Nursing perspective of expert consensus on the diagnosis and treatment of cerebral infarction with integrated traditional Chinese and Western medicine

Cerebral infarction(CI)is also known as ischemic stroke.It is one of the most common cerebrovascular diseases,with high mortality and disability rate,which has seriously threatened human health.To better apply the diagnosis and treatment plan of integrated traditional Chinese and Western medicine to the treatment of patients with CI,the Chinese Association of Integrative Medicine issued the Expert Consensus on the Diagnosis and Treatment of Cerebral Infarction with the Integrated Traditional Chinese and Western Medicine in 2021.It involves etiology and pathogenesis of CI,diagnosis and treatment standards of Traditional Chinese Medicine(TCM)and Western Medicine,syndrome elements of TCM,as well as rehabilitation nursing of CI with integrated traditional Chinese and Western medicine during acute period and recovery period.This study interprets the consensus from routine nursing,dietary nursing,emotional nursing,complication nursing,rehabilitation nursing,and continuous nursing,aiming to provide evidence-based support for clinical TCM nursing practice.

Expert consensus on diagnosis and treatment of ulcerative colitis with integrated traditional Chinese and Western medicine:A nursing perspective

Ulcerative colitis(UC)is a chronic nonspecific intestinal inflammatory disease of unclear etiology,characterized by continuous and diffuse inflammatory changes of colorectal mucosa.In recent years,the incidence rate of UC in China has increased year by year,but there is no effective cure method in Western medicine.Traditional Chinese medicine treatment based on syndrome differentiation has the unique advantages of simplicity,convenience,effectiveness,and low cost.Therefore,integration of Chinese and Western medicine has become an important strategy for UC diagnosis and treatment,and has made significant progress in UC.On the basis of learning from a number of consensuses at home and abroad,combined with Chinese research results and the actual clinical situation of traditional Chinese and Western medicine,the UC group of the Chinese Association of Integrative Medicine has formulated the expert consensus on the diagnosis and treatment of UC with integrated traditional Chinese and Western medicine.In this consensus,the pathogenesis,etiology and pathogenesis,diagnosis,integrated traditional Chinese and Western medicine treatment,and chronic disease management with integrated traditional Chinese and Western medicine for UC were recommended by experts.This article interprets the consensus from the perspective of nursing in order to provide reference basis for clinical nursing workers.

Treatment of postpartum depression with integrated traditional Chinese and Western medicine nursing and electrical stimulation

BACKGROUND Postpartum depression(PPD)is a common psychological disease among puerperal women,and postpartum pelvic floor dysfunction is a common disease among pregnant women.The occurrence of postpartum pelvic floor dysfunction will increase the incidence of PPD.AIM To explore the therapeutic effect of integrated traditional Chinese and Western medicine nursing combined with electrical stimulation of pelvic floor muscles and the rectus abdominis on PPD.METHODS From April 2020 to January 2022,100 parturients with a rectus abdominis muscle separation distance>2.0 cm who underwent reexamination 6 wk after delivery at our hospital were selected as the research subjects.According to the random number table method,the patients were divided into either an observation group(n=50)or a control group(n=50).There was no significant difference in the general data between the two groups(P>0.05).Both groups were treated by electrical stimulation.The observation group was additionally treated by integrated traditional Chinese and Western medicine nursing.A self-designed Depression Knowledge Questionnaire was used to evaluate the awareness of knowledge on depression in all patients 3 wk after intervention.The Hamilton Depression Scale(HAMD)was used to evaluate the depression before intervention and 1 wk and 3 wk after intervention,and the Morisky Medication Adherence Scale(MMAS-8)was used to evaluate the medication compliance.SPSS19.0 was used for statistical analyses.RESULTS The rate of awareness of knowledge on depression in the observation group was significantly higher than that of the control group(P<0.05).The scores of MMAS-8 were comparable between the two groups before intervention(P>0.05),but were significantly higher in the observation group than in the control group at 1 wk and 3 wk after intervention(P<0.05).The HAMD scores were comparable between the two groups before intervention(P>0.05),but were significantly lower in the observation group than in the control group at 1 wk and 3 wk after intervention(P<0.05).CONCLUSION Integrated traditional Chinese and Western medicine nursing combined with electrical stimulation of pelvic floor muscles and the rectus abdominis is effective in the treatment of postpartum depression and worthy of clinical promotion.

