases, accounting for 4.69%, ventricular widening in 2 cases, accounting for 1.56%, intracranial hemorrhage in 8 cases, accounting for 6.25%, periventricular softening of white matter in 5 cases, accounting for 3.91%, and cerebral edema in 1 case, accounting for 0.78%, while MRI detected hypoxic-ischemic encephalopathy in 9 cases, accounting for 7.03%. 3 cases of ventricular widening, accounting for 2.34%, 4 cases of intracranial hemorrhage, accounting for 3.13%, 9 cases of periventricular-intraventricular white matter softening, accounting for 7.03%, and 3 cases of cerebral edema, accounting for 2.34% were examined. Among them, the detection rate of periventricular-intraventricular hemorrhage by bedside cranial ultrasound was significantly higher than that of MRI (P < 0.05). Conclusion: The diagnostic value of bedside cranial ultrasound in periventricular-intraventricular hemorrhage is high, but the diagnostic value is not as good as that of MRI in other brain tissue injuries, and clinically appropriate examination protocols can be selected according to the specific types of craniocerebral injuries.

Research Progress on the Application of Mobile Health Technology in Self-Management of Patients with Chronic Obstructive Pulmonary Disease

Yingzi Yuan — 2025-09-04

Self-management interventions for chronic obstructive pulmonary disease (COPD) patients using mobile health technology are beneficial for relieving disease symptoms, improving patients’ adherence to rehabilitation self-management, and improving quality of life. This paper reviews the application of mobile health technology in self-management of patients with chronic obstructive pulmonary disease, introduces the application form of mobile health technology in self-management of patients with chronic obstructive pulmonary disease, summarizes its application effect in self-management of patients with chronic obstructive pulmonary disease, analyzes the problems and proposes solutions in the process of research and implementation at this stage, with a view to providing a theory for the application of mobile health technology in pulmonary rehabilitation and management of patients with chronic obstructive pulmonary disease This study summarize the effect of its application in the self-management of patients with chronic obstructive pulmonary disease.

Impact of MBTI on Teaching Effectiveness in Internal Medicine Nursing: Teaching Performance, Teaching Quality, and Occupational Identity

Qingxia Yu — 2025-09-04

Introduction: This study examined the application of targeted education strategies for nursing students of different MBTI types to enhance students’ theoretical and practical grades. Nursing students have different personalities, therefore learning behaviors are significantly different. It is worth exploring whether teaching methods influence these differences and can be improved through specific education strategies. Methods: Experimental research methods and Questionnaire survey methods were used to test the effect of MBTI with different personality types on the implementation of targeted education strategies. Results: There was a significant correlation between MBTI and teaching effect (p < 0.005). Targeted changes in education strategies could effectively improve teaching effect (p < 0.005), improve teaching quality (p < 0.005), and improve nursing students’ professional identity (p < 0.005). Conclusion: The results showed that targeted changes in education strategies can effectively improve teaching effectiveness, teaching quality, and nursing students’ sense of occupational identity.

Correlation Analysis Between Symptom Clusters and Quality of Life in Patients with Acute Exacerbation of Chronic Obstructive Pulmonary Disease

Wenjie Wang — 2025-09-04

Objective: This study aims to investigate the patterns of symptom occurrence in patients experiencing acute exacerbations of chronic obstructive pulmonary disease (AECOPD). It will explore the composition of symptom clusters and analyze the correlation between these clusters and health-related quality of life (HRQoL). Methods: A total of 207 patients with AE-COPD were surveyed from a tertiary grade A hospital. Data collection was conducted using three validated instruments: the Basic Information Questionnaire (BIQ), Disease Symptom Survey Questionnaire (MSAS), and Quality of Life Questionnaire (CAT). Statistical software SPSS 22.0 was used to analyze the correlation between symptom clusters and quality of life. Results: Exploratory factor analysis showed that five major symptom clusters existed in the patients, including the psycho-emotional symptom cluster, the sleep-related symptom cluster, the other side effects symptom cluster, the energy deficiency symptom cluster and the cough-loss of appetite symptom cluster, and the severity of the symptom clusters showed a significant negative correlation with the quality of life of the patients (P < 0.05). Conclusion: Strengthening the comprehensive management of symptom clusters in patients with AE-COPD can help to effectively reduce the symptom burden of patients, and then significantly improve their quality of life.

A Study of the Effect of Supervised Pulmonary Rehabilitation Training on Patients with Bronchiectasis in a Home-based Rehabilitation Model

Qianwen Xiang — 2025-09-04

Bronchiectasis is a chronic inflammatory airway disease, and patients often suffer from recurrent airway infections leading to decreased lung function and impaired quality of life. In this study, the effects of supervised pulmonary rehabilitation training on pulmonary function, training compliance, and quality of life in patients with bronchiectasis under home rehabilitation mode are investigated. Ninety stable patients were selected, and the observation group adopted the home-supervised mode of pulmonary rehabilitation training. The results showed that the observation group’s pulmonary function indexes, quality of life, and training adherence were better than those of the control group. The differences were statistically significant (P < 0.05). The supervised pulmonary rehabilitation training in home rehabilitation mode can effectively improve patients’ pulmonary function and quality of life, and improve training compliance, which has good clinical application value.

