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Opportunities and challenges for the development of traditional Chinese medicine nursing under the new healthcare reform
Yang Xuan, Zhang Miao, Bai Xiu-Li, Kong Fan-Mei, Wang Wen-Rui, Fan Jun-Chen, Zhang Hui-Min, Wang Yu-Ling
TMR Integrative Nursing    2017, 1 (1): 3-8.   https://doi.org/10.12032/TMRIN20170902
Abstract   HTML PDF (322KB)  

Highlights

This work analyzed and summarized the opportunities and challenges for the development of traditional Chinese medicine nursing under the new healthcare reform.

Editor’s Summary

TCM nursing as a young subject is in the primary stage of development, simultaneously also entered the reform and professional development new time.

Abstract

Based on the “Opinions on Deepening the Reform of Medicine and Health”, “Strategic planning outline of the development of Traditional Chinese Medicine (2016-2030)” and the other relevant polices announced by State Administration of Traditional Chinese Medicine of the People’s Republic of China, this paper analyzes and summarizes the opportunities and challenges for the development of Traditional Chinese Medicine nursing (TCM nursing) under the new healthcare reform, in order to provide reference and thinking for the professional development of TCM nursing.

Self-management A concept analysis of self-management for cancer patients’ home-basedrehabilitation
Ling Dong-Lan, Yu Hong-Jing
TMR Integrative Nursing    2018, 2 (1): 4-11.   https://doi.org/10.12032/TMRIN20180308
Abstract   HTML PDF (376KB)  

Objective: To explore and clarify the concept of self-management in the context of cancer patients’ home-based rehabilitation. This concept analysis will provide a theoretical lens for nurses to help cancer patients to develop self-management strategies and enables them to improve their ability in symptom self-management of home-based rehabilitation. Method: Walker and Avant’s framework (2011) was used to analyse the concept of self-management. Results: Self-management is defined as a dynamic process that involves perception of one’s needs, resource utilisation, problem solving and active participation. Antecedents of self-management include self-efficacy, disease knowledge and social support. Improving cancer patients’ ability in symptom self-management can improve their health outcomes and quality of life and reduce healthcare expenditures. Although Strategy and Effectiveness of Symptom Self-Management scale is perceived as an ideal instrument to measure self-management and thus it is used worldwide, whether this instrument fits to measure this concept for cancer patients in Chinese context has still not yet been verified and thus further research is needed. Conclusion: According to the concept analysis, nurses should encourage cancer patients to involve actively in making a home-based rehabilitation plan and promote their ability in symptom self-management of home-based rehabilitation so as to improve their health outcomes and reduce healthcare expenditures.

Stigma in women with urinary incontinence: a literature review
Cui Chu-Yun, Gong Shang-Qun, Jin Chang-De
TMR Integrative Nursing    2017, 1 (1): 9-14.   https://doi.org/10.12032/TMRIN20170903
Abstract   HTML PDF (306KB)  

Highlights

This article introduced the concept of stigma level, the related theory of stigma, measuring tools, the effect of stigma on the rehabilitation and the basic strategies for reducing the stigma of urinary incontinence in women.

Editor’s Summary

Stigma seriously affects the quality of life and mental health of women with urinary incontinence. It should be enough attention.

Abstract

In recent years, stigma has become a social problem because it seriously affects the quality of life and mental health of women with urinary incontinence. This article reviews stigma of urinary incontinence in women and its influencing factors. We also introduced the concept of stigma level, the related theory of stigma, measuring tools, the effect of stigma on the rehabilitation and the basic strategies for reducing the stigma of urinary incontinence in women to provide clinical workers the relevant basis for research on the stigma of urinary incontinence.

