Objective:To explore the application of the new clinical teaching mode of "dual guidance system" and highlighting the cultivation of core competence of traditional Chinese medicine nursing in improving the teaching quality of traditional Chinese medicine nursing.Methods:A total of 47 nursing interns from Huangpu Branch, The Fifth Clinical Medical College of Guangzhou University of Chinese Medicine from July 2021 to June 2022 were selected as the control group, including 35 females and 12 males, aged 19-22 (20.34±1.07) years. A total of 50 nursing interns from July 2022 to June 2023 were selected as the research group, including 36 females and 14 males, aged 19-23 (20.92±1.34) years. The control group adopted the conventional teaching mode; on the basis of the traditional clinical teaching mode, the research group added online MOOCs, offline flipped classrooms, and problem-based teaching methods (PBL) based on the "dual guidance system". In addition to the original assessment methods, the assessment of traditional Chinese medicine nursing programs for specialized dominant diseases and Objective Structured Clinical Examination (OSCE) were added. The teaching satisfaction scores, results of theoretical assessment and operation assessment, and traditional Chinese medicine nursing practice quality scores of the two groups were compared. χ2 test, rank sum test, and t test were used. Results:The satisfaction of clinical teachers in the research group was higher than that in the control group, with a statistically significant difference ( Z=-2.884, P=0.004). The results of theoretical assessment and operation assessment of the study group were (88.27±3.70) points and (90.17±3.79) points, respectively, while those of the control group were (83.72±5.51) points and (85.75±5.77) points, with statistically significant differences ( t=4.80 and 4.38, both P<0.001). The scores of 9 dimensions of the Self-rating Scale of Traditional Chinese Medicine Nursing Practice Quality in the study group were better than those in the control group (all P<0.05). Conclusion:The clinical teaching mode based on the "dual guidance system" and highlighting the cultivation of core competence of traditional Chinese medicine nursing can effectively improve the independent learning ability and enthusiasm of nursing students, and improve their professional skills and clinical dialectical thinking ability, which provides a new way to cultivate high-quality traditional Chinese medicine nursing talents.

Objective:To investigate the clinical effect of laparoscopic exercise combined with body position therapy in relieving non-incision pain after laparoscopic surgery.Methods:This was a clinical intervention study. The subjects were 90 patients who completed laparoscopic surgery in Department of Gynecology, Guangdong Second Traditional Chinese Medicine Hospital from July 2019 to July 2021. The 90 patients with non-incision pain after laparoscopic surgery were divided into a control group, an observation group 1, and an observation group 2 by the random number talbe method, with 30 cases in each group. The control group was (34.36±4.25) years old, the observation group 1 was (35.41±3.26) years old, and the observation group 2 was (34.48±3.56) years old. The control group was routinely given dietary guidance, exercise guidance, psychological care, etc.; the observation group 1 took knee-chest lying position on the basis of the control group; and the observation group 2 did laparoscopic exercise under instruction on the basis of observation group 1. The differences in pain score, pain duration, and nursing satisfaction after non-incision pain intervention after laparoscopic surgery were compared between the three groups. ANOVA , χ2 ,and rank sum test were applied. Results:There were statistical differences in the pain scores 6, 24, and 48 h after the intervention between the 3 groups ( F=26.824, 28.577, and 43.037; all P<0.001). There were statistical differences in the pain duration between the control group and the observation group 1 ( χ2=7.460, P=0.024), between the observation group 1 and the observation group 1 ( χ2=0.543, P=0.762), and between the control group and the observation group 2 ( χ 2=11.416, P=0.003). The nursing satisfaction was 90.0% (27/30) in the control group, 96.7% (29/30) in the observation group 1, and 100.0% (30/30) in the observation group 2, with statistical differences between the control group and the observation group 1 ( Z=-2.065, P=0.039) and between the observation group 1 and the observation group 2 ( Z=-2.051, P=0.040). Conclusions:Laparoscopic exercise combined with body position therapy can significantly relieve non-incision pain after laparoscopic surgery, shorten the duration of pain, and improve patients' nursing satisfaction. The operation is simple, costs no money, and has no side effects, so it is worthy of widespread clinical application and promotion.

