Effects of Progressive Muscle Relaxation Training Combined with Emotion Nursing of Traditional Chinese Medicine on Motor Function and Quality of Life in Patients with Cerebral Stroke Complicated with Hemiplegia

OBJECTIVE: To explore the effects of progressive muscle relaxation training combined with emotion nursing of traditional Chinese medicine(TCM) on the motor function and quality of life in patients with cerebral stroke complicated with hemiplegia. METHODS: A total of 100 cases of patients with cerebral stroke complicated with hemiplegia who were admitted to Rehabilitation Medicine Department of Suzhou Municipal Hospital from May 2016 to May 2017 were selected and randomly divided into study group(50 cases) and control group(50 cases), and they were nursed for 1 month. Control group was given routine nursing, and study group was given progressive muscle relaxation training combined with TCM emotion nursing on the basis of routine nursing. The scores of all items were obtained by nurses through questionnaires, and the motor function and quality of life were analyzed and compared between the 2 groups. RESULTS: After nursing, the scores of muscle strength, Barthel index(BI) and Fugl-Meyer motor function scales in study group were higher than those in control group(P < 0.05). The facing scores of coping style in study group were higher than those in control group, and the avoidance score and yielding score were lower than those in control group(P < 0.05). The scores of depression and anxiety in study group were lower than those in control group(P < 0.05). The scores of items in SF-36 life scale in study group were higher than those in control group(P < 0.05). CONCLUSION: Progressive muscle relaxation training combined with TCM emotion nursing is conducive to the recovery of motor function and improvement of quality of life in patients with cerebral stroke complicated with hemiplegia.

Exploring the Application Effect of Flipped Classroom Combined with Problem-Based Learning Teaching Method in Clinical Skills Teaching of Standardized Training for Resident Doctors of Traditional Chinese Medicine

Objective: To explore the application effect of flipped classroom combined with problem-based learning teaching method in clinical skills teaching of standardized training for resident doctors of traditional Chinese Medicine. Methods: The study used the experimental control method. The study lasted from September to November 2022. The subjects of this study were 49 students of standardized training for resident doctors of traditional Chinese Medicine from grades 2020, 2021 and 2022 of Dazhou integrated TCM & Western Medicine Hospital. They were randomly divided into experiment group (25) and control group (24). The experiment group adopted flipped classroom combined with problem-based learning teaching method, and the control group adopted traditional teaching method. The teaching content was 4 basic clinical skill projects, including four diagnoses of traditional Chinese Medicine, cardiopulmonary resuscitation, dressing change procedure, acupuncture and massage. The evaluation method was carried out by comparing the students’ performance and a self-designed questionnaire was used to investigate the students’ evaluation of the teaching method. Results: The test scores of total scores in the experimental group (90.12 ± 5.89) were all higher than those in the control group (81.47 ± 7.96) (t = 4.53, P P Conclusions: The teaching process of the flipped classroom combined with problem-based learning teaching method is conducive to improving the efficiency of classroom teaching, cultivating students’ self-learning ability, and enhancing students’ willingness to learn.

Prescribing Chinese patent medicines without traditional Chinese medicine training is now banned in China

On July 1, 2019, the website of the National Health Commission of the People’s Republic of China issued the “Notice on printing and distributing the first batch of national key monitoring and rational drugs (chemicals and biological products)”(National Health Office Medical Letter [2019] No. 558)[1], where the third article stipulates:“Other types of physicians, after not less than one year of systematically studying Chinese medicine professional knowledge and passing the examination, in accordance with the basic principles of syndrome differentiation, can issue prescriptions for Chinese patent medicine”.

Clinical Research of Traditional Chinese Medicine Fumigation and Washing Combined with Rehabilitation Training in the Treatment of Post-Apoplexy Shoulder-Hand Syndrome

