Quantitative and Qualitative Investigation of Traditional Chinese Medicine Nursing Protocols for Type 2 Diabetes Mellitus

Objective:To analyze the implementation status of traditional Chinese medicine(TCM)nursing protocols for type 2 diabetes mellitus.Methods:Totally 420 hospitalized patients with type 2 diabetes mellitus were given TCM nursing protocols by syndrome differentiation.A quantitative and qualitative investigation was conducted to patients who received TCM nursing and nurses who performed TCM nursing techniques.Results:According to the self-evaluation outcomes of patients,TCM nursing protocols were effective to relieve polydipsia,polyuria,fatigue and other symptoms.Patients exhibited a high level of compliance with nursing techniques such as auricular point pressing,acupoint massage,Chinese herbal foot-bath and moxibustion.The interview showed that patients could benefit from the TCM nursing protocols,and nurses considered that application of TCM nursing protocols could enhance their awareness of TCM knowledge and practice skills.Conclusion:The application of TCM nursing protocols is effective to relieve clinical symptoms of type 2 diabetes mellitus.It can also improve the knowledge level and practice skills of nurses in TCM hospitals.

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.

Evaluating the confidence level of Traditional Chinese Medicine in nursing undergraduates at Chinese medical university

Objective:To observe the confidence level prevailing with regard to the practice of Traditional Chinese Medicine(TCM)among undergraduate nursing students who have undertaken TCM courses at Shanxi Medical University.Methods:This cross-sectional study was conducted at Shanxi University of Chinese Medicine.A questionnaire survey was administered through the Questionnaire Star website(https://www.questionstar.com/).The confidence level was examined from 6 aspects,namely cognition of TCM culture and theory,advantages and characteristics of TCM diagnosis and treatment,feelings about TCM achievements,personal behaviors related to TCM,attitudes toward Western medicine,and the future of TCM.The mean score of the observed items was calculated,and was found to be positively related to the confidence level concerning TCM(the score was between 1 and 5).Results:A total of 120 participants voluntarily enrolled themselves in the study.The results showed that the mean score of observed items were generally about 4.A relatively strong confidence was shown in understating TCM advantages and characteristics in diagnosis and treatment,and also in feelings toward TCM achievements.Conclusions:The majority of nursing undergraduates had confidence in TCM.However,some aspects such as the understanding of TCM culture and the correlation between TCM and Western medicine may need to be improved through education.

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.

Traditional Chinese Medicine Nursing in Diabetic Peripheral Neuropathy： A literature review

At present, unified and effective treatment for diabetic peripheral neuropathy （DPN） is still lacking, however Chinese medicine techniques characterized by syndrome differentiation and treatment, for example traditional Chinese medicine preparations, acupuncture, and fumigation, have been considered the promising alternative for DPN. Traditional Chinese medicine nursing, which is development on the basis of traditional Chinese medicine （TCM） theory, uses not only acupuncture, acupoint application and other treatments but also cares for the patient＇s diet and emotions in order to promote the recovery of skin and nerve endings in patients with DPN. Vast amounts of studies have explored the efficacies of various TCM nursing techniques in managing DPN, however, the article, which comprehensively documented these TCM nursing techniques in DNP patients, cannot be cap- tured. In the present article, we summarized the latest findings of TCM research on DPN in recent years in order to provide a reference for DPN.

A study of medication rules of traditional Chinese medicine in the treatment of pre diabetes based on data mining

Background:To summarize the concerted application and prescription rules of traditional Chinese medicine in the treatment of pre diabetes.Methods:Microsoft Excel 2010 was used to summarize the categories,nature,flavour and channel tropism of drugs.The cluster analysis of high-frequency drugs was carried out by SPSS 22.0,and the association rules of high-frequency drugs were analyzed by Apriori algorithm provided by SPSS modeler 14.0.Results:One hundred and forty-six references were included,including 153 prescriptions and 131 drugs.Their frequency of use is listed in the following order.The top 3 categories of drugs were“Tonifying,Heat-Clearing”,diuresis and“Diffusing Dampness”drugs.The top 5 drugs were Huangqi(Astragali radix),Fuling(Poria),Huanglian(Coptidis rhizoma),Shanyao(Dioscoreae rhizoma),Gegen(Puerariae lobatae radix).The top 3 channel tropism of drugs were spleen,stomach and lung.The top 3 nature of drugs were cold,warm and calm.The top 3 flavour of drugs were sweet,bitter and pungent.The cluster analysis of high-frequency drugs showed that it could be classified into 4 categories:“Benefiting Qi”for promoting production of fluid,“Clearing Heat”and“Eliminating Dampness”,“Nourishing Yin”and“Clearing Heat”,and“Invigorating Spleen”for“Diffusing Dampness”.The results of association rule analysis showed that the combination with the highest degree of confidence and support was Poria-Chenpi(Citri reticulatae pericarpium)-Banxia(Pinelliae rhizoma)-Baizhu(Atractylodis macrocephalae rhizoma)and the combination with the highest frequency was Astragali radix-Puerariae lobatae radix.Conclusion:The pre diabetes is due to deficiency.The disease location is spleen and stomach and the pathological factor is phlegm-damp,that is why benefiting qi and invigorating spleen is regarded as the key link of clinical treatment.

