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Effect of moxibustion combined with acupoint application on enteral nutrition tolerance in patients with severe acute pancreatitis
Fan-Mei Kong , Yu-Ling Wang
3TMR Integrative Nursing    2019, 3 (3): 74-80.   https://doi.org/10.12032/TMRIN20190518
Abstract HTML PDF (457KB)  
Highlights

Moxibustion and acupoint application are traditional Chinese techniques. This article shown that moxibustion combined with acupoint can enhancethe tolerance level of enteral nutrition, improve the nutritional status and increase the comfort level of patients.

Editor’s

summary Severe acute pancreatitisrefers to pancreatic enzyme activation caused by various causes, resulting in local inflammation of the pancreas. This article shown that moxibustion combined with acupoint application can effectively improve the tolerance level of enteral nutrition and improve the nutritional status of patients.

Abstract

Objective: To explore and analyze the effect of moxibustion combined with acupoint application on enteral nutrition tolerance, nutritional status and comfort in patients with severe acute pancreatitis. Methods: Ninety-six patients who were hospitalized in a third-grade class-A general hospital in Tianjin were selected and divided into three groups: A, B, and C, each with 32 cases. Group A uses usual treatment and care methods, group B implements acupoint application treatment, group C was treated with moxibustion on the basis of acupoint application. Intervention time is from the first day of the enteral nutrition to the 7th day, the tolerance of enteral nutrition in patients 7 days during the intervention and the level of serum albumin and pre-protein in the nutritional indicators of patients on day 3 of intervention and intervention on day 7, as well as the comfort level of the patients on the 7th day of intervention were observed and recorded.Results: (1) The difference in the incidence of enteral nutrition intolerance among the three groups was significantly statistical (P <0.05). The incidence of enteral nutrition intolerance in group C was lower than that in group B (P< 0.05) and group A (P< 0.05). There was no significant difference between group B and group C (P> 0.05). (2) Nutritional index levels of three groups of patients, on the third day of intervention, the serum albumin and serum pre-protein were significantly statistical (P<0.05). Comparing the two groups, the serum albumin level in group A was significantly different from that in group B (P< 0.05). There was significant difference between group A and group C (P< 0.05). There was no significant difference between the group and the group C (P> 0.05). On the 7th day of intervention, the difference between group A and group B was statistically significant (P<0.05). There was a statistically significant difference between group A and group C (P<0.05), group B and group C (P<0.05). Pre-protein levels in three groups, there was a significantly statistical difference between intervention days 3 and 7 (P<0.05), further comparison was made between the two groups. On the third day of intervention, there were significant differences between group A and group B, group A and group C, group B and group C (P<0.05). On the 7th day of intervention, there were significant differences between group A and group B, group A and group C, group B and group C (P< 0.05). (3) On the 7th day of intervention, the comfort level of the three groups was significantly different (P<0.05). Further comparison between the two groups was made. The comfort score of group C was higher than that of group B and group A (P<0.05), and the score of group B was higher than group A (P<0.05).Conclusion: Moxibustion combined with acupoint application can effectively improve the tolerance level of enteral nutrition and improve the nutritional status of patients and increase patient comfort.

Study on the timing of intervention of gastrointestinal function recovery in patients after laparoscopic cholecystectomy with acupoint application of traditional Chinese medicine
Jian-Ru Wang, Ying Chen, Yu-Ling Wang
3TMR Integrative Nursing    2019, 3 (3): 81-87.   https://doi.org/10.12032/TMRIN20190614
Abstract HTML PDF (410KB)  
Highlights

This article explored the optimal timing of drug application for the recovery of gastrointestinal function in patients after laparoscopic cholecystectomy.The article showed administration of Chinese medicine acupoint application within 0.5 hours after operation can promote the recovery of gastrointestinal function and improve gastric motility in patients undergoing abdominal surgery, and the curative effect is significant and safe.