Objective:To observe the clinical effect of traditional Chinese medicine fumigation and washing combined with routine rehabilitation training on post-stroke shoulder and hand syndrome(SHS).Comparing and analysing the effects of this treatment on the living ability of patients with post-stroke shoulder and hand syndrome.Methods:Fifty patients with post-stroke SHS who met the inclusion criteria were divided into observation group and control group by random number table method with 25 cases in each group.Both groups were given post-stroke secondary prophylactic drugs,while the control group was given routine rehabilitation training,20-30 minutes at a time,once a day,5 days a week,4 weeks as a course of treatment.On the basis of treatment in the control group,the observation group was combined with traditional Chinese medicine fumigation and washing,decocted with water to extract 3,000-4,000 ml juice,and added into the medicine bath bucket to soak the affected limb for 30-40 minutes,once a day,5 days a week,4 weeks as a course of treatment.The changes of upper limb edema degree,Numeric Rating Scale(NRS)score,Barthel index(MBI)and Fugl-Meyer Rating(FMA)scores before and after treatment were observed between the two groups,and the differences of clinical efficacy between the two groups were compared.Results:After treatment,the total effective rate in observation group was significantly better than that in control group(P<0.05).After treatment,the degree in upper limb edema in the two groups was significantly reduced(P<0.05),NRS score was decreased(P<0.05).Barthel index and FMA score were significantly increased(P<0.05),and the degree of upper limb edema and NRS score in the observation group were significantly lower than those in the control group(P<0.05).Barthel index and FMA score were significantly higher than those in the control group(P<0.05).Conclusion:The combination of traditional Chinese medicine fuming and washing with rehabilitation training has a better therapeutic effect on SHS,and the clinical efficacy of the former is more significant than that of single rehabilitation training.In clinical application,the former shows low cost,simple and easy operation,high acceptance by patients,and is conducive to promotion and use.

Integrated flotation therapy for emotional regulation during the viral recovery period: Applying “form and spirit co-nourishing” in Chinese medicine

Objective:The objective of this study was to evaluate the effectiveness of flotation therapy combined with psychological resilience training in improving emotional regulation and sleep quality in patients recovering from viral infections and to assess the application of the traditional Chinese medicine(TCM)theory of“form and spirit co-nourishing”in modern healthcare interventions.Methods:A total of 20 patients recovering from viral infections with anxiety and sleep disturbances were randomly assigned to the experimental group(n=10)and the control group(n=10).The experimental group received a combination of resilience training,targeting five key areas:physiological regulation,cognitive restructuring,emotional management,self-efficacy,and social support,alongside flotation therapy,with 45-min weekly sessions.The control group received conventional medical treatment.Anxiety levels were measured using the Hamilton Anxiety Scale,while sleep quality was assessed using the Pittsburgh Sleep Quality Index,both before and after the intervention.Results:Compared with intervention before,the resilience level of the experimental group significantly increased after the intervention(P<0.001),while no notable changes were detected in the control group(P>0.05);the experimental group demonstrated significantly lower anxiety level and sleep disorder level and higher resilience level compared to the control group after the intervention(all P<0.001).Conclusion:The combined use of flotation therapy and resilience training,grounded in the TCM principle of“form and spirit co-nourishing,”significantly improves emotional regulation and sleep quality in patients recovering from viral infections.This integrative approach supports both physical and psychological healing,aligning with the TCM holistic treatment model,and offers a promising avenue for modern mental health interventions.

Preliminary Study on the Training Mode of Chinese Pharmacy Professionals Based on the National Standard of Teaching Quality

With the promulgation of the National Standard for the Teaching Quality of Undergraduate Majors in Ordinary Colleges and Universities, the state has made clear regulations on the standard for the cultivation of Chinese pharmacy talents. Based on their own actual conditions, major colleges and universities have implemented different talent training modes, including talent training modes of running talent classes, "2+1+1", "Chinese Medicine Research Practice Class", employment-oriented professional talent training mode, three-level three-type diversified talent training mode, and talent training mode oriented with adapting to the characteristics of ethnic regions. Various talent training modes have different training objectives, and corresponding training programs are formulated to meet the requirements of the National Standard for the Teaching Quality of Undergraduate Majors in Ordinary Colleges and Universities. In addition, according to the notice on Solidly Promoting Labor Education into the "National Standard for the Teaching Quality of Undergraduate Majors in Ordinary Colleges and Universities" issued by the Department of Higher Education of the Ministry of Education, the introduction of labor education to the teaching of Chinese pharmacy majors will be a trend, and Chinese pharmacy professionals are required to achieve comprehensive and coordinated development of morality, intelligence, physique, beauty, and labor. How to integrate labor education with high quality and high efficiency into the training of Chinese pharmacy professionals is a problem that major universities will think about.

