中医护理

Objective: This study analyzed published literature on traditional Chinese medicine nursing technology for postpartum rehabilitation using bibliometric methods. The goal was to assess the current state of research, identify emerging research hotspots, and explore future trends, offering valuable insights for ongoing and future studies in this field. Methods: Articles published between 2014 and 2024 were retrieved from the Web of Science and China National Knowledge Infrastructure databases. A visual analysis of the data was performed using VOSviewer (v1.6.20) and CiteSpace (v6.3.R1) software. Various metrics were examined, including the annual publication count, contributions by literature and journals, national and institutional outputs, author co-occurrence, keyword co-occurrence, keyword timelines, and keywords with citation bursts. Results: As of August 2024, a total of 115 English publications and 2788 Chinese publications were included in the analysis; the highest number of publications was recorded in 2019. Chinese authors and institutions emerged as the primary contributors, whereas England demonstrated significant collaborative efforts. Among all journals, Medicine and Guangming Journal of Chinese Medicine published the most articles in English and Chinese, respectively. High-frequency keywords identified from both English and Chinese publications included “cesarean section,” “acupoint massage,” and “breastfeeding.” Emerging research hotspots focused on “thunder fire moxibustion,” “negative emotion,” “sleep quality,” “Chinese medicine package therapy,” and “wrist-ankle acupuncture.” Conclusion: This study comprehensively and objectively summarized the relevant literature on traditional Chinese medicine nursing technology for postpartum rehabilitation. It offers valuable references for both academic research and clinical applications in postpartum care.

COVID-19 is a severe challenge facing the world today and poses a serious threat to the global public health security. Traditional Chinese medicine (TCM) nursing has played an active role in the treatment and prevention of COVID-19. This study investigated the role of the TCM in the nursing of COVID-19 patients, aiming to provide a comprehensive understanding of its effectiveness and application. This article conducted a systematic review of recent studies and clinical cases, analyzed the theoretical basis of TCM nursing for COVID-19, explored the role of TCM nursing in COVID-19 prevention and control from multiple perspectives, such as Chinese medicine treatment, acupuncture and massage treatment, and clinical nursing. Findings indicated that TCM nursing interventions significantly improved patient recovery rates, reduced symptoms, and enhanced overall well-being. In TCM clinical practice, clearing heat, herbs resolving dampness, and relieving exterior symptoms are commonly used. These are complemented by phlegm-resolving, Qi-regulating, and purgative herbs. Acupoints that can serve to support the body's righteousness and attempt to eliminate evil are very common.. Massage should mainly affect the lung meridian and its interior counterpart, the large intestine meridian, as well as regulate the Zhongjiao and overall body condition through the spleen, stomach, and Ren-Du meridians. Clinical nursing should not only address symptoms closely related to COVID-19, such as fever and respiratory issues, but also consider digestion, sleep, and emotions of the patient. TCM nursing provided a valuable complement to conventional treatments for COVID-19, emphasizing the need for further integration of TCM practices in global health strategies.

Objective Some clinical studies have suggested that traditional Chinese medicine (TCM) nursing techniques may promote better recovery in stroke patients compared to conventional neurological nursing. However, high-quality evidence-based research is still lacking. This study selected two outcome indicators—motor function and activities of daily living (ADL)—to systematically evaluate the efficacy of TCM nursing techniques in the rehabilitation of stroke patients. Methods Seven major Chinese and English databases were systematically searched. The Fugl-Meyer Assessment (FMA) and the Modified Ashworth Scale (MAS) were used to evaluate motor function, while the Barthel Index (BI) was used to assess ADL. Subgroup analyses were conducted based on study characteristics to explore potential sources of heterogeneity. Results A total of 18 studies involving 1,419 patients were included. Meta-analysis results showed that, compared with conventional care, the TCM nursing group demonstrated significantly better outcomes in FMA (SMD = 1.92, p = 0.0066), MAS (SMD = −0.82, p = 0.0416), and BI (SMD = 1.34, p < 0.0001). Meta-regression and subgroup analyses indicated that nursing model, stroke type, and risk of bias were not sources of heterogeneity. Conclusion Compared to conventional care, TCM nursing techniques can significantly improve spasticity in stroke patients, and also provide some benefits for limb motor function and ADL. Given the high heterogeneity and poor GRADE assessment of FMA and BI, the above results should be interpreted with caution. Systematic review registration https://www.crd.york.ac.uk/prospero/, identifier CRD420251006204.

Background: This study aimed to probe the clinical effect of traditional Chinese medicine (TCM) nursing care in cardiovascular patients. Methods: A total of 120 patients with cardiovascular disease were randomized into a control group (n = 60) as well as a research group (n = 60). Patients in the control group received routine nursing care. Patients in the research group accepted TCM nursing care. The Hamilton Depression Scale, Hamilton Anxiety Scale, and SF-36 scores, sleep quality, occurrence of complications, as well as patients’ satisfaction in both groups were compared. Results: Hamilton Depression Scale, Hamilton Anxiety Scale, and Short Form-36 Health Survey (SF-36) scores of both groups showed no significance before nursing care (P = .907 and P = .962). Hamilton Anxiety Scale and HAMD scores of the research group were lower relative to the control group after nursing care (P < .001). SF-36 scores in the research group compared to the control group were elevated after nursing care (P = .000). Total sleep quality scores in the research group were lower relative to the control group (P < .001). The incidence of complications in the research group was lessened relative to the control group (P = .013). The patients’ satisfaction in the research group was elevated relative to the control group (P = .003). Conclusion: The use of TCM nursing care in patients with cardiovascular diseases can significantly relieve patients’ negative emotions, improve patients’ quality of life as well as sleep quality, reduce the incidence of complications, and have certain clinical application value.

To explore the therapeutic effect of traditional Chinese medicine (TCM) nursing technology combined with TCM massage on elderly patients with functional constipation (FC). Ninety elderly patients with FC admitted to our hospital from January 2022 to February 2023 were selected and randomly divided into 3 groups. The control group was treated with conventional Western medicine, observation group 1 was treated with TCM massage on the basis of the control group, and observation group 2 was treated with medicine ironing combined with TCM massage on the basis of the control group. Compare 3 groups of TCM syndrome scores, clinical efficacy, complete spontaneous bowel movements (CSBM) per week, Bristol fecal trait scale, and safety. There was a statistically significant difference in clinical effective rates among the 3 groups (96.67%, 83.33%, 66.67%) (P < .05), and the observation group 2 was higher than the observation group 1 and higher than the control group. After treatment, the TCM syndrome scores of the 2 groups were lower than those of the observation group 1 and the control group; And observation showed that the TCM syndrome score of group 1 was lower than that of the control group (P < .05). After treatment, the increase in scores of CSBM and Bristol fecal traits in the 2 groups was higher than that in the observation group and control group, and the increase in scores of CSBM and Bristol fecal traits in the observation group was higher than that in the control group (P < .05). There was no statistically significant difference in the incidence of adverse reactions among the 3 groups (10.00%, 6.67%, 20.00%) (P > .05). The application of TCM nursing techniques such as TCM ironing and TCM massage in elderly patients with FC has a significant clinical effect, which can effectively improve clinical symptoms, defecation frequency, and fecal characteristics, and has high safety.

Objective To investigate the effect of traditional Chinese medicine nursing scheme on gastrointestinal function recovery in patients with uterine fibroids after high-intensity focused ultrasound treatment. Methods By convenient sampling method, 110 patients who received high-intensity focused ultrasound treatment for uterine fibroids from January 2023 to December 2023 in HIFU Treatment Center, a Grade-III obstetrics and gynecology hospital in Shanghai were selected as the study objects and were divided into a control group (n = 54) and experimental group (n = 56) by non-synchronous control study. The control group was treated with conventional nursing mode, and the experimental group was treated with traditional Chinese medicine nursing plan for gastrointestinal function recovery of patients with uterine fibroids after sea aid treatment. The postoperative gastrointestinal function recovery, comfort level, mental health and nursing satisfaction of the two groups were compared. Results The gastrointestinal function recovery time, comfort status scale, anxiety self-rating scale, depression self-rating scale and nursing service satisfaction scale of experimental group were better than those of control group (P < 0.05). Conclusion The main finding of this study is that through traditional Chinese medicine nursing programs, early gastrointestinal function can be improved in patients with uterine fibroids treated with high-intensity focused ultrasound, promoting gastrointestinal function recovery. The secondary finding is that the implementation of traditional Chinese medicine nursing programs can alleviate the negative emotions of such patients and improve clinical nursing satisfaction, which is worthy of clinical promotion.

No abstract available

Abstract In Chinese medicine nursing education in higher education, using the CIPP model to evaluate the teaching reform of the curriculum is the key to improving the quality of teaching. This study analyses the effectiveness of this reform to promote the further development of nursing education. The study used qualitative and quantitative methods to collect and analyse relevant teaching data by constructing an evaluation system. The study results showed that students’ practical ability improved significantly after the teaching reform, with the most significant Improvement in functional ability, self-learning and management ability, and teamwork ability. The student satisfaction survey results showed that overall satisfaction reached 4.65 points (out of 5). Meanwhile, the teaching ability of teachers was also significantly improved, in which the scores of informatisation teaching ability and innovative teaching ability reached 8.776 and 23.03 respectively. The teaching reform based on the CIPP model effectively enhanced the teaching quality of the TCM Nursing course, strengthened students’ practical skills, improved students’ satisfaction, and improved teachers’ teaching ability.

BACKGROUND Patients with advanced cancer experience physical and psychological pain that affects their quality of life. This review aimed to systematically search, evaluate, and summarize the best evidence on Traditional Chinese Medicine (TCM) nursing interventions in hospice care for patients with advanced cancer and to provide an evidence-based foundation for clinical care. The time limit for the search was from 2010 to September 2024. METHODS A top-down search of relevant literature was conducted according to the "6S" evidence model, including clinical decisions, guidelines, best practices, evidence summaries, systematic reviews, expert consensus, and randomized controlled trials (RCTs). The literature was evaluated, and evidence was extracted independently by two researchers. The evidence was appraised using the Appraisal of Guidelines Research and Evaluation (AGREE) tool and integrated with an evidence-based team consisting of six members. RESULTS Thirty-three publications were included, including four guidelines, two expert consensus, two clinical decisions, two evidence summaries, twenty-one systematic reviews, and two RCTs. Thirty-six indicators of best evidence were summarized from eight areas: TCM therapy, acupuncture therapy, moxibustion therapy, acupressure therapy, music therapy, traditional Chinese exercise therapy, auricular therapy, and aromatherapy. CONCLUSION This review summarizes the best evidence for TCM nursing interventions in hospice care for patients with advanced cancer, which can be used by clinical healthcare professionals to develop appropriate TCM nursing interventions in combination with the actual situation and with full consideration of the needs and wishes of the patients and their families to improve the patients' quality of life in advanced stages.

Abstract：Objective To explore the effects of traditional Chinese medicine nursing in elderly patients with chronic obstructive pulmonary disease. Methods A total of 70 elderly patients with chronic obstructive pulmonary disease from our hospital were selected from July 2023 to July 2024 and randomly divided into two groups (JY group and FX group, 35 cases each) using the double-color ball method. The former received conventional nursing, while the latter received traditional Chinese medicine nursing. The differences in traditional Chinese medicine syndrome scores, pulmonary function, nursing quality, and satisfaction between the JY group and FX group were compared. Results ① Traditional Chinese medicine syndrome scores: Before nursing, P>0.05; after nursing, both groups showed FX 0.05; after nursing, FX > JY in both cases, with P<0.05; ③ Nursing quality: FX group > JY group, P<0.05; ④ Satisfaction ( x2 =6.437): FX group (94.29% [33/35])>JY group (71.43% [25/35]), P<0.05. Conclusion Traditional Chinese medicine nursing significantly improves the outcomes in elderly patients with chronic obstructive pulmonary disease and is worthy of promotion and implementation.

