In this article, papers about treating migraine with bean-pressing on auricular points in recent years were analyzed. Etiology, pathogenesis, syndrome differentiation of migraine, mechanism and treatment methods of bean-pressing on auricular points were analyzed. Methods of simple bean-pressing on auricular points, combination of bean-pressing on auricular points with emotion nursing, with acupuncture, with traditional Chinese medicine, and with ear tip bloodletting were summarized. Treatment of migraine with bean-pressing on auricular points had already been mature, yet still with some problems like no inclusion criteria for clinical research, unclear method for randomized controlled trial, no baseline description, too-short treatment course, no frequency index, and so on. Research on standardization and normalization should be further strengthened, and methods of treating migraine with bean-pressing on auricular points should be collected and summarized for the guidance of clinical work.

Rheumatoid arthritis (RA) is an autoimmune and systematic disease with chronic inflammatory panarthritis. There is no cure for RA at present. The effective nursing intervention and management models can effectively delay the course development as well as improving self-efficiency and quality of life of patients. This paper summarized the current research status of nursing care on RA at home and abroad to understand the nursing care and nursing models of RA and expected to provide a reference for carrying out nursing care well for patients with RA in the future.

Objective To understand the continuous nursing need and self-care agency in patients with rheumatoid arthritis (RA) and to explore the correlation between them. Methods From May 2015 to October 2016, a total of 148 patients with RA of Hangzhou Red Cross Hospital were investigated with the self-designed continuous nursing need questionnaire and Exercise of Self-Care Agency Scale (ESCA). Results The score of continuous nursing need and ESCA was (3.85±0.66) and (94.30±13.02). The total score of ESCA, self-care skills and knowledge were negatively correlated with the total and each dimension score of continuous nursing need (P<0.01). The self concept had positive correlations with the total and each dimension score of continuous nursing need (P<0.05). The self-care responsibility was positively correlated with the total score of continuous nursing need, need of disease self-care and disease progress control (P<0.05). Conclusions The continuous nursing need of patients with RA is urgent. The self-care agency is in a middle level needed to be improved. The continuous nursing need has a close relationship with self-care agency. To meet the patients' continuous nursing need is propitious to improve their self-care agency.

Objective To observe the clinical effects of traditional Chinese medicine and foam dressing in the treatment of stageⅢ pressure sores. Methods A total of 94 patients with stageⅢ pressure sores in neurology department of Hangzhou Red Cross Hospital from January 2015 to December 2016 were recruited and randomly divided into control group (n=44) and observation group (n=50) by random number table method. Besides routine treatment and care of pressure sores, control group was given traditional Chinese medicine, while patients of observation group received traditional Chinese medicine combined with foam dressing treatment. The treatment effects of the two groups were observed and compared. Results The total effective rate of pressure sore in was 90.00% in the observation group and 86.36% in the control group, and there was no statistical difference (P>0.05). The average healing time of the observation group was (13.56±4.35) days, which was significantly shorter than that of the control group (21.45±3.47) days, and the difference was statistically significant (P< 0.01). Conclusions The effects of traditional Chinese medicine combined with foam dressing in the treatment of stageⅢ pressure ulcer is better than that of traditional Chinese medicine, which can improve the cure rate of pressure ulcer, shorten the healing time of pressure ulcer, and is worthy of clinical promotion.

Objective To explore the clinical curative effect of moxa box moxibustion combined with acupoint application on postoperative urinary retention in patients with procedure for prolapse and hemorrhoid (PPH). Methods A total of 61 cases of postoperative urinary retention after 3 to 5 days of catheter removel in the Department of Anus and Intestine Surgery of Integrated Traditional Chinese and Western Medicine Hospital of Zhejiang Province from August 2015 to August 2016 were selected as the research objects. All the patients were assigned into observation group (n=31) and control group (n=30) by random number table method. All patients were treated with routine care before and after surgery. Basing on routine nursing, the observation group were given moxa box moxibustion combined with acupoint application therapy. The urination of the two groups after the treatment was observed and the effect was evaluated. Results The total effective rate of observation group was 93.55%, and the total effective rate of control group was 70.00%. The difference between the two groups was statistically significant (χ2=5.720, P=0.017). Conclusions Moxa box moxibustion combined with acupoint application can effectively prevent postoperative urinary retention of PPH. The operation is simple and easy to practice. The whole process is safe and noninvasive, takes less nursing time and easy to be accepted, which is worthy of clinical promotion.

Objective To explore the effect of acupoint sticking combined with electrical stimulation on limb function in stroke patients. Methods A total of 82 stroke patients who treated in Intergrated Chinese and Western Medicine Hospital of Zhejiang Province from September 2015 to September 2016 were selected in this study. The participants were divided into the observation group (n=41) and the control group (n=41) according to the random number table. Both groups received conventional therapy and electrical stimulation while the observation group combined with additional acupoint sticking. The Lowett score, ADL score, FMA score of limb motor function, and walking ability evaluation were compared between two groups after 12 weeks' course of treatment. Results The total treatment efficiency in the observation group was significantly higher compared with the control group (92.68% vs. 68.29%; P<0.05). Both groups had increased scores of Lowett, ADL, and FMA, however, the observation group had significantly higher scores compared with the control group (P< 0.05). Regarding the walking ability, the walking speed and stride frequency were increased in both groups but significantly improved in the observation group compared with the control group (P< 0.05). Conclusions The acupoint sticking combined with electrical stimulation therapy can effectively improve the limb function in patients with stroke.

