Home-based traditional Chinese medicine nursing interventions for discharged patients with COVID-19: a rapid review of Chinese guidelines

Xu, Xiao; Shi, Yanan; Wang, Rongyun; Liu, Ting; Xu, Jingming; Mao, Wen; Sun, Qiuhua

doi:10.1016/j.imr.2020.100479

Cited by 16 publications

(12 citation statements)

References 11 publications

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“…In 2006, Guangdong Provincial Hospital of TCM opened the earliest reported TCM nursing clinic for diabetes, hypertension, stroke, and anorectal and pelvic inflammation. Subsequently, it was carried out successively in Zhejiang, Guangzhou, Jiangsu, Tianjin, Henan, and other places [ 11 – 16 ].…”

Section: Discussionmentioning

confidence: 99%

Current Situation and Influencing Factors of Traditional Chinese Medicine Nursing Clinic in Henan Province

Wei

Yan

et al. 2022

Journal of Healthcare Engineering

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Objective. To explore the current situation and influencing factors of traditional Chinese medicine (TCM) nursing clinic in Henan Province. A self-made questionnaire was made and entered into the questionnaire star. In August 2020, through “the snowball sampling method,” the nursing branch of Henan Society of Traditional Chinese Medicine was used to calculate the sample size that would be further used for this study. Results. Of the 370 medical institutions in 17 district-level cities in our province, 47 have set up TCM nursing clinics, accounting for 12.70%. From the perspective of regional distribution, there are 14 TCM nursing clinics in Zhengzhou, 8 in Luoyang, 6 in Kaifeng, 4 in Shangqiu, 3 in Jiyuan, and 3 in Zhoukou. The number of TCM nursing clinics in Jiaozuo City, Xinxiang City, Anyang City, Hebi City, Puyang City, Zhumadian City, and Nanyang City is relatively small, and there are no TCM nursing clinics in Pingdingshan City, Sanmenxia City, and Xinyang City. Among the 47 medical institutions offering TCM nursing clinics, there are 38 TCM hospitals, 5 integrated traditional Chinese and Western medicine hospitals, 3 Western medicine hospitals, and 1 ethnic medicine hospital. Among them, 31 medical institutions are tertiary care hospitals and 16 are secondary care hospitals. First-class and undetermined medical institutions do not set up TCM nursing clinics. (1) Management mode: among the 47 medical institutions, 26 medical institutions have separate nursing units, which are managed by the nursing department head nurse, and 13 medical institutions are managed by the director head nurse of the department. (2) Performance management: of the 47 medical institutions that set up TCM nursing clinics, 18 adopted independent accounting, 21 adopted secondary distribution of departmental performance, and 7 adopted average awards and other methods. (3) The process of seeing a doctor: there are three kinds of medical procedures: 124 medical institutions are treated by TCM nursing outpatients by hanging the consultation number of doctors in various departments. 210 medical institutions are treated by traditional Chinese medicine nursing outpatient nurses by hanging the consultation number of traditional Chinese medicine nursing outpatient doctors. Thirty-five medical institutions are retreated by hanging the number of nurses in the nursing clinic of TCM. (4) Allocation of human resources: in the survey of the total number of nurses in TCM nursing clinics in 74 medical institutions, the largest number of nurses was 46 in one of the TCM nursing clinics. In terms of personnel qualification requirements, 43 medical institutions put forward requirements for nurses’ qualifications. Among them, 39 medical institutions have requirements for nurses’ professional titles, 38 medical institutions have requirements for nurses working years, and 22 medical institutions have more specific requirements for nurses. For example, nurses are required to be the backbone of TCM nursing that includes specialist nurses, nurses who graduated from TCM colleges, and nurses who have obtained hospital assessment and certification. In terms of working years, 87.96% of medical institutions require nursing service of more than 5 years. The average number of TCM nursing technical projects offered by 47 medical institutions is about 10, a maximum of 34 and a minimum of 1. The commonly carried out TCM nursing techniques include scraping, auricular point pressing, cupping, moxibustion, and ear tip bloodletting, and among all of them, scraping technology is most important and 40 medical institutions offer this technology, followed by auricular point pressing technique, cupping, and moxibustion. Conclusion. The construction of TCM nursing clinics in Henan Province has initially formed a scale, and all kinds of medical institutions at all levels should further strengthen the construction of TCM nursing clinics in all other provinces.