Objective: To explore the application effect and value of characteristic traditional Chinese medicine (TCM) nursing techniques in the colorectal department in clinical practice, in order to provide references for improving the nursing quality of patients and promoting their rehabilitation. Method: The colorectal department of Hospital A began to implement characteristic TCM nursing techniques in January 2023. Therefore, 100 patients admitted to the colorectal department from September 2022 to December 2022 were set as the control group, and 100 patients admitted from January 2023 to April 2023 were taken as the experimental group. The experimental group adopted characteristic TCM nursing techniques, including comprehensive measures such as herbal enema therapy, TCM hip bath, acupoint massage and application, and emotional care; the control group adopted conventional Western medicine nursing methods. The application effect and value of characteristic TCM nursing techniques in the clinical practice of the colorectal department were evaluated by comparing indicators such as the frequency of use, the proportion of treated patients, the number of types, and patient satisfaction between the two groups. Result: After using the characteristic TCM nursing techniques, the recovery speed of the patients in the experimental group was significantly accelerated, and the incidence of complications was significantly reduced. Specifically, the average hospital stay of the patients in the experimental group was shortened by approximately 20% compared with the control group. At the same time, the pain score of the patients in the experimental group was also significantly lower than that of the control group. In addition, the satisfaction rate of the patients in the experimental group with the nursing service was as high as 95%, significantly higher than 80% of the control group. Conclusion: The application and practice of the characteristic TCM nursing techniques in the colorectal department have shown significant advantages in improving the recovery speed of patients and the quality of nursing services, and can be further promoted in clinical practice.

: With the increasing aging population in China, insomnia has become a significant health concern among the elderly. This study reviews the current application of Traditional Chinese Medicine nursing techniques, such as auricular acupoint pressure, tuina massage, acupoint patch, moxibustion, aromatherapy, traditional Chinese medicine footbath, and combined therapy, in managing senile insomnia. The aim is to provide insights for improving sleep quality, reducing the risk of complications, and promoting healthy aging.

Objective: To investigate the application effect of traditional Chinese medicine nursing combined with humanistic care in patients with colorectal cancer enterostomy. Methods: A total of 70 patients with colorectal cancer who underwent enterostomy were enrolled in the Department of Anorectal Medicine of a tertiary hospital in Guizhou Province from October 2023 to April 2024, and were divided into control group and intervention group by random number method, with 35 cases in each group. The control group was given conventional nursing intervention, and the intervention group was given traditional Chinese medicine nursing combined with humanistic care on the basis of the control group. The occurrence of negative emotion, self-care ability, quality of life and satisfaction between the two groups before and after intervention were compared. Results: The scores of anxiety self-rating anxiety scale (SAS) and self-rating depression scale (SDS) in the two groups were significantly lower than those before intervention ( P < 0.05). The scores of Exercise of Self-Care Agency (ESCA) and Quality of Life Scale were significantly higher than those before intervention ( P < 0.05). Nursing satisfaction was significantly improved ( P < 0.05). Conclusion: The application of TCM nursing combined with humanistic care to patients with enterostomy can not only pay comprehensive attention to the physical and mental health of patients, improve patients’ negative emotions, but also improve patients’ self-care ability and quality of life, and improve patients’ nursing satisfaction.

Introduction Complementary and alternative medicine is gaining global attention in nursing education, particularly in traditional Chinese medicine (TCM). However, limited research has explored how nursing undergraduates perceive the value of TCM nursing and how their experiences can inform teaching practices. Therefore, this study aimed to investigate nursing students’ perceived value of TCM nursing and to derive educational insights for curriculum improvement. Methods A mixed-methods design was adopted. Quantitative data were collected from 172 nursing undergraduates in a Chinese university using a self-developed TCM Perceived Value Questionnaire. Descriptive statistical analyses were used to identify their perceptions and behaviors regarding TCM nursing. Comparisons of the proportion of correct responses between the two universities were performed using the chi-square test or Fisher’s exact test. Qualitative data were obtained through semi-structured interviews with 14 students and analyzed using thematic analysis to explore their perceived value and educational implications for TCM education. Results Quantitative findings revealed a generally positive perception of TCM, with 93.6% of participants expressed interest in learning about TCM culture, 77.3% had prior experience with TCM treatments, and 53.3% were aware of national TCM talent policies. Qualitative themes included three key dimensions: (1) perceiving comprehensive impact of TCM nursing values; (2) expecting the effectiveness of TCM learning; (3) optimizing the learning experience of TCM nursing courses. Conclusion Undergraduate nursing students demonstrated generally positive perceptions of TCM nursing, recognizing its cultural relevance and clinical potential. However, gaps in knowledge application and instructional delivery remain. To enhance students’ engagement and learning outcomes, TCM nursing education should incorporate experiential teaching methods, strengthen clinical integration, and align content with students’ cognitive, emotional, and behavioral needs. These findings offer practical implications for developing culturally responsive and pedagogically effective TCM nursing curricula.

Post-stroke cognitive impairment (PSCI) is one of the common complications among stroke patients, significantly affecting their quality of life and prognosis. Traditional Chinese Medicine (TCM) nursing techniques possess unique advantages such as simplicity, convenience, and affordability, playing a crucial role in the cognitive function rehabilitation of post-stroke patients. This paper aims to review the research progress on TCM nursing techniques applied in clinical practice, providing references for selecting appropriate nursing plans for post-stroke patients.

Diabetic Gastroparesis (DGP) is one of the common chronic complications of diabetes mellitus, with main clinical manifestations such as nausea, vomiting, postprandial fullness, and delayed gastric emptying. It seriously affects patients’ quality of life and nutritional status. This paper systematically sorts out the application evidence of Traditional Chinese Medicine (TCM) nursing in DGP, verifies its effectiveness from three aspects: evidence from ancient literature, modern clinical studies, and results of Meta-analyses. It also elaborates on specific nursing methods including Syndrome Differentiation-Based Nursing, characteristic technical nursing, and health guidance, analyzes the existing problems in current research, and puts forward future development directions, so as to provide a reference for the clinical promotion and standardization of TCM nursing for DGP.

In the clinical research field of Traditional Chinese Medicine (TCM) nursing techniques, there are an increasing number of randomized controlled trial (RCTs) involving placebo control settings, but the quality of literature reports remains unclear. This paper aims to assess the reporting quality of placebo-controlled RCTs focusing on TCM nursing techniques. A comprehensive search was conducted on PubMed, Web of Science, Embase, Cochrane Library, China National Knowledge Infrastructure (CNKI), WanFang Database, Chongqing Weipu (VIP), and China Biology Medicine (CBM) from inception to December 3, 2023. The search included RCTs with a placebo control group related to clinical studies on TCM nursing techniques. The Consolidated Standards for Reporting of Trials (CONSORT) and Template for Intervention Description and Replication-Placebo (TIDieR-Placebo) criteria were employed to assess the standardization of literature reporting. A total of 39 papers were included, covering 15 TCM nursing techniques with a placebo control group designed for the treatment. Common placebo controls included “fake application of real points,“"real application of fake points,” and changes in the medium. The CONSORT evaluation revealed reporting rates of less than 20% for entries 3b, 6b, 11b, 12b, 14b, 16, 17b, and 18. In the TIDieR-Placebo evaluation, the reporting rates of entries 5, 6, 7, 9, 10, 11, and 13 were all below 20%. The current literature reporting quality of RCTs incorporating placebo control groups in clinical research on TCM nursing techniques is generally suboptimal. Researchers are advised to conscientiously use CONSORT and TIDieR-Placebo guidelines to enhance the reporting standards of research, fostering greater standardization in clinical research on TCM nursing.

The current study is designed to explore the application of Theory of Benevolence Art in the Traditional Chinese Medicine (TCM) nursing.

The existing guidelines and expert consensus on Traditional Chinese Medicine (TCM) nursing technology for chronic fatigue syndrome (CFS) are few and not prominent. The relevant systematic reviews and randomized controlled trials lack scientific quality evaluation resulting in a lack of systematic and standardized evidence-based evidence of TCM nursing technology in clinical practice. Therefore, this study aimed to systematically evaluate and summarize the best evidence to provide an evidence-based platform for clinical practice. According to the "6S" evidence model, the clinical decisions, guidelines, expert consensus, evidence summary and systematic review related to TCM nursing technology for patients with CFS were systematically searched in UpToDate, BMJ Best Practice, PubMed, China National Knowledge Infrastructure and other Chinese and English databases and guideline networks. The retrieval time limit was from establishment of the database until March 2024. A total of 12 articles were included, including 1 clinical decision, 3 guidelines, 7 systematic reviews and 1 expert consensus. The 27 best pieces of evidences were summarized from 6 aspects, such as acupoint massage, traditional Chinese mind-body exercises, 5-element music therapy, dietetic therapy, acupuncture and moxibustion, and acupoint application. This study summarized the best evidence of TCM nursing technology for CFS, and provided a reference for clinical practice. Nursing staff should choose the evidence according to clinical practice to provide safe, scientific and effective individualized TCM nursing programs for patients with CFS and improve the quality of nursing.

BACKGROUND Gastroparesis is a common digestive disorder characterized by delayed gastric emptying, which can lead to symptoms such as nausea, vomiting, abdominal pain, and poor appetite. Traditional Chinese medicine (TCM) has been used for centuries to treat gastrointestinal disorders, including gastroparesis. TCM theory suggests that spleen and stomach qi deficiency syndrome is one of the main pathogenic factors in gastroparesis. Nursing care plays an important role in the treatment of gastroparesis, and TCM nursing interventions have shown promising results in improving patient outcomes. However, there is limited research on the clinical effectiveness of TCM nursing interventions for gastroparesis with spleen stomach deficiency syndrome. This study aimed to evaluate the clinical effect of TCM nursing intervention in the treatment of gastroparesis with spleen stomach deficiency syndrome and to compare it with routine nursing interventions. AIM To analyze the clinical effect of traditional Chinese medicine nursing intervention in the treatment of gastric paraplegia with spleen stomach deficiency syndrome. METHODS From January 2020 to July 2021, 80 patients with gastroparesis of spleen stomach qi deficiency type diagnosed in our hospital were selected for the study. The 80 patients were randomly divided into a control group and an experimental group, with 40 cases in each group. During the treatment period, the control group received routine nursing interventions, while the experimental group received traditional Chinese medicine nursing procedures. Compare the nursing effects of the two groups and observe the changes in traditional Chinese medicine symptom scores, pain levels, and sleep quality before and after treatment. RESULTS After treatment, comparing the treatment effects of the two groups, the total effective rate of the experimental group was significantly higher than that of the control group, with statistical significance (P < 0.05). There was no statistically significant difference in the TCM symptom score, visual analogue scale (VAS) score, and Pittsburgh sleep quality index (PSQI) score between the two groups before treatment (P > 0.05). However, after treatment, the TCM syndrome scores, VAS scores, and PSQI scores of the experimental group were significantly lower than those of the control group, with a statistically significant difference (P < 0.05). CONCLUSION In the clinical nursing intervention of patients with mild gastroparesis due to spleen and stomach qi deficiency, the traditional Chinese medicine nursing plan has good clinical application value and nursing effect, and has a good effect on improving patients’ pain and sleep quality.

To develop a rigorous and standardized digital home self-care rehabilitation program for breast cancer patients’ post-surgery, based on traditional Chinese medicine (TCM) nursing diagnostics. The initial draft of a digital rehabilitation module based on the WeChat mini-program was prepared through Literature research, patient surveys, expert interviews, And group discussions. A two-round Delphi method was used to consult 16 experts, revising, adding, and removing elements to finalize the rehabilitation plan. The response rate for both rounds of the Delphi expert consultation was 100%, with authority coefficients of 0.813 And 0.841, respectively, and Kendall’s coefficient of concordance values of 0.789 And 0.513 (both P < 0.001). The final plan includes 3 primary entries, 8 secondary entries, And 10 tertiary entries. Analytical hierarchy process results showed that the consistency ratio (CR) values for all matrices of the tertiary entries were < 0.1, meeting the requirements for consistency tests. The constructed digital home self-care rehabilitation program for postoperative breast cancer patients, developed through evidence synthesis and expert consensus using Delphi consultation and AHP, is methodologically rigorous, reliable, and clinically applicable. ClinicalTrials.gov Identifier: ITMCTR2024000368

Background To improve the performance of health care institutions, reduce overmedication, and minimize the waste of medical resources, China is committed to implementing a clinical pathway management model. This study aims to standardize nursing practices, foster clinical thinking in nurses, and promote patient recovery. Objective The purpose of this study is to evaluate the clinical effects of a traditional Chinese medicine (TCM) nursing program based on nursing pathways for patients with type 2 diabetes mellitus (T2DM). Methods This study uses a prospective, randomized, single-blind, parallel-controlled design. Based on sample size calculations, the study will include 594 patients with diabetes, with 2 groups of 297 patients: an observation group will receive a TCM nursing program based on clinical pathways, while a control group will receive routine care. Both groups will be evaluated before and after the intervention using assessment indicators. The primary outcome is the quality of life score, measured by a diabetes-specific quality of life questionnaire. Secondary outcomes include hospital stay duration, medical expenses, health knowledge, blood glucose control, symptom scores, and patient satisfaction. Results This study was funded in August 2021 and has received approval from the Ethics Committee of Guang’anmen Hospital, China Academy of Chinese Medical Sciences (2022-022-KY-01). The trial is ongoing, with the first patient enrolled in September 2022. The study is expected to conclude in April 2025. To date, 380 patients have been recruited, with 202 randomized into the study, though no statistical analysis of the data has yet been conducted. A single-blind method is used; nurses are aware of group assignments and intervention plans, while patients remain blinded. Final results are planned for release in the first quarter of 2025. Conclusions This study seeks to integrate existing national standardized nursing protocols with clinical pathways to implement more efficient and higher-quality nursing practices. The goal is to standardize nursing procedures, enhance patients’ quality of life, and improve self-care and medication adherence after discharge. Trial Registration International Traditional Medicine Clinical Trial Registry ITMCTR2022000048; https://tinyurl.com/y4jd68h4 International Registered Report Identifier (IRRID) DERR1-10.2196/58951

Traditional Chinese Medicine (TCM) plays an important role on a global scale and has unique advantages in promoting overall health and preventive care.

