Background Our previous study showed that Yifei moxibustion has good effect on chronic obstructive pulmonary disease (COPD) in stable stage, but the effect could be enhanced according to the suggestions of an expert questionnaire survey. It is of great significance to carry out clinical research on the relationship of moxibustion duration with clinical efficacy and suitability in COPD. Objective To study and optimize the appropriate duration of moxibustion treatment in COPD, and to evaluate its clinical efficacy and suitability. Methods One hundred and twenty patients with stable COPD were recruited from the First Affiliated Hospital of Henan University of Chinese Medicine from June to July 2017, and randomly divided into groups A and B with SAS software. Both groups received routine western medicine treatment and one course of Yifei moxibustion treatment (1.5 h each time for group A, and 2 h each time for group B, once every 15 days, for a total of six times in three months) . The primary outcome index was the number of colds during treatment, and the secondary outcome indices included clinical symptoms and signs scores, COPD Assessment Test (CAT) , pulmonary function, suitability evaluation〔using the Visual Analogue Scale (VAS) 〕, and the safety was evaluated. Results Except 29 dropouts, 91 cases (47 in group A and 44 in group B) were included in the Per Protocol Set and analyzed with full data set analysis. The results of repeated measures ANOVA showed that the main effects on the number of colds, score of chest tightness, CAT score and VAS score were significant between groups (P<0.05) . There were significant intergroup differences in the number of colds, the total score of clinical symptoms and signs, the score of each of the clinical symptoms and signs, the score of each of the clinical symptoms and signs, CAT score and VAS score at different time points (P<0.05) . No adverse events occurred in both groups. Conclusion Both types of Yifei moxibustion could reduce the number of colds, improve the cough, chest tightness and other clinical symptoms as well as the quality of life in stable COPD patients. But the efficacy of Yifei moxibustion lasting for 1.5 h each time was better, and was more applicable.

艾滋病作为一种严重的感染性疾病,在治疗的过程中面临着高效联合抗反转录病毒疗法(HAART)的毒副作用、HIV耐药、不能根治及其终身服药的局限.非药物疗法作为中医传统疗法的重要组成部分,具有疗效好、适用范围广、无毒副作用、操作简便等优势.近年来,医者已创新性地将非药物疗法如针刺、艾灸、耳穴、心理疗法运用到艾滋病的防治中,并取得了显著的临床疗效.为进一步挖掘非药物疗法在艾滋病防治中的优势,本文对近年的临床报道进行总结,并提出非药物疗法干预尚未形成规模和统一方案,非药物疗法的研究尚缺乏大样本多中心随机对照实验和机制机理研究,对于非药物疗法操作流程与标准亦有待进一步规范.因此制定出统一的非药物疗法治疗方案,积极开展机制机理研究,运用循证医学建立标准疗效评价体系,是发挥非药物疗法在艾滋病防治中优势的必由之路.

目的 探讨品管圈活动对护理人员临床工作质量的影响.方法 随机抽取河南中医药大学第一附属医院40名临床护理人员参与本次研究,收集并统计2017年1月相关护理人员的延迟下班率、护理满意度、投诉率及不良事件发生率.于2017年2—7月对入组护理人员定期进行品管圈活动知识培训,并于2017年7月收集并统计当月护理人员的个人投诉率、不良事件发生率、护理满意度、延迟下班率等相关数据.运用χ2检验对组圈前后数据进行统计学分析.结果 组圈前护理满意度为87.5％(63/72),投诉率为11.1％(8/72),不良事件发生率为8.3％(6/72),延迟下班率为56.9％(41/72);组圈后护理满意度为97.3％(73/75),投诉率为1.3％(1/75),不良事件发生率为0.0％(0/75),延迟下班率为40.0％(30/75).组圈后护理满意度高于组圈前,投诉率、不良事件发生率及延迟下班率低于组圈前,差异有统计学意义(P<0.05).结论 运用品管圈能有效提高临床护理人员的工作质量,值得推广.

目的：了解河南省内中医医院护理人员对中医护理技术知信行水平现状及态度、行为的相关影响因素。方法自行编制中医护理技术知信行问卷，采用便利抽样法，选取河南省内中医医院640名护理人员为调查对象，对调查结果进行统计分析。结果知识问卷中“掌握中医护理技术知识”得分最高，“已发表的科研成果和论文”得分最低；态度问卷满分130分，调查得分（103．36±11．90）分；行为问卷满分85分，调查得分（70．56±12．19）分；年龄、护龄、学历、职称、月收入与态度、行为总得分无显著相关性，态度得分与行为得分呈明显正相关。结论临床护理人员对中医护理技术态度普遍积极，对中医护理技术执行较好，但知识水平有待提升。护理管理者应加强护理人员中医护理理论知识培训、考核，提高其对中医护理基础理论知识的掌握水平，改善中医护理态度，进而影响中医护理行为。

督灸疗法是由隔物灸发展而来的一种独特施灸方法,其涵括了经络、药物、艾灸、姜泥等多种因素的综合优势,具有温经通络、调和气血、平衡阴阳之功效.同时,具有施灸面积广、艾柱大、火力足、温通力强的特点.本文将从督脉灸的创立理论基础,材料选择,操作流程,临床应用等方面进行介绍,以促进该疗法的合理规范使用及深入研究,进而继承和发扬这一特色疗法.

护理学重点学科建设是促进中医药院校护理学科发展的有效方式.文章分析了护理学重点学科在建设过程中存在的问题,提出对策,以推进护理学重点学科建设有序进行,探索一条适合中医护理学学科特点的发展之路.

目的:构建突发公共卫生事件医务人员应急能力评价体系.方法:采用德尔菲法对25位专家实施两轮咨询,使用优序图法计算指标权重.结果:确立的评价指标体系包含一级指标3项、二级指标21项和各级指标权重.结论:最终构建的突发公共卫生事件医务人员应急能力评价体系,专家意见统一,为医疗机构培训、考核应急救援队成员提供了参考依据,为政府部门应对突发事件、建立快速救援系统建立了有效保障.