Adherence-A concept analysis in the context of cardiac rehabilitation
Liu Hui, Tian Xu
TMR Integrative Nursing    2018, 2 (1): 12-17.   https://doi.org/10.12032/TMRIN20180309
Abstract   HTML PDF (303KB)  

Objective: To explore and identify the concept of adherence in the context of cardiac rehabilitation. This concept analysis will provide a framework for clinical decision-making and intervention to improve patients’ adherence to cardiac rehabilitation programme. Method: Walker and Avant’s framework was used to analysis the concept of adherence. Results: Adherence is defined as patients collaboration with health care provider, active involvement in the treatment regimen, and persistence in practice characterized by self-efficacy and relapse-prevention. Defining Attributes of adherence include collaboration relationship; self-efficacy promotion and relapse-prevention. Antecedents of adherence include health care provider’s prescription, illness perceptions, social-economic and environmental factors. Patients adherence to cardiac rehabilitation programme can improve clinical outcomes. However, there is no standard instrument to measure adherence. Conclusion:Based on the concept analysis, in order to improve patients’ adherence to cardiac rehabilitation, health care provider should invite patients active involvement in making rehabilitation plan and promote patients’ self-efficacy and prevention relapse.

A foreword from the Editor-in-Chief
TMR Integrative Nursing    2017, 1 (1): 1-2.   https://doi.org/10.12032/TMRIN20170901
Abstract   HTML PDF (166KB)  
Sudden elevation of blood pressure resulting from syndrome differentiation faults: A case report
Chen Bao-Cai
TMR Integrative Nursing    2017, 1 (1): 15-18.   https://doi.org/10.12032/TMRIN20170904
Abstract   HTML PDF (268KB)  

Highlights

This paper analyzed a misdiagnosed case with sudden elevation of blood pressure resulting from syndrome differentiation faults of traditional Chinese medicine.

Editor’s Summary

This study proposed the usage note of Fuzi (Radix Aconiti Carmichaeli)in clinic use.

Abstract

A 71-year-old woman suffered the pains from her finger joints, arms, shoulders and neck. The first prescription was the add and subtract of Guizhishaoyaozhimu decoction, which could warm Yang via Fuzi (Radix Aconiti Carmichaeli). After three oral doses of medication, she felt sleepy with a blood pressure of 180/60 mmHg. The second prescription was the add of Shengmai Powder which could nourish Yin. The next day, her blood pressure was reduced to 130/65 mmHg.

Early enteral nutrition supplemented with probiotics improved the clinical outcomes in patients with severe head injury: protocol for a meta-analysis of randomized controlled trials
Li-Juan Yi, Xu Tian, Wei-Qing Chen, Li Ma, Huan He, Hui Chen, Cheng-Xiang Wu, Yuan-Ping Pi
TMR Integrative Nursing    2017, 1 (2): 30-35.   https://doi.org/10.12032/TMRIN20171202
Abstract   PDF (518KB)  

Abstract


Objective: The aim of this systematic review of randomized controlled trials (RCTs) is to determine the effects of early enteral nutrition supplemented with probiotics on clinical outcomes in patients with SHI.
Methods and analysis: A systematic search will be carried out in PubMed, Cochrane Central Register of Controlled Trials (CENTRAL), China National Knowledge Infrastructure (CNKI), WanFang database, and Chinese Biomedical Literature (CBM) in order to identify the randomized controlled trials (RCTs) investigated the potential of early enteral nutrition supplemented with probiotics on patients with severe head injury, as well as we will also manually check the bibliographies of eligible studies and topic-related reviews. We will assign two investigators to independently search all potential citations, extracted data, and appraised risk of bias accordingly, and then STATA software version 12.0 will be used to statistically analyze all data.
Ethics and dissemination: The ethics approval and patient written informed consent will not be required because all analyses in the present study will be performed based on data from published studies. We will submit our systematic review to a peer-reviewed scientific journal for publication.
The study of the situation of critical thinking emotional tendency of nursing teachers
Zheng Xue-Jiao, Huang Wei-Dong, Li Mo-Yang
TMR Integrative Nursing    2017, 1 (1): 19-24.   https://doi.org/10.12032/TMRIN20170905
Abstract   HTML PDF (311KB)  

Highlights

Nursing teachers had a positive performance towards critical thinking emotional tendency, but not strong positive.