Research Progress of Traditional Chinese Medicine in Treating Limb Movement Disorders after Stroke

Zhiguang Song — 2025-09-04

Limb movement disorder after stroke is one of the main causes of disability, seriously affecting patients’ quality of life. Although modern medical treatment can alleviate some symptoms, it has limitations. Traditional Chinese medicine, with an overall perspective and syndrome differentiation and treatment as its core, intervenes in the disease through various therapies, such as acupuncture, Chinese herbal medicine, Tuina massage, and traditional exercise, demonstrating unique advantages. This article reviews the understanding of the etiology and pathogenesis of limb movement disorders after stroke in traditional Chinese medicine, systematically summarizes the clinical application and research progress of main treatment methods such as acupuncture, Chinese herbal medicine, and Tuina massage, analyzes the problems existing in current research, and looks forward to future development directions, aiming to provide references for clinical treatment.

Investigation and Analysis of Humanistic Care Experience and Influencing Factors of Elderly Residents in Integrated Medical and Nursing Institutions

Mingli Zhang — 2025-09-04

This empirical study examines the integration of medical and elderly care services in Guangyuan City through stratified random sampling, targeting 283 eligible residents aged 60+ from three representative integrated institutions. The research employed a self-designed questionnaire titled “Humanistic Care Experience and Demand Influencing Factors” to collect subjective perceptions regarding basic care, psychological support, health education, and social interaction using a Likert five-point scale. Descriptive statistics, one-way ANOVA, and multiple regression modeling were conducted with SPSS 25.0 software. Results indicated that overall humanistic care experience scores were moderately high, with the “caregiving” dimension scoring highest and “psychological/social support” the lowest. Analysis revealed significant correlations between educational attainment, income, self-reported health status, and family support frequency (P < 0.001), particularly among seniors with higher education, better health, and stronger family support. While integrated care facilities provide relatively comprehensive basic care, they should focus on addressing gaps in humanistic services, especially providing targeted support for groups with “low education, low income, poor health, and lack of family support.”

Evaluating the Effectiveness of Chinese Herbal Footbath on Sleep Quality among Postpartum Women in Advanced Maternal Age

Wenxuan Qiu — 2025-09-04

This study evaluated the effectiveness of Chinese herbal foot bath therapy in improving sleep quality among postpartum women of advanced maternal age. A quasi-experimental design was used, involving 60 participants with sleep disturbances recruited from Zouping County Traditional Chinese Medicine Hospital. Participants were divided into control and experimental groups, and sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI) before and after the intervention. The experimental group received Chinese herbal foot bath therapy, while the control group did not. Post-intervention results showed a significant improvement in sleep quality for the experimental group, with a mean PSQI score of 7.79 (SD = 2.90), compared to 13.45 (SD = 2.57) in the control group, indicating continued poor sleep. Statistical analysis confirmed that the therapy led to significant improvements across overall and component PSQI scores. The study concludes that Chinese herbal foot bath therapy is a safe, non-invasive, and cost-effective method to enhance sleep quality among postpartum women, especially those of advanced maternal age. It holds promise as a complementary treatment option and could be integrated into standard postpartum care practices to address sleep disturbances without relying on pharmacological interventions.

Clinical Application of Denghuo Moxibustion in Treating Post-Stroke Constipation

Zhuqing Li — 2025-09-04

Objective: To study the clinical application of Denghuo moxibustion in treating post-stroke constipation. Methods: This study included 50 patients with post-stroke constipation admitted from October 2020 to December 2021. They were randomly divided into two groups using the envelope method: 25 patients in the observation group and 25 patients in the control group. The control group received only lactulose, while the observation group received Denghuo moxibustion in addition to lactulose. The efficacy, quality of life (PAC-QOL scale), and laboratory indicators [serum substance P (SP) and vasoactive intestinal peptide (VIP)] were compared between the two groups. Results: The efficacy of the observation group was significantly better than that of the control group (P < 0.05). After treatment, the PAC-QOL scores of both groups decreased significantly, and the improvement in the observation group was more significant (P < 0.05). Changes in laboratory indicators showed that VIP decreased significantly and SP increased significantly in both groups, and the improvement of these two indicators in the observation group was significantly better than that in the control group (P < 0.05). Conclusion: Denghuo moxibustion can enhance the efficacy of lactulose by regulating intestinal neuropeptides and is an effective treatment for post-stroke constipation.

