As indwelling urinary catheter clamping may increase the residual urine volume after indwelling urinary catheter removal and lead to an increased nursing workload, it should not be recommended in patients with cervical cancer postoperatively.
This study aimed to investigate the effects of COVID‐19 on the prevalence of acute stress disorder and subsequent effects on career planning among healthcare students. A cross‐sectional survey was conducted among 1158 healthcare students across five medical universities in February 2020. Acute stress disorder was assessed using the Stanford Acute Stress Response Questionnaire. Further data regarding COVID‐19 knowledge, individual behaviours, occupational choices, and career planning were collected. Based on the results of the Stanford Acute Stress Response Questionnaire, the students were divided into high‐risk and low‐risk groups for acute stress disorder. The correlation between acute stress disorder and the impact on career planning was analysed. The high‐risk group comprised 143 (12.3%) participants, while 1015 (87.7%) participants were in the low‐risk group. Two factors increased the risk of acute stress disorder in the students, including ‘I think the pandemic is far away from me’ (B: 1.27, 95%CI: 1.60–7.87) and ‘Physical contact with confirmed or suspected cases’ (B: 2.49, 95%CI: 3.42–42.44). Those who obtained pandemic information from official media sources indicated a lower risk of acute stress disorder (B: −0.24, 95%CI: 0.49–1.26). The high‐risk group was more likely to quit the medical profession after graduation. The COVID‐19 pandemic may cause acute stress disorder among healthcare students and affect their career planning. Universities and relevant departments should provide more information and moral support for these students.
Objective: The umbilicus is the only anatomic entrance and incision site for trans-umbilical laparoendoscopic single-site surgery (TU-LESS). Data on incisional surgical site infections (ISSI) and incision healing in TU-LESS are lacking. Therefore, we aimed to observe umbilical incision healing and possible hernia after TU-LESS and explore the efficacy of preoperative umbilicus preparation on ISSI.Subjects and Methods: Consecutive patients aged 18 to 65 years, who were scheduled to undergo TU-LESS at a teaching hospital between March 2020 and November 2021, were enrolled in this prospective study. All patients were randomized to the study group with preoperative umbilicus preparation 30 minutes before patients were sent to the operating room and to the control group without preparation. The umbilical dimple was disinfected twice using povidone-iodine in both groups before the skin incision. The primary outcome was ISSI within 30 days of surgery. Umbilical hernia at 3 months after surgery and perioperative data such as operation time, complications, and incision healing were recorded and compared.Results: A total of 400 patients were recruited for this study. TU-LESS was performed in all patients without major complications. ISSI occurred in 5 patients in the study group (2.5%) and 3 patients in the control group (1.5%), with no significant differences between both groups (P = 0.479). No umbilical hernia occurred in any patient during the 3 months follow-up. Six patients in the study group (3.1%) and 1 in the control group (0.5%) experienced excessive scarring, a relatively high incidence in the study group, though the difference was not statistically significant (P = 0.067).Conclusions: TU-LESS-related umbilical hernias are rare with existing suturing methods. Umbilicus preparation before TU-LESS could not decrease ISSI; however, it increased the nursing workload, which should be avoided.
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