No abstract available

In Japan, education in Chinese medicine nursing is not officially recognized, but the knowledge, techniques, and ideas of Chinese medicine nursing are considered to be an essential area of modern nursing. The purpose of this study was to clarify the current state of Chinese medicine nursing in Japan through a narrative review of Japanese literature. Using Ichushi-Web, a Japanese medical literature database, a search was conducted for original articles using the keyword “Chinese medicine nursing,” yielded 50 hits. All literature was collected and carefully read, and seven articles on Chinese medicine nursing in Japan were narratively reviewed. Of these, three articles concerned education in Chinese medicine nursing and four related to research. In terms of education, the educational effects of Chinese medicine nursing, which was introduced on a trial basis, were observed, but the trustworthiness of the evaluation of its outcomes was unclear. One issue was securing of educators for Chinese medicine nursing. In terms of research, Chinese medicine nursing was practiced for palliative care patients, outpatients with insomnia, and expectant mothers, but the trustworthiness of the evaluation of its outcomes was unclear. Certified Nurse Specialists in Japan are expected to combine cure and care in their practice, and application of Chinese medicine nursing is feasible. In the future, it will be necessary to propagate Chinese medicine nursing, which takes into account the constitution of the patient and emphasizes the patient’s natural healing powers.

Objective: To study the effect of Traditional Chinese medicine (TCM) nursing intervention combined with acupoint patch in the treatment of acute exacerbation of chronic obstructive pulmonary disease (COPD). Methods: A total of 60 patients with acute exacerbation of COPD admitted between September 2022 and September 2023 were selected and randomly grouped into a control group (conventional care and treatment) and an observation group (joint interventions: traditional Chinese medicine nursing interventions, acupoint compresses), with 30 patients each. The arterial blood gas indexes of the two groups, hospitalization time, pulmonary function indexes, and TCM symptom scores were analyzed and compared between the two groups. Results: The arterial oxygen pressure (PaO2) (9.52 ± 1.02 kPa) and partial pressure of carbon dioxide (PaCO2) (5.01 ± 1.02 kPa) of the observation group were better than those of the control group after the intervention (P < 0.05). The forced expiratory volume (FEV1) (3.38 ± 0.15%), the FEV1% prediction value (72.52 ± 2.25), and the FEV1/ forced vital capacity (FVC) (79.52 ± 1.41%) were higher than those of the control group (P < 0.05). The hospitalization time (12.16 ± 1.02 d) and TCM symptom score (4.12 ± 1.26) of the observation group were better than those of the control group (P < 0.05). Conclusion: Significant nursing effects were achieved by carrying out combined interventions (Chinese medicine nursing intervention and acupoint application) during the acute exacerbation of COPD.

Background: In a study conducted from March to September 2021, 124 cancer patients undergoing chemotherapy at our hospital were divided into two groups. The control group received routine inpatient nursing care, while the observation group received Traditional Chinese Medicine (TCM) nursing interventions in addition to routine care. Data analysis was conducted to compare the incidence of clinical adverse reactions, constipation scores, and changes in anxiety levels between the two groups. The results showed that the observation group, receiving TCM nursing interventions, had lower incidence of clinical adverse reactions and lower constipation scores compared to the control group. Additionally, anxiety levels were found to decrease significantly in the observation group post-intervention. These findings suggest that incorporating TCM nursing interventions in the care of cancer patients undergoing chemotherapy may help in reducing the occurrence of adverse reactions, alleviating constipation, and managing anxiety levels. Further research is needed to explore the full potential of integrating TCM into conventional nursing care for cancer patients. Methods: Following interventions, both groups experienced varying degrees of clinical adverse reactions, with the observation group demonstrating a significantly lower total incidence (29.03%) compared to the control group. This disparity was statistically significant ( P < 0.05). Furthermore, improvements were observed in defecation time (0.53 ± 0.18) points and defecation frequency (1.17 ± 0.25) points post-intervention. These findings suggest that the intervention had a positive impact on reducing adverse reactions and improving defecation patterns. Results: In a recent study, researchers found that individuals in the observation group experienced lower levels of difficulty with defecation and had a more regular defecation form compared to those in the control group. The results showed a significant difference in defecation difficulty and form, with the observation group scoring lower in both aspects. Interestingly, there was no significant difference in anxiety levels between the two groups prior to the intervention. However, after the intervention, both groups experienced a decrease in anxiety levels, with the observation group showing a greater reduction compared to the control group. This suggests that the intervention had a positive impact on reducing anxiety levels, particularly in the observation group, where anxiety scores were significantly lower. These findings highlight the possible benefits of certain interventions in improving both physical and psychological well-being. Conclusion: TCM nursing interventions have shown to be beneficial in reducing anxiety and improving constipation symptoms in cancer patients. These methods not only enhance the quality of life for patients but also offer a promising approach in clinical cancer treatment. The efficacy of TCM nursing highlights its value and encourages further promotion and application in future cancer care strategies. TCM nursing helps cancer patients undergoing chemotherapy with constipation and anxiety.

Recently, the development of traditional Chinese medicine (TCM) nursing and education has gradually received attention. Due to the unique diet culture of soup-making in Macau, TCM nursing focuses on the care of Chinese herbal medicine and medicated diet. Although TCM nursing occupies an important role in the daily life of residents in Macau, it has not yet been systematically developed, and its education is still at the basic level. Currently, the development of TCM nursing in Macau is limited due to low clinical demand, weak education, and uneven distribution of development resources. Therefore, it is suggested that the development strategies could focus on the community TCM nursing in accordance with the dietary characteristics of Macau, and provide a variety of TCM nursing courses for various nurses to choose from, and establish TCM nursing academic or community organizations to be responsible for the development of TCM nursing.

No abstract available

No abstract available

No abstract available

No abstract available

No abstract available

No abstract available

No abstract available

No abstract available

No abstract available

No abstract available

No abstract available

No abstract available

No abstract available

No abstract available

No abstract available

No abstract available

No abstract available

No abstract available

No abstract available

No abstract available

No abstract available

No abstract available

No abstract available

No abstract available

No abstract available

No abstract available

No abstract available

Latar belakang; Perawatan pasien gagal ginjal yang menjalani hemodialysis berfokus pada peningkatan kualitas hidup yang disertai dengan berbagai keluhan fisik seperti fatigue, pruritus dan gangguan tidur. Sensasi pruritus merupakan salah satu gejala umum yang memberatkan pasien dengan GGT, mempengaruhi hingga 46% pasien yang menjalani hemodialysis (HD). Intervensi keperawatan mandiri untuk menurunkan sensasi pruritus salah satunya adalah acuprerssure. Tujuan Evidance Based Nursing (EBN) untuk mengidentifikasi efektifitas acupressure dalam menurunkan sensasi pruritus pada pasien yang menjalani HD. Metode; EBN ini menggunakan metode pre eksperimen dengan melibatkan 7 pasien yang menjalani HD. Hasil uji analisis menggunakan data VAS sensasi pruritus pretest dan posttest acupressure pada acupoint LI-11 selama 6 menit pada 8 sesi HD. Hasil; Penurunan nilai VAS sensasi pruritus didapat perbedaan rerata sebesar 2.586 ±1.446. Diskusi; Acupressure dapat dijadikan intervensi keperawatan untuk menurunkan sensasi pruritus

State test anxiety, which presents as a distinct form of anxiety, is a condition that impairs communication, learning, and academic achievement. Today, there is a growing interest in non-pharmacological methods to mitigate anxiety. One of the most prevalent methods is acupressure therapy. The objective of this study was to ascertain the influence of acupressure therapy on state test anxiety levels and vital signs among nursing students, including systolic (SBP) and diastolic blood pressure (DBP), heart rate, and arterial oxygen saturation. The study population consisted of second-year students enrolled at a university of the 2023–2024 academic year. The study sample consisted of 118 nursing students, who were randomly assigned to either the intervention group (n = 59) or the control group (n = 59) in equal numbers. Data were collected using the Descriptive Information Form, the State Test Anxiety Scale (STAS), and the Vital Signs Follow-Up Form. It was observed that the state test anxiety levels of students in the experimental group decreased in the post-test measurements compared to the pre-test (t = 4.357; p < 0.001). In addition, in the post-test measurements, the decrease in systolic blood pressure (t = 2.176; p = 0.032), diastolic blood pressure (t = 2.644; p = 0.009), and heart rate (t = 3.133; p = 0.002) in the experimental group was found to be significantly greater than that in the control group. No significant difference was found in oxygen saturation values between the pre-test and post-test analyses (p > 0.05). The findings indicated that acupressure therapy was an effective method to reduce state test anxiety, heart rates and the SBP and DBP levels. It is therefore recommended that acupressure therapy be employed and promoted as a means of reducing nursing students’ state test anxiety. This study was retrospectively registered as a randomized controlled trial in the ClinicalTrials Registry. Registration Date: September 05, 2024. Registration Number: NCT06454799.

Abstract Introduction: optimal breast milk production is a key factor in the success of exclusive breastfeeding among postpartum mothers. however, various physical and psychological factors, such as fatigue, stress, and hormonal imbalance, often become barriers to the lactation process. complementary nursing interventions, such as lactation acupressure and swedish back massage, are known to enhance relaxation, improve blood circulation, and stimulate prolactin and oxytocin hormones that play an important role in breast milk production. Objective: to analyze the effectiveness of a combination of lactation acupressure and swedish back massage in optimizing breast milk production among postpartum mothers Method: this study used a quasi-experimental design with a one-group pretest–posttest approach. the sample consisted of postpartum mothers who met the inclusion criteria and were selected using a purposive sampling technique. Results: The statistical analysis using the Wilcoxon Signed Rank Test yielded a p-value of 0.147. Conclusion: The combination of lactation acupressure and Swedish back massage has not been statistically proven to be significant; however, it tends to provide a positive descriptive effect on optimizing breast milk production in postpartum mothers, along with increased relaxation, improved comfort, and reduced breast pain.

The risk of increased blood pressure will occur at the age of >50 years. The incidence of hypertension is increasing with the age of a person. If the blood vessels narrow, the flow of the arteries will be disrupted, where there will be a decrease in O2 (oxygen) and an increase in CO2 (carbon dioxide), resulting in pain. Non-pharmacological therapy that can reduce pain in hypertensive patients is dry cupping combined with acupressure. The implications of dry cupping therapy combined with acupressure are carried out 3 times a day in 1 week with a duration of 20 minutes. On the third day of the patient pain scale visit, the patient was measured using a numerical rating scale in the first patient on the pain scale of 3, the second patient on the pain scale of 3, and the third patient on the pain scale of 2. After being given dry cupping therapy combined with acupressure with acute pain problems, it was concluded that the pain level decreased after being given dry cupping therapy combined with acupressure.

Background: Dysmenorrhea is a common condition characterized by menstrual pain experienced by adolescent girls, which can significantly affect their quality of life. Acupressure therapy is considered effective in alleviating pain intensity. This study aims to evaluate the impact of acupressure on reducing dysmenorrhea intensity among students of Akper Untad in Palu City. Objective: This research aims to analyze the effect of acupressure therapy on primary dysmenorrhea intensity in female students. Methods: This study employed a quasi-experimental design with a pre-test and post-test approach. A total of 47 female students participated as respondents. Pain intensity was measured using a 0-10 scale before and after acupressure treatment. Data analysis was performed using the Paired T Test. Results: The findings indicate that the average dysmenorrhea intensity before treatment was 7.77, which decreased to 3.00 after treatment. Statistical analysis revealed a p-value of 0.000, indicating a significant effect of acupressure on reducing dysmenorrhea intensity. Conclusion: Acupressure therapy is effective in reducing primary dysmenorrhea intensity among female students at Akper Untad in Palu City. This study provides evidence that acupressure can be a valuable non-pharmacological intervention for managing dysmenorrhea.