Efficacy of combining traditional Chinese medicine fumigation with Western medicine for diabetic peripheral neuropathy:A systematic review and meta-analysis

Objective:A systematic review and meta-analysis was conducted to evaluate the effectiveness of supplementing Western medicine with Traditional Chinese medicine(TCM)fumigation in patients with diabetic peripheral neuropathy.Methods:The China Biomedical Literature,Chinese full-text periodical,China National Knowledge Infrastructure,WanFang,PubMed,EMbase,and Cochrane Library databases were searched for relevant randomized controlled trials published from inception through May 2015.The methodological quality of eligible studies was evaluated using the Cochrane Risk Bias Assessment tool,and summarized effects were calculated using Reviewer Manager 5.1 software.Subgroup analysis was conducted based on the duration of intervention.Results:The initial search identified 312 relevant studies,of which 40 randomized controlled trials involving 3497 patients were eligible for analysis.The results indicated that TCM fumigation significantly improved the curative effects[risk ratio(RR)=1.34,95%CI(confidence interval):1.29e1.39],common peroneal motor nerve conduction velocity[standard mean difference(SMD)=2.93,95%CI:2.26e3.61],common peroneal sensory nerve conduction velocity(SMD=2.23,95%CI:1.46e3.01),and plasma viscosity(SMD=1.02,95%CI:1.35e0.69)compared to Western medicine alone(all p<0.01).A subgroup analysis indicated that the curative effects were significant after 15 days(RR=1.31,95%CI:1.21e1.42),30 days(RR=1.33,95%CI:1.26e1.40),and 60 days(RR=1.50,95%CI:1.32e1.71)of combined treatment(all p<0.01).

Medication patterns of ancient Chinese medicinal prescriptions fordiabetic retinopathy

Objective:To mine the medication patterns of ancient prescriptions for diabetic retinopathy(DR)from databases of traditional Chinese medicine(TCM)ancient books,and provide evidence for clinical practice and scientific research of TCM treatment for DR.Methods:The traditional library retrieval and modern data retrieval technology were combined to collect the ancient prescriptions in these databases,including the library ofHunan University ofChinese Medicine,Chinese Medical Dictionary,Duxiu,and Chaoxing Digital Library.And the TCM inheritance auxiliary platform(V3.0)was used for data mining,mainly including drug frequency analysis,medicinal property and meridian tropism analysis,efficacy analysis,correlation analysis,complex network analysis,and cluster analysis.Results:A total of 271 ancient prescriptions for the treatment of DR were collected,involving 296 drugs.The total medication frequency was 2,727.Most of them were cold and sweet drugs.The meridians primarily targeted were the liver,kidney,and spleen.The main effects of drugs were supplementing deficiency,clearing heat,releasing the exterior,inducing urination to drain dampness,pacifying liver and extinguishing wind,and circulating blood and transforming stasis.Saposhnikovia divaricata was the most frequently Chinese herbal medicine for DR in TCM ancient books.Saposhnikovia divaricata and ligusticum wallichi,saposhnikovia divaricata and notopterygium root,angelica sinensis and ligusticum wallichii were common herbal pairs.Saposhnikovia divaricata,ginseng,plantain seed,angelica sinensis,prepared rehmannia root and cassia seed constituted the core formula with the highest frequency.Conclusion:The core prescriptions for treating DR are mainly crafted from Dihuang pill,Ruiren powder,Siwu decoction,and Zhujing pill.Saposhnikovia divaricata is an important meridian-guiding medicine to open Xuanfu for DR.In clinical practice,the prescriptions should be modified according to the evolution of pathogenesis.