中医医院新入职本科护士培训考核评价指标的构建

目的 构建中医医院新入职本科护士培训考核评价指标。方法 通过文献研究、小组讨论,建立中医医院新入职本科护士培训考核评价指标初稿,选取来自7个省份的中华护理学会中医中西医结合护理分会的15名专家进行2轮专家咨询,确定考核评价内容及其权重。结果 2轮专家函询问卷的有效回收率均为100%,专家权威系数分别是0.962、0.980,肯德尔协调系数分别是0.220、0.268(均P<0.05),最终形成的中医医院新入职本科护士培训考核评价指标包括5项一级指标、24项二级指标和77项三级指标。结论 构建的中医医院新入职本科护士培训考核评价指标具有较高的可靠性和科学性,可为中医医院管理者及培训者选拔人才提供参考。

中医经典实践技能实训教学模式探索

中医经典著作是中医学思想精华的集中呈现和整体学术发展的基石。在教学实践中针对首都医科大学中医学专业本科生经典教学过程中存在的问题,开设了中医经典实践技能实训创新课程,通过构建虚拟仿真平台、运用PBL教学、模拟标准患者诊疗等,线上线下多种教学方法并举开展教学,旨在培养学生中医思维,提高学生临床辨证综合能力、拓展临床思路。

基于柯式模型评估中医住院医师规范化培训效果的研究

目的运用柯式模型评估中医住院医师规范化培训(以下简称“住培”)的效果,分析影响因素并提出有效措施,为完善中医住培管理体系提供依据。方法随机抽取2021年已结业的521名住院医师、30名带教老师、30名护士长进行问卷调查和访谈,从反应层、学习层、行为层、成果层四个层面进行统计分析。结果反应层:住院医师对住培相关政策内容的认知度偏低,对住培内容、培训师资、培训考核满意度较高,总体满意度也较高,但是对培训保障及设施、培训方式满意度较低。学习层:住院医师认为有效的方式是跟随上级医师查房和基本技能操作实践,且各类考核通过率较高。行为层:住院医师所有项目培训后评分均高于培训前,差异有统计学意义(P<0.05)。成果层:住院医师患者投诉率为0,事故率为0,执业医师考试通过率为98.85%(515/521),结业考核通过率为91.75%(478/521)。结论中医住院医师规范化培训取得了较好效果,住院医师各项行为能力显著提升。应继续加强政策宣教,提高薪资水平,制定合理的轮转计划,重视人文关怀,培养良好的团队精神。

互动启发式教学在中医科辨证施护能力培养中的应用

目的 探讨互动启发式教学在中医科辨证施护能力培养中的应用效果。方法 取三所医院中医科护士45名,按照随机数字表法分为对照组和观察组。对照组22名采用常规培训,观察组23名采用互动启发式教学,比较两组中医护理能力、中医辨证施护能力和考核成绩。结果 观察组的中医护理能力得分为(105.26±3.64)分,高于对照组的(92.37±4.08)分;辨证施护能力得分为(79.37±2.52)分,高于对照组的(72.06±2.71)分,且观察组的辨证施护理论得分、辨证施护实践技能得分均高于对照组,差异均有统计学意义(P<0.05)。结论 基于互动启发式教学的中医辨证施护能力培养,有利于提高护理人员中医知识、辨证施护能力的培训效果。

世界四大传统医学教育体系及对中医药教育的启示

中医药、古希腊医学、阿育吠陀和阿拉伯医学被认定为世界四大传统医学。梳理了四大传统医学的教育培训体系。对比发现:中医药重点关注师承关系,理论与实践结合;古希腊医学以强大的理论研究与实验观察为主要特点;阿育吠陀高度重视文化认同为主要特点;阿拉伯医学则高度重视文化交流与实践推广。建议推动中医药教育创新发展,强化实践教学,提升教学质量,加强国际交流与合作,提高国外公众接受度。

提高中医住院医师针灸技能的临床带教模式探索

目的在中医住院医师规范化培训(简称住培)大纲中要求所有住院医师均要到针灸科进行轮转学习,如何提高住院医师尤其是非针灸科住院医师在针灸科的培养质量,提高他们对针灸基本技术的兴趣和掌握程度,湖南中医药大学第一附属医院进行了积极的实践与探索。方法根据国家、省内文件精神,结合该院实际,从加强层级管理、强化师资建设、重视入科宣教、完善教学计划和注重全程考核等方面进行施教与管理。结果该院针灸推拿康复科住培通过构建管理-师资-培训-考核综合模式,全面提升住培质量,效果显著。结论积极探索有效的临床带教模式,有利于提升住培质量,对于提高中医住院医师针灸技能具有重要意义。