Analysis of the Effects on Self-Efficacy and Quality of Life of Patients Undergoing Coronary Intervention by Traditional Chinese Medicine Nursing Combined with Refined Nursing

OBJECTIVE: To study the effects on self-efficacy and quality of life in patients undergoing coronary intervention, by traditional Chinese medicine nursing combined with refined nursing. METHODS: A total of 124 patients, who needed to undergo coronary intervention in our hospital, were randomly divided into the fine group and the combined group, with 62 patients in each group. The two groups of patients were enrolled in the PCI routine nursing procedure, in which the fine group was given refined nursing, and the joint group, based on that, added the traditional Chinese medicine nursing. The self-management (self-management scale of coronary heart disease), self-efficacy (self-efficacy scale of coronary heart disease), quality of life score (Seattle angina questionaire (SAQ), TCM symptom score] of the two groups were observed before and after treatment. The incidence of postoperative complications after nursing intervention was recorded. RESULTS: After nursing intervention, each score and total scores of the self-administration scale of the combined group were higher than those of the fine group (P < 0.05). After the nursing intervention, each score and the total scores of the self-efficacy scale of the combined group were higher than the fine group (P < 0.05) After the nursing intervention, the SAQ score of the combined group was significantly higher than that of the fine group (P < 0.05). After the nursing intervention, TCM symptom score of the combined group was significantly lower than that of the fine group (P < 0.05). After nursing intervention, the postoperative complication rate of the combined group was 79.03%, which was lower than that of the fine group (59.68%)(P < 0.05). CONCLUSION: Patients with coronary intervention, who use traditional Chinese medicine combined with refined nursing, can improve their quality of life, clinical symptoms and postoperative complications by improving their self-management and efficacy, which is conducive to the recovery of patients' follow-up.

Nursing perspective of Guidelines for Diagnosis and Treatment of Gout with Integrated Traditional Chinese and Western Medicine

Gout is a common rheumatism and its long-term recurrent attacks can cause joint destruction and deformity,even disability,which seriously affects the quality of life of patients.Chinese medicine plays a unique advantage in the treatment and rehabilitation of gout.To further standardize the diagnosis and treatment of gout with integrated traditional Chinese and Western medicine,the Chinese Association of Integrative Medicine issued the Guidelines for Diagnosis and Treatment of Gout with Integrated Traditional Chinese and Western Medicine in August 2021.Expert recommendations were made on the etiology and pathogenesis;diagnosis and classification standards;patient health management;and integrated traditional Chinese and Western medicine treatment,prevention,and nursing of gout.This article interprets the guidelines from the nursing point of view,focusing on the detailed explanation of diet care,functional exercise,and appropriate techniques of traditional Chinese medicine for gout,in order to provide better clinical reference for high-quality nursing services for gout patients.

Nursing perspective of expert consensus for diagnosis and treatment of colorectal cancer with integrated traditional Chinese and Western medicine

As one of the most common malignant tumors in the world,colorectal cancer(CRC)is accompanied by a variety of symptoms in the process of disease development and treatment,which seriously affect the functional state and quality of life of patients.In China,comprehensive intervention measures of traditional Chinese medicine(TCM)play an indispensable role in the treatment and rehabilitation of CRC.In order to further standardize and improve the treatment and management of CRC by medical staff,the Chinese Association of Integrative Medicine issued the“Expert Consensus for Diagnosis and Treatment of Colorectal Cancer with Integrated Traditional Chinese and Western Medicine”in August 2021.This paper interprets this consensus in detail from the perspective of nursing,focusing on the common understanding of the pathogenesis of CRC,TCM diagnosis and syndrome differentiation,integrated traditional Chinese and Western medicine nursing,TCM characteristic therapies,etc.,with a view to deepening the understanding and practical application of the consensus among clinical doctors and nurses and improving the level of diagnosis,treatment,and nursing of CRC.