Editor’s summary

Laparoscopic cholecystectomy is a common method for the treatment of gallstones.However, postoperative patients still have complications such as gastrointestinal dysfunction and weakened gastrointestinal motility.The research shows that by applying traditional Chinese medicine to postoperative patients, it can promote the patient's defecation and venting.

Abstract

Objective: To explore the optimal timing of drug application for the recovery of gastrointestinal function in patients after laparoscopic cholecystectomy.Methods: Ninety patients undergoing laparoscopic cholecystectomy were randomly divided into three groups: control group, intervention group 1 and intervention group 2. All three groups received routine perioperative nursing. Intervention group 1 and group 2 were given acupoint application of Chinese medicine at 0.5h and 6h after operation, and the waveform was monitored by electrogastrogram on the 1st day before operation and 3d after operation. The first anal exhaust time, defecation time, abdominal distension and electrogastrogram changes were analyzed and compared in the three groups. Results: Compared with the first exhaust time and defecation time after operation, the intervention group 1 was earlier than the intervention group 2, and the intervention group 2 was earlier than the control group, the difference was statistically significant (P< 0.05).The average frequency, waveform response area and average amplitude of the intervention group 1 were better than those of the intervention group 2, and the intervention group 2 was better than the control group (P< 0.05).Conclusion: Administration of Chinese medicine acupoint application within 0.5 hours after operation can promote the recovery of gastrointestinal function and improve gastric motility in patients undergoing abdominal surgery, and the curative effect is significant and safe.

The clinical effect observation of gastrointestinal function after colorectal cancer surgery with integrated of Chinese and western medicine nursing methods
Yuan-Yuan Zhang , Li Lu , Wei Liu, Yu-Ling Wang
3TMR Integrative Nursing    2019, 3 (3): 100-106.   https://doi.org/10.12032/TMRIN20190613
Abstract HTML PDF (436KB)  
Highlights

In this study, warm moxibustion therapy and acupoint application therapy were applied to postoperative patients with colorectal cancer, and their clinical effects on gastrointestinal function recovery were observed.

Editor’s summary

Gastrointestinal dysfunction is the most common complication after abdominal surgery, how to restore the gastrointestinal function of postoperative patients as soon as possible and promote the rapid recovery of patients is a topic worth exploring.

Abstract

Objective: To observe the clinical effect of warm moxibustion therapy and acupoint application therapy on recovery of gastrointestinal functions in postoperative patients with colorectal cancer. Methods: Eighty patients with colorectal cancer were admitted to Department of Gastrointestinal surgery Tianjin Nankai Hospital. A retrospective analysis of 20 cases as control group. 60 patients near admitted and the use of randomly divided into three treatment groups, 20 cases of each group. The control group received conventional therapy and nursing, and three treatment groups respectively received warm moxibustion therapy, acupoint application therapy and both the two methods above together additionally. Then compared the intervention effect of them. Results: General information on four groups of comparison, there was no statistics significance (P>0.05), between the four groups were comparable. Analysis of variance of repeated measures indicated that the interaction effect of intervention time and grouping had significant influence on Chinese medicine symptom. Two groups of the Chinese medicine symptom integral changing are inconsistent (P<0.01). Chinese medicine symptom efficacy total effective rate of treatment group was superior to the control group (P<0.01). And first postoperative exhaust time, defecating time and eating time were earlier than control group (P<0.01). Conclusion: Warm moxibustion therapy and acupoint application therapy had certain clinical effect on the recovery of gastrointestinal function in patients with colorectal cancer after operation, and worthy of further application in clinical practice.

Effect of acupoint application combined with microwave treatment on the intestine barrier functional disturbance of moderately severe acute pancreatitis
Miao Zhang, Jun-Chen Fan, Hui-Min Zhang, Qian-Qian Guo, Peng-Yang Li, Hua-Lin Men, Yu-Ling Wang
3TMR Integrative Nursing    2019, 3 (3): 93-99.   https://doi.org/10.12032/TMRIN20190610
Abstract HTML PDF (347KB)  
Highlights

This article evaluated of application of acupoint application combined with microwave treatment in moderately severe acute pancreatitis.