中医适宜技术联合盆底肌肉训练治疗产后压力性尿失禁临床观察

目的 对产后压力性尿失禁患者进行中医适宜技术干预治疗,并观察效果。方法 将60例患者随机分为治疗组和训练组,并对其进行相应治疗,观察2组1 h尿垫试验结果、Sandvik尿失禁指数和国际尿失禁咨询委员会尿失禁问卷简表(ICI-Q-SF)评分改善情况,以及临床疗效。结果 治疗后,治疗组1 h尿垫试验结果、Sandvik尿失禁指数和ICI-Q-SF评分改善均优于训练组。治疗结束时,治疗组总有效率为86.7%(26/30),高于对照组的63.3%(19/30)(P<0.05)。6个月随访时治疗组总有效率86.7%(26/30)亦高于对照组的56.7%(17/30)(P<0.05)。结论 在产后女性中,压力性尿失禁的发生是值得关注的问题。将中医适宜技术与凯格尔训练联用干预产后压力性尿失禁达到巩固、延长疗效的目的。

在综合医院中医规培中加强中医经典教学的探索

中医住院医师规范化培训(以下简称“规培”)是中国住院知师培训的重要组成部分,同时也是医教协同深化中医学人才培养改革的关键环节,更是加强中医临床人才队伍建设的有效途径和加快构建具有中国特色医学人才培养体系的重要举措。中医经典理论是中医学术的灵魂,是数千年来中医实践的经验结晶,是培养中医临床思维,提升中医临床技能的重要途径。此文分析综合医院中医规培教学中经典教学的不足,提出相应对策,探讨加强中医规培经典教学、培养学员中医临床思维的方法。

基于应用型人才培养的中医外科学本科教学方法探讨

中医外科学是中医学的重要组成部分之一,具有很强的应用性、实践性。随着时代发展和社会要求,患者的医疗需求及对医疗质量的要求日渐提高。同时疾病治疗复杂化和疾病谱的改变,对广大中医药事业技术人员的专业素养提出更高的要求,培养符合中医药事业发展的应用型人才已是刻不容缓的任务。通过探讨不同的本科教学模式,突出中医外科特色教学,建立全面可行的应用型人才培养模式,培养新型应用型中医外科人才,为中医外科医疗事业提供人才保障。此文将从应用型人才培养目标、中医外科学教学现状、教学模式及考核体系等方面进行探讨,探索中医外科学本科应用型人才的培养模式,提升本科生医学知识储备、临床实践技能水平、人文素质及科研能力等综合能力,提高教学质量,培养合格人才。

以岗位胜任力为导向的中医脑病住院医师规范化培训教学探析

以岗位胜任力为导向的理论和方法用于住院医师规范化培训,是提升临床医师专业素质和培养合格医疗人才的关键方法。如何运用有效的手段提升中医脑病住院医师规范化培训学员的岗位胜任力仍需要进一步探索与研究。本文基于脑病科住培医师培训实践,构建授课教学法(LBL)-案例教学法(CBL)-问题教学法(PBL)-研究教学法(RBL)“四轨并驱”的教学策略,提出以岗位胜任力为导向的中医脑病住培医师的培训方法,以期提高中医脑病专业住培医师的岗位胜任力,从而为临床锻炼出更为优秀的医疗队伍,使之更加符合新时代医疗工作的要求,也更好地提升中医住院医师的整体水平。

《“十四五”中医药发展规划》背景下中医骨伤科学专业研究生的培养方案研究

《“十四五”中医药发展规划》公布,明确提出在新时期将全力助推中医药事业振兴发展。在此背景下,我国对高素质中医药人才的需求日益增加。中医骨伤科学是传统中医药的重要组成部分,但在当前中医骨伤科学专业研究生的培养方案下,培养出的研究生对中医传统治疗方法掌握较少、专业素质较弱,很难满足新时代对中医骨伤科学优秀人才的需求。文章对新时代背景下,对中医骨伤科学专业研究生的培养方案进行探索,以期提高研究生专业能力,培养出高素质中医药人才。