Nursing perspective of expert consensus for diagnosis and treatment of gastric cancer with integrated traditional Chinese and Western medicine

Gastric cancer is a common and highly malignant tumor of the digestive system,which seriously threatens human health.The benefit of surgical treatment is limited.The effect of radiotherapy and chemotherapy is not significant,and the toxic and side effects are large.Although the diagnosis and treatment modes of molecular targeting and multidisciplinary cooperation have also been further developed and applied,a relatively unified comprehensive treatment standard scheme has not been formed.Traditional Chinese medicine(TCM),as complementary and alternative medicine,has unique advantages in the development of diagnosis and treatment of diseases in China.Therefore,the Chinese Association of Integrative Medicine formed“Expert Consensus for Diagnosis and Treatment of Gastric Cancer with Integrated Traditional Chinese and Western Medicine”on the basis of clinical practice and experience.In this article,the consensus is interpreted from the perspective of nursing,focusing on the pathogenesis,high‑risk factors,characteristic therapies of TCM,and nursing of integrated traditional Chinese and Western medicine for gastric cancer,to provide a reference for front‑line medical personnel in the roots in the future nursing care of gastric cancer.

Construction of nursing standard of integrated traditional Chinese and Western medicine for patients with COVID‑19 (mild and common) in Beijing based on Delphi method

Objective:The objective of this study is to establish a nursing standard of integrated traditional Chinese and Western medicine for patients with COVID‑19(mild and common)in Beijing,to provide reference for clinical nursing of patients with COVID‑19(mild and common).Methods:Through online communication meeting with nurses who are in the frontline of anti‑epidemic,clinical investigation,literature research,and expert demonstration meeting are carried out to prepare the draft of the standard,and the Delphi method is applied to determine the standard of integrated traditional Chinese and Western medicine care for patients with COVID‑19(mild and common)in Beijing.Results:The nursing standard of integrated traditional Chinese and Western medicine for patients with COVID‑19(mild and common)was established,which included 5 first‑level indicators,14 second-level indicators and 60 third‑level indicators.After two rounds of Delphi method,the positive coefficients of experts were 96%and 83%,the authoritative coefficients of experts were 0.89 and 0.91,and the Kendall’s coefficient of concordance(W)of experts were 0.12,0.09,0.10,0.13(P<0.05)and 0.44,0.43,0.37,0.39(P<0.05).Conclusion:The standard of integrated traditional Chinese and Western medicine nursing for patients with COVID‑19(mild and common)in Beijing constructed by the Delphi method is scientific and practical,which provides a reference for clinical application of integrated traditional Chinese and Western medicine nursing to fight against COVID‑19 infection.

Prevention of violence risk and interventions of Chinese and western medicine nursing on emotion

Accumulation of bad emotion with patients and their relations added violence risk.Workplace violence of nursing is an acute injury to nurse,and long-term threats and challenges to their physical and mental health and professional values. It also has an potential problem on parties negotiate the settlement of medical disputes,as well as boosting reform of national health system.Identifying and managing patients' emotion has positive impact on doubts and resentments elimination,anger escalation avoidance,violence prevention. This study proposed emotional intervention program in terms of traditional Chinese medicine and modern nursing care,which based on introducing the research status on nursing workplace violence. The purpose is to culture the ability of patients' self-identification and emotions regulation,take effective protective measure. The research provides the reference on perfecting the medical security system and related policy research.

Nursing perspective of the expert consensus on diagnosis and treatment of integrated Chinese and Western medicine in lung cancer

Lung cancer is a malignant tumor with the highest incidence and mortality in China,which seriously affects the quality of life of patients.Traditional Chinese medicine(TCM)plays a unique advantage in the treatment and rehabilitation of lung cancer.In order to standardize TCM diagnosis and treatment and disease management of clinical medical workers,the Chinese Association of Integrative Medicine issued the“Expert Consensus on the Diagnosis and Treatment of Lung Cancer by Integrated Traditional Chinese and Western Medicine”in August 2021.Experts’recommendations were made on the clinical staging and syndrome differentiation and classification of lung cancer,characteristic TCM therapies,and nursing care of integrated traditional Chinese and Western medicine.This article interpreted the Consensus on the above aspects from a nursing perspective,hoping to provide references for clinical medical workers in the treatment and nursing care of lung cancer.

Research on the Reform of“Traditional Chinese Medicine Nursing”Teaching Based on the Concept of Outcome-Based Education

Continuously evolving teaching concepts and the adoption of diverse teaching methods have led to outcome-oriented education becoming a fundamental focus of teaching reform in colleges and universities.In this article,the“Traditional Chinese Medicine Nursing”course is used as an example to discuss the reform of education based on the concept of outcome-based education,with the purpose of improving students'learning outcomes and practical skills.