Editor’s summary

Acute pancreatitis refers to the abnormal activation of pancreatic enzymes due to various reasons, resulting in inflammation of the local or peripheral organs of the pancreas, severe patients with systemic inflammatory response syndrome and accompanied with organ dysfunction, early recovery of intestinal barrier function in MSAP is the key link of treatment

Abstract

Objective: To explore and analyze the effect of acupoint application combined with microwave treatment on the intestinal barrier dysfunction with moderately severe acute pancreatitis. Methods: A convenient sample of 90 moderately severe acute pancreatitis was selected from March 2017 to December 2017 in the comprehensive hospital with third grade in Tianjin. The patients were divided into group A (acupoint application combined with microwave treatment), group B (acupoint application) and group C (routine nursing).Thirty patients were included in each group. This study need to get the informed consent of the patients. Acupoint application combined with microwave treatment was used, basing on routine nursing measures in group A. Acupoint application was used by the same way and the same traditional Chinese medicine ,basing on routine nursing measures in group B. Routine nursing used in group C. C-reactive protein and the score of intestinal function were measured on 3th day, 7th day and 10th day, after intervention. To record the effective ratio of the treatment after 10 days of intervention.Results: There are significant statistical difference among the three group after intervention(P<0.05). Conclusion: In some way, acupoint application combined with microwave treatment are able to decrease the time about the recovery of intestinal barrier dysfunction in moderately severe acute pancreatitis and to alleviate the suffering of patients.

Effects of interventions with mindfulness-breathing-stretching components on physiological and mental function of lung cancer patients: a mata-analysis
Meng-Jie Lei, Ting-Ting Liu, Ya-Qian Liu, Hui-Ping Wang, Yan-Qiu Huang, Chang-De Ji
3TMR Integrative Nursing    2019, 3 (5): 151-158.   https://doi.org/10.12032/TMRIN20181210
Abstract HTML PDF (631KB)  

Highlights

This review introduced the effect of mindfulness-breathing-stretching interventions on the physiological and psychological aspects of lung cancer patients. And the meta-analyses were executed to clarify the effect of mindfulness-breathing-stretching interventions in lung cancer patients.

Editor’s summary

Lung cancer was the main cause of cancer-related death in the world, which will cause several psychological issues. However, how to address it is still challenge. It is exciting that the findings from this study will promote the application of mindfulness-breathing-stretching intervention in lung cancer patients.

ABSTRACT

Objective: To systematically evaluate the effects of interventions with mindfulness-breathing-stretching components on lung neoplasms. Methods: Multiple electronic databases were used to search for research on the effects of interventions with mindfulness-breathing-stretching components on lung neoplasms. The randomized controlled trails and self-control trails were included. Electronic databases include: Cochrane library, Pub Med, EMBASE, Web of Science, China Biology Medicine disc (CBM), VIP, WANFANG and CNKI. Studies were selected according to certain inclusion and exclusion criteria, and data were analyzed by Rev Man 5.3. Results: 10 randomized controlled trials and 5 self-control trails were included. The results of meta-analysis were as follows: There was statistically significant difference between two groups in self-perceived burden, quality of life, sleep quality of patients and caregivers, medical coping modes and catecholamine; there was no statistically significant difference between two groups in psychological pressure, mental well-being, fatigue of patients and caregivers, cortisol, endorphins, immunological indexes and complement regulatory proteins. Conclusion: Compared with conventional treatment and nursing, interventions with mindfulness-breathing-stretching components can decrease improve the state of mind, quality of life, quality of sleep, medical coping style and some hormone indexes. However, because of the heterogeneity of indicators and inadequate included studies, larger sample size and high-quality studies are needed.

Application of FICare mode in premature infants of NICU: A meta-analysis
Min Zhang, Ya-Nan Leng, Zhi Guan, Ying Wang
3TMR Integrative Nursing    2019, 3 (4): 125-132.   https://doi.org/10.12032/TMRIN20190328
Abstract HTML PDF (1157KB)  

Highlights

This article systematically evaluated the effect of FICare mode on the growth and development of premature infants in NICU. Meta-analysis showed that FICare mode can effectively promote the growth and development of premature infants and alleviate the harm caused by the separation of mother and infants.