中医情志护理结合早期康复干预在胫骨骨折患者中的效果及对应激障碍的影响

目的探析胫骨骨折患者采用中医情志护理配合早期康复干预的效果及对应激障碍的影响。方法选取2021年5月至2022年5月江西中医药大学附属医院收治的58例胫骨骨折患者作为研究对象,采用随机数字表法将其分为对照组(29例)和观察组(29例)。对照组采用早期康复护理,观察组结合中医情志护理。比较两组的应激障碍评分、康复指标、并发症发生率。结果观察组治疗后应激障碍评分低于对照组,差异有统计学意义(P<0.05);观察组骨折愈合时间、住院时间低于对照组,膝关节功能(Rasmussen)评分高于对照组,差异有统计学意义(P<0.05);两组干预前屈曲度、伸展度比较,差异无统计学意义(P>0.05),观察组干预后膝关节屈曲度大于对照组、伸展度小于对照组,差异有统计学意义(P<0.05)。观察组关节僵硬、切口感染、深静脉血栓总发生率低于对照组,差异有统计学意义(P<0.05)。结论中医情志护理配合早期康复干预应用在胫骨骨折护理干预中效果明显,可有效减轻患者应激障碍,促使患者病情康复,有效防止并发症发生,临床上可借鉴及推广。

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。

中医特色护理门诊医护协作出诊实践分析

目的 探讨脾胃病专科中医特色护理门诊医护协作出诊开展的可行性及成效。方法 运用医院选拔原则确定出诊护师,与专科医师合作开设脾胃病专科中医特色护理门诊。通过对2023年医护协作出诊和2019年护师单独出诊的脾胃病专科中医特色护理门诊就诊患者进行问卷调查,分析对医疗护理服务的满意度。结果 脾胃病专科中医特色护理门诊医护协作出诊开展以来,护理门诊量由2019年的35人次/月上升到2023年的148人次/月,出诊时间由2019年的1次/周增设至2023年的3次/周。2023年护理门诊医护协作出诊的就诊患者对医疗护理服务的满意度高于2019年护师单独出诊,差异有统计学意义(P<0.05)。结论 脾胃病专科中医特色护理门诊医护协作出诊的开展,拓展了中医护理服务内涵,满足患者日益增长的个体化、多元化需求,提高患者对医疗护理服务的满意度。

现代介入医学与传统中医肿瘤学联合培养研究生的效果

目的探讨现代介入医学与传统中医肿瘤学联合培养研究生的效果。方法选取2018年1月至2022年1月就读于河南中医药大学中医药防治恶性肿瘤专业的50名硕士、博士研究生作为研究对象,按照随机数表法分为中医联合介入教学组及传统中医教学组,各25名。中医联合介入教学组学员到郑州大学第一附属医院介入科轮转、学习介入知识,并在带教老师指导下学习与跟台介入手术,全面了解现代介入医学。传统中医教学组学员按原定培养计划培养,但由郑州大学第一附属医院介入科医生进行每周1次的介入理论授课,比较两组基础理论知识及操作技能知识。结果中医联合介入教学组基础理论知识及操作技能知识得分均高于传统中医教学组(P<0.05)。结论现代介入医学与传统中医肿瘤学联合培养研究生的模式效果较好,值得在其他医学院校中推广。

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。

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。

中西医结合护理对糖尿病肾病患者血糖水平和心理状态的影响

目的探讨中西医结合护理对糖尿病肾病患者血糖水平和心理状态的改善效果。方法将2021年1月至2022年12月滨州医学院附属医院收治的80例糖尿病肾病患者纳入研究,并回顾性分析其一般资料,按护理方法的不同,将患者分为对照组(40例)和观察组(40例)。对照组患者和观察组患者分别接受2周的常规护理和中西医结合护理。对比2组患者的血糖控制情况、心理状态及生活质量。结果护理前,2组间空腹血糖水平、餐后2 h血糖水平、糖化血红蛋白水平,焦虑自评量表(SAS)评分和抑郁自评量表(SDS)评分,以及世界卫生组织生活质量测定简表(WHOQOL-BREF)评分经对比,均无统计学差异(P均>0.05)。经过2周的护理,与对照组相比,观察组的上述血糖指标水平以及SAS评分和SDS评分均更低,同时观察组的WHOQOL-BREF各维度评分均更高(P均<0.05)。结论中西医结合护理可降低糖尿病肾病患者的血糖水平,改善其心理状态和生活质量。