Critically ill patients with various complications and symptoms that can affect their quality of life. Acupressure has garnered interest as a potential non-pharmacological adjunctive therapy to accelerate the recovery of critically ill patients in the ICU, a technique that nurses can perform. This study employed a scoping review methodology. Literature searches were conducted across leading medical databases, including PubMed, Science Direct, and ProQuest. Inclusion criteria comprised original studies, systematic reviews, and case reports published within the last five years. The review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The results show that various acupressure therapy methods used for critically ill patients with clinical conditions such as degenerative diseases and cardiovascular diseases, have the potential to reduce pain and anxiety, improve sleep quality, lower blood pressure, reduce nausea and vomiting, and enhance immune system function for ICU patients. This research aims to provide a foundation for integrating acupressure into holistic nursing care for critically ill patients, thereby improving both their quality of life and recovery.

BACKGROUND Psychological intervention nursing (PIN) has been considered to have a curative effect on cesarean section (CS) postoperative recovery. However, the therapeutic mechanisms remain obscure. AIM To explore the effects of PIN combined with acupressure massage on CS postoperative recovery. METHODS A retrospective study was conducted on 150 pregnant women admitted to an obstetrics department between January 2020 and January 2023. The control group (CG) received acupressure therapy (n = 73), and the intervention group (IG) received acupressure therapy and PIN therapy (n = 77). Postoperative recovery time was assessed by anal-exhausting, defecation, bed activity, breastfeeding, and hospital stay times. Adverse effects, including infection, bleeding, limb numbness, intrauterine hematoma, urinary retention, and venous thromboembolism, were recorded. the pain visual analogue scale (VAS) was used to evaluate the degree of pain. Anxiety and depression status were qualitatively assessed using the self-rating anxiety scale (SAS), self-rating depression scale (SDS), and Edinburgh postpartum depression scale (EPDS). The Pittsburgh sleep quality index (PSQI) was used to compare sleep quality between the groups. RESULTS The baseline data and SAS, SDS, EPDS, and PSQI scores did not significantly differ before CS (P > 0.05) and neither did complication rates between the two groups after CS (P > 0.05). However, anal-exhausting, defecation, waking up, breastfeeding, and hospitalization times were significantly shorter for participants in the IG than those for participants in the CG (P < 0.05). The VAS, SAS, SDS, EPDS, and PSQI scores of the IG were significantly lower than those of the CG (P < 0.05). CONCLUSION PIN, combined with acupressure massage, effectively promotes maternal recovery, reduces post-CS pain, and improves postoperative negative emotions and sleeping quality.

No abstract available

No abstract available

AIMS The aim of this study is to test whether acupressure for patients with fatigue is an efficient nursing intervention and if it can be implemented into the European nursing care pathways (ENP) nursing classification system. BACKGROUND Previously, interventions for acupressure were included nonspecifically in ENP and therefore were not available for standardized nursing documentation in an electronic health record (EHR). INTRODUCTION Acupressure is a nursing intervention that is increasingly used in specific settings. ENP is a nursing classification system that provides evidence-based nursing interventions for nursing diagnoses. METHODS A systematic international literature search was conducted from May 2021 to December 2021. An iterative, hierarchical search process according to the 6S evidence pyramid was chosen. The results were reported following the PRISMA statement. RESULTS Findings of 49 included publications that studied a total of 1,716 patients indicate that certain acupressure points may be efficient in treating fatigue. DISCUSSION Acupressure is a useful nursing intervention and can really help patients experiencing fatigue. It is illustrated how the findings have been implemented in the development of ENP nursing interventions to document acupressure. CONCLUSION The acupressure points most frequently used on the ear with positive effects in improving fatigue are Shen Men, liver, spleen, subcortex, endocrine, heart, and sympathetic, while the most common points on the body are ST 36, SP 6, LI 4, HT 7, KID 1, Ex-HN 3, Ex-HN, and KID 3. IMPLICATION FOR NURSING In the future, nurses will be able to use ENP to quickly and easily document acupressure interventions for fatigue in the EHR. In the EHR, the documentation of the nursing process with ENP could help to promote research into evidence-based approaches to fatigue by generating mass data on the different concepts of acupressure, which could lead to a clearer determination of the evidence and contribute to the safety of care and patients.

PURPOSE This study aimed to examine the effects of auricular acupressure (AA) on neck pain and stress in nursing students with neck pain. METHODS This single-blind, randomized, and placebo-controlled comparative pretest-posttest study involved administering AA for four weeks. The subjects included nursing students experiencing neck pain. The experimental group comprised 17 subjects, and the control group comprised 14 subjects. In the experimental group, AA was applied to the Shenmen, cervical vertebrae, shoulder, and liver areas to improve neck pain and reduce stress. In the control group, AA was applied to the anus, rectum, urethra, and external genitalia areas, which are not associated with neck pain and stress. To assess the intervention effects, NRS (Numeric Rating Scale), NDI (Neck Disability Index), and PSS (Perceived Stress Scale) scores were measured. RESULTS The NRS scores in the experimental group with AA significantly decreased over time (F = 7.463, p < .001). The between group and group-by-time interaction results were F = 8.564, p = .007 and F = 3.252, p = .025, respectively. The NDI scores in the experimental group showed a statistically significant difference between the groups (F = 13.762, p = .001); however, there were no significant differences over time or in the group-by-time interaction (F = 1.086, p = .347) (F = .301, p = .757). The PSS scores in the experimental group decreased significantly over time (F = 5.557, p = .013), but there were no significant differences between the groups (F = .636, p = .432) or in the group-by-time interaction (F = .063, p = .891). CONCLUSION AA applied for four weeks was found to be safe, noninvasive, and effective in reducing neck pain in nursing students with cervical pain.

Background : Dysmenorrhea continues to be a significant issue that worries adolescent and young adult women. The occurrence of this condition is common and often not adequately addressed .Aim : assess effect of self-acupressure on SP6 point on primary dysmenorrhea among Faculty of Nursing Students. Design : Quasi-experimental research design. Setting : Faculty of Nursing at Sohag University. Sample : A purposive sample of 100 female students. Tools : Tool I: Structured interviewing questionnaire Tool II : Visual Analog Scale (VAS) Tool III: Modified McGill Pain Questionnaire Short form (MPQ-SF). Results : There is highly statistical significance difference between pre & posttest regarding pain level with p-value .001. Conclusion : Self-acupressure on SP6 point was effective in relieving the severity of menstrual pain among nursing female students with primary dysmenorrhea. Recommendations : Use of self SP6 acupressure should be advocated as a non-pharmacological approach for management of menstrual pain.

Dysmenorrhea, a prevalent issue among women, especially adolescent girls, significantly impacts daily life. In India, 67.2% of adolescent girls experience dysmenorrhea, affecting their routines. This study aims to evaluate acupressure's effectiveness in alleviating dysmenorrhea pain by comparing pain levels between experimental and control groups. Employing a quasi-experimental design, 60(experimental group=30, control group=30) adolescent girls (aged 17-21) from Christian College of Nursing, Allahabad, were divided equally. Data collection involved structured questionnaires and pain rating scales. Acupressure was administered at the SP6 point, followed by post-test assessments. The experimental group, despite higher junk food consumption, showed more regular exercise habits and prior dysmenorrhea knowledge. Initially, both groups experienced moderate pain, but post-intervention, the experimental group exhibited significant improvement, with 46.66% reported no pain and 46.66% experience mild pain. Conversely, 40% of the control group still experienced moderate pain. Statistical analysis revealed a substantial reduction in mean pain scores within the experimental group from pre-test (5.53 ± 2.14) to post-test (1.03 ± 1.22), and a significantly lower post-intervention mean score (1.03 ± 1.22) compared to the control group (3.56 ± 1.99). These findings highlight acupressure's efficacy in reducing menstrual pain among adolescent girls, emphasizing its potential as a non-invasive intervention for dysmenorrhea. Key words: Dysmenorrhea, adolescent girls, acupressure, SP6 point, pain reduction, quasi-experimental study.

Background: The post-pandemic period of covid 19, the biggest cause of loss of income for parents of students, this can make students experience distress and depression. Symptoms of depressive disorders in adolescent students will have an impact on almost all activities on campus and will get worse if left untreated. the recommended form of treatment is complementary therapy such as acupressure therapy. Purpose: To determine the effectiveness of acupressure on depressive symptoms among nursing students. Method: Quasi-experiment with pretest-posttest one group design measuring depression using Beck Depression Inventory parameters, sample calculation using the Slovin formula, the number of samples used in this study were 20 participants. Results: The average BDI score before acupressure was 26.80 in the moderate depression category, the average BDI score after acupressure was 19.00 in the mild depression category. The results of the statistical test obtained a p value = 0.001 <0.05 which means that acupressure is effective in reducing depression levels. Conclusion: After undergoing acupressure tonification massage therapy 30 times per session, 3 sessions per week for 4 consecutive weeks, it can reduce the level of depression. 

ABSTRACT INTRODUCTION Menstruation is the normal process that occurs in all healthy adult. Menstrual pain or dysmenorrhea is the pain in the lower abdomen before or during menstruation. India has one of the fastest growing youth populations in the world, with an estimated 190 million adolescents. Girls below 19 years of age comprising 21% of India’s total population. In India 67.2% adolescent girls suffer from dysmenorrhea and 60% of them have disrupted daily routines.The incidence of menstrual pain to women in the world is relatively high on the average of more than 50% in every country.Acupressure is an ancient healing art that uses fingers to press key points on the surface of the skin to stimulate body’s natural self-curative abilities. Acupressure release tension, increases circulation, reduces pain, and develops vibrant health, with a view to this; the study was conducted to assess the effectiveness of acupressure on dysmenorrhea among nursing student at Shri Vinoba Bhave College of Nursing, Silvassa. AIM Aim of the study is to evaluate the effectiveness of acupressure on reduction of pain during menstruation among nursing students at Shri Vinoba Bhave College of Nursing, Silvassa, Dadra and Nagar Haveli. METHODOLOGY Quasi experimental, time series non-equivalent control group design with Non probability purposive sampling technique was used to select 60 nursing students, 30 experimental and 30 control group. Dysmenorrhea is assessed by WaLIDD scale. Tool was used for data collection were Numerical pain intensity scale, socio-demographic variable, baseline clinical data. Pretest was done before intervention in experimental group and control group. Acupressure therapy was given to experimental group and pain was assessed after 30 min, 60 min, and 120 min in both groups. RESULT Result shown that the mean score (8.10±0.84, 6.88±0.68, 6.49±0.69, 5.82±0.65) of experimental group is apparently lower than the mean score (8±0.83, 4.78±0.52, 3.83±0.47, 3.06±0.49) of control group except for the mean pretest score. The level of pain score status between the different time intervals pre and post observations in experimental group shows that the obtained F Value 207.2968(df=9) and the p value was 0.0001. the p value is <0.05 level of significance so it shows that statistical significance was very high in the experimental group respectively, compare than control group, hence research hypothesis (H1) is accepted and inferred that acupressure therapy is very effective in reducing the pain during menstruation and providing comfort. CONCLUSION Study proved that SP6 acupressure can be used as an effective intervention to decrease menstrual pain. Acupressure is a very effective means of decreasing dysmenorrhea. It can be assumed that applying acupressure with the same intensity for a shorter time is effective in reducing menstrual pain. KEY WORDS Acupressure, dysmenorrhea, complimentary and alternative therapy.

Therapy slow deep breathing exercise and acupressure is a complementary therapy that aims to reduce the symptoms of the disease to improve the quality of individual health. Complementary therapy is rarely done in hospitals so that the symptoms felt by patients are not reduced without medication. This therapy can reduce the symptoms of shortness of breath in patients who specifically experience impaired breathing patterns that are not effective. The study aims to determine the effectiveness of combination therapy slow deep breathing exercises and acupressure to address ineffective breathing pattern nursing problems in nursing care. This type of research is a case study using the nursing care method. The research sample was patients treated in the Gardena room at dr. Soebandi General Hospital Jember. Patients were given nursing interventions in the form of a combination of slow deep breathing exercise therapy and acupressure for 1-2 times a day for 3 days. Providing nursing interventions in the form of a combination of slow deep breathing exercise therapy and acupressure can overcome ineffective breathing pattern nursing problems. This is indicated by the improvement in the patient's condition that the shortness of breath is reduced, the frequency is improving, not using the auxiliary muscles of breathing, and the depth of breathing is improving. Patients can also carry out the therapy independently properly and correctly. A combination of slow deep breathing exercise therapy and acupressure can overcome the problem of ineffective breathing pattern nursing.