The Effect of Nurse-Led Educational Intervention on the Use of Inhalers in COPD Patients — Multisystem Review and Semi-quantitative Analysis

Mingfu Hou — 2025-09-04

Purpose: The aim was to synthesize quantitative and qualitative research that identified the most effective educational strategies for nurse-led inhaler technique (IT) education in Chronic Obstructive Pulmonary Disease (COPD) patients, as perceived by patients, healthcare providers, and nurses. Methods: A systematic literature search in Embase, PubMed, Cochrane Library, Web of Science, and CINAHL from 2018 to 30 June 2024 was conducted. In total, 327 articles were identified. The results of 14 studies that met the inclusion criteria were synthesized. Data were analyzed with descriptive and semi-quantitative methods to yield summarizing findings on the effectiveness of different educational strategies. All investigations had assessed patient adherence to IT. Results: Data indicated that nurse-led IT teaching strategies are effective in promoting IT adherence and correctness in COPD patients utilizing the personalized Teach-Back method. However, studies in disease control and comparison of patient IT satisfaction and self-efficacy need further investigation. Conclusion: The results of this study may contribute to the understanding of the most effective educational strategies in nurse-led IT education for COPD patients. The synthesized findings can be used for the development of new educational interventions and assessment instruments for IT adherence.

The Critical Role and Practice of Medical Device Design and Development Documentation in Quality Systems

Meiting He — 2025-09-04

This paper highlights the critical role of medical device design and development documents within the quality system, including their compliance with regulatory standards, their function as a traceable record, their support for all stages, and their use in risk and change management. It also covers document template creation, review record association, information management, adverse event traceability, and the reconciliation of differences in international declarations.

Mental Health Status of International Nursing Students in the Philippines: Prevalence and Predictors in Times of Global Health Disruptions

Manli Li — 2025-09-04

This study investigates the mental health challenges faced by international nursing students in the Philippines during a global health disruption like the COVID-19 pandemic, particularly focusing on symptoms of depression, anxiety, and stress (DAS). With the first incidence of global outbreak in the Philippines reported in 2020, the pandemic has intensified psychological distress among international students, who already struggle with sociocultural adjustment issues such as alienation and culture shock. The study aimed to determine the prevalence and contributing factors of DAS among this group. Using descriptive statistics and the DASS-21 tool, the research found that international nursing students exhibited alarmingly high levels of depression, anxiety, and stress. Pearson’s test of association was employed to explore relationships between DAS symptoms and demographic variables. Results highlighted key predictors of mental health distress, including age, gender, length of stay in the country, and sleep patterns. These findings address a significant gap in existing literature concerning international students’ mental health in the Philippines during pandemics. The study concludes by urging healthcare providers and policymakers to integrate these insights into emergency preparedness plans and educational reforms, emphasizing the importance of supporting the psychological well-being of international students during crises. Replication with additional variables is recommended for a more comprehensive understanding.

Exploring the Application Effect of Comprehensive Geriatric Assessment Tool-Oriented Chronic Disease Trajectory Nursing in Community Elderly Hypertension

Xiaocui Wang — 2025-09-04

Objective: To study the application effect of comprehensive geriatric assessment tool-oriented chronic disease trajectory nursing in community elderly hypertension. Methods: Sixty nine elderly hypertensive patients admitted to the hospital from April 2022 to April 2024 were randomly assigned to the intervention group (n=35) and the control group (n=34). The control group received routine community hypertension health management, while the intervention group underwent comprehensive geriatric assessment for comprehensive screening of elderly health issues based on routine management, and implemented targeted nursing interventions based on the characteristics of the chronic disease trajectory. After three months of intervention, the blood pressure, medication compliance, self-efficacy, and quality of life of the two groups were evaluated and analyzed. Results: After the intervention, the intervention group showed significant improvement in blood pressure control, medication compliance, self-management efficacy scores, and quality of life scores compared to the control group (P < 0.05). Conclusion: Combining comprehensive geriatric assessment with the concept of chronic disease trajectory nursing in the management of community elderly hypertension can effectively optimize the effect of chronic disease management, which has important practical value.

Analysis of the Causes and Management of Choroidal Detachment after Glaucoma Surgery

Hanlin Huang — 2025-09-04

Purpose: To summarize and analyze the clinical features and management of postoperative choroidal detachment in glaucoma. Methods: Ten cases of choroidal detachment that occurred after glaucoma surgery were collected from March 2023 to February 2024 in the hospital. Their clinical characteristics and treatment effects were observed and their causes were analyzed. Results: After the operations, the eyes with choroidal detachment after glaucoma surgery had 2 cases of true microphthalmos, 6 cases of advanced glaucoma, and 2 cases of glaucoma secondary to vitreoretinal surgery. The postoperative manifestations were persistent shallow anterior chamber, the formation of anterior chamber, and then suddenly became shallow or disappeared. Meanwhile, the intraocular pressure was lower than 6 mmHg. Ultrasound and funduscopic examination showed that the choroid and retina were partially elevated, and the choroidal detachment recovered after treatment. Conclusion: Choroidal detachment is one of the common postoperative complications in glaucoma, especially in some special types of refractory glaucoma. Adequate perioperative management before surgery, cautious and delicate operation during surgery, and close observation and treatment after surgery can obviously decrease the occurrence and damage.