Effect of moxibustion combined with five‑element music therapy on postoperative pain relief after mixed hemorrhoid operation

Objective:To investigate the effect of moxibustion combined with five‑element music therapy on the postoperative pain relief of patients undergoing surgical operation for mixed hemorrhoid with damp‑heat syndrome.Methods:Totally,159 patients meeting the inclusion criteria were assigned to the control group,study group 1,and study group 2,with 53 cases in each group.All patients received routine care after surgical treatment,including acupoint application and Chinese herbal fumigation.In addition,patients in the study group 1 received moxibustion,and those in the study group 2 were given moxibustion combined with five‑element music therapy.The degree of postoperative pain was evaluated using visual analog scale(VAS).Results:There was no significant difference in VAS score on pain during dressing changes among three groups(P>0.05).After 3,5,and 7 days of intervention,there was a significant difference in VAS score on pain at rest among three groups(P<0.001),and VAS score in the study group 2 was lower than that in the study group 1 and the control group after 3 and 5 days of intervention,respectively(P<0.05).Conclusion:Moxibustion combined with five‑element music therapy is effective to relieve the postoperative pain of patients undergoing a surgical operation for mixed hemorrhoids with damp‑heat syndrome.

Nursing Based on Syndrome Differentiation Combined with Auricular Plaster Therapy in Alleviating Insomnia

Objective:To observe the effect of auricular point pressing combined with nursing based on syndrome differentiation in the treatment of insomnia patients.Methods:Totally 92 patients with insomnia were randomly divided into the observation groupgiven auricular point pressing combined with nursing care based on syndrome differentiation and the control group treated with auricular point pressing alone.The improvement of Pittsburgh Sleep Quality Index(PSQI),TCM Syndrome Score and nursing satisfaction were compared between the 2 groups.Results:The time effect of PSQI total score and 6 factors in both groups were statistically significant(P<0.05).The time effect,interaction effect and inter-group effect of subjective sleep quality,PSQI total score were statistically significant(P<0.05);the 4 inter-group factors of sleep quality,sleep latency,sleep duration and daytime function were statistically significant(P<0.05).The total score of TCM syndromes in the observation group was lower than that in the control group(P<0.05),and the satisfaction rate in the observation group higher than that in the control group(80.43%vs.60.86%,P<0.05).Conclusion:Auricular point pressing combined withnursing based on syndrome differentiation can effectively improve the sleep quality of insomnia patients,and has significant advantages in improving TCM syndromes,as well as gained higher nursing satisfaction from patients.

溃疡性结肠炎中西医治疗及护理研究进展

溃疡性结肠炎是由免疫介导的炎症性肠病,临床症状为反复发作的腹泻、腹痛及黏液脓血便。中西医诊疗各有所长,探索行之有效的中西医结合治疗和护理方法对提高溃疡性结肠炎疗效有着积极意义。本研究总结中西医诊疗溃疡性结肠炎的研究现况及临床护理进展,以期为临床进一步提升溃疡性结肠炎的诊疗质量提供一定的理论依据。

基于大黄散穴位贴敷的中西医结合便秘防治护理在肛肠术后的应用观察

目的比较对肛肠术后患者采取大黄散穴位贴敷的中西医结合护理与传统一般护理对预防便秘的疗效差异。方法回顾性研究2021年1月至2022年2月福建中医药大学附属人民医院肛肠科150例肛肠手术后患者预防便秘的方法,按照治疗方式不同分为大黄散穴位贴敷观察组和传统对照组,每组各75例。观察组在一般护理方法基础上采用大黄散穴位贴敷治疗,对照组采用一般护理方法。比较干预前后两组患者排便积分、Bristol大便性状分型、便秘发生情况、便秘相关不良事件发生等情况。结果干预前,两组患者排便积分对比差异无统计学意义(P=0.987)。干预后,观察组患者排便积分低于对照组(P=0.034);与对照组相比,观察组患者大便性状改善,便秘发生率降低,灌肠率降低,腹痛减少,肠道出血比例降低,肛门疼痛减少,预防便秘的总有效率高于对照组(均P<0.05)。结论肛肠术后患者采用大黄散穴位贴敷的中西医结合护理的便秘防护护理,与传统一般护理方法比较,能更好改善患者便秘情况。