No abstract available

Background: Anemia or known by the public as anemia in the elderly often occurs unknowingly. The prevalence of anemia in Indonesia in the elderly is 42.3%. Acupressure utilizes stimulation on the body's acupuncture points, ears and scalp to affect the flow of the body's bioenergy called qi as one of traditional medicine. Perceptions of the use of traditional medicine are of three types: holding belief in conventional medicine, doubting conventional medicine, and holding belief in both traditional medicine and conventional medicine. The purpose of this study was to determine the factors associated with the perception of acupressure as a prevention of anemia in the elderly at nursing homes. Subjects dan Method: This study was a cross-sectional study in January 2023. The sample used was 110 elderly people in nursing homes in the Surakarta area, selected using a purposive random sampling technique. The dependent variable of this research is the perception of acupressure as prevention of anemia. The independent variables in this study were education of the elderly, knowledge of acupressure, history of anemia, safety of acupressure and willingness to do acupressure. Data collected by questionnaire. Data analysis used multiple logistic regression with Stata 13. Results: Factors related to positive perceptions of acupressure as prevention of anemia in the elderly were higher education in the elderly (OR= 12.77; 95% CI= 1.842 to 88.74; p=0.010), high knowledge about acupressure (OR= 13.05; 95% CI= 2.22 to 76.78; p=0.004), had a history of anemia (OR= 13.50; 95% CI= 2.15 to 84.59; p=0.005), safety of acupressure (OR= 32.85; 95% CI= 4.96 to 217.55; p<0.001), and willingness performed acupressure (OR= 11.03; 95% CI= 1.97 to 61.71; p=0.006). Conclusion: Factors related to the perception of acupressure as prevention of anemia in the elderly are the elderly's higher education, high knowledge of acupressure, history of anemia, safety of acu-pressure, and willingness to do acupressure.

No abstract available

Objective Chemotherapy-induced peripheral neuropathy (CIPN) is common in patients with breast cancer who received taxane-based chemotherapy. While auricular acupressure has shown promise in symptom management, its effects within a caring framework remain underexplored. This study aims to examine the effects of Swanson theory-based auricular acupressure on CIPN and broader health-related outcomes (e.g., sleep and quality of life) and the potential mediating role of inflammatory biomarkers. Methods Seventy-four participants with breast cancer were recruited with 1:1 random assignment in intervention group and control group. Participants in the intervention group were instructed by nurses to do Swanson theory-based auricular acupressure during the 6 cycles of chemotherapy. Auricular acupressure was applied to10 ear points with each of them evenly for 1–2 minutes at a time and 3–5 times a day according to their feeling of discomfort. CIPN symptoms, sleep quality, inflammatory biomarkers, quality of life and patient-reported nurse-patient relationship were measured. Two-factor repeated measures analysis of variance was used to assess differential change in these outcomes between the two groups over time. Results The levels of inflammatory biomarkers decreased over time in both groups. Compared to the control group, the intervention group experienced significantly larger reduction in Tumor Abnormal Protein level (P < 0.001), smaller increases in CIPN symptom severity (P < 0.001), improved sleep quality (P < 0.001), and higher levels of trust in nurses (P < 0.001) across chemotherapy cycles. Conclusions Swanson theory-based auricular acupressure may have a potential benefit to mitigate the worsening of CIPN symptoms, improve sleep and quality of life, reduce inflammatory biomarkers, and enhance the nurse-patient relationship during chemotherapy. These findings support the integration of auricular acupressure within holistic cancer care, highlighting the value of compassionate, theory-driven nursing interventions. Further large-scale studies are recommended to confirm these outcomes and explore underlying mechanisms. Trial registration This study was registered in the National Health Security Information Platform (Medical Research Registration and Information System, https://www.medicalresearch.org.cn/) (MR-14-24-054013).

Background: The prevalence of diabetes is a significant concern and is particularly impactful on the older adult population. Auricular acupressure is recognized as an effective complementary treatment for Type 2 diabetes. Purpose: The purpose of this study is to examine the effect of auricular acupressure on glycemic markers, stress, and sleep quality in older adults with Type 2 diabetes in South Korea. Methods: The study involved weekly acupressure therapy sessions for 8 weeks, with 25 participants in the intervention group and 26 in the placebo group. Specific acupoints associated with diabetes, sleep, and stress were targeted in the intervention group, while unrelated acupoints were used in the control group. Subjective indicators such as stress and sleep scales, along with objective measures such as blood tests, heart rate variability, and sleep activity recorders, were employed in the analysis. Results: Significant differences were observed in blood sugar (F=5.20, p <.001) and glycated hemoglobin (Z=−2.345, p=.019) between the two groups after administration of the acupressure therapy. However, no significant between-group differences were found in either glycated albumin or fructosamine. Also, activity in the sympathetic and parasympathetic nerves showed significant between-group variation. Although no significant between-group differences were found for subjective sleep indicators, notable changes in the number of awakenings, duration of awakening, REM sleep, and deep sleep conditions were identified. Conclusions: Although the effects are not strong, the findings suggests auricular acupressure influences glycemic index, stress, and sleep quality in older individuals with Type 2 diabetes positively. The results of this study support the potential of using auricular therapy as a nursing intervention in diabetes management.

Purpose: The purpose of this study was to examine the effects of auricular acupressure on postpartum low back pain and fatigue in postpartum women. Methods: A randomized controlled trial (RCT) was conducted with 48 postpartum women hospitalized at a tertiary general hospital in Seoul. Participants were randomly assigned to either an experimental group (n=24) or a placebo control group (n=24). The experimental group received auricular acupressure once a week for four weeks at specific acupoints (Shenmen, lumbar vertebrae, kidney, liver, and endocrine), while the control group received pressure on non-therapeutic auricular points. Pain intensity (visual analog scale), pressure pain threshold, and postpartum fatigue were measured. Results: The experimental group showed a significant improvement in pressure pain threshold compared with the control group (F=9.79, p<.001). However, no statistically significant difference was observed between the groups in subjective pain intensity measured by VAS. Postpartum fatigue levels significantly decreased in the experimental group compared to the control group (U=10, p<.001). Conclusion: This study demonstrated that auricular acupressure can significantly improve pressure pain threshold and reduce fatigue levels in postpartum women. These findings highlight its potential as a non-invasive and safe complementary therapy for managing common postpartum symptoms.

The adverse effect of chronic kidney disease extends far beyond the primary impact on kidney function. Children undergoing Haemodialysis (HD) develop several oral complications such as decreased salivary flow rate and xerostomia. This creates a vicious cycle where the compulsive urge to drink further contributes to fluid overload. Providing a standalone program may not be sufficient to ensure full adherence to fluid restrictions. Auricular Acupressure (AA) induces parasympathetic stimulation which increases salivary flow rate and alleviate persistent feeling of thirst. to assess the effect of bundling AA and fluid restriction program on salivary flow rate and fluid control adherence among children undergoing HD. A single-blinded randomized control trial was conducted at Alexandria University Children’s Hospital in Smouha, Egypt. A sample of 60 children receiving HD was randomly assigned to two parallel groups. The control group received the fluid restriction program through general small-group discussion sessions, individualized consultations, and follow-up. The study group also received the intervention bundle: the fluid restriction program and twelve sessions of AA on four acupoints: Shenmen, Kidney Concha, Point Zero, and Upper Tragus. Subjective assessment revealed significant differences in all the parameters of salivary flow rate, such as difficulty in swallowing (p = 0.005), saliva rate in mouth (p = 0.016), dryness in mouth (0.009), dryness in lips (p = 0.002). The objective assessment of the salivary flow rate unveiled that applying the intervention bundle resulted in a notable increase in salivation level (from 33.3 to 86.7%) with p-value > 0.001 compared to a slight increase in the control group (23.3–36.7%). There was a significant improvement in the overall fluid control adherence in both groups with favor to the study group who received the intervention bundle as p-values were < 0.001and 0.047 respectively. Bundling AA and fluid restriction programs effectively improved salivary flow rate and fluid control adherence among children undergoing HD attending the HD unit in Alexandria University Children’s Hospital at Smouha, Egypt. Therefore, nurses working in HD units may adopt this intervention bundle as a cost-effective, safe, and complementary tool to promote sustainable patient adherence to fluid-restriction regimen. [NCT06562959], ClinicalTrails.gov, Retrospectively registered (April 8th, 2024), URL of trial registry record: https://clinicaltrials.gov/study/NCT06562959.

BACKGROUND Patients with pancreatic cancer exhibit various symptoms and numerous physiological and psychological complications. Therefore, designing intervention measures to alleviate symptoms is crucial. OBJECTIVE This study explored the effectiveness of a 4-week auricular acupressure intervention for reducing fatigue and improving quality of life, sleep quality, and physical activity in patients receiving chemotherapy for pancreatic cancer. METHODS This randomized controlled trial was conducted at a medical center in northern Taiwan. The study participants comprised 80 patients undergoing chemotherapy for pancreatic cancer. The experimental group received auricular acupressure therapy for 4 weeks, which targeted the shenmen (TF4), sympathetic (AH6), liver (CO12), spleen (CO13), and subcortex (AT4) acupoints, and the control group received routine care. The European Organization for Research and Treatment of Cancer Quality of Life Group Core Questionnaire-C30, European Organization for Research and Treatment of Cancer Quality of Life Group Core Questionnaire-PAN26, Brief Fatigue Inventory-Taiwanese version, Pittsburgh Sleep Quality Index, and 3-day Physical Activity Record were used for assessment. RESULTS After auricular acupressure therapy for 4 weeks, the experimental group exhibited significant improvements in insomnia symptoms during weeks 1 to 4, as measured using the European Organization for Research and Treatment of Cancer Quality of Life Group Core Questionnaire-C30 (all P < .01), and improvements in sleep quality by week 4, as measured using the Pittsburgh Sleep Quality Index (P < .036). CONCLUSIONS After auricular acupressure therapy for 4 weeks, significant improvements were observed in patients' sleep quality and quality of life in terms of insomnia. IMPLICATIONS FOR PRACTICE Auricular acupressure can improve sleep quality and other aspects of quality of life among patients undergoing chemotherapy for pancreatic cancer. The study findings indicate the potential of auricular acupressure as an adjunctive cancer care treatment.

Insomnia leading to an inadequate fulfillment of the body's physiological sleep requirements in terms of both quality and duration. A single-arm clinical trial was employed. N = 84 and were given auricular acupressure treatment, 10 times as a course of treatment. The Pittsburgh Sleep Quality Index (PSQI), TCM Syndrome Score Scale, Insomnia Severity Index Scale, Flinders Fatigue Scale, Health Status Questionnaire, Patient Satisfaction Score and Auricular Temperature Change were filled in at the time of enrollment and after treatment, and the adverse reactions were recorded to evaluate the safety of treatment. According to the rate of reduction in the total score of the PSQI as the evaluation standard, 12 patients were cured, 46 significantly improved, 22 improved, and 4 showed no improvement, resulting in a total effective rate of 95.29% and a patient satisfaction rate of 90.58%, both showing statistically significant differences (P < .05). So ear acupressure can effectively treat insomnia.

BACKGROUND Auricular acupressure has been used to treat addiction, but there are few studies on gambling addiction and the mechanism of auricular acupressure. MATERIALS AND METHODS This study examined the effects of auricular acupressure on depressive symptoms, gambling withdrawal symptoms, and platelet serotonin s in individuals with gambling disorders. This was a quasi-experimental study. Data were collected between September 2021 and April 2024 at a gambling treatment center in South Korea. A total of 34 people with gambling disorders were assigned to one of the two groups: auricular acupressure and education. The experimental group received auricular acupressure for 6 weeks, and the control group received educational materials. RESULTS Depressive symptoms significantly decreased in the experimental group (t = 2.30, p = .029). Effect size d was 0.79 (95% confidence interval: 0.07-1.47). Auricular acupressure significantly reduced gambling withdrawal symptoms over 6 weeks compared to education for withdrawal symptoms (F = 5.74, p = .001). The effect size d was 0.77 (95% confidence interval: 0.05-1.44). Serotonin levels also significantly changed (F = 4.48, p = .043). CONCLUSIONS Auricular acupressure effectively alleviates gambling withdrawal symptoms in individuals with gambling disorders and may also reduce depressive symptoms. Finding regarding serotonin could be used to explain the mechanism of auricular acupressure on symptoms.

