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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.

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.
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.
Editorial Comment 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 ( 105 HTML PDF (234KB) ( 83 )  
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 ( 137 HTML PDF (376KB) ( 71 )  

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.

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 ( 136 HTML PDF (303KB) ( 71 )  

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.

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