Editor’s summary

FICare is the philosophy that guides how we provide care for infants in the NICU, which effectively integrates the parents of premature infants to care for the newborn with the medical staff, and shifts the focus from focusing on the treatment of premature infants to establishing effective kinship with the family.

ABSTRACT

Objective: To systematically review the effect of Family Integrated Care (FICare) mode on the growth and development of premature infants. Methods: Systematic searches in PubMed, EMBASE, The Cochrane Library, Web of Science, Chinese biomedical literature database, China National Knowledge Infrastructure, Wanfang medical and VIP database were performed for randomized controlled trials (RCTs) or quasi-RCTs which explored the effects of FICare mode on growth and development of premature infants in neonatal intensive care unit. Then, meta-analysis was performed by RevMan 5.3 after two independent investigators screened the literature, extracted the data and evaluated the risk of bias of all included studies. Results: A total of 14 articles were included, including 3120 preterm infants and their families. Meta-analysis showed that compared with the traditional management mode, FICare mode can effectively improve the growth rate of premature infants' weight [Weight mean difference (WMD) = 4.02, 95%CI (2.47, 5.56), P < 0.001], increase sleep time [WMD = 3.25, 95%CI (2.05, 4.44), P < 0.001], improve breastfeeding rate [RR = 1.38, 95%CI (1.15, 1.64), P < 0.001], reduce readmission rate [Relative risk (RR) = 0.49, 95%CI (0.33, 0.71), P < 0.001], promote the development of the nervous system [WMD = 3.96, 95%CI (3.18, 4.74), P < 0.001], improve nursing skills of Premature infants' parents [WMD = 17.40, 95%CI (13.64, 21.1), P < 0.001], reduce the influence of maternal and infant separation on parents' emotions. Conclusion: FICare mode can effectively promote the growth and development of premature infants and alleviate the harm caused by the separation of mother and infants. Limited by the quality and region of the included studies, the appeal conclusion still needs to be tested by more high-quality studies.

Treatment of perianal infection in acute leukemia hematopoietic stem cell transplantation with Xiongzhen ointment mixed with furacilin powder
Yang Song
TMR Integrative Nursing    2017, 1 (2): 45-49.   https://doi.org/10.12032/TMRIN20171204
Abstract HTML PDF (307KB)  

Highlights

This paper analyzed a case of hematopoietic stem cell transplantation in perianal infection.

Editor’s Summary

This case report proposed the usage note of Xiongzhen ointment mixed with furacilin powder in clinic use.

ABSTRACT

Objective: To investigate the effect of Xiongzhen ointment mixed with furaicillin powder on perianal care of patients with acute myeloid leukemia M2a hematopoietic stem cell transplantation. Methods: A case of acute myeloid leukemia M2a hematopoietic stem cell transplantation was used as the research object. The method and effect of peristaltic nursing were recorded in the patients with hematopoietic stem cell transplantation by using Xiongzhen ointment mixed with furazolidone powder. Results: After treatment with Xuelong ointment mixed with furacilin powder, the patients did not show obvious perianal infection during the transplantation process. After 24 days, the transplant was successfully transferred into the transitional ward. Conclusion: In the perianal care of laminar flow chamber, the addition of Xiongzhen ointment mixed with furaicillin powder can reduce the incidence of perianal infection.

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 HTML PDF (284KB)  

Highlights

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.

Editor’s Summary

Hypertension is a universal and worldwide public health problem and is also regarded as one of the most dangerous chronic diseases. This article reviewed the current status of mobile information technology applied in the continuous care of hypertension in China and abroad, provide a reference for mobile information technology application in the clinical practice of continuous hypertension care in China.

ABSTRACT

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.