Objective:To explore the application effect of 4R crisis management theory in the prevention management of gastrointestinal dysfunction in patients with sepsis.Methods:A total of 82 patients with sepsis treated in Guangdong Second Traditional Chinese Medicine Hospital from December 2020 to December 2021 were selected as the research objects for a prospective study, and they were divided into a control group [23 males and 18 females, aged (76.17±9.27) years]and an observation group [22 males and 19 females, aged (77.22±9.03) years] with 41 cases in each group by the random number table method. The control group received routine nursing intervention for sepsis, and the observation group received preventive management of gastrointestinal dysfunction based on 4R crisis management theory. The score of Acute Physiology and Chronic Health Evaluation Scoring System (APACHEⅡ), gastrointestinal function injury score, incidence of gastrointestinal dysfunction, and nursing satisfaction were compared between the two groups. Independent sample t test was used for the measurement data, and χ2 test for the count data. Results:After intervention, the APACHEⅡ score and gastrointestinal function injury score of the observation group [(19.41±3.15) and (24.85±4.49)] were lower than those of the control group [(23.27±3.41) and (29.07±5.12)], with statistically significant differences ( t=5.315 and 3.969; both P<0.001). After intervention, the incidence of gastrointestinal dysfunction in the observation group was 7.32% (3/41), which was significantly lower than 24.39% (10/41) in the control group, with a statistically significant difference ( χ2=4.479, P=0.034). After intervention, the total nursing satisfaction rate in the observation group was 97.6% (40/41), which was higher than 85.4% (35/41) in the control group, with a statistically significant difference ( χ2=3.905, P=0.048). Conclusion:Applying 4R crisis management theory can improve the condition and gastrointestinal function in patients with sepsis, reduce the incidence of gastrointestinal dysfunction, and improve the nursing satisfaction.

目的:观察六子散热熨联合皮内针治疗寒凝血瘀型原发性痛经的临床疗效.方法:90例随机分为3组各30例,对照组予间苯三酚注射液肌内注射,观察1组在对照组的基础上用六子散热熨下腹部,观察2组在观察1组的基础上用皮内针刺关元、气海、中极、三阴交(双).结果:3组首次干预后60min内痛经缓解有效率对照组70％、观察1组90％、观察2组93.3％.观察1组、2组与对照组比较差异有统计学意义(P＜0.05),观察2组与观察1组比较差异无统计学意义(P＞0.05).治疗3个月经周期,再随访3个月经周期,3组远期临床综合疗效有效率对照组60％、观察1组70％、观察2组93.3％,观察1组与对照组比较差异有统计学意义(P＜0.05),观察2组与观察1组比较差异有统计学意义(P＜0.05),观察2组与对照组比较差异有统计学意义(P＜0.01).结论:六子散热熨联合皮内针刺穴位能有效缓解痛经,且不易复发.