Challenges and Opportunities in Cognitive Rehabilitation Services: Perspectives from Rehabilitation Professionals

Xuelian Jiang — 2025-09-04

Objective: This study aims to explore the facilitating and hindering factors faced by rehabilitation professionals in providing cognitive rehabilitation services for patients with Post-Stroke Cognitive Impairment (PSCI) in China, offering empirical evidence for optimizing service models. Methods: Using purposive sampling, semi-structured interviews were conducted with 15 rehabilitation professionals from three tertiary hospitals and two community health service centers in Hubei Province from September to November 2023. Audio recordings were transcribed to obtain textual data, which were analyzed using Nvivo 12 software for coding. An inductive thematic analysis approach was employed to distill key themes. Results: The study identified multiple facilitating and hindering factors related to cognitive rehabilitation, summarizing them into four core themes and eight sub-themes: (1) Cognitive Screening: Presence of practical barriers and inadequate professional knowledge, which limited early detection and effective intervention for cognitive impairments; (2) Individualized Rehabilitation: Lack of patient -directed personalized interventions and multidisciplinary team collaboration, affecting patient engagement and rehabilitation outcomes; (3) Lack of Psychological Rehabilitation: The necessity of psychological interventions was emphasized, yet there is a significant scarcity of neuropsychological resources, limiting the implementation of psychological support; (4) Challenges of Community Continuity in Rehabilitation: Severe service discontinuity, with community healthcare institutions facing shortages of professional knowledge and equipment, resulting in patients being unable to receive continuous and effective rehabilitation support after discharge. Conclusion: Current PSCI rehabilitation services face issues such as insufficient staffing, ineffective multidisciplinary team collaboration, and a lack of community resources. Enhancing neuropsychological resources, establishing standardized MDT collaboration processes, and creating a referral system linking hospitals, communities, and families are essential to improve primary care capacity and enhance rehabilitation outcomes for patients.

Exploring the Efficacy of Shaoyang Zhugu Formula in Treating Residual Pain After Vertebroplasty Based on the Shaoyang Governs Bones Theory

Yangwang Zhou — 2025-09-04

Objective: To investigate the clinical efficacy of the Shaoyang Zhugu Formula based on the “Shaoyang Governing Bones” theory in treating residual pain after vertebroplasty. Methods: A total of 60 outpatients and inpatients from the Second Orthopedics Ward and Preventive Treatment Center of Chuxiong Prefecture Hospital of Traditional Chinese Medicine between January 2024 and December 2024 were selected and randomly divided into a control group (celecoxib capsules, 30 cases) and an observation group (Shaoyang Zhugu Formula + celecoxib capsules, 30 cases) using a lottery method. Postoperative pain levels, TCM symptom scores, Japanese Orthopaedic Association (JOA) scores for the lumbar spine, and adverse reactions were compared between the two groups. Results: The observation group showed better pain relief than the control group (P < 0.05). The TCM symptom efficacy in the observation group was superior to that of the control group (P < 0.05). After two treatment courses, both groups exhibited improved JOA scores, but the observation group demonstrated significantly better postoperative JOA scores (P < 0.05). Additionally, the observation group had fewer adverse reactions (P < 0.05). Conclusion: The Shaoyang Zhugu Formula, based on the “Shaoyang Governing Bones” theory, effectively alleviates residual pain after vertebroplasty, improves TCM symptoms and lumbar function, and demonstrates high safety.

Clinical Observation of Xiaochaihu Decoction Combined with Xiaoxianxiong Decoction in the Treatment of Post-stroke Pneumonia

Jun Dai — 2025-09-04

Objective: To investigate the clinical efficacy of Xiaochaihu Decoction combined with Xiaoxianxiong Decoction in the treatment of post-stroke pneumonia. Methods: To complete the sample grouping comparison, all patients with post-stroke pneumonia were investigated, and the number of cases was 60. These patients’ diseases were consistent with the dialectical standards of traditional Chinese medicine (phlegm-heat obstructing lungs). The patients were randomly divided into a control group (30 cases, treated with antibiotics and symptomatic methods) and a treatment group (30 cases, treated with Xiaochaihu Decoction and Xiaoxianxiong Decoction on the basis of the control group). Various indicators were compared. Results: The total clinical effective rates were 93% and 80% in the treatment group and the control group, respectively, with statistical significance (P < 0.05). The improvement of various clinical symptoms was compared, and the values in the treatment group were reduced, showing significance (P < 0.05). Analysis of serum factor indicators showed that the overall trend of the treatment group was reduced, and the comparison between groups was below 0.05. Conclusion: Xiaochaihu Decoction combined with Xiaoxianxiong Decoction has a significant clinical effect in the treatment of post-stroke pneumonia (phlegm-heat obstructing lungs syndrome), which can reduce inflammatory reactions and has few adverse reactions, worthy of clinical application

