Objective: To explore the application of health education in the nursing care of patients with metrorrhagia and metrostaxis after hysteroscopic electrotomy and the effect on the occurrence of disease complications.

Methods: Totally 70 patients admitted from March 2018 to March 2019 were randomly divided into two groups. The control group was given routine nursing, while the observation group was given comprehensive health education combined with routine nursing. The unhealthy emotions (anxiety and depression) of patients were assessed using Hamilton Depression Scale (HAMD) and Hamilton Anxiety Scale (HAMA). The incidence of complications, and surgical related matters were recorded and compared between two groups after nursing interventions.

Results: A lower HAMD score, A lower HAMA score, a shorter hospitalization time, a shorter operation time and a less intraoperative bleeding volume, a lower incidence rate of complications (massive bleeding and uterine perforation), and a higher degree of patients’ cooperation in surgery were shown in observation group compared with control group after nursing intervention (P all <0.05).

Conclusion: The application of health education in the nursing of metrorrhagia and metrostaxis patients can relieve the patients’ anxiety and depression, improve their understanding and mastery of relevant disease knowledge and their ability to cope with bleeding and their self-health care, as well as reduce the incidence of complications and the length of hospital stay and promote the rehabilitation of patients. Therefore, it is worthy of clinical application.

Objective: To evaluate the clinical efficacy of stone needle therapy based on blood stasis theory for different traditional Chinese medicine (TCM) syndrome types of patients with knee osteoarthritis in early and middle stage.

Methods: Totally 36 patients with knee osteoarthritis were enrolled in the orthopaedic ward between March 2016 and December 2017, and diagnosed as qi stagnation and blood stasis syndrome, cold dampness and stasis syndrome, or phlegm and stasis syndrome according to TCM syndrome differentiation. After treatment, stone needle was used for ironing on the different meridian acupoints according to different syndromes. The efficacy of patients with the above three syndromes was respectively evaluated, and the visual analogue scale (VAS) score and western ontario and mcMaster universities arthritis Index (WOMAC) score of the three groups were calculated before treatment, 2 weeks, and 4 weeks after treatment.

Results: The effective rates of the three groups were 86.67%, 81.82%, and 80.00%, respectively. After 2 weeks and 4 weeks of treatment, the VAS and WOMAC scores of the three groups decreased significantly compared to treatment before (P<0.05).

Conclusion: Stone needle therapy for ironing on the acupoints around the knee joint has a good therapeutic effect on knee osteoarthritis of different syndrome types, which is worthy of further application.

Objective: To analyze the implementation status of traditional Chinese medicine (TCM) nursing protocols for type 2 diabetes mellitus. 

Methods: Totally 420 hospitalized patients with type 2 diabetes mellitus were given TCM nursing protocols by syndrome differentiation. A quantitative and qualitative investigation was conducted to patients who received TCM nursing and nurses who performed TCM nursing techniques.

Results: According to the self-evaluation outcomes of patients, TCM nursing protocols were effective to relieve polydipsia, polyuria, fatigue and other symptoms. Patients exhibited a high level of compliance with nursing techniques such as auricular point pressing, acupoint massage, Chinese herbal foot-bath and moxibustion. The interview showed that patients could benefit from the TCM nursing protocols, and nurses considered that application of TCM nursing protocols could enhance their awareness of TCM knowledge and practice skills. 

Conclusion: The application of TCM nursing protocols is effective to relieve clinical symptoms of type 2 diabetes mellitus. It can also improve the knowledge level and practice skills of nurses in TCM hospitals.

Objective: To explore the effect of auricular point pressing combined with thunder-fire moxibustion in the treatment of abdominal distension and constipation after thoracic compression fracture.

Methods: Totally 100 patients were randomly divided into 4 groups, the observation group 1 (n = 25) which were treated with conventional nursing combined with auricular piont pressing, observation group 2 (n = 25) treated with conventional nursing combined with thunder-fire moxibustion, observation group 3 (n = 25) treated with conventional nursing combined with auricular point pressing and thunder-fire moxibustion, and the control group (n = 25) which adopted conventional nursing. First exhaust and defecation time after fracture in 4 groups were observed and compared.

Results: The effect of observation group 3 was better than that of observation group 2, observation group 1 and control group (P<0.05).

Conclusion: It is obvious that auricular point pressing combined with thunder-fire moxibustion has better result in treating abdominal distension and constipation after thoracic compression fracture.