Editor’s Summary

The managers of universities should lay stress on the importance of critical thinking, and provide the development space to enhance the nursing teachers’ critical thinking ability.

Abstract

Critical thinking (CT) is an important content of nursing education. It is also the important symbol of the improvement of overall quality of nursing teachers. In recent years, educational circles pay more and more attention to the cultivation of students’ CT ability, take CT and solve the problem as two basic skills of thinking. In the early 1980s, critical society theory was led into the nursing field. After years of development, CT has become one of research hotspots in today’s international nursing. Numerous studies had confirmed that the CT played a significant role in nursing education, clinical practice and nursing scientific research. The paper studied the whole status and characteristics of CT emotional tendency of college nursing teachers, and analyzed potential cause and discussed deeply on the corresponding factors of how to improve college nursing teachers’ teaching ability and scientific ability. This research adopted random sampling method, in which questionnaires were distributed among some nursing teachers in six universities and 97 nursing teachers. The statistical results indicated that nursing teachers had a positive performance towards CT emotional tendency, but not strong positive, and there were statistical significance among nursing teachers with different age, different length of service and reading habit (all P<0.05). In a conclusion, the managers of universities should lay stress on the importance of critical thinking, and provide the development space to enhance the nursing teachers’ CT ability and offer better services for nursing student.

EditorialComment of Walker and Avant’s method of concept analysis
Liu Hui, Ling Dong-Lan, Su Irene
TMR Integrative Nursing    2018, 2 (1): 1-3.   https://doi.org/10.12032/TMRIN20180307
Abstract   HTML PDF (234KB)  
The effect of traditional Chinese medicine washing combined with massage for neonatal jaundice: a meta-analysis
Li Wang, Ting Shuai, Yun-Yun Wang, Hong Cao
TMR Integrative Nursing    2017, 1 (2): 36-44.   https://doi.org/10.12032/TMRIN20171203
Abstract   PDF (1398KB)  
Objective: To systematically assess the effect of traditional Chinese medicine washing (TCM washing) combined with massage for the treatment of neonatal jaundice.
Methods and analysis: Databases, including PubMed, the Cochrane Library, Embase, Web of Science, the Chinese Biomedical Literature Database (CBM), CNKI, and Wanfang Data were electronically searched for randomized controlled trials (from inception to July 2017). The methodological qualities of included trials were evaluated by the Cochrane risk of bias assessment tool. The meta-analysis was performed by using RevMan 5.3 software.
Results: Overall, thirteen trials with a total of 1998 participants were included. The results of meta-analysis indicated that TCM washing combined with massage group was significantly superior to the control group in the first meconium time (MD, -16.67; 95% CI, -24.59 to -8.74; P<0.001), time for transformation of meconium (MD, -15.44; 95% CI, -23.59 to -7.28; P<0.001), transcutaneous bilirubin index changes [after treating three days (MD, -1.99; 95% CI, -2.57 to -1.40; P<0.001), after treating four days (MD, -1.86; 95% CI, -2.77 to -0.95; P<0.001), after treating five days (MD, -2.44; 95% CI, -3.47 to -1.42; P<0.001), after treating six days (MD, -2.23; 95% CI, -3.30 to -1.16; P<0.001), and the changes of serum bilirubin levels [after treating five days (MD, -3.17; 95% CI, -5.83 to -0.50; P=0.02), after treating six days (MD, -1.63; 95% CI, -3.10 to -0.16; P=0.03), after treating fifteen days (MD,-1.20; 95% CI, -1.99 to -0.41; P=0.003).
Conclusions: TCM washing combined with massage may be an effective therapy for the treatment of neonatal jaundice. It can accelerate the excretion of meconium, shorten the time for transformation of meconium, and decrease transcutaneous bilirubin index and the level of serum bilirubin. But it should be careful to interpreting these findings. Well-designed RCTs are needed to further clarify the conclusion.

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