Analysis of Clinical Application Effect of Autologous Fat Granule Transplantation in Facial Depression Plastic Surgery

Hangli Wu — 2025-09-04

Objective: To explore the clinical application effect of autologous fat granule transplantation in facial depression plastic surgery. Methods: A total of 98 patients with facial depression admitted to the plastic surgery department of our hospital from January 2021 to December 2023 were selected and divided into observation group (49 cases) and control group (49 cases) according to the random number table method. The observation group was treated with autologous fat granule transplantation, while the control group was treated with hyaluronic acid filling. The total effective rate of treatment, incidence of postoperative complications, improvement indicators of facial morphology (depth of depression, symmetry), and effect maintenance rate after 6 months of follow-up were compared between the two groups. Results: The total effective rate of treatment in the observation group was 93.88% (46/49), which was significantly higher than that in the control group (79.59%, 39/49) (P < 0.05). The incidence of postoperative complications in the observation group was 6.12% (3/49), which was lower than that in the control group (20.41%, 10/49) (P < 0.05). One month after surgery, the depth of depression (1.23 ± 0.31 mm) and symmetry (1.02 ± 0.15 points) in the observation group were better than those in the control group (P < 0.05). After 6 months of follow-up, the effect maintenance rate in the observation group was 89.80% (44/49), which was significantly higher than that in the control group (67.35%, 33/49) (P < 0.05). Conclusion: Autologous fat granule transplantation for the treatment of facial depression can significantly improve facial morphology, enhance treatment effect and patient satisfaction, reduce the incidence of complications, and maintain a more durable effect. It is a clinically preferred facial depression plastic surgery solution.

A Study on the Diagnostic Ability of MRI for Modic Changes and Endplate Sclerosis in the Lumbar Spine

Tuanmao Guo — 2025-09-04

Objective: To investigate the diagnostic value of magnetic resonance imaging (MRI) in patients with Modic changes and endplate sclerosis of the lumbar spine. Methods: A total of 66 patients with lumbar spine diseases who underwent MRI and CT diagnostic examinations at the hospital from May 2024 to April 2025 were included in this study. The MRI findings of Modic changes were compared between Type I and Type II patients, and the presence or absence of endplate sclerosis signals and the HU value ratio on CT were analyzed. The pathological characteristics of Modic changes in Type I and Type II patients were observed. The imaging features of Modic changes in patients with lumbar spine diseases were analyzed. Results: Modic changes were present in 34 patients, with a total of 204 endplates evaluated, of which 74 were affected. MRI classification showed: Type I in 8 cases (10.81%), Type I/II mixed in 10 cases (13.51%), Type II in 51 cases (68.92%), and Type II/III mixed in 5 cases (6.76%). In CT reconstruction images, 26 endplates with Modic changes on MRI showed sclerosis in the vertebral body, presenting high-density sclerotic features. These sclerotic areas did not exhibit distinct signal characteristics on MRI but pathologically demonstrated Type II Modic changes concurrently with fatty degeneration and sclerosis; In patients with Modic changes of Type I and Type II, regardless of the presence or absence of endplate sclerosis, the sagittal T1/T2 signal intensity ratio showed no statistically significant difference (P > 0.05). However, the HU value ratio in Type II changes with sclerotic regions (2.74 ± 0.61) was significantly higher than that in regions without sclerosis (1.16 ± 0.23), with a statistically significant difference (P < 0.05). Conclusion: CT reconstruction images of patients with lumbar Modic changes clearly demonstrate endplate sclerosis, a phenomenon closely associated with the bone marrow repair process. MRI has limited sensitivity for detecting sclerosis, potentially due to the following factors: first, differences in the radiographic characterization of endplate mineral content; second, the specific influence of different Modic types on signal intensity. This suggests that MRI classification should be combined with CT features for comprehensive interpretation.