Objective:To observe the immediate analgesic effect and long-term effect of traditional Chinese medicine ironing combined with acupuncture on Qi stagnation and blood stasis type primary dysmenorrhea, and analyze its mechanism.Methods:A total of 60 patients with Qi stagnation and blood stasis type primary dysmenorrhea who visited department of gynecological outpatient and emergency in our hospital from January 2018 to December 2019 were selected and were randomly divided into two groups: control group and observation group with 30 cases in each group. The age of patients in the control group was (21.5±3.5) years old, and (20.8±2.8) years old in the observation group. On the basis of routine nursing care, the control group received intramuscular injection of phloroglucinol for antispasmodic and pain relief; the observation group received hot ironing with traditional Chinese medicine on the hypogastrium plus acupuncture at Hegu (double), Sanyinjiao (double), Zusanli (double) points. Taking one menstrual cycle as a course of treatment, both groups were treated for 3 courses, and then continuously observed for 3 menstrual cycles. The improvement of clinical symptoms, signs, and abdominal pain of the two groups were compared after treatment.Results:(1) In the first menstrual cycle, the two groups of patients saw doctors for dysmenorrhea. The immediate curative effects after intervention were compared. The total effective rates of the control group and the observation group were 83.3% (25/30) and 93.3% (28/30) respectively. The difference between the two groups was statistically significant ( P<0.05). (2) The curative effect of the two groups of patients in the first menstrual cycle of the observation period after treatment were compared, the total effective rates of the control group and the observation group were 83.3% (25/30) and 96.4% (27/28) respectively, and the difference between the two groups was statistically significant ( P<0.05). (3) The curative effect of the two groups of patients in the second menstrual cycle of the observation period after treatment were compared, the total effective rates of the control group and the observation group were 76.7% (23/30) and 92.8% (26/28) respectively. The difference between the two groups was statistically significant ( P<0.05). (4) The curative effect of the two groups of patients in the third menstrual cycle of the observation period after treatment were compared, the total effective rates of the control group and the observation group were 70.0% (21/30) and 89.3% (25/28) respectively, and the difference between the two groups was statistically significant ( P<0.05). Conclusions:Traditional Chinese medicine ironing combined with filiform needle acupuncture can immediately relieve the symptoms, signs, and abdominal pain of primary dysmenorrhea of Qi stagnation and blood stasis type, and it is not easy to relapse. It provides a new external traditional Chinese medicine treatment that can treat dysmenorrhea, and it is worth being promoted in clinical practice.

Objective To explore the effect of integrated medical and nursing education model in nursing clinical teaching.Methods We selected 68 nursing students as the control group who studied in department of gynecology and mammary gland of our hospital from July 2014 to June 2015.We taught them with the traditional one-to-one teaching model.We selected 82 nursing students as the observation group who studied in department of gynecology and mammary gland of our hospital from July 2015 to June 2016.We taught them with the integrated medical and nursing model.We compared the two groups of nursing students in theoretical assessment score,operational assessment score,and evaluation of teaching satisfaction.Results There were statistically significant differences in the theoretical assessment score between the undergraduates,junior college students,and secondary school students of the two groups (P=0.0141,0.0394,0.0004);there were statistically significant differences in the operational assessment score between the undergraduates,junior college students,and secondary school students of the two groups (P=0.0372,0.0168,0.0291);there was statistically significant difference in the teaching satisfaction between the two groups (P＜0.05).Conclusion The integrated medical and nursing model can significantly improve the theoretical level and practical ability of nursing students,improve learning initiative,enhance the interest in nursing knowledge,worthy to promoted in nursing clinical teaching.

目的:观察自制肿瘤方联合顺铂腹腔热灌注化疗治疗卵巢癌腹水的疗效.方法:将50例卵巢癌腹水患者随机分为治疗组(25例)和对照组(25例),治疗组予自制肿瘤方外敷神阙、关元穴联合顺铂腹腔热灌注化疗治疗,对照组则单纯给予顺铂腹腔热灌注化疗治疗,观察两组患者的腹水改善情况、生活质量及不良反应程度.结果:①腹水改善情况:治疗组缓解率为92.0%,显著高于对照组的80.0%(P<0.05);②生活质量:治疗后,治疗组KPS评分改善程度显著优于对照组(P<0.05);③不良反应:两组不良反应程度差异无统计学意义(P>0.05).结论:自制肿瘤方外敷神阙、关元穴联合顺铂腹腔热灌注化疗治疗卵巢癌腹水疗效显著,且能提高患者的生活质量,安全性高,值得临床推广应用.

