Objective:To explore the teaching experience of clinical teaching teachers in master of integrated traditional Chinese and western medicine nursing, so as to provide a reference for improving the training quality of master of integrated Chinese and western medicine nursing.Methods:From March to May 2022, a total of 14 clinical teaching teachers of integrated traditional Chinese and western medicine nursing in the First Affiliated Hospital of Hunan University of were enrolled using the objective sampling method and investigated by the semi-structured face-to-face interview. Content analysis was used to analyze the interview results.Results:Five themes were extracted, namely, the practice ability of nursing graduate students needs to be improved, the evaluation methods of clinical practice ability of graduate students need to be more diversified, teaching benefits teachers as well as students; difficulties of teaching (conflicts between teachers' clinical work and teaching, unclear orientation of postgraduate clinical practice learning) , hope to get support (improve scientific research ability, improve theoretical knowledge of traditional Chinese medicine, guarantee the clinical practice and study time of graduate students) .Conclusions:A variety of practice approaches should be provided for the training in master of integrated traditional Chinese and western medicine nursing graduate students, to improve students' clinical practice ability and professional identity, strengthen clinical teacher training, improve teachers' ability, and continuously improve the clinical practice training model and the quality of talent training for nursing graduate students.

目的 探讨中医院实习护生中医护理能力培养方案的应用效果.方法 选取2017年12月-2019年12月实习的223名护生为研究对象,按实习年份不同,将研究对象分为对照组和干预组,其中2017年12月-2018年12月实习的109名护生为对照组,2019年1月-2019年12月实习的114名实习生为干预组.对照组采用传统实习教学方法,干预组在对照组基础上强化中医护理能力的培养,培养方案由岗前培训、临床实践、人文素养培养、考核4个部分构成,通过理论考核、操作技能考核、中医护理能力评估、满意度调查的形式对培养效果进行评价.结果 干预组护生中医理论知识和操作技能考核评分均高于对照组,差异有统计学意义(P＜0.05).干预组中医护理能力评估总分及各条目得分均高于对照组,差异有统计学意义(P＜0.05).干预组护生对方案中的教学课程安排、教学能力、培养方式、人文环境方面的满意率高于对照组,差异有统计学意义(P＜0.05).结论 培养方案可有效提高护生中医理论知识和操作技能水平,提升中医护理能力,提高护生满意度,对其他教学医院具有借鉴和参考价值.

Objective:To take elephantiasis myogenic cream to treat type 2 diabetes of rat ulcer and observe the changes of transforming growth factor beta (TGF β)and fibronectin (FN)content in ulcer wound granula-tion tissue.Methods:Totally 40 rats were randomly selected as control group from 1 60 SD rats.The other 120 SD rats were made into type 2 diabetes models.After the ulcer model prepared,the ulcer rats models were made.These model rats were randomly divided into model group,positive control group and experimental group based on blood glucose and body weight,40 rats in each group.The rats in model group were given physiological saline gauze application.The rats in positive control group were given topical hydrocolloid dressings.The rats in experimental group received elephantiasis myogenic cream.10 rats in each group were randomly and sacrificely selected on the first day,the seventh day,the fourteenth day and the 21st day and the same parts of the wound tissue were taken for making slice.TGF beta and FN content were detected by immunohistochemical method. Results:Except the blank control group,there were no significant changes in TGF βand FN.The expression of TGF βin the 3 groups achieved the peak on the seventh day,and then it decreased all the time.The expression of FN only in experimental group first achieved the peak on the fourteenth day.The expression of FN in other two groups have been on the rising trend.In experimental group,the expression of TGF βand FN and wound healing rate were higher than those in control group and the model group at any time quantum,the difference was statistically significant (P < 0.05 ).Conclusion:For type 2 diabetic rat ulcer,the elephantiasis myogenic cream could quickly promote the expression of granulation tissue TGF βand FN,then to promote wound healing.