《世医得效方》中消渴病用药规律探讨

目的:利用数据挖掘技术,深入分析《世医得效方》中所记载方剂治疗消渴的用药规律。方法:归纳《世医得效方》中治疗消渴所记载的方剂,利用Excel 2016软件及中医传承辅助平台(V2.5)软件创建消渴处方及中药数据库,采用数据挖掘技术,对中药频次、属性、功效进行统计分析,并对其进行关联分析、聚类分析。结果:《世医得效方》中用于治疗消渴的处方共50首,包含中草药118味;排名前4味的高频药物是人参、白茯苓、黄连、天花粉;药性以寒性为主,药味以甘味为主,主归脾经;且补虚药出现频次最高。高频用药配伍模式共7组,其中频次排名前4组依次为人参-白茯苓,五味子-白茯苓,麦冬-人参,人参-甘草。置信度≥0.6的药物关联规则按频度大小排列依次为麦冬→人参,五味子→熟地黄,熟地黄→五味子,五味子→人参等。基于无监督的熵层次聚类算法共获得4个治疗消渴的潜在新方组合,分别为麝香-山药-茯苓-辰砂,菟丝子-石斛-鹿角胶-沉香,黄芪-远志-茯苓-辰砂,麝香-木香-桔梗-茯苓-辰砂。结论:通过对《世医得效方》消渴处方用药规律进行分析,发现消渴病遵循阴虚为本,燥热为标的基本病机,治疗以甘寒养阴为主,兼顾健脾补肾、益肺生津等,配伍药物以补虚药、清热药等为主,能为现代临床合理、有效用药提供理论借鉴。

医护一体化康复护理对老年糖尿病患者生活质量、血糖水平的影响效果观察

目的 研究老年糖尿病患者接受医护一体化康复护理的干预效果。方法 选取2021年8月—2022年8月泉州市第一医院收治的120例老年糖尿病患者作为研究对象,将其用随机数表法分为两组,对照组与观察组,各60例,分别采用常规护理、医护一体化康复护理,比较两组护理前后患者的生活质量与血糖水平变化情况。结果 两组护理8周后患者的生活质量评分均高于护理前,且观察组均高于对照组,差异有统计学意义(P<0.05);护理8周后两组患者的各项血糖值均小于护理前,且观察组均小于对照组,差异有统计学意义(P<0.05)。结论 对老年糖尿病患者实施医护一体化康复护理的干预效果显著,既可以降低患者的血糖水平,又可以提高其生活质量,综合优势显著。

中医护理在糖尿病合并肾病患者护理中的应用

目的分析中医护理在糖尿病合并肾病患者护理中的应用。方法简单随机选取2022年1月—2023年10月临沂市中医医院收治的40例糖尿病合并肾病患者作为研究对象,按入院顺序进行编号其中1~20号为对照组(实施常规护理),21~40号为研究组(实施中医护理)。对比两组患者血糖、糖化血红蛋白、生活水平评分、护理满意度。结果护理后,研究组餐前血糖、餐后2 h血糖、餐后2 h糖化血红蛋白水平低于对照组,差异有统计学意义(P均<0.05)。护理后,研究组生活水平评分及护理满意度高于对照组,差异有统计学意义(P均<0.05)。结论给予中医护理的患者,其血糖更平稳,患者生活水平更高,患者护理满意度更高。

医护一体化中西医结合快速康复护理模式在结直肠癌手术患者中的应用

目的:探究医护一体化中西医结合快速康复护理模式在结直肠癌手术患者中的应用。方法:研究对象选择2022年6月—2023年12月佛山市中医院收治的结直肠癌手术患者60例根据随机数字表法分为两组,每组30例。对照组采用常规护理,试验组在对照组基础上采用医护一体化中西医结合快速康复护理模式。比较两组围术期情况、不良情绪及疼痛情况。结果:试验组首次肠道排气、排便、下床活动、进食时间以及手术至出院天数均短于对照组(P<0.001);两组术后焦虑自评量表评分较术前下降,试验组低于对照组(P<0.05);两组术后第5天的数字疼痛评分法评分低于术后第3天与术后第1天(P<0.05);试验组术后第1、3、5天的数字疼痛评分法评分均低于对照组(P<0.001)。结论:将医护一体化中西医结合快速康复护理模式应用于结直肠癌患者中,可改善患者术后情况、缓解不良情绪、减少疼痛,具有良好的临床应用价值。

老年糖尿病病人衰弱现状及影响因素

目的:了解老年糖尿病病人衰弱现状,并分析其影响因素。方法:采用便利抽样的方法,选取威海市某三级甲等医院内分泌科与创面修复科的260例老年糖尿病病人作为研究对象,采用一般资料调查问卷、中文版Tilburg衰弱量表、老年人中医养生保健素养调查问卷、中文版糖尿病痛苦量表对病人进行调查,分析老年糖尿病病人衰弱的影响因素。结果:260例老年糖尿病病人衰弱总分为(7.79±3.92)分,其中衰弱179例(68.8%)。线性回归分析结果显示,中医养生保健素养、年龄、心理痛苦、医疗费用支付方式、是否合并糖尿病并发症、药物使用情况、居住地、夜间睡眠时间为老年糖尿病病人衰弱的影响因素,共解释衰弱总变异的65.0%。结论:老年糖尿病病人衰弱处于中等水平,护理人员应根据衰弱影响因素制定有效的干预方案。