Objective To explore the effect of auricular plaster therapy on associated symptoms and quality of life in patients with constipation induced by strong opioid drugs for pain.Methods A total of 60 patients selected were randomly divided into the intervention group and the control group with 30 cases in each group.The intervention group was treated with auriculotherapy based on the pattern/syndrome differentiation after detecting the auricular sensitive acupoints' distribution in patients with opioid-induced constipation after receiving opioid therapy.BFI,self-made scale on symptoms accompanied by constipation and PAC-QOL were used to collect data about constipation symptoms and the level of quality of life before or after the intervention,and still with a subset of the intervention group followed for more than two weeks.Results The BFI and PAC-QOL scores of the intervention and control group were lower after intervention,and the decline score of the two groups showed significant difference.But for the self-made scale,the score of each item was slightly lower compared with that before treatment,which showed no statistically significant difference between groups.A follow-up of 2 weeks showed that the long-term efficacy of auricular plaster therapy was significantly lower than before,but was less desirable than short-term.Conclusions Scientific and reasonable choice of acupoint prescription according to syndrome differentiation can effectively improve symptoms accompanied by constipation and patients' quality of life.

Objective To probe into the exercise status of digestive tumor patients in cancer-related fatigue, analyze its obstacle factors, in order to provide evidence for clinical nursing care. Methods Self designed general information questionnaire and tumor patient′s cinesipathy questionnaire in 216 digestive tumor patients of Digestive Tumor Surgery Department in Jiangsu Chinese Medicine Hospital for investigation of different degree cancer-related fatigue. Results A total of 155 of 216 patients had excises, but 66 cases reached the excises intensity of American Cancer Society in 2012 published guidelines recommend movement standards;"do not know that exercise can reduce fatigue degree", "fear campaign negative impact on disease and treatment","tired", "lack of motor skills" and "no exercise habits" were the obstacle factors for cancer-related fatigue carrying out exercise therapy. Conclusions Medical personnel should be aware of the impact of cancer-related fatigue on the quality of life in the cancer patients, regulate assessment and manage fatigue, carry out sleep interventions and guide behavior, and assess the management effects scientifically.

Objective To probe into the current status quo and issues of intervention research about cancer-related fatigue in cancer patients.Methods The key words were “cancer-related fatigue”,“fatigue”,“tumor”that searched literatures from CKNI and statistically analyzed by excel and other software.Results A total of 1 53 intervention research literatures were found out which involved excise therapy,psychological nursing, health education,Chinese medicine nursing,self care,etc.The quality of literatures were low,including 5 literatures with Jadad assessment score-3 points,1 7 literatures having 2 points,and the others with 2 points below.Conclusions There are too many intervention studies on cancer-related fatigue of patients with cancer chemotherapy,but the quality of literatures are unsatisfied.Therefore,the methodology should be strengthened for intervention studies of cancer-related fatigue,so as to improve research quality and satisfy evidence-based demands.

Objective To investigate the effect of auricular points sticking interventions on relieving anxiety and pain caused by PICC catheter under ultrasound-guidance. Methods A total of 60 patients with PICC catheter under ultrasound-guided were divided into control group (30 cases) and observation group (30 cases) according to random number table. The patients in the control group received routine nursing care and the patients in the observation group were added the intervention of auricular points sticking. The scores of patients′anxiety and blood pressure ( BP) and heart rate ( HR) were compared between two groups before PICC catheter, and the score of pain of patients were evaluated during the operation of PICC catheter. Results Before PICC catheter insertion, the anxiety, score in the observation group was (27. 83 ± 4. 40), which was lower than that in the control group (31. 77 ± 4. 84) and the differences was statistically significant (t=3. 293,P<0. 05). The observation group patients′systolic pressure, diastolic pressure and HR were significantly lower than control group ( P < 0. 05 ). During the operation of PICC catheter insertion, pain, score of local anesthetic, venipuncture, pullout needle, blade expanded skin, send vascular sheath and pull vascular sheath in observation group were (3.57 ±1.104),(2.97 ±1.066),(0.87 ±0.973),(1.77 ±0.971),(2.50 ±1.358) and (1. 07 ± 0. 980), which were lower than those in the control group (5. 13 ± 1. 548),(4. 90 ± 1. 296),(1. 87 ± 1. 795), (3. 43 ± 1. 478),(4. 50 ± 1. 635) and (2. 07 ± 1. 461), and the differences were statistically significant (t= -4. 513, -6. 384, -2. 601, -5. 198, -5. 154, -3. 198;P <0. 05). Conclusions The auricular points sticking can effectively alleviate anxiety and stabilize vital signs in patients with PICC, and relieve pain caused by PICC catheter.

