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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 ( 148 HTML PDF (322KB) ( 373 )  

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.

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 ( 154 HTML PDF (306KB) ( 220 )  

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.

A foreword from the Editor-in-Chief
TMR Integrative Nursing    2017, 1 (1): 1-2.   https://doi.org/10.12032/TMRIN20170901
Abstract ( 135 HTML PDF (166KB) ( 188 )  
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 ( 91 PDF (1398KB) ( 142 )  
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.
Attitudes and Actions of Hospitalized Patients on Management of Their Safety: A Cross-sectional Study
Hui Liu, Xu Tian, Jun Shen, Lily Dong Xia Xiao
TMR Integrative Nursing    2017, 1 (2): 50-58.   https://doi.org/10.12032/TMRIN20171205
Abstract ( 76 PDF (369KB) ( 123 )  
Background and aims: Patient plays an important role in preventing the adverse events (AEs) and harms occurred during medical care; however, the incidence of AEs and harms can be effectively reduced if patients actively and successfully participate in their care. Organizations of safety management for patients and authorities of health system agree that involve patients into the management on their care can obviously prevent medical error; whereas, the attitudes and actual actions of hospitalized patients for the view remain controversial. In this study, we aimed to explored patients’ attitudes and actual actions participate in their own safety and whether patients with positive attitude are more likely to take action than others?
Methods: In the present cross-sectional study, convenience sampling method was adopted to recruit a sample size consist of 2052 patients from two teaching hospitals affiliated to Medical College of Shantou University located in Shantou China. We used a questionnaire consist of 7 items to investigate the attitudes and actual actions of hospitalized patients participating in their care. Then the actual actions between patients with positive and negative attitudes were analyzed using descriptive analysis and independent t-test.
Results: Most patients have a positive attitude on engaging in their safety management activity. Although most patients have positive attitude, fewer can take actual actions. Patients with positive attitude are more likely to take actions, but there are not statistical significant difference for positive and negative attitudes patients in terms of some items, such as “Ask doctor or nurse to wash their hands” and “Ask nurse or doctor to confirm your identity”, etc.
Conclusions: Positive attitude is an important factor that improves the rate of participating in the medical care activity for patients. Based on the results of current study, interventions that improve the attitude of patient are needed to improve patients’ attitude and what is more important is how to convert attitude into actual action. When making plan of interventions, cultural background of patients need to be taken into account.
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 ( 130 HTML PDF (268KB) ( 122 )  

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 ( 90 PDF (518KB) ( 121 )  

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.

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 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 ( 104 HTML PDF (311KB) ( 87 )  

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.

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