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25 June 2018, Volume 2 Issue 2 Previous Issue   
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Review
Introducing Chinese food therapy: a review of origin, developing course and modern application
Hui Shi, Wen-Li Zhu, Ya-Mei Yuan, Qing Tao
TMR Integrative Nursing. 2018, 2 (2): 42-48.   https://doi.org/10.12032/TMRIN20180301
Abstract ( 107 )     PDF (365KB) ( 79 )  
Objective: This review introduced the origin, developing course and modern application of Chinese food therapy (CFT) in traditional Chinese medicine to enrich our understanding of relevant concepts and ways. Methods: PubMed, EMBASE, CBM, CNKI, VIP and Wanfang Databases were searched for papers on a range of terms relating to CFT. 41 references were finally selected for this review. Results: The development of CFT is comprised of five important periods in Chinese history. They are as following: the infancy period represented by the idea of homogeny of medicine and food; theoretical development period represented by Inner Canon of Yellow Emperor, Shennong’s Classic of Materia Medica and Treatise on Febrile and Miscellaneous Diseases; specialized volumes on CFT represented by Dietotherapy Worth a Thousand Gold; representative monographs on CFT represented by Dietetic Materia Medica and Principles of Correct Diet and the perfect period represented by integration of ancient food therapy practice and modern nutriology.  Conclusion: CFT harbors a long and profound history, making great contribution to people’s health maintenance and illness prevention. With the further development of integrative medicine, CFT may play a more important role in clinics and family health care based on integration of syndrome differentiation and disease differentiation.
The application of the mobile information technology in continuous care for hypertension patients
Xue-Yun Hao, Li-Mei Zhao, Cong Wang, Hui Zhang, Yong-Hong Deng, Guo-Min Song
TMR Integrative Nursing. 2018, 2 (2): 49-55.   https://doi.org/10.12032/TMRIN20180616
Abstract ( 53 )     PDF (284KB) ( 53 )  
Objective: This article introduces the concepts of mobile information technology and continuous care, develops a systematic review of the application of mobile information technology for continuous care in patients with hypertension from three aspects: mobile communication technology, internet technology, health management platform, and puts forward the existing questions, influence and the research prospect of the application of mobile information technology using in hypertension continuous care, in order to provide evidence for the application of mobile information technology in continuous care for hypertension patients in clinical practice.
Traditional Chinese Medicine Nursing in Diabetic Peripheral Neuropathy: A literature review
Yue He, Yu Cui, Tong Ye, Li Dong
TMR Integrative Nursing. 2018, 2 (2): 56-60.   https://doi.org/10.12032/TMRIN20180621
Abstract ( 46 )     PDF (260KB) ( 37 )  
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 captured. 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.
Selection, training and supervision of breast cancer peer educators: a literature review
Ya-Qian Liu, Si-Qi Xiong, Yu-Feng Ma, Wei-Wei Zhang, Chang-De Jin
TMR Integrative Nursing. 2018, 2 (2): 61-67.   https://doi.org/10.12032/TMRIN20180617
Abstract ( 58 )     PDF (277KB) ( 25 )  
Breast cancer is one of the most serious malignant and it seriously affects the quality of life and mental health of the patients. Research shows that peer education can improve breast cancer patients’ quality of life, treatment compliance, and self-management behavior. Its selection, training and supervision are particularly important due to the core role of peer educators in peer support. This article reviewed the research status and progress in the selection, training and supervision of breast cancer peer educators abroad in order to provide references for further study.
Meta-analysis

Effects of mechanical tongue cleaning on halitosis: A meta-analysis

Chen Chen, Ying-Shu Jin
TMR Integrative Nursing. 2018, 2 (2): 68-75.   https://doi.org/10.12032/TMRIN20180303
Abstract ( 96 )     PDF (714KB) ( 97 )  

Objective: To systematically review the effects of mechanical tongue cleaning on halitosis. Methods: Searching and collecting the RCTs about treatment combine with mechanical tongue cleaning from inception to May 2017 in the databases, like CNKI, VIP, WanFang Data, PubMed, the Cumulative Index to Nursing and Allied Health Literature (CINAHL), The Cochrane Library, Web of Science. Two reviewers screened the literatures according to inclusion and excluding criteria, extracted the data independenly, assessed bias risks. In case of disagreement, the discussion shall be settled by the third reviewer. Meta-analysis was conducted by RevMan 5.3. Results: A total of 4 RCTs with 185 volunteers were included. The results of Meta-analysis showed that treatment combine with mechanical tongue cleaning has an advantage over the control group in the levels of Winkel Tongue Coating Index (WTCI) [MD = 2.15, 95%CI(0.93,3.36), = 0.0006], Organoleptic Assessment (ORG) [MD = -0.71, 95%CI(-0.95,-0.48), 0.00001], but no significant differences between two groups in Volatile Sulphur Compounds (VSCs) [SMD = -1.13, 95%CI(-2.91,0.65), = 0.21], Bleeding On Probing (BOP) [MD = -1.01, 95%CI(-7.05,5.03), = 0.74]. Conclusion: Treatment combined with mechanical tongue cleaning could reduce risks of halitosis and WTCI.