Objective To explore the application status and hotspots of traditional Chinese medicine (TCM) nursing skills in elderly patients with constipation. Methods We searched the documents on clinical application of TCM nursing skills in elderly patients with constipation published from 2000 to 2016 based on CNKI data knowledge service platform. The bibliometrics software, Bicomb and gCLUTO 1.0, was used to quantitative study on the documents. Results A total of 899 documents were searched and 46 high-frequency keywords were screened such as "constipation", "nursing" and "point massage". The research hotspots included Tianshu point-functional constipation, moxibustion-abdominal distension and constipation of thoracolumbar fractures, Shenque point-senile functional constipation, acupuncture-senile thoraco-lumbar constipation of femoral neck fracture, acupoint application and massage as well as seed-embedding at ear points-senile constipation of cardiovascular disease, TCM umbilical therapy-constipation of chemotherapy. Conclusions The number of literature on TCM nursing skills in senile patients with constipation increases year by year with uneven development. The single application of TCM nursing skills is in the majority with acupoint massage for the most. The number of fund-sponsored literature is small. The scientific research level and ability needs to be further improved.

bjective? To explore the effects of Daiwenjiu Gao combined with ear acupoint bean-pressing on migraine of deficiency of both qi and blood. Methods? From June 2015 to July 2017, we selected 111 outpatients with migraine of deficiency of both qi and blood in Hangzhou Red Cross Hospital. All of the patients were divided into three groups including group of Daiwenjiu Gao, group of ear acupoint bean-pressing and group of Daiwenjiu Gao combined with ear acupoint bean-pressing with the method of random number table, 37 cases in each group. There was a loss to follow-up in group of Daiwenjiu Gao and group of Daiwenjiu Gao combined with ear acupoint bean-pressing respectively, and there was a case refusing treatment in group of ear acupoint bean-pressing; there were 36 cases with valid data in each group finally. Group of ear acupoint bean-pressing received ear acupoint bean-pressing for migraine; group of Daiwenjiu Gao carried out ear acupoint application by Daiwenjiu Gao for migraine; group of Daiwenjiu Gao combined with ear acupoint bean-pressing combined two treatments for migraine; the intervention continued for four weeks in three groups. The Sun's criteria was used to evaluate the severity, duration, frequency of outbreak, accompanying symptoms of headache of patients one and six months after intervention. SPSS 17.0 was used to statistical analysis. Results? Among patients with migraine of deficiency of both qi and blood in three groups, there were statistical differences between group of Daiwenjiu Gao and group of Daiwenjiu Gao combined with ear acupoint bean-pressing (P＜0.01), and there were also statistical differences between group of ear acupoint bean-pressing and group of Daiwenjiu Gao combined with ear acupoint bean-pressing (P＜0.01) one and six months after intervention. Conclusions? Daiwenjiu Gao combined with ear acupoint bean-pressing is with a simple operation, few adverse reactions, and it has better effects for migraine of deficiency of both qi and blood than general treatments which is worth to be used widely in clinical application.

This paper summarized the etiology of pressure ulcers in traditional Chinese medicine, the stages of pressure ulcers, the mechanism of action of moxibustion therapy in treating pressure ulcers as well as the status quo of the application of moxibustion therapy in patients with pressure ulcers and looked into its deficiencies, so as to provide a reference for improving the moxibustion therapy for patients with pressure ulcers.

Objective:To construct evaluation index system of traditional Chinese medicine (TCM) nursing quality of tuberculosis bases on "structure-process-result" three-dimensional quality structure model as a framework so as to provide evaluation standards and basis for tuberculosis TCM nursing quality management.Methods:By the convenient sampling method, 12 doctors and nurses in tuberculosis department from 2 third-class grade-A hospitals of Traditional Chinese medicine or integrated traditional Chinese and western medicine hospital in Zhejiang province were selected from March 2019 to April 2019 in order to conduct semi-structured interviews. 26 nursing experts were selected for expert consultation. Through literature research, semi-structured interview, Delphi method and superiority chart, the evaluation index system of TCM nursing quality of tuberculosis and the weight of each index were established.Results:The effective recovery rates of the letter questionnaires were 84.62% (22/26) and 77.27% (17/22) , the expert authority coefficients were respectively 0.831 and 0.843 and the Kendall's W were respectively 0.236 and 0.335. The eventually established evaluation index system of TCM nursing quality of tuberculosis included 3 first-level indicators, 16 second-level indicators and 56 third-level indicators. Conclusions:In this study, the evaluation index system of TCM nursing quality of tuberculosis constructed by various methods is more scientific, complete and reliable, which can provide references for the evaluation of TCM nursing quality of tuberculosis and the formulation of standard.