Objective? To review the intervention effects of auricular-plaster therapy on adults with anxiety systematically. Methods? Data about random controlled trails of auricular-plaster therapy in treating anxiety were collected from Cochrane, PubMed, Embase, CBMdisc, CNKI and Wanfang databases. The quality of literatures were assessed and the data were collected by two persons independently. Multiple-time-point Meta-analysis was used for anxiety, while endpoint Meta-analysis was used for quality of sleep and life. RevMan 5.3 was used for statistical analysis. Results? Totally 15 literatures were included in this study, involving 890 subjects. Meta-analysis showed that auricular-plaster therapy could ameliorate anxiety continuously with high degrees within 2 months (P＜ 0.01), but there were no notable effects yet beyond 2 months (P＞ 0.05). Auricular-plaster therapy could improve the quality of sleep effectively (P＜0.001). There was no evidence that auricular-plaster therapy could improve the quality of life (P＞0.05). Conclusions? Auricular-plaster therapy can ameliorate patients' anxiety and improve their quality of sleep, but considering the limited quality and quantity of studies included, the findings of our study will need to be tested by multicenter and high-quality random controlled trails with large samples, especially its long-term intervention effects.

Objective To systematically review the effect of auricular acupressure on the recovery of gastrointestinal peristaltic functioning after the surgery .Methods The randomized controlled trials ( RCT) and controlled clinical trail on auricular acupressure after the surgery were collected using the databases of Cochrane Library, JBI Library,PubMed,EMbase,CBMdisc,China National Knowledge Infrastructure (CNKI) and Chinese BioMedical Literature Database ( CBM ) . After selection and critical appraisal of the retrieved studies , a quantitative systemic review(Meta-analysis)was conducted by RevMan 5.0 software.Results Four RCTs and ten CCTs were included with the literature quality of B .Meta-analysis showed that auricular acupressure after the surgery could significantly shorten the time to first flatus (WMD=-14.16,95%CI=-18.40 -9.93,P<0.01),time to first bowel motion(WMD =-10.33,95%CI =-12.98 -7.69,P <0.01),time to first passage of feces(WMD=-19.19,95%CI=-27.56 -10.81,P<0.01),and reduced the rate of abdominal distension (OR=0.17,95%CI:0.10-0.29,P<0.01).Conclusions Auricular acupressure after surgery is beneficial in promoting the recovery of gastrointestinal peristaltic function .However ,more high quality RCTs on the basic research of action mechanism , and standardized clinical research are still required to verify the effects .

Objective To investigate the risk factors for contact dermatitis in patients with peripherally inserted central catheter (PICC) catheterization.Methods A total of 244 patients with PICC catheterization admitted in the Venous Catheter Nursing Outpatient of Affiliated Hospital of Nanjing University of TCM from June to August 2016 were selected using convenience sampling. A prospective study was performed on those patients for general information, PICC catheter information, PICC care information and contact dermatitis development information. SPSS 21.0 was used to analyze the date.Results A number of 24 patients were observed to have contact dermatitis with an incidence of 9.84%. Single factor analysis showed that gender, age, allergy, dressing type and catheter material correlated to the development of contact dermatitis with PICC. The differences were statistically significant (P<0.05). Multiple factor logistic regression analysis showed that the gender[OR=2.721, 95%CI (1.059-6.994),P=0.038], allergy[OR=5.846, 95%CI (2.030-16.833),P=0.001] and dressing type[OR=4.055, 95%CI (1.472-11.169),P=0.007]were risk factors of contact dermatitis in patients with PICC catheterization.Conclusions For PICC catheterization patients, effective preventive measures aiming at risk factors can reduce the occurrence of contact dermatitis with PICC.