Abstract Stress and withdrawal symptoms such as cravings are associated with addiction relapse. This study aimed to evaluate the combined effects of positive psychology counselling and auricular acupressure on resilience and withdrawal symptoms among individuals with gambling use disorder. This is a randomised controlled trial conducted at a university in South Korea between July 2023 and October 2024. Thirty-six participants were randomly assigned to either an experimental group, which received six weekly sessions of positive psychology counselling and auricular acupressure, or a control group that received self-help educational materials and routine counselling. The positive psychology counselling and auricular acupressure were administered once a week for 6 weeks. In the experimental group, resilience in week 5 was significantly higher (t = 4.83, p = 0.035), and gambling withdrawal symptoms were significantly lower compared to the control group (t = 2.06, p = 0.047). Among gambling withdrawal symptoms, craving (p = 0.015), and insomnia (p = 0.006) indicated significant differences. Insomnia was significantly reduced in the experimental group compared to the control group over the course of 5 weeks (F = 2.70, p = 0.034). In conclusion, positive psychology counselling combined with auricular acupressure increased resilience and decreased gambling withdrawal symptoms. Further research is recommended to examine long-term outcomes and potential mechanisms of action.

No abstract available

No abstract available

OBJECTIVES To systematically evaluate the efficacy of auricular acupressure on lung function, sleep quality and quality of life in chronic obstructive pulmonary disease patients. BACKGROUND Auricular acupressure has been increasingly used in chronic obstructive pulmonary disease patients, such as lung function and sleep quality, but the efficacy has not yet been unified. DESIGN A meta-analysis of randomised controlled trials. METHODS Randomised controlled trials comparing auricular acupressure intervention with non-auricular acupressure intervention in chronic obstructive pulmonary disease patients were included. We searched English databases and Chinese databases from the inception to 26 December 2022. The risk of bias was assessed by the Cochrane risk of bias tool. The PRISMA statement was used to report a meta-analysis. RESULTS A total of 12 randomised controlled trials with 987 chronic obstructive pulmonary disease patients were included. The meta-analysis showed that auricular acupressure had significant differences in improving lung function, including FEV1 (MD = 0.29, 95% CI: 0.21 to 0.37, p < .0001), FVC (MD = 0.24, 95% CI: 0.14 to 0.34, p < .0001) and FEV1 /FVC (MD = 4.70, 95% CI: 3.63 to 5.78, p < .0001). There was also a positive effect on sleep quality (MD = -0.71, 95% CI: -0.89 to -0.53, p < .0001) and quality of life (MD = -3.20, 95% CI: -3.92 to -2.49, p < .0001). CONCLUSIONS The results indicated auricular acupressure had a positive efficacy in chronic obstructive pulmonary disease patients to improve lung function, sleep quality and quality of life, but these results should be treated with caution due to the low quality of included studies. Future researchers need to conduct more high-quality randomised controlled trials to provide a solid basis to demonstrate the efficacy of auricular acupressure in chronic obstructive pulmonary disease patients. RELEVANT TO CLINICAL PRACTICE Auricular acupressure has the advantages of being non-invasive, convenient and without significant side effects. This review suggested auricular acupressure could be considered a non-pharmacological intervention for patients. Clinical nurses can teach chronic obstructive pulmonary disease patients to perform auricular acupressure to help self-manage complications. PATIENT OR PUBLIC CONTRIBUTION No Patient or Public Contribution.

No abstract available

BACKGROUND Auricular acupressure (AA) and positive psychological intervention (PPI) are promising sleep improvement methods. OBJECTIVE To assess and compare the efficacies of combined intervention (CI [AA + PPI]), AA, and PPI in sleep quality enhancement and their potential effects in alleviating negative psychological states in radiotherapy-treated patients with cancer. METHODS This study was a 4-arm, placebo-controlled randomized trial. We randomly assigned 120 eligible patients into 4 groups (30 patients per group). The main outcomes included subjective sleep quality, psychological distress, and fear of cancer recurrence, which were measured at baseline, immediate postintervention, and 4 weeks postintervention. Objective sleep quality was measured using Fitbit Charge 3 at baseline and immediate postintervention. The intervention effects were estimated using the linear mixed model. RESULTS The 4 groups demonstrated significant differences in subjective sleep quality (P < .001), psychological distress (P = .004), and fear of cancer recurrence (P < .001). CI, AA, and PPI had different degrees of positive effects on subjective sleep quality compared with sham control; CI was more effective than AA and PPI, whereas AA was more effective than PPI. CI and PPI showed significant and comparable effects on psychological distress and fear of cancer recurrence reduction. Only CI and AA significantly improved the objective sleep quality. CONCLUSIONS CI, AA, and PPI are recommended as complementary therapies to improve the sleep quality of patients with cancer. IMPLICATIONS FOR PRACTICE In future clinical practice, healthcare workers should assess patients' sleep quality and psychological status and select appropriate interventions.

Purpose: This study investigated the effects of auricular acupressure on dry eye syndrome, stress, and depressive symptoms in older adults.Methods: This single-blind, randomized controlled trial was conducted among 42 people aged 65 years or older who experienced stress and had an Ocular Surface Disease Index score of 13 or higher. Auricular acupressure using vaccaria seeds was applied to both ears for 3 weeks at several acupoints, including the shenmen, liver, heart, endocrine system, eye, and anterior lobe areas. In the placebo group, blank patches were applied to the hip, lumbar vertebrae, shoulder, and cervical vertebrae points. The measures used were the Dry Eye Syndrome Scale, Perceived Stress Scale, salivary cortisol levels, electrodermal activity measured using a Fitbit device, and a depression scale.Results: Statistically significant differences were found between the groups for dry eye syndrome (t=3.442, p=.002), perceived stress (t=3.455, p=.001), salivary cortisol (z=-3.703, p<.001), and depressive symptoms (t=2.113, p=.043).Conclusion: Auricular acupressure improved in dry eye syndrome, perceived stress, salivary cortisol levels, and depressive symptoms in older adults. Therefore, it can be used as an alternative nursing intervention for dry eye syndrome, stress, and depressive symptoms.

PURPOSE Postoperative nausea and vomiting (PONV) is common among females undergoing gynecological surgeries. PONV not only causes patients discomfort but also leads to serious complications, affecting their health outcomes. This study aimed to evaluate the effectiveness of applying auricular acupressure to alleviate PONV and postoperative anxiety and to improve satisfaction with anesthesia care in patients undergoing gynecological laparoscopic surgery (GLS). DESIGN A randomized control trial was conducted for this study. METHODS Eighty patients who received general anesthesia for GLS were recruited at a medical center in northern Taiwan and randomly assigned to the control and experimental groups. Both groups had pellets taped onto different auricular points after the surgery: the stomach (CO4), cardia (CO3), liver (CO12), occiput (AT3), shenmen (TF4), and subcortex (AT4) for the experimental group and the knee (AH4) and thoracic vertebrae (AH11) for the control group. The pellets were removed 24 hours after surgery. The severity of PONV was assessed as the primary outcome. Secondary outcomes included levels of anxiety and satisfaction with postanesthesia care. FINDINGS After 24 hours of follow-up, patients in the experimental group reported significantly less PONV and a higher level of satisfaction with anesthesia care compared to patients in the control group. However, the levels of postoperative anxiety between the control and experimental groups were statistically insignificant. CONCLUSIONS The study demonstrates that the six auricular points, including CO4, CO3, CO12, AT3, TF4, and AT4, can effectively alleviate PONV and improve the quality of anesthesia care after GLS. Auricular acupressure is a nonpharmacologic treatment for PONV that takes cost and patient satisfaction into consideration.

Purpose: This study aimed to evaluate the effects of auricular acupressure on the severity of urinary incontinence, quality of life, and sleep quality in elderly women with stress urinary incontinenceMethods: This single-blind, randomized, placebo-controlled study included 53 subjects. The participants were elderly women with stress urinary incontinence. The experimental period was a total of 6 weeks, and four different acupressure sites were applied for each group; the experimental group (n=27) received auricular acupressure on the kidney, bladder, central rim, anterior lobe, whereas the placebo-control group (n=26) received acupressure on the wrist, elbow, helix 2, and helix 3. In order to examine the effects of the auricular acupressure intervention, the International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form (ICIQ-UI SF), Incontinence Quality of Life (I-QOL) and Pittsburgh Sleep Quality Index (PSQI) were measured before and after the intervention.Results: The ICIQ-UI SF scores and the PSQI scores in the experimental group with auricular acupressure significantly decreased after 6 weeks (p<.001) compared with the scores of the placebo-control group. The I-QOL scores in the experimental group significantly increased after 6 weeks (p<.001) compared with the scores of the placebo-control group.Conclusion: Auricular acupressure was effective for mitigating the severity of urinary incontinence and improving the quality of life and sleep after 6 weeks. Therefore, auricular acupressure can be used as a non-pharmacological nursing intervention for elderly women with stress urinary incontinence.

The physical and psychological health management of nurses is very important not only for individual nurses but also for organizations and patients. However, nurses are exposed to high stress, sleep problems, and high presenteeism. Therefore, this study aimed to examine the effects of auricular acupressure (AA) on nurses’ stress, sleep problems, and presenteeism. This randomized controlled trial encompassed 60 nurses divided into an experimental group (n = 30) and a control group (n = 30). Auricular acupressure using AA stickers with small magnets attached was performed in the experimental group, and a placebo AA using simple AA stickers (without the small magnets) was performed in the control group. The treatment lasted 7 weeks. To confirm the results, stress, sleep quality, and presenteeism were measured at pre- and posttest. There was a statistically significant difference in scores for sleep quality (t = −1.98, P = .047), health problems (z = −2.38, P = .017), and work impairment (t = −4.46, P < .001) between the experimental and control groups at posttest. Auricular acupressure increased sleep quality scores and decreased presenteeism. Auricular acupressure using AA stickers with small magnets attached was effective in improving sleep quality and reducing presenteeism in nurses.

Objective This pilot study aimed to assess the feasibility and effectiveness of an auricular acupressure intervention on sleep quality, mood state, and quality of life (QOL) among parents of children with cancer. Methods Thirty-five parents were assigned to three-weeks intervention in an active auricular acupressure group (AAG) or a sham auricular acupressure group (SAG). Feasibility was assessed by adherence to the acupressure protocol. Outcomes were measured using the Pittsburgh Sleep Quality Index for sleep quality, the Profile of Mood States for mood, and the QOL short form for QOL. The data were analyzed using generalized estimating equations to identify changes over time within and between the groups. Results Adherence to the protocol was 78%. There were no differences between the groups in overall sleep quality or mood state, but QOL in the Physical Component Summary was better in the AAG at time 1. Parents in the AAG exhibited significantly higher levels of vigor compared to those in the SAG group. Statistically significant differences were observed in the Physical Functioning and General Health subscales, with the AAG showing better outcomes than the SAG group at time 1 and time 2, respectively. Conclusions Likely due to the small sample size, the AAG and SAG did not differ in overall sleep quality, mood state, or QOL, but there were significant subscale differences that support intervention effectiveness. A fully powered large-scale trial is needed to determine whether this intervention would be effective for parents of children with cancer. Reducing symptom distress and improving QOL in these parents are essential, and interventions to achieve this goal must be tested. Trial registration ClinicalTrials.gov NCT05654155.

Cervical spine surgery is a common neurosurgical procedure; however, postoperative pain remains a problem. This study aimed to examine the effectiveness of auricular acupressure, which is considered a noninvasive, convenient, and safe method for pain reduction and heart rate variability in patients after surgery. A total of 62 patients who underwent cervical spine surgery were randomly divided into experimental (32 patients) and control (30 patients) groups. Both groups received routine care, whereas the experimental group received auricular acupressure three times a day for four days. The Short-Form McGill Pain Questionnaire was administered, and heart rate variability measurements were obtained on the first, second, third, and fourth postoperative days. The results indicated that auricular acupressure was effective in reducing pain (P < .05) and improving heart rate variability (P < .05) in patients. Based on the findings, this study suggests that auricular acupressure can be used as a complementary treatment to reduce pain in patients after cervical spine surgery.