The Mechanism by Which AGE Activates EGFR-mediated Diabetic Kidney Disease Fibrosis by Regulating the Balance of Tyrosine Phosphatase SHP1/SHP2

Lin Li — 2025-09-04

Objective: To investigate the mechanism by which advanced glycation end products (AGEs) promote diabetic kidney disease fibrosis by regulating the tyrosine phosphatase SHP1/SHP2 balance and activating the epidermal growth factor receptor (EGFR) pathway. Methods: Animal experiments and in vitro cell experiments were conducted using Western blot analysis and tissue cell staining to detect the expression of relevant proteins and cellular morphological changes. Results: AGEs disrupt the SHP1/SHP2 balance, activate the EGFR and TGFβ pathways, and promote fibrosis in diabetic nephropathy. Conclusion: AGEs regulate the balance of tyrosine phosphatases SHP1/SHP2, activate the EGFR-mediated signaling pathway, promote the release of inflammatory factors, and ultimately lead to fibrosis in diabetic nephropathy through a novel mechanism.

Discussion on the Key Role and Practice of Operating Room Nurses in Infection Control

Meng Wu — 2025-09-04

This paper focuses on the key role and practical paths of operating room nurses in infection control, and studies the difficult problems in the prevention and control of surgical site infections. Analyze the infection risk links in the operating room and the core responsibilities of nurses, reveal the multiple role mechanisms of nurses in infection control, design practical strategies from dimensions such as process optimization, skill improvement, and monitoring feedback, and construct an infection control system involving all staff. Research shows that operating room nurses can effectively reduce the risk of infection, improve medical quality, provide core guarantees for patient safety, and promote the transformation of operating room infection control towards refined management through practical actions such as standardized operation execution, real-time risk monitoring, and team collaboration supervision.

Research on the Impact of Preoperative Visits by Operating Room Nurses on Patients’ Psychological States

Wu Meng — 2025-09-04

Currently, preoperative visits have problems such as monotonous forms and insufficient humanistic care, which affect patients’ psychological states and surgical cooperation. This article analyzes the current situation of preoperative visits and the mechanisms influencing patients’ psychology, proposes optimization strategies and safeguard measures, and explores the mechanisms of information transmission, emotional support, trust establishment, and environmental familiarity on patients’ psychology. It designs optimization plans from the aspects of personalized content, standardized processes, professional techniques, and diversified forms, supplemented by nurse training, system improvement, and quality evaluation to ensure implementation. Practice shows that the optimized preoperative visit can improve the psychological state of patients, enhance surgical cooperation, and optimize the nurse-patient relationship. The conclusion indicates that scientific and standardized preoperative visits can improve the quality of surgical care through multiple psychological effects and are an important link in perioperative care.

Application Effect of Intelligent Guidance Optimization in Physical Examination Process Management

Fan Li — 2025-09-04

Objective: To investigate the application effects of intelligent guidance systems in optimizing health check-up process management. Methods: A total of 400 examinees who underwent physical examinations at the hospital’s Health Management Center from January to December 2024 were randomly divided into a control group (200 cases) and an observation group (200 cases). The control group used traditional manual guidance methods, while the observation group employed the intelligent guidance system. The study compared two groups in terms of completion time, waiting time for each procedure, check-up efficiency scores, examinee satisfaction, and report issuance time. Results: The overall examination time in the observation group (85.3 ± 12.7 minutes) was significantly shorter than that in the control group (142.6 ± 18.5 minutes) (P < 0.01); average waiting time per procedure decreased by 62.4%; check-up efficiency scores (8.9 ± 0.8 points) were significantly higher than those in the control group (5.2 ± 1.1 points) (P < 0.01); satisfaction reached 96.5%, significantly higher than the control group’s 78.0% (P < 0.01); and report issuance time was advanced by 1.5 days. Conclusion: Intelligent guidance systems can significantly optimize check-up processes, improve work efficiency, and examinee satisfaction, demonstrating significant clinical application value.

The Influence of Quality Management Mode on Improving the Service Level of Physical Examination Center

Zi Wang — 2025-09-04

Objective: To investigate the effectiveness of quality management models in enhancing service quality at physical examination centers. Methods: A total of 1,200 examinees who received services at our hospital’s physical examination center between January 2022 and June 2023 were randomly divided into a control group (600 cases) and an observation group (600 cases). The two groups were compared in terms of examination process duration, report quality scores, detection rate of abnormal findings, overall patient satisfaction, and staff job satisfaction. Results: The observation group showed significantly shorter examination time (98.5 ± 15.2 minutes vs 156.3 ± 22.7 minutes, P < 0.01), higher report quality scores (92.4 ± 3.5 vs 78.6 ± 6.8 points, P < 0.01), improved detection rate of abnormalities (38.7% vs 29.5%, P < 0.05), increased patient satisfaction (97.2% vs 82.3%, P < 0.01), and greater staff job satisfaction (90.5% vs 72.3%, P < 0.01). Conclusion: Quality management models can significantly enhance service quality and operational efficiency at physical examination centers, improve examination outcomes and patient satisfaction, demonstrating substantial clinical application value.