综合评估指导的中医护理干预在老年COPD患者中的应用效果

目的分析老年慢性阻塞性肺疾病(COPD)患者实施综合评估为指导的中医护理干预,对其衰弱状态、生活质量、肺功能及营养状态的影响,旨在改善老年COPD患者的衰弱状态,提高其生活质量和功能独立性,对于优化老年COPD患者的管理和护理提供依据。方法研究对象为启东市中医院呼吸内科在2021年4月—2023年3月收治且符合研究要求的COPD患者180例,基于组间基线资料具有可比性条件下将纳入患者分为对照组和观察组各90例。对照组行常规护理干预,观察组患者给予老年综合评估指导下的中医护理干预。比较观察两组患者衰弱状态、肺功能水平[第一秒用力呼气容积占用力肺活量百分比(FEV_(1)/FVC)、第一秒用力呼气容积占预计值百分比(FEV_(1)%)]、营养状况[血清总蛋白(TP)、白蛋白(ALB)水平和NRS-2002评分]以及生活质量[慢性阻塞性肺疾病评分(CAT)]变化情况。结果干预前两组患者衰弱状态分级、TP、ALB水平、NRS-2002评分、FEV_(1)/FVC、FEV_(1)%水平、CAT评分比较差异无统计学意义(P>0.05)。干预后,观察组患者衰弱状态轻于对照组,观察组TP、ALB水平高于对照组,NRS-2002评分低于对照组,观察组FEV_(1)/FVC、FEV_(1)%水平高于对照组,观察组CAT评分低于对照组,两组以上指标比较差异均有统计学意义(P<0.05)。结论老年综合评估指导下的中医护理干预策略可进一步提高患者营养水平和肺功能,最终改善患者衰弱状态,减轻COPD对生活质量的影响。

基于中医情志护理的健康宣教结合五音疗法对冠心病经皮冠状动脉介入术术后患者焦虑抑郁及睡眠质量的影响

目的观察基于中医情志护理的健康宣教结合五音疗法对冠心病经皮冠状动脉介入术(PCI)术后患者焦虑抑郁及睡眠质量的影响。方法选择2022年1月至2023年8月赣南医学院第一附属医院收治的60例行PCI的冠心病患者为研究对象,按照随机数字表法将其分为对照组(30例)、观察组(30例),对照组采用常规护理,观察组采用基于中医情志护理的健康宣教结合五音疗法护理。比较两组患者的睡眠质量、焦虑和抑郁情绪、健康行为、中医证候积分情况。结果观察组护理后的Spiegel睡眠量表评分低于对照组,差异有统计学意义(P<0.05)。观察组护理后的焦虑自评量表(SAS)、抑郁自评量表(SDS)评分均低于对照组,差异有统计学意义(P<0.05)。观察组护理后的健康行为评分高于对照组,差异有统计学意义(P<0.05)。观察组护理后的心胸疼痛、胸闷、心悸、气短、心中烦躁、夜寐不安、精神不振评分均低于对照组,差异有统计学意义(P<0.05)。结论冠心病PCI术后给予患者基于中医情志护理的健康宣教结合五音疗法,可明显改善患者睡眠质量、心理状态,缓解患者心胸疼痛、胸闷、心悸等症状,改善患者健康行为,可广泛应用。

1例腰椎间盘突出症患者的医护一体化中医护理查房

总结1例腰椎间盘突出患者的医护一体化中医护理查房实践经验。分析患者临床资料,由责任护士汇报病例,医生分析病情,医护联合对重点护理内容进行讨论,协同制定护理措施。通过医护一体化查房,医护之间专业互补,重建医、护、患三位一体的治疗和护理模式,达到实施整体护理的效果。

中西医结合护理会诊案写作要点和核对清单

护理会诊有助于解决疑难、危重的护理问题,提高护理质量,促进患者恢复健康。为规范护理会诊案例写作,更好的推广护理经验,本文参考国内外相关病案报告指南,尝试编制中西医结合护理会诊案写作要点和核对清单,为国内护理工作者撰写高质量护理会诊案例报告提供参考,推动中西医结合护理“五案”报告规范的制定和推广应用。

缺血性脑卒中康复护理研究进展

偏瘫、失语、吞咽困难及抑郁等是脑卒中后患者常见并发症,严重影响患者日常生活能力。脑卒中后开展早期康复护理有助于改善疾病预后,提高患者生活质量。本研究就缺血性脑卒中患者的康复护理研究现状进行综述,旨在为改善脑卒中患者的预后情况,提高其生活质量和治疗效果提供参考。