基于数据挖掘分析倪青主任病证结合治疗Graves病遣方用药经验

目的探讨倪青主任病证结合治疗Graves病(Graves disease,GD)的遣方用药经验。方法收集就诊于倪青主任门诊的GD患者235例,结合患者临床症状和特异性理化检测指标将病情分为重度、中度、轻度和病情相对平稳的类型;中药处方235张,构建数据库,应用相关软件,分析病情与方剂及中药的关系。结果235例患者中重度7例,中度19例,轻度52例,病情平稳者157例;235张处方共涉及方剂40种,中药201味。频次统计提示重度使用最多为滋阴潜阳甲亢方;中度常用四逆散;轻度以参芪地黄汤为主;病情平稳最多用藿朴夏苓汤。201味中药中,使用频次高于10次的中药共59味,重度常用中药为夜交藤、生地黄、玄参、田基黄、栀子、牡蛎等;中度常用药为枳壳、厚朴、柴胡、香附等;轻度常用茯苓、太子参、炙甘草、生黄芪、白术、山萸肉等;病情平稳常用茯苓、泽泻、厚朴、猪苓、半夏、藿香、佩兰等。关联规则提示,支持度>10%,置信度>10%,作用度>1 h,病情与中药一项关联中与重度一起出现的为玄参、生地黄、夜交藤;中度为青皮;轻度为太子参。两项关联中与重度一起出现的为玄参、夜交藤;中度为青皮、陈皮;轻度为女贞子、旱莲草;病情平稳为牛蒡子、桔梗;仙茅、仙灵脾;荆芥、防风。三项关联中与中度一起出现的为漏芦、路路通、丝瓜络;轻度为太子参、生黄芪、生地黄;病情平稳为生薏米、苍术、田基黄;大腹皮、砂仁、莱菔子;香附、枳壳、赤芍;泽兰、泽泻、川牛膝。结论倪青主任病证结合治疗GD临床经验丰富,依据不同病情分度,分别采用滋阴潜阳、疏肝理气、益气养阴、健脾化痰、疏风利咽、利湿活血之法遣方用药。

基于经典名方开发研究的中医药传承创新型人才培养思路探讨

经典名方是中医药学知识体系的重要组成部分,中医药传承创新型人才的培养是中医药绵延发展的重要基石,两者相互融合。文章从经典名方的内涵解读、研究开发、中医药传承与创新理论内涵的解读、人才培养及两者的融合发展3个方面进行综述,以期采用师承教育、院校教学、科研教学等方式将经典名方的开发研究反哺于教学,为培养中医药传承创新型人才添砖加瓦。

结合中医呼吸导引术的循环抗阻训练对女性心肺功能和超重耐力的影响

目的:通过测试8周基于中医呼吸导引术理论的循环抗阻训练前后青年女性最大摄氧量(VO_(2)max)、通气阈(VT)、心率(HR)、人体z轴的重力加速度(+Gz)超重耐力耐受时间等指标的变化,探讨循环抗阻训练的有效性及有氧运动能力与+Gz超重耐力的关系。方法:24名20~32岁无系统训练经验的青年女性按照安全随机抽样方法随机分为对照组和观察组,观察组进行8周中等强度的循环抗阻训练,训练3次/周,60 min/次,8周前后2组受试者分别进行运动心肺功能测试和超重耐力检查。结果:观察组8周前后自身比较,以及8周后观察组与对照组比较:VO_(2)max(P<0.05)、VT(P<0.01)、+Gz超重耐力耐受时间(P<0.05)均显著性增加;2)VO_(2)max数值在36~42 mL/(min·kg)区间范围内,受试者完成+3.5Gz的人数较多;3)VO_(2)max小于等于42 mL/(min·kg)时,超重耐力耐受时间与VO_(2)max、VT显著正相关(P<0.01)。结论:8周循环抗阻训练能够有效提高青年女性受试者的有氧运动能力和+Gz超重耐力水平;2)VO_(2)max数值在36~42 mL/(min·kg)区间范围内,女性受试者+Gz超重耐力耐受时间较高;3)通气阈心率(HRvt)可以作为一种无创运动强度控制手段在提高+Gz超重耐力的有氧耐力训练中进行科学使用。