Objective: To systematically evaluate the prediction models for venous embolism in gynecologic cancer patients. Methods: PubMed, Web of Science, Embase, Cochrane Library, CNKI, Wanfang, and VIP databases were searched to collect studies on predictive models of venous embolism in gynecological cancer patients with a search time from the inception of the database to December 2024. Literatures was independently screened by two investigators, a standardized form was developed to extract information using the Data Extraction Checklist for the Evaluation of Predictive Modeling Systems (CHARMS), and the Risk of Bias and Suitability Assessment Tool for Predictive Modeling Studies (PROBAST) was used to evaluate the risk of bias and suitability for the included literatures. Results: A total of 14 papers were included and 17 risk prediction models were constructed, the AUC ranged from 0.563 to 0.929; containing 3 to 7 predictors. The meta-analysis results indicated that the pooled AUC value of the predictive model was 0.83 [95% CI (0.78, 0.88)]. Age[ OR=1.12, 95% CI (1.05, 1.19)], body mass index[ OR=3.20, 95% CI (1.45, 7.10)], plasma D-dimer level[ OR=3.26, 95% CI (1.88,5.63)], the revised surgical pathological stage of the International Federation of Gynecology and Obstetrics[ OR=1.90, 95% CI(1.01, 3.55)], and operation time[ OR=1.48, 95% CI (1.05, 2.08)] were predictive factors for venous embolism in gynecological tumor patients( P<0.001). Conclusion: The overall predictive performance of the risk prediction models for venous embolism in gynecological cancer patients is relatively good, but the model quality needs to be improved. There is room for optimization in aspects such as data sources, model construction, and validation analysis.

Objective: To investigate the status quo of postpartum outcome and health care needs of pregnant women with gestational diabetes mellitus (GDM) for 2 years after delivery, to provide reference for improving postpartum health care of them and reducing adverse outcomes. Methods: The convenience sampling method was used to investigate the status quo of postpartum outcomes and health care needs of GDM pregnant women who delivered in a third grade A hospital in Tianjin within 2 years. Results: About 13.6% of GDM pregnant women had postpartum body mass detention, 56.5% of them never monitored blood glucose postpartum, 4.2% of them had impaired glucose tolerance at different times after delivery, one GDM pregnant women had been diagnosed with type 2 diabetes within 2 years after delivery; 59.7% of them received postpartum care within 42 days after delivery, 34.6% of them never had postpartum care, 36.1% of them did not receive any relevant professional guidance.GDM pregnant women prefered to have obstetricians and gynecologists, midwives, and community health care doctors providing neonatal health care guidance, dietary guidance, exercise guidance, and health eduction for primary caregives through pregnancy school courses, brochures, and WeChat public platform, etc. Conclusion: At present, GDM pregnant women pay less attention to blood glucose changes and have poor awareness of self-monitoring. Postpartum health care is not systematic and standardized. In the future, screening and management should be further strengthened to reduce the occurrence of postpartum adverse outcomes of GDM.

Objective: To establish a standardized nursing management system of pressure ulcer and evaluate its applying effects.  Methods: Since 2013 many measures were used such as establishing skin treatment group, analyzing problems of pressure ulcer management, establishing three level supervision system for managing pressure ulcers and system for assessing pressure ulcers , perfecting system of reporting, consulting and evaluating pressure ulcers , finally a set of standardized pressure ulcer management system is developed. Results: From 2013 to 2015, the cure / improvement rate of pressure ulcers out of hospital was 60.69%, 71.73% and 82.31%; the risk assessment accuracy, the correct rate of pressure ulcer prevention measures, pressure ulcer evaluation accuracy, accuracy of pressure ulcer nursing measures and patient satisfaction rate showed a rising trend year by year, and the difference had statistical significance (P<0.05). Conclusion: The standardized management system is more scientific, can improve the cure effect of pressure ulcers, ensure the implementation of nursing measures in place, and improve the quality of pressure ulcer care and management level.