PURPOSE Opioid medications are necessary in the treatment of critically ill infants; however. prolonged use may lead to withdrawal syndrome. The purpose of this study was to assess feasibility of delivering an acupressure protocol for the treatment of iatrogenic withdrawal in a pediatric cardiac intensive care unit as well as impact and acceptance of acupressure as an adjunct treatment. DESIGN Randomized pilot feasibility trial. METHODS Acupressure stickers were applied and rotated to one ear every 1-3 days until withdrawal symptoms improved. RESULTS There were no serious adverse events, with only one reported incident of skin irritation. Recruiting benchmarks were exceeded. Weaning phases were significantly shorter in the acupressure group (medians 6.0 vs 22.0 respectively, p = .025, d = 0.90) and the control group used skin-to-skin contact as a comfort measure significantly more than the acupressure group (42.9% vs 6.3%, p = .18). Acupressure was accepted by parents, with an overall 96.2% rating their experience as positive, as measured by the Parent Client Satisfaction Questionnaire. The majority of health care providers (n = 19) were supportive, with 71.9% agreeing or completely agreeing acupressure is an acceptable adjunct for the treatment of withdrawal symptoms; 26.8% were neutral, as measured by the Acceptability of Intervention Measure, Intervention Appropriateness Measure, and Feasibility of Intervention Measure. CONCLUSIONS Acupressure was found to be safe, feasible, and accepted by health care providers in a pediatric cardiac intensive care setting. CLINICAL IMPLICATIONS These findings support future research with larger sample sizes to improve clinical treatment of infants physically dependent on sedative medications.

No abstract available

No abstract available

No abstract available

No abstract available

No abstract available

Objective: This study aims to evaluate the therapeutic efficacy of combining optimized pushing–ironing turtle-shell moxibustion with balanced cupping for primary dysmenorrhea (PD). Methods: This study is a prospective, randomized clinical trial from April to December 2024. A total of 126 PD patients were divided into three groups: Group A (balanced cupping + turtle-shell moxibustion), Group B (turtle-shell moxibustion alone), and Group C (balanced cupping alone), with complete treatment in the first 3 months. Evaluations included pain visual analog scale (VAS) scores, Chinese Menstrual Pain Symptom Scale scores, Cox Menstrual Symptom Scale (CMSS) scores, 36-Item Short Form Health Survey (SF-36) scores, serum biomarker levels, and assessments of nursing satisfaction and adverse events. Results: Of the 126 enrolled, 123 completed the study. Posttreatment, VAS scores, Chinese Menstrual Pain Symptom Scale scores, CMSS menstrual severity score, CMSS menstrual symptom duration scores, SF-36 scores, and serum biomarker levels were significantly lower in all groups, with Group A showing the most improvement (P < 0.05). Group A's satisfaction rate was 97.56%, higher than Groups B (92.68%) and C (95.12%), but not significantly different (P > 0.05). Adverse reaction rates were low across all groups: 2.00% in A, 1.00% in B, and 0.00% in C, with no significant differences (P > 0.05). Conclusion: This study showed that combining optimized pushing–ironing turtle-shell moxibustion with balanced cupping is significantly more effective than either technique alone in alleviating pain, enhancing traditional Chinese medicine symptoms and quality of life, and regulating inflammation and blood flow disorders, while also maintaining high patient satisfaction and safety.

This study aimed to evaluate the clinical efficacy of yang-supporting cupping combined with wheat-grain moxibustion in the treatment of chronic fatigue syndrome (CFS) characterized by a spleen–kidney yang deficiency pattern. A total of 120 patients who met the diagnostic criteria for CFS with spleen–kidney yang deficiency were enrolled between July 2023 and June 2024. Patients were randomly allocated into a control group and a treatment group (n = 60 each) using a random number table. The control group received wheat-grain moxibustion, basic pharmacological therapy, and standardized nursing care, whereas the treatment group received additional yang-supporting cupping therapy in addition to the control group's protocol. Both groups completed two treatment cycles. Clinical efficacy was evaluated using the Quantitative Symptom Grading Scale for Spleen–Kidney Yang Deficiency Pattern, Fatigue Scale-14 (FS-14), and Self-Rating Anxiety Scale (SAS). Pre- and posttreatment differences in scores were compared between groups to assess therapeutic outcomes. Following treatment, both groups demonstrated significant improvements across all assessment measures, including spleen–kidney yang deficiency symptoms, FS-14 fatigue levels, and SAS anxiety scores (all p < 0.05). Moreover, the magnitude of improvement in these indicators was significantly greater in the treatment group than in the control group (all p < 0.05). The combination of yang-supporting cupping and wheat-grain moxibustion in patients with CFS presenting with spleen–kidney yang deficiency was associated with greater improvement in core clinical symptoms and overall sub-health status, resulting in a significant enhancement in quality of life.

No abstract available

No abstract available

This article summarizes the nursing experience of using the Huolong cupping therapy in traditional Chinese medicine external treatment techniques to improve patients with spleen kidney yang deficiency type hypothyroidism, including the operation process and precautions of the Huolong cupping therapy, psychological care, and routine care. Huolong cupping therapy integrates massage, guasha, and moxibustion, with four major effects of “warming, unblocking, regulating, and tonifying”. At the same time, it improves the body’s immune system and plays a role in preventing and treating diseases. By observing the application effect of Huolong cupping therapy in patients with spleen kidney yang deficiency type hypothyroidism, it is beneficial to provide a non-pharmacological therapy for patients with spleen kidney yang deficiency type hypothyroidism, improve the symptoms of spleen kidney yang deficiency syndrome, enhance clinical efficacy, provide a reference for enriching traditional Chinese medicine nursing intervention plans, and ultimately serve patients.

This paper summarized the treatment effect of cupping therapy combined with mox⁃ ibustion in a patient with chronic gastritis. The patient with chronic gastritis in the acute phase was treated with drug therapy initially, and non-drug treatment such as cupping therapy and moxibus⁃ tion were carried out to relieve the pain. After intervention, the Numerical Rating Scale of pain is decreased from 5 to 2.

No abstract available

: This review examines the current clinical application of traditional Chinese nursing techniques in children with adenoid hypertrophy, including herbal medicine nebulisation, nasal drops, steam inhalation, massage, topical application, ear acupuncture, cupping, and moxibustion. These techniques offer advantages such as good efficacy, diversity, minimal adverse reactions, and non-invasiveness, effectively avoiding the risks and adverse reactions associated with Western surgical procedures. The aim is to provide a reference for effectively treating pediatric adenoid hypertrophy, reducing recurrence rates, avoiding postoperative complications, and improving the quality of life for affected children.

The aim of this study was to investigate the practical outcomes of traditional Chinese medicine specialty nursing clinics in the clinical setting. Outpatient services have become increasingly popular for seeking medical care. Establishing traditional Chinese medicine specialty nursing clinics can meet the medical needs of the general public, and provide patients with convenient and efficient medical services. This study employed a retrospective cross-sectional observational design to analyze the medical service status of all patients who attended the clinic since its opening. Five qualified traditional Chinese medicine nursing experts identified and implemented 5 categories of traditional Chinese medicine characteristic nursing techniques, including cupping, moxibustion, needle acupuncture, and massage. Nurses and patients evaluated the treatment outcomes for various diseases. Since the establishment of the nursing outpatient department 2 years ago, there have been over 7046 visits, with a satisfaction rate of 97.1%. Currently, 5 nursing experts are nurturing a total of 11 graduate students, conducting 5 free clinics in the nursing outpatient department, and organizing 3 visits by overseas experts. The traditional Chinese medicine specialty nursing outpatient service effectively meets the diverse medical needs of patients, alleviates the outpatient pressure on hospitals, enhances the specialized development of nurses, increases the prominence of traditional Chinese medicine specialty nursing techniques, and promotes traditional Chinese medicine culture.

This study aimed to elucidate the status of traditional Chinese medicine (TCM) healthcare services provided in nursing homes across China. We investigated 484 nursing homes using self-compiled questionnaires with a convenient sampling method. Chi-squared and Wilcoxon rank-sum tests were used for univariate analysis and binary logistic regression for multi-factor analysis. Of the 443 nursing homes finally included, 215 (48.5%) provided TCM healthcare services. Nursing home leaders majored in integrated TCM and Western medicine, leaders with a better understanding of TCM and government policies, nursing homes charging over 5,000 CNY/month, and those with ≥500 beds were more likely to provide improved TCM healthcare services. Massage, moxibustion, cupping or scraping, plaster therapy, decocting pieces, and acupuncture were the most prevalent and popular TCM services. Lack of professionals, financial investment, and policy support were the most common factors limiting the provision of TCM healthcare services in Chinese nursing homes.

No abstract available

No abstract available

No abstract available

No abstract available

No abstract available

No abstract available

The setting of the main TCM curriculums in the undergraduate nursing profession of TCM colleges and universities is directly related to the realization of the characteristics of TCM nursing education. In this paper, the horizontal contrast analysis method is used to visualize the main curriculum materials of the undergraduate nursing profession of 24 TCM colleges and universities, and descriptive statistical analysis is used to describe the TCM curriculums and their proportions in the core curriculums. The study found that there is a lack of reasonable and feasible unified standards for the undergraduate nursing profession in colleges and universities of TCM, the number of TCM main courses is small, the content is old and its structure is irrational. Aiming at the above problems, this paper puts forward some suggestions for establishing a reasonable and feasible standard for setting up TCM curriculums for undergraduate nursing profession in TCM colleges and universities, optimizing the content of TCM curriculums and organically integrating TCM curriculums.

No abstract available

No abstract available

No abstract available

No abstract available

No abstract available

Anxiety disorders, as a common mental health issue, have an increasing demand for nursing intervention. Traditional Chinese medicine culture emphasizes “the unity of form and spirit” and “he regulation of emotions” which contains rich wisdom for the regulation of the body and mind and can provide unique theories and methods for psychological care. Integrating traditional Chinese medicine culture into nursing education courses is expected to enhance the intervention ability of nursing staff for anxiety disorders and improve the health outcomes of patients. However, at present, research on the systematic construction and scientific evaluation of the effectiveness of such courses is still insufficient. The research aims to construct a set of anxiety disorder nursing education courses based on traditional Chinese medicine culture and conduct a preliminary assessment of its application effect. The research adopts a method combining developmental research with quasi-experimental research. Firstly, through literature review and expert meeting methods, a nursing education course was constructed, which included modules such as “heory of Emotions in Traditional Chinese Medicine” “ive Elements Music Therapy” “cupoint Massage and Guidance” and “ractice of Syndrome Differentiation and Nursing” Subsequently, 60 nursing students were selected as the research subjects and randomly divided into the experimental group (n = 30) and the control group (n = 30). The experimental group received an 8-week training course on newly established traditional Chinese medicine culture, while the control group received a conventional course on nursing psychology. After the course, the Anxiety Management Knowledge Scale (ANK) and the Traditional Chinese Medicine Nursing Activities Score were adopted. TCM-NAS and the Hamilton Anxiety Rating Scale (HAMA) were used to evaluate the intervention effect on patients. The assessment results showed that the score of anxiety management knowledge of the nursing students in the experimental group was (82.5 ± 5.1), while that of the control group was (70.3 ± 6.8). The score of the experimental group was significantly higher than that of the control group (p<.01). In terms of traditional Chinese medicine nursing ability, the score of the experimental group after training was (88.7 ± 4.3), which was significantly higher than that of the control group (75.2 ± 5.9) (p<.01). After the intervention on the patients, the decrease in HAMA score brought by the nursing students in the experimental group was (10.4 ± 2.1), which was significantly greater than that of the control group (5.2 ± 2.8) (p< .01). The research successfully constructed a set of anxiety disorder nursing education courses based on traditional Chinese medicine culture, and confirmed that it can effectively enhance the anxiety management knowledge level, traditional Chinese medicine nursing ability and the initial clinical intervention effect of nursing students. This course has a good acceptance and application potential, providing a practical basis for integrating the wisdom of traditional Chinese culture in nursing education. Future research can further promote this course among on-the-job clinical nurses and track its real-world efficacy in improving patients’ anxiety over the long term.

Lung cancer patients undergoing radiotherapy often experience substantial psychological distress, highlighting the need for effective interventions such as mindfulness-based stress reduction (MBSR) and traditional Chinese medicine (TCM) emotional nursing to improve their emotional well-being. This study investigates the combined effects of MBSR with TCM emotional nursing on perceived stress, anxiety, and depression in lung cancer patients undergoing radiotherapy. A total of 140 lung cancer patients who received radiotherapy at a hospital between January 2023 and January 2025 were enrolled. They were divided into a control group (n = 70) and an intervention group (n = 70) using a random-number table method. The control group received conventional nursing care combined with TCM emotional nursing, while the intervention group received additional MBSR interventions. The Chinese Perceived Stress Scale (CPSS), Self-Rating Anxiety Scale (SAS), Self-Rating Depression Scale (SDS), and Strategies Used by People to Promote Health (SUPPH) scores were assessed and compared between groups before and after 6 weeks of intervention. Before the intervention, no significant differences were observed between groups in any of the scale scores (p>0.05). After the intervention, the intervention group showed significantly lower CPSS, SAS, and SDS scores and significantly higher SUPPH scores compared with the control group (p<0.05). These findings suggest that MBSR combined with TCM emotional nursing effectively reduces perceived stress, alleviates anxiety and depression levels, and improves self-efficacy in lung cancer patients undergoing radiotherapy.