Comparative efficacy of oral glucose solution versus non-nutritive sucking for pain relief in neonates during nociceptive procedures: a systematic review
Hui Liang, Xu Tian, Xiao-Ling Liu, Yi Dai, Jun Geng, Li Kang, Zhen Li, Li-Fen Jin
TMR Integrative Nursing    2018, 2 (3): 142-147.   https://doi.org/10.12032/TMRIN20180719
Abstract HTML PDF (640KB)  

Highlights:

This systematic review was performed to objectively investigate the analgesic effect of Oral glucose solution related to non-nutritive sucking in newborns during nociceptive procedures.

Editor’s Summary

Neonatal pain could cause several negatively psychological and physical consequences. To the date, non-pharmacological and pharmacological interventions have been two primary option for reducing pain.

Abstract

Background and aims: The comparative efficacy of glucose solution (GS) versus non-nutritive sucking (NNS) for pain relief in neonate remains controversial. This systematic review was consequently performed to objectively investigate the analgesic effect of Oral GS related to NNS in newborns during nociceptive procedures. Methods: All potential records were searched in PubMed, Web of Science, EMBASE, and the Cochrane Library to capture the randomized controlled trials comparing GS with NNS in terms of pain scores in neonates through January 2017. Two independent investigators screened the identified articles, extracted the data, and assessed the methodological quality of the included studies. All statistical analyses were completed by using Review Manager (RevMan) version 5.3.0.Results: Four studies, involving 248 neonates, were incorporated into these statistical analyses. For reducing pain scores, no statistical difference was detected when GS compared to NNS (4 trials; mean difference [MD], 0.75; 95% confidence interval [CI], -0.77 to 2.27; P = 0.33).Conclusion: Both the GS and NNS reduced the pain scores in neonates who undergoing Hepatitis B vaccination and venipuncture, but the NNS is more convenience than GS to some extent. Considered the limited evidences, more randomized controlled trials with high-quality, large-scale and appropriate measures time are warranted to further establish the comparative efficacy of these two options.

Moxibustion treatment for knee osteoarthritis: cumulative meta-analysis and trial sequential analysis
Jun-Chen Fan, Hui-Min Zhang, Miao Zhang, Fan-Mei Kong, Wen-Rui Wang, Yu-Ling Wang
TMR Integrative Nursing    2018, 2 (3): 115-122.   https://doi.org/10.12032/TMRIN20180720
Abstract HTML PDF (1103KB)  

Highlights:

This article evaluated the effect of moxibustion on knee osteoarthritis patients with cumulative meta-analysis, and trial sequential analysis was applied to test the authenticity of results.

Editor’s summary:

Pain is a major problem in patients with knee Osteoarthritis. Moxibustion, a traditional non-invasive treatment in China, stimulates specific acupuncture points by the heat from the burning strips to alleviate symptoms, such as muscle strain, osteoarthritis, shoulder pain, neck and back pain.

Abstract

Objective: To evaluate the effect of moxibustion on knee osteoarthritis patients with cumulative meta-analysis, and trial sequential analysis was applied to test the authenticity of results. Methods: We searched PubMed, EMbase, The Cochrane Library, CNKI and CBM to collect RCTs about moxibustion on knee osteoarthritis patients. The selection of literature, data extraction and evaluation of eligible literature were carried out independently by two reviewers. Then Stata11.0 software was used for data analysis. Result: Totally 11 RCTs involved 1005 patients were recruited. The results of meta-analysis showed that no significant differences were found between the two groups in VAS, moxibustion is better than drug therapy in effective rate [OR = 0.40, 95%CI (0.27, 0.60)] and knee score [SMD = -0.70, 95%CI (-1.22, -0.19)]. The result of trial sequential analysis indicated that the sample size didn’t reach the TSA Boundary on VAS, the sample size of effectiveness achieved Require Information Size. In the indicator of knee score has obtained certain result before reaching the Require Information Size. Conclusion: moxibustion is superior to drug therapy on treatment knee osteoarthritis. However, large sample size and high-quality studies are still needed.

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