Research on the Clinical Application Value of Peripherally Inserted Central Catheter (PICC) after Radical Gastrectomy

Xing Su — 2025-09-04

Objective: Patients after radical gastrectomy often require medium- to long-term intravenous therapy. However, traditional central venous catheters (CVCs) have issues such as high infection risk and poor comfort. This study aims to deeply explore the clinical application value of peripherally inserted central catheters (PICCs) after radical gastrectomy, providing a scientific basis for optimizing intravenous access selection. Methods: Fifty patients requiring catheterization after radical gastrectomy at the Friendship Hospital of Ili Kazak Autonomous Prefecture from December 2022 to May 2024 were selected. Catheterization site selection was based on patients’ preferences, dividing them into two groups: the experimental group receiving PICCs and the control group receiving CVCs, with 25 patients in each group. Multi-dimensional comparative analysis was conducted, including catheterization operation time, catheter indwelling time, success rates of first and second catheterizations, and complication rates. Statistical methods such as t-tests and chi-square tests were used for in-depth analysis. Results: Compared to the control group, the experimental group had longer catheterization operations and catheter indwelling times, and a higher success rate of first catheterization (P < 0.05). The incidence of catheterization complications in the experimental group was 12.00%, lower than the 40.00% in the control group (P < 0.05). Conclusion: Although PICC catheterization after radical gastrectomy has relatively longer catheterization operation and indwelling times, it has a high success rate of first catheterization and a low complication rate, demonstrating high clinical application value and worth promoting in clinical practice.

Research on the Application of Workshop Teaching Mode Based on DEU Concept in Nursing Student Teaching

Jiali Wang — 2025-09-04

Objective: To investigate the implementation effects of the workshop teaching model based on the DEU (Dedicated Education Unit) philosophy in clinical nursing education for intern nurses, and analyze its impacts on students’ critical thinking abilities, operational skill levels, and satisfaction. Methods: A total of 80 undergraduate nursing students interning at a tertiary hospital in Deyang City from January to June 2025 were randomly divided into an experimental group (40 students) and a control group (40 students). The control group received conventional lecture-based instruction, while the experimental group adopted the DEU-based workshop teaching model. Comparative analyses were conducted on theoretical scores, operational assessment results, Critical Thinking Inventory (CTDI-CV) scores, and satisfaction surveys between the two groups. Results: The experimental group demonstrated significantly higher theoretical scores, operational skill assessments, and critical thinking dimension scores compared to the control group (P < 0.05), with notable improvements in teaching satisfaction. Conclusion: Integrating the DEU philosophy with workshop teaching models can effectively enhance clinical teaching quality, strengthen nursing students’ comprehensive competencies, and boost learning motivation. This approach is recommended for widespread adoption in clinical nursing education.

Application of Teaching Mode in TCM Characteristic Workshop Integrating Medical Treatment and Healthcare for Elderly Care Competency Development

Juan Zheng — 2025-09-04

Objective: To investigate the effectiveness of a competency-oriented TCM workshop teaching model for integrated medical and elderly care in geriatric nursing positions. Methods: A stratified sampling method was employed to select 100 nurses from three integrated medical-care institutions in Guangyuan City. Using digital randomization, they were divided into a control group (conventional teaching model) and an educational reform group (competency-oriented TCM workshop model). The two groups were compared in training performance, evaluation of teaching models, job competency, and TCM nursing service quality. Results: The educational reform group demonstrated statistically significant higher scores (P < 0.05), better evaluations of teaching models, enhanced job competencies, and improved TCM nursing service quality compared to the control group. Conclusion: This competency-oriented TCM workshop teaching model effectively enhances nursing competencies in geriatric care, fully leverages TCM’s unique advantages, better meets elderly patients’ medical and care needs, and improves the elderly experience in integrated medical-care institutions.

Nurses’ Characteristics Associated with Moral Distress and Coping Program in Selected Government Hospitals in Shandong, China

Yingxue Zhang — 2025-09-04

Purpose: This study aimed to determine the nurses’ profile characteristics that are associated with moral distress among nurses in selected government hospitals in Shangdong, China. Methods: This is a descriptive-correlational study. A total of 185 clinical registered nurses who met the eligibility criteria from different departments in two tertiary governmental hospitals in Jinan city were purposively selected to participate in this study. The instruments included the general demographic characteristics and Chinese version of Moral Distress Scale-Revised (MDS-R). Correlation technique, specifically Spearman’s rho, was utilized to determine the significant correlation between the selected nurse’s characteristics and moral distress. Ethical considerations were given by the Far Eastern University ethics review committee (FEU-ERC Code:2020-2021-079). Results: The number of patients nurses handled per shift (r_s= 0.650, p= 0.032) and the type of patients that nurses handled (r_s = 0.718, p= 0.020) are the nurses’ profile factors that are significantly correlated with nurses’ moral distress (p-value < 0.05). As there is an increase in the number of patients handled every shift and the patients are becoming unstable, requiring complex care, the frequency and intensity of moral distress increase as well. Conclusion: The nurses’ moral distress was registered at a low level in this study. Characteristics related to patients, such as the number and type assigned to nurses, are correlated to moral distress. The main source of the high frequency and intensity of moral distress among nurses is “futile care” and “false hope”. Educational learning program is recommended to manage and alleviate the moral distress of nurses.