目的：探讨多元化管理对急诊科患者跌倒的效果。方法：2012年急诊科未实施多元化管理，设为对照组，2013年急诊科实施多元化管理，设为观察组，比较两组患者跌倒发生率及满意度。结果：观察组跌倒发生率显著低于对照组（P<0.05）；观察组满意度为93.6%，显著高于对照组的70.9%（P<0.01）。结论：多元化管理模式能广泛地对病人进行健康宣教，解决急诊科宣教难的问题，对防范病人跌倒有显著效果。

目的：观察王不留行籽耳穴埋豆预防人工流产术前失眠的临床疗效。方法：70例随机分为对照组和观察组各35例，两组常规术前准备和心理护理；观察组在此基础上，于术前3天加用王不留行籽耳穴埋豆治疗。结果：两组平均入睡时间、平均觉醒次数、平均睡眠时间比较差异有统计学意义（P＜0.05）。结论：王不留行籽耳穴埋豆对于预防人工流产术前失眠有显著疗效。

目的：研究练习八段锦对改善临床夜班护士亚健康状态的效果。方法采用实验法，对86名存有不同程度亚健康症状的三级甲等医院临床夜班护士，进行为期16周的八段锦习练。收集并统计数据，比较干预前后亚健康护士生理、心理变化。结果16周八段锦习练，对本组护士亚健康程度具有良好的改善作用（P＜0.01），干预后受试者免疫指标T淋巴细胞的增殖及NK细胞活性明显提高（P＜0.01），且心理焦虑程度也明显下降（P＜0.01）。结论长期习练八段锦，可以改善护士的亚健康症状，提高免疫机能，缓解心理焦虑。

Objective:To observe the curative effect of ginger moxibustion treating insufficiency-cold stomachache. Methods: 70 cases of patients with insufficiency-cold stomachache were randomly divided into treatment group (35 cases) and control group (35 cases), control group treated with Huangqi Jianzhong Decoction, treatment group with ginger moxibustion on Shenque, Zhongwan, Zusanli of both sides based on the treatment of con-trol group, to evaluate curative effect of the two groups after continue treatment of 10 days. Results:The total effective rate of treatment group was higher than that of control group (P<0.05), and NRS score was lower than that of control group (P<0.05). Conclusion:Ginger moxibustion treating insufficiency-cold stomachache has significant effect, which can obviously relieve the pain and other symptoms.

目的 观察背部足太阳膀胱经循行处走罐治疗外感高热的临床疗效.方法 60例患者随机分为对照组与治疗组各30例,对照组用热毒宁静滴及柴胡退热颗粒冲服,连续治疗3天;治疗组在使用相同药物的同时在背部足太阳膀胱经循行处走罐治疗,入院当天走罐一次,隔天再走罐一次.结果 治疗后,两组患者总体疗效比较,对照组78.57％,治疗组96.55％,P-0.0463,P＜0.05,具有统计学意义;两组患者退热时间比较,P-0.0022,P＜0.01,具有统计学意义.结论 背部足太阳膀胱经循行处走罐能有效治疗外感高热,并能有效缓解周身不适等症状.

目的 探讨"SOAP"分诊法在急性胸痛急诊分诊中的应用及效果评价.方法 先对我院全科护士进行"SOAP"分诊法培训;再以传统分诊法分诊的220例急性胸痛患者为对照组,以"SOAP"分诊法分诊的250例急性胸痛患者设为观察组,进行两组间比较.结果 "SOAP"分诊法分诊失误率25%,预见性护理措施实施占82%,医护判断病情、危重相符性达96.8%,医护患三者间满意度达96.4;与对照组比较法分诊失误率显著降低(P＜0.01),预见性护理措施实施所占百分比,医护判断病情、危重相符性,医护患三者间满意度均有显著升高(P＜0.01).结论 应用"SOAP"分诊法分诊客观、实用,在急诊病人高峰期能准确识别病人的轻重缓急,使一般急诊病人快速通过,保证危重病人的重点抢救和质量.