The prevalence of health literacy of Chinese residents for infectious disease between 2011 and 2015: findings from a meta-analysis
Chun-Mei Gao, Xing-Yue Qiao, Ge Li, Jing-Bo Zhai, Jin-Hua Si, Chen Zhao, Sheng-Nan Huang
TMR Integrative Nursing. 2018, 2 (2): 76-86.   https://doi.org/10.12032/TMRIN20180302
Abstract ( 158 )     PDF (1113KB) ( 86 )  
Objective: To systematically investigate the prevalence of health literacy of Chinese residents for infectious disease between 2011 and 2015. Methods: The eligible studies were identified by searching China National Knowledge Infrastructure (CNKI), Wanfang database and Chinese Scientific and Technical Periodicals Database. After abstracted information and appraised the risk of bias of all eligible studies, Stata software version12.0 was used to perform statistical analysis. Results: A total of 35 cross-sectional studies, including 94631 residents, were finally included in the present study. All eligible studies were appraised as to have the quality of more than 14 grades. Meta-analysis revealed that the prevalence of health literacy of Chinese residents for infectious disease between 2011 and 2015 was 20.00% (95% CI, 18% to 23%). Conclusion: The prevalence of health literacy of Chinese resident for infectious disease between 2011 and 2015 are extremely low. And thus, it is essential to take targeted health education program depending on the characteristics of diverse group of people in order to improve the overall health of Chinese resident.
Original Research
Community nurses’ knowledge need toward traditional chinese medicine and related factors in China: A cross-sectional survey
Yu Li, Zhi-Qi Chen, Dong-Qin Kang, Qi Liu, Zi-Pan Wang, Jing Wang, Shu-Jin Yue
TMR Integrative Nursing. 2018, 2 (2): 87-93.   https://doi.org/10.12032/TMRIN20180618
Abstract ( 45 )     PDF (424KB) ( 37 )  
Purpose:The aim of the study was to examine the knowledge need toward Traditional Chinese Medicine (TCM) in nurses who worked in Community Health Centers, and to explore the related factors in the current situation of China. Subject and setting: Participants worked in five community health centres across Chaoyang Beijing, and each community health centre includes 4-7 health stations. A questionnaire survey was administered to 218 registered community nurses using cluster sampling. The investigation was conducted after obtaining informed consent from each participant. Design: A descriptive cross-sectional design was used to gather data in this study. Instruments: The survey tool was a 5-point Likert-type questionnaire designed by experts in TCM and related fields, which had good face validity and internal consistency. Results: The nursing technology of TCM scored highest score in our research (42.87 ± 5.74). Next came disease prevention in TCM (21.02 ± 2.67). The lowest mean score was for the usage of Chinese herbal medicine (15.03 ± 2.77). The significant related factors for nurses’ knowledge need towards TCM were educational background (P < 0.05), working unit (P < 0.01), “on-the-job training on TCM” (P < 0.01) and “have studied literature on Chinese medicine” (P < 0.05). Conclusion: This results suggest nurses working in community care would like to learn more about TCM. Improving community nurses’ understanding and learning of TCM can promote the application and promotion of TCM nursing technology in the community. Therefore, we could adopt targeted education for community nurses, in order to meet their knowledge needs, and to promote the application of traditional Chinese medicine knowledge to the community.
The effects of colleague solidarity and affective commitment on nurses’ intent to stay
Hong Li, Xiao-Li Pang, Lan-Tian Xie
TMR Integrative Nursing. 2018, 2 (2): 94-101.   https://doi.org/10.12032/TMRIN20180619
Abstract ( 43 )     PDF (404KB) ( 24 )  
Objective: The purpose of this paper was to determine the effects of colleague solidarity and affective commitment on intent to stay among nurses, and to provide the basis for developing more effective retention strategies. Methods: A cross-sectional survey was carried out and a sample of 346 registered nurses was recruited in convenience sampling method from three tertiary hospitals in Tianjin, China. A self-administrative questionnaire was used in order to collect data. All analyses were performed using SPSS 17.0 software. Results: The mean scores for colleague solidarity, affective commitment and intent to stay of nurses were 3.61±0.50, 3.26±0.55, and 3.54±0.67, respectively. The nurses’ colleague solidarity and each dimension, affective commitment and intent to stay showed a positive correlation (r=0.141~0.709, P<0.01). Multiple linear regression analysis showed that emotional solidarity, academic solidarity and affective commitment entered intent to stay regression equation (β=0.170~0.437, P<0.001) and explained 45.3% of the total variation in nurses’ intent to stay, and emotional solidarity became the strongest predictor (β=0.437, P<0.001). Hierarchical regression analysis revealed that affective commitment played a partial moderating role on the relationship between colleague solidarity and intent to stay (β=0.174~0.659, P<0.001). Conclusion: Hospital administrators and managers should develop effective strategies to enhance colleague solidarity and affective commitment among nurses, which will ultimately increase nurses’ intent to stay.

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