Analysis on the Influence of Programmed Harmonized Nursing Combined with Hierarchical Management on Nursing Quality and Nursing Satisfaction in Health Management Center

Fan Li — 2025-09-04

Objective: To investigate the impact of programmed harmonious nursing combined with hierarchical management on nursing quality and satisfaction in a health management center. Methods: A total of 100 patients who received care at this health management center from January 2024 to January 2025 were selected as subjects. Using a random number table method, they were divided into an observation group (n=50) and a control group (n=50). The control group followed traditional methods, while the observation group integrated programmed harmonious nursing with hierarchical management. Comparative analysis was conducted on nursing quality scores, adverse event occurrence rates, and patient satisfaction between the two groups. Results: The observation group showed significantly improved nursing quality scores (P < 0.05) and markedly reduced incidence of adverse events (P < 0.05), with statistically significant differences compared to pre-treatment conditions (P < 0.05). Conclusion: The combination of hierarchical management and programmed harmonious nursing demonstrates effectiveness in enhancing medical service quality, reducing adverse reactions, and improving patient satisfaction—a method worthy of promotion.

Weight Loss Achieves Menstrual Regularity in an Overweight Polycystic Ovary Syndrome Patient: Integrated Lifestyle-Drug Intervention

Jian Huang — 2025-09-04

Polycystic ovary syndrome (PCOS) is a lifelong disorder affecting reproductive, metabolic, and psychological health. A healthy lifestyle and effective weight management strategies should underpin the treatment of PCOS. This case report documents the successful management of a Chinese patient with PCOS who was overweight and presented with oligomenorrhea and persistent adiposity. The patient was diagnosed using the Rotterdam criteria. The intervention was a 2-month program involving caloric restriction (1,350 kcal/day whole-food diet), progressive exercise titration (150–180 min/week of aerobic and resistance training), mindfulness practice, and metformin initiation after confirmed insulin resistance (HOMA-IR 3.67) resulted in clinically significant body composition improvements: fat mass was reduced by 5.0 kg, visceral adipose area was reduced by 44.7 cm², skeletal muscle was increased by 1.4 kg, and regular menstrual cycles (32 day interval) were restored following 5% weight loss––consistent with evidence linking this threshold to improved ovarian function. The combination of a structured lifestyle modification program with targeted pharmacotherapy offers a viable clinical approach for metabolic PCOS phenotypes, although further validation is required to ascertain long-term efficacy.

Analysis of the Effect of PDCA Cycle Combined with Information Technology on the Treatment Intervention of Chinese Herbal Medicines

Shasha Liu — 2025-09-04

Objective: To explore the effect of the PDCA cycle combined with information technology on the treatment intervention of Chinese herbal medicines. Methods: Traditional medication intervention was implemented from July 2022 to June 2023, and 57 patients who received Chinese herbal medicine treatment during this period were selected as the control group. The PDCA cycle combined with information technology was implemented from July 2023 to June 2024, and 56 patients who received Chinese herbal medicine treatment during this period were selected as the experimental group. Various indicators were compared between the two groups. Results: The total effective rate of the experimental group was higher, and the incidence of unreasonable prescriptions and adverse reactions was significantly lower than that of the control group. Conclusion: The combination of the PDCA cycle and information technology can improve the overall efficacy of Chinese herbal medicines, reduce the incidence of unreasonable prescriptions and adverse reactions, and ensure the safe use of Chinese herbal medicines. It is worthy of promotion and application.

Analysis and Reflection on a Case of Diagnosis and Identification of Occupational Noise-induced Deafness

Faqiang Li — 2025-09-04

Objective: Through retrospective analysis of a case of occupational noise-induced hearing loss (NIHL) diagnosis and two-grade appraisal, this study explores the causes of inconsistency between diagnosis and appraisal conclusions, aiming to improve occupational health management. Methods: Data including occupational history, workplace noise exposure levels, pure-tone audiometry (PTA), and objective audiological tests were collected and analyzed. Results: Both municipal and provincial appraisals contradicted the initial diagnostic conclusion of “moderate occupational NIHL”. Conclusion: The diagnosis of occupational NIHL requires multidisciplinary expertise and is influenced by subjective factors. Appraisal institutions should adopt evidence-based approaches, integrate objective tests with PTA results, and comprehensively evaluate occupational exposure history to ensure scientific and impartial conclusions.