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Objective: To investigate the effect of cluster care on the psychological state and quality of life of patients with threatened abortion. Methods 92 patients with threatened abortion were randomly divided into control group and observation group. The control group accepted routine care , the observation group accepted cluster care, the two groups were evaluated by SF-36 health survey, symptom checklist SCL-90 score and evaluation of nursing satisfaction one week later. Results After using cluster care, GH, VT, MH three dimensions in observation group improved significantly in comparison to the control group (P<0.05), GH, VT, SF, RE, MH in the control group after 1 week significantly decreased in comparison to the norm ( P < 0.05). In observation group, the incidence of somatization, depression, anxiety significantly decreased in comparison to the control group(P < 0.05), in the control group, the incidence of somatization, depression, anxiety increased significantly (P< 0.05) in comparison to Chinese norm . 23 patients in the control group were evaluated as good care, 21 cases of general observation group, 38 cases were rated as good, 9 cases in general, significantly better than the control group (P < 0.05). Conclusion Cluster care can improve the quality of life of threatened abortion patients, and reduce the incidence of adverse psychological reactions. [ABSTRACT FROM AUTHOR]

Tracheal rupture is an infrequent, severe complication of endotracheal intubation, which can be difficult to diagnose. Post-intubation tracheal rupture (PiTR) is distinct from non-iatrogenic causes of tracheobronchial trauma and often requires different treatment. The increasing adoption of pre-hospital emergency services increases the likelihood of such complications from emergency intubations. Effective management strategies for PiTR outside specialist cardiothoracic units are possible. Two cases of severe PiTR, successfully managed non-operatively on a general medical-surgical intensive care unit, illustrate a modified approach to current standards. The evidence base for PiTR is reviewed and a pragmatic management algorithm presented. [ABSTRACT FROM AUTHOR]