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Showing 3 results for Comprehensive Nursing
L. Ye, J. Huang, F. Qiu,
Volume 22, Issue 4 (10-2024)
Abstract
Background: This study aimed to investigate the impact of a comprehensive nursing plan on post-radiooperative respiratory function, quality of life (QoL), and self-care ability in patients with lung cancer (LC) undergoing radiotherapy and surgery. Materials and Methods: A total of 100 LC patients undergoing radiotherapy and surgery were randomly assigned to either the Routine Nursing Care (RNC) group (n = 50) or the Comprehensive Nursing Care (CNC) group (n = 50). Various parameters, including respiratory function, visual analog scale (VAS), self-rating anxiety scale (SAS), self-rating depression scale (SDS), Pittsburgh sleep quality index (PSQI), exercise of self-care agency scale (ESCA), European Organization for Research and Treatment of Cancer (EORTC), and complication rate, were assessed. Results: Compared to the RNC group, the CNC group exhibited a significant decrease in respiratory frequency and an increase in oxygen saturation, maximal breathing capacity, minute ventilation volume, and forced expiratory volume in 1 s (FEV1) (P < 0.05). Additionally, CNC group scores for VAS, SAS, SDS, and PSQI were lower, while ESCA and EORTC scores were higher compared to the RNC group (P<0.05). Complication rates post-intervention was significantly lower in the CNC group (4.0%) compared to the RNC group (28.0%) (P < 0.05). Conclusion: In conclusion, comprehensive nursing intervention effectively improves post-radiotherapy operative respiratory function, anxiety, depression, and sleep quality. Furthermore, it enhances self-care ability and QoL in patients with LC undergoing radiotherapy and surgery while reducing the incidence of complications. These findings support the clinical application of comprehensive nursing care in this patient population.
L. Chang, L. Shi, L. Zhao, Ph.d., J. Wang,
Volume 22, Issue 4 (10-2024)
Abstract
Background: This Pseudoangiomatous stromal hyperplasia (PASH), a rare benign breast tumor, manifests as a fissured pseudovascular cavity formed by interstitial hyperplasia. Imaging often presents it as a nodular or non-mass-type lesion associated with other benign lesions. Clinical detection of PASH generally reveals a rare mass type. Materials and Methods: We report a case of a 13-year-old girl with a rapidly growing circumscribed mass in her unilateral breast. Mammography of the breast revealed a high-density mass without calcification; color Doppler ultrasound showed a low echo with arterial blood flow; magnetic resonance imaging (MRI) suggested that the mass was heterogeneous; diffusion-weighted imaging (DWI) results indicated a slightly high signal; T2-weighted imaging (T2WI) high-signal components showed a fissure without enhancement; and the time-signal intensity curve of solid components displayed a type I curve. Patient underwent surgical treatment, whereupon pathological results indicated PASH. Conclusion: PASH presents as a rapidly growing borderline mass without calcification in a unilateral breast. Comparative analyses of the imaging characteristics of multiple MR sequences show significant enhancement of the low-signal area in T2WI results.
Z. Jiang, D. Xu, S. Wang, X. Chen, S. Gao, Y. Zhang, J. Ma,
Volume 22, Issue 4 (10-2024)
Abstract
Background: To investigate the application value of Breast Imaging Reporting and Data System (BI-RADS) classification grading diagnosis based on breast ultrasound, molybdenum target radiography mammography and MRI imaging for predicting atypicalbreast ductal hyperplasia (ADH) and breast cancer (BC). Materials and Methods: Retrospective analysis of patients who visited the Department of Mammary Gynecology and Obstetrics of Nanjing Medical University for breast lumps between January 2015 and July 2021, based on the pathological findings of breast lumps, included 150 patients with benign breast usual ductal hyperplasia (UDH), 100 patients with atypical breast hyperplasia ADH, and 100 patients with breast cancer BC. The masses were evaluated and graded according to the fifth edition of the BI-RADS criteria, and the receiver operating characteristic (ROC) curves) were drawn based on ultrasound, molybdenum target radiography mammography, and MRI for BI-RADS grading to identify atypical hyperplasia (ADH) and breast cancer and the feasibility of the three imaging methods for predicting breast atypical hyperplasia ADH and breast cancer BC was compared. Results: The best cut-off value for breast ultrasound prediction of breast atypical hyperplasia ADH and breast cancer BC was BI-RADS grade 3 and the best cut-off value for molybdenum target radiography mammography and MRI prediction of breast atypical hyperplasia ADH and breast cancer BC was BI-RADS grade 4A, with corresponding area under the curve (AUC) of 0.691, 0.757, 0.866; the Jorden index was 0.363, 0.448, 0.662; the sensitivity was 56.30%, 48.20%, 71.20%; specificity 80.00%, 96.60%, 95.00%; positive predictive value 78.87%, 97.22%, 98.11%; negative predictive value 57.97%, 53.43%, 47.50%, respectively. Conclusion: BI-RADs classification grading diagnosis based on imaging examination has a high value in predicting breast dysplasia ADH and breast cancer BC. BI-RADs classification grading can be given priority in clinical prediction of breast dysplasia ADH and breast cancer BC to reduce unnecessary invasive examination.
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