Background Internet-based Traditional Chinese Medicine (TCM) nursing programs may support continuous symptom management and psychosocial adaptation in lung cancer patients; however, potential pathways linking program engagement to quality of life (QOL) remain unclear. Objective This study aimed to examine the association between engagement in an Internet-based TCM nursing program and QOL in lung cancer patients, and to test whether social support and self-efficacy sequentially mediate this relationship. Methods We conducted a cross-sectional questionnaire study among lung cancer patients treated at the First Affiliated Hospital of Heilongjiang University of Chinese Medicine (March 2022–March 2023). QOL was assessed using the EORTC QLQ-C30, social support using the Social Support Rating Scale (SSRS), and self-efficacy using the Strategies Used by People to Promote Health (SUPPH) questionnaire. Program engagement was quantified using a prespecified implementation and evaluation score derived from platform logs and caregiver feedback. Multivariable linear regression examined associations between program engagement and QOL. Chain mediation was tested using structural equation modeling (lavaan) with bias-corrected bootstrap confidence intervals. Results A total of 120 patients were included. In multivariable regression, higher program engagement was associated with better QOL (Model A: β = 1.687, p < 0.001). After adding social support and self-efficacy, the association attenuated but remained significant (Model B: β = 0.662, p = 0.027), suggesting potential mediation. In the chain mediation model, program engagement was positively associated with social support (a1 = 1.337, p < 0.001) and self-efficacy (a2 = 0.684, p = 0.023). Social support predicted self-efficacy (d21 = 1.032, p < 0.001) and QOL (b1 = 0.454, p = 0.002), and self-efficacy predicted QOL (b2 = 0.563, p < 0.001). The direct effect remained significant (c′ = 0.708, p = 0.016), consistent with partial mediation. Conclusion Greater engagement in an Internet-based TCM nursing program was associated with better QOL among lung cancer patients, and the association was consistent with a chain pathway involving social support and self-efficacy. Prospective and randomized studies are warranted to confirm temporal ordering and causal mechanisms.

Background The purpose of the study was to appraise and compare the treatment of non-small cell lung cancer with the nursing application of chemotherapy and traditional Chinese medicine. Method Based on the inspection of the meta-analysis data, the odds ratio (OR) and mean difference (MD) with 95% confidence intervals (CIs) were derived by dichotomous random or fixed effect models. 26 papers with a total of 2290 subjects who were available between 2005 and 2021 were included in this meta-analysis. Results Traditional Chinese medicine had significantly higher quality of life (OR, 2.79; 95% CI, 1.87-4.16, p<0.001) and clinical efficacy (OR, 2.79; 95% CI, 2.24-3.47, p<0.001), and Karnofsky Performance Status score (OR, 3.03; 95% CI, 1.45-6.34, p=0.003), and lower leukopenia (OR, 0.21; 95% CI, 0.12-0.36, p<0.001), thrombocytopenia (OR, 0.19; 95% CI, 0.13-0.29, p<0.001), myelosuppression (OR, 0.24; 95% CI, 0.10-0.58, p=0.001), hemoglobin decrease (OR, 0.34; 95% CI, 0.12-0.93, p=0.04), nausea and vomiting (OR, 0.16; 95% CI, 0.11-0.22, p<0.001), diarrhea (OR, 0.22; 95% CI, 0.13-0.36, p<0.001), liver damage (OR, 0.17; 95% CI, 0.10-0.28, p<0.001), and kidney damage (OR, 0.30; 95% CI, 0.10-0.90, p=0.03) compared to control in subjects with non-small cell lung cancer. Conclusions The data that was looked at showed that using traditional Chinese medicine had significantly higher quality of life and clinical efficacy, and Karnofsky Performance Status score, and lower adverse effects, and hematological toxicity compared to control in subjects with non-small cell lung cancer. However, given that most of the studies comprised a small number as sample size, attention ought to be given to their values.

No abstract available

No abstract available

This systematic review and meta-analysis evaluated the efficacy of traditional Chinese medicine (TCM) nursing interventions for breast cancer-related lymphedema. A comprehensive search of 6 databases identified 26 randomized controlled trials involving 2315 participants. TCM nursing significantly improved the overall clinical response rate (risk ratio = 1.22, 95% confidence interval [CI], 1.18-1.27, I2 = 0%), reduced Visual Analogue Scale pain scores (mean difference = -1.20, 95% CI, -1.41 to -1.00), and enhanced upper limb function (standardized mean difference = -1.33, 95% CI, -1.56 to -1.09). Subgroup analyses for affected limb circumference showed potential benefits, but substantial heterogeneity (I2 = 91%) precluded overall pooling. No severe adverse events were reported. Current evidence suggests TCM nursing may be an effective and safe adjunctive therapy for breast cancer-related lymphedema; however, methodological limitations, including a lack of blinding, warrant cautious interpretation. Further rigorous trials are needed to confirm these findings.

Background Lung cancer patients frequently experience a reduced quality of life and psychological distress during treatment. Traditional Chinese Medicine (TCM) nursing shows promise, but substantial heterogeneity in the evidence base limits clinical interpretation. Methods A comprehensive literature search identified 15 randomized controlled trials (RCTs) involving 1,135 participants. A meta-analysis was conducted using RevMan 5.4 and Stata 17. Following the Donabedian framework, data were categorized into structure, process, and outcome dimensions to explore sources of heterogeneity. Results In the primary analysis, TCM nursing significantly improved all outcomes. For the Karnofsky Performance Status (KPS) score, the primary random-effects analysis showed a significant improvement (MD = 7.18, 95%CI 4.29–10.08). The sensitivity analysis excluding one outlier yielded a consistent effect (MD = 8.71, 95%CI 6.49–10.92). For the Self-Rating Depression Scale (SDS) score, the primary analysis showed a significant reduction (MD = −5.94, 95%CI −6.96 to −4.92). The sensitivity analysis excluding one outlier confirmed the robustness of these results (MD = −5.74, 95%CI −6.39 to −5.09). For the remaining outcomes with low heterogeneity, primary fixed-effects analysis revealed that TCM nursing significantly reduced Self-Rating Anxiety Scale (SAS) scores (MD = −4.65, 95%CI −5.28 to −4.03) and Visual Analog Scale (VAS) pain scores (MD = −1.46, 95%CI −1.56 to −1.36). Additionally, TCM nursing lowered the incidence of gastrointestinal reactions (RR = 0.19, 95%CI 0.06–0.58) and improved nursing compliance (RR = 1.24, 95%CI 1.10–1.39) (all p < 0.01). The subgroup analysis confirmed that comprehensive TCM care was more effective than emotion regulation alone for treating depression (p = 0.01). Intervention timing was suggested as a potential hypothesis-generating source of heterogeneity via sensitivity analysis. Structural factors (staff training, equipment, and qualifications) were critically underreported across all studies included in the analysis. Conclusion TCM nursing significantly improves multidimensional outcomes for lung cancer patients. The Donabedian model effectively identifies sources of process-related heterogeneity and highlights critical structural reporting gaps that require attention in future research. Systematic review registered PROSPERO, ID https://www.crd.york.ac.uk/PROSPERO/view/CRD420261339100.

Objective This study aimed at culturally adapting pan-Canadian Oncology Symptom Triage and Remote Support (COSTaRS) Cancer-related fatigue (CRF) Practice Guide to enable its use in China. This article focuses on presenting the key cultural adaptation step: supplementing traditional Chinese medicine (TCM) nursing recommendations for CRF symptom management according to evidence. Methods Guided by A Guideline Adaptation and Implementation Planning Resource (CAN-IMPLEMENT), the process for cultural adaptation of the CRF guide in the COSTaRS project included translation, expert committee review, acceptability and feasibility assessment, and targeted adaptation to include TCM nursing techniques for CRF management via the Delphi method. Results First, an expert committee of nurses, nurse leaders, and researchers was established. The practice guide was translated and verified by the members of the expert committee. Nurses then rated the practice guide for acceptability and feasibility. Concurrently, 83 stakeholders (nurses and patients) identified five relevant TCM nursing techniques: acupuncture, moxibustion, acupressure therapy, Taijiquan, and auricular acupoint embedding. A systematic review of literature identified three clinical practice guidelines and four systematic reviews. Through two rounds of Delphi expert consultation, five TCM care strategies were added into the culturally adapted COSTaRS practice guide. Conclusions Cultural adaptation of the Canadian CRF practice guide involved not only language translation but also the addition of relevant TCM evidence. Combining TCM evidence and the Delphi method was a novel aspect of the cultural adaptation process. Further research is needed to investigate the implementation of the guide in appropriate settings in China.

One case of infrared combined with traditional Chinese medicine

Background: Radiotherapy is a cornerstone in cancer treatment, but its associated physical discomfort and psychological distress often impair patients ’ quality of life (QOL). Traditional Chinese Medicine (TCM) nursing, integrating syndrome - based care, emotional regulation, and lifestyle guidance, has been increasingly applied as a complementary approach during radiotherapy, while existing literature has not well explored its overall efficacy and safety. Materials and Methods: This study aims at systematically elucidating the efficacy and safety of TCM nursing in patients undergoing radiotherapy. Methods: PubMed, Cochrane Library, Web of Science, and China National Knowledge Infrastructure (CNKI) were searched from inception to July 2025. Eligible studies included cancer patients receiving radiotherapy, comparing TCM nursing with conventional nursing or placebo care. Primary outcomes were QOL, anxiety, and depression scores; secondary outcomes included radiotherapy - related adverse events. Relevant meta - analysis relied on RevMan 5.4 and Stata 16.0, along with sensitivity and publication bias analyses. Results: Eight studies were included. Pooled results showed that TCM nursing significantly improved QOL (MD = 8.81, 95% CI: 7.09 – 10.52, P<0.001, I²= 0%) and reduced anxiety (MD = −5.80, 95% CI: −8.33 to −3.28, P=0.001, I²= 73%) and depression scores (MD = −4.58, 95% CI: −5.65 to −3.50, P<0.001, I²= 82%). Radiotherapy - related adverse events did not increase significantly (RR = 0.82, 95% CI: 0.63 – 1.06, P=0.131), with consistent sensitivity results. Conclusion: TCM nursing may be a beneficial and safe adjunct to radiotherapy, improving QOL and alleviating psychological distress.

Gastrectomy is a technically demanding procedure for gastric cancer patients that is associated with different degrees of postoperative complications (POCs). Perioperative traditional Chinese medicine (TCM) nursing intervention presents benefits for improving the survival of patients with gastric cancer. However, the effects of TCM nursing intervention on POCs and the prognosis of patients with gastric cancer following surgery are far from clear. In the present study, the effects of TCM nursing intervention on POCs, postoperative physical capacity, metal status, long-term survival and recurrence were investigated in patients with gastric cancer after gastrectomy. In total, 1,032 patients with gastric cancer were included in the study. The patients underwent a gastrectomy and were randomly divided into two groups: The TCM nursing intervention group (TCM group; n=520) and the routine nursing intervention group (control group; n=512). Postoperative pain score, hospital stay, POCs, postoperative gastrointestinal function, frequency of postoperative symptoms, inflammatory index, quality of life, physical capacity, mental status, survival and recurrence were compared after gastrectomy in the TCM and control groups. The treatment-related adverse events of TCM in patients after gastrectomy were recorded in the TCM nursing intervention group. The outcomes showed that TCM nursing intervention decreased the postoperative pain score and hospital stay, improved gastrointestinal function, and decreased the POCs and the inflammation index compared with the control group. In addition, TCM nursing intervention improved physical capacity, quality of life, depression, anxiety, immune activity, long-term survival and recurrence in patients with gastric cancer after gastrectomy. Furthermore, TCM nursing intervention was only associated with a low number of adverse events. In conclusion, outcomes in this study indicate that perioperative TCM nursing intervention improves POCs, mental status, long-term survival and reduces the recurrence of patients with gastric cancer, suggesting that TCM nursing intervention is efficacious and safe with regard to improving the prognosis in these patients after gastrectomy (Retrospective clinical trial registration number, 2015001CW1; name of the register, The First Hospital of Harbin; date of registration, May 7, 2015).

No abstract available

No abstract available

No abstract available

No abstract available

No abstract available