Objective: To investigate the effect of out-of-hospital extended nursing on the compliance behaviors and therapeutic effect of brace treatment of patients with idiopathic scoliosis. 

Methods: 54 patients with idiopathic scoliosis between February 2015 and December 2017 were randomly divided into control group and observation group. Patients in the control group received pelvic suspension traction, gymnastic exercises, and brace wear at discharge, on the basis of which patients in the observation group were added with extended care outside the hospital. The compliance behaviors and the changes of scoliosis angle (Cobb angle) of patients in the 2 groups were evaluated. 

Results: Compared with the control group, patients in the observation group had better compliance behaviors in completion status of functional exercise (χ²= 5.594, P= 0.018), brace wear (χ²= 6.171, P= 0.013), subsequent visit on time (χ²= 9.247, P= 0.002). Cobb angle was improved significantly in both groups at the last follow-up compared with that on admission, and the improvement was more significantly in the observation group (P<0.001).  

Conclusion: Through the implementation of out-of-hospital extended nursing, the compliance behaviors and clinical effect of brace treatment for idiopathic scoliosis patients are obviously improved, and this active nursing model is worth popularizing in clinic.

Purpose: To assess the effect of simulation-based learning using virtual reality (VR) on knowledge, affective, and performance domain outcomes of learning in nursing students.

Methods: A literature search was conducted using Cochrane library, PubMed, EMBASE, Web of Science, ProQuest, ScienceDirect, Springer and Ovid eight electronic English databases, independently by 2 of the authors from January 2008 to December 2018. The RevMan 5.3 program of the Cochrane library was used to analyze the data with mean and standard deviation .

Results: A total of 10 studies (5 randomized control trials (RCTs) and 5 non-RCTs) involved 630 nursing students. As a whole, simulation-based learning using VR appeared to have beneficial effects on the knowledge (I²=50%, 95% CI 0.35 [0.09, 0.62], P=0.009), have no significant difference on the performance (I²=97%, 95% CI 1.05 [-0.54, 2.63], P=0.19) and have a negative impact on the affective field (I²=0%, 95% CI -0.43 [-0.71,-0.15], P=0.003).

Conclusion: The existing evidences imply that simulation-based learning using VR might have a positive trend that is beneficial to knowledge and clinical skill acquisition. However, the best way of integration still needs further research to be identified.

Objective: To evaluate the clinical effect of acupoint massage in improving cognitive function, in order to provide a relatively comprehensive reference for dementia prevention and control.

Methods: Clinical trial studies on the improvement of cognitive function by acupoint massage were systematically collected from multiple Chinese and foreign databases, consisting of CNKI, VIP, Wanfang, PubMed, Web of Science, Embase, the Cochrane Library, and CINAHL. According to the inclusion and exclusion criteria, the two researchers independently screened the literature, extracted the data, evaluated the quality of the included articles and cross-checked, and then carried out a meta-analysis with the RevMan 5 software.

Results: A total of 10 studies were included, and the cumulative total sample size was 818. The results of meta-analysis showed that the improvement of cognitive function in acupoint massage group was significantly better than that in control group. Compared with the control group, acupoint massage significantly increased the total score of mini-mental state examination (MMSE) scale for the elderly [SMD=0.80, 95% CI (0.53, 1.07), P<0.0001]), and significantly improved the picture memory ability [SMD=-3.69, 95% CI (-5.08, 2.30), P<0.0001], associative memory ability [SMD=0.24, 95% CI (-0.73, 1.20), P<0.0001]), understanding and memory ability [SMD=1.33, 95% CI (0.58, 2.09), P<0.0001]), instantaneous memory ability [SMD=1.70, 95% CI (0.77, 2.62), P<0.01]) of the elderly.

Conclusion: Acupoint massage can improve the cognitive function of the elderly and reduce the risk of Alzheimer disease (AD) in the elderly. More large samples, multicenter and high quality randomized controlled trials are needed to verify the intervention effect of acupoint massage on cognitive impairment.

This paper expounds the theory of traditional Chinese medicine (TCM) constitution applied to patients with cervical spondylosis, in order to clarify the distribution characteristics of TCM constitution of patients with cervical spondylosis. And to analyze the correlation between TCM constitution theory and cervical spondylosis is helpful to provide ideas for integrated nursing care of TCM and modern medicine in patients with cervical spondylosis, and provide the basis for the construction of health management program and the evaluation of health promotion effect.