Journal of Clinical Medicine and Research

Advancing Clinical and Emergency Operations for a Safer Future

Chun-Qiu Tan — 2024-08-30

As clinical and emergency medicine continue to evolve, the operational frameworks that support these fields have never been more critical. As the editorial board member of Journal of Clinical Medicine and Research, I recognize that the effectiveness of clinical care—especially in emergency settings—directly impacts patient outcomes. In times of crisis, the ability to respond quickly, efficiently, and with precision can mean the difference between life and death. Optimizing clinical and emergency operations is, therefore, an urgent priority that demands both innovation and rigorous execution.

Current Status and Infuencing Factors of Kinesiophobia in Patients with Coronary Heart Disease

Ting Li — 2024-08-30

Objective:This study aims to explore the influencing factors and associations related to kinesiophobia in patients with coronary heart disease (CHD), providing a theoretical basis for clinical interventions. Methods: A cross-sectional study design was employed, selecting CHD patients treated at Shaanxi Provincial People's Hospital as the study subjects. Data on patients' general information, kinesiophobia scores, rehabilitation exercise knowledge, attitudes, and practices (KAP), and social support were collected via questionnaires. Results: Factors such as level of rehabilitation exercise KAP and social support were found to have a signifcant effect on kinesiophobia. Conclusion: Levels of rehabilitation exercise KAP and social support are important factors infuencing kinesiophobia. Future clinical efforts should involve multidisciplinary collaboration to provide personalized rehabilitation care plans to alleviate kinesiophobia and promote patient recovery.

Study on the Causes and Clinical Treatment Methods of Irregular Vaginal Bleeding in Obstetrics and Gynecology

Lin-Jie Sui — 2024-08-30

Objective: To analyze the causes and clinical treatment methods for abnormal vaginal bleeding (AVB) in obstetrics and gynecology. Methods: A total of 74 patients with obstetrics and gynecology AVB admitted to our hospital from August 2023 to August 2024 were selected for this study. The causes of AVB were analyzed, and the patients were divided into a control group (37 cases) receiving conventional treatment and an observation group (37 cases) receiving combined treatment with oral anti-inflammation tablets by random number table method. The clinical effcacy of both groups was compared. Results: Among the 74 AVB patients, 24.32% had intrauterine devices (IUDs), 18.92% had ovarian tumors, 14.86% had endometrial cancer, 13.51% had endometriosis, 12.16% had reproductive tract infections, 9.46% had uterine fbroids, and 6.76% were classifed as other causes. The treatment effcacy in the observation group was signifcantly higher than that in the control group, while the incidence of adverse reactions, the amount of bleeding, and the duration of bleeding were signifcantly lower in the observatioAbstract:Objective: To analyze the causes and clinical treatment methods for abnormal vaginal bleeding (AVB) in obstetrics and gynecology. Methods: A total of 74 patients with obstetrics and gynecology AVB admitted to our hospital from August 2023 to August 2024 were selected for this study. The causes of AVB were analyzed, and the patients were divided into a control group (37 cases) receiving conventional treatment and an observation group (37 cases) receiving combined treatment with oral anti-inflammation tablets by random number table method. The clinical effcacy of both groups was compared. Results: Among the 74 AVB patients, 24.32% had intrauterine devices (IUDs), 18.92% had ovarian tumors, 14.86% had endometrial cancer, 13.51% had endometriosis, 12.16% had reproductive tract infections, 9.46% had uterine fbroids, and 6.76% were classifed as other causes. The treatment effcacy in the observation group was signifcantly higher than that in the control group, while the incidence of adverse reactions, the amount of bleeding, and the duration of bleeding were signifcantly lower in the observation group (P < 0.05). Conclusion: Analyzing the causes of obstetrics and gynecology AVB and incorporating Kang gong yan Pian into the treatment can enhance effcacy and expedite hemostasis, making it worthy of promotion. Keywords:Obstetrics and gynecology; abnormal vaginal bleeding; causes; Kang gong yan Pianbstetrics and gynecology AVB and incorporating Kang gong yan Pian into the treatment can enhance effcacy and expedite hemostasis, making it worthy of promotion.

Comparative Analysis of Clinical Efficacy Between 3D and 2D Laparoscopic Radical Prostatectomy (LRP) for Prostate Cancer

Rong Wang — 2024-08-30

Objective: To compare and analyze the clinical efficacy of 3D and 2D laparoscopic radical prostatectomy (LRP) in treating prostate cancer. Methods: Seventy prostate cancer patients admitted to our hospital from January 2019 to January 2024 were randomly divided into a control group (n = 35) and an observation group (n = 35). The control group underwent 2D-LRP, while the observation group received 3D-LRP. Results: Compared to the control group, the observation group demonstrated better therapeutic outcomes and a lower incidence of urinary incontinence (P < 0.05). The observation group also exhibited signifcantly reduced intraoperative blood loss, operative time, urethral reconstruction time, and catheterization duration (P < 0.05). Conclusion: Compared to 2D-LRP, 3D-LRP offers higher efficacy and safety in the treatment of prostate cancer, with added benefts for postoperative recovery.

Evaluation of the Effectiveness of Family Participation in Doctor-Patient Communication for Cancer Patients

Nan Guo — 2024-08-30

With the continuous increase in the elderly population in China, the incidence of cancer has been rising, making it one of the leading causes of death among residents. The suffering caused by the disease and its economic burden not only bring immense pain to patients but also often lead to negative emotions such as pessimism and anxiety among their family members. Family supportive education, which refers to the emotional support and assistance provided by family members, is a major source of social support and plays a crucial role in individuals' emotional well-being. The treatment and rehabilitation of cancer patients cannot be achieved without active family involvement, especially in terms of doctor-patient communication. Family members' involvement is of great signifcance in improving doctor-patient relationships and enhancing treatment outcomes. This article, through empirical research, analyzes the current situation of family participation in healthcare communication for cancer patients and reveals the main factors influencing such participation. Based on these fndings, it discusses specifc strategies and methods to promote effective family involvement in doctor-patient communication and establishes a corresponding evaluation system to assess its effectiveness.