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Section: Discussionmentioning

confidence: 99%

Current Situation and Influencing Factors of Traditional Chinese Medicine Nursing Clinic in Henan Province

Wei

Yan

et al. 2022

Journal of Healthcare Engineering

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“…Several countries have issued guidelines for the use of traditional medicine for COVID-19. See [ 81 , 82 ] for a review of such guidelines.…”

Section: Related Workmentioning

confidence: 99%

The use of integrative therapy based on Yoga and Ayurveda in the treatment of a high-risk case of COVID-19/SARS-CoV-2 with multiple comorbidities: a case report

Mishra

Bentur²,

Thakral

et al. 2021

J Med Case Reports

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Background We report a high-risk case of a coronavirus disease 19 (COVID-19)-positive patient with comorbidities including diabetes mellitus (DM), hypertension (HTN), hypothyroidism and chronic kidney disease (CKD), treated successfully using an integrative therapy plan based on Ayurveda and Yoga, along with government-mandated compulsory modern western medicine (MWM) treatment. Recently, some evidence has been emerging on the use of Ayurveda for treatment of COVID-19. The classical texts of Ayurvedic medicine such as Charaka Samhita and Sushruta Samhita contain descriptions of pandemics of similar proportions and describe them as Janapadoddhvansa, meaning the destruction of communities, along with their causes and treatment. Case presentation The case reported herein is a 55-year-old man from Delhi, India, with confirmed (tested) COVID-19, who first took MWM for 7 days before seeking integrative therapy. The patient has comorbidities including DM, HTN, hypothyroidism and CKD and had developed symptoms including fever (which was resolved by the time integrative therapy was started), sore throat, dry cough, body aches, weakness, bad taste and smell, and heaviness in the abdomen. Based on the patient’s symptoms and comorbidities, a treatment plan including Ayurvedic medicines, Yoga protocol, dietary recommendations and lifestyle modifications was prescribed by a registered Ayurveda doctor and a Yoga consultant. The patient started experiencing improvement in all the symptoms within 2 days after starting the treatment; he reported approximately $$75\%$$ 75 % relief from the symptoms after 5 days, and almost complete relief within 9 days. Also, the blood sugar levels (both fasting blood sugar [FBS] and postprandial blood sugar [PPBS]) exhibited significant improvement after 5 days, and decreased to within the normal range within 12 days. Besides relief in symptoms, the patient’s real-time reverse transcription polymerase chain reaction (RT-PCR) test done on the 19th day returned negative results. Conclusions Integrative therapy was found to be effective in mitigating the symptoms of COVID-19 in this patient with multiple comorbidities. Moreover, a significant improvement in blood sugar levels (not under control with modern medicine) was also achieved. Integrative therapy based on the classical texts of Ayurveda and Yoga may offer a promising and scalable treatment option for COVID-19 patients. A case series or a suitably designed randomized controlled trial is needed to assess its efficacy.

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“…Several countries have issued guidelines for the use of traditional medicine for COVID-19. See [116,2] for a review of such guidelines.…”

Section: Related Workmentioning

confidence: 99%

Integrative Therapy based on Yoga and Ayurveda for Treatment of a High-risk Case of COVID-19/SARS-Cov-2 with Multiple Co-morbidities

Mishra¹,

Bentur²,

Thakral³

et al. 2020

Preprint

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Background: We report presumably the first known case of a high-risk COVID-19 positive patient with co-morbidities including Diabetes Mellitus (DM), Hypertension (HTN), Hypothyroidism and Chronic Kidney Disease (CKD), treated successfully using an Integrative Therapy plan based on Ayurveda and Yoga. Recently, some evidence has been emerging on the use of Ayurveda for treatment of COVID-19. The classical texts of Ayurvedic medicine such as Charaka Samhita and Sushruta Samhita contain the description of pandemics of similar proportions and describe them as Janapadoddhvansa meaning the destruction of communities, along with their causes and treatment.Case Presentation: The reported case, a 55 year old male confirmed (tested) patient of COVID-19, who first took modern western medicine (MWM) for 7 days before seeking the Integrative Therapy. The patient has comorbidities including DM, HTN, Hypothyroidism and CKD and had developed symptoms including fever (which was resolved by the time Integrative Therapy was started), sore throat, dry cough, body ache, weakness, bad taste and smell, and heaviness in abdomen. Based on the patient's symptoms and co-morbidities, a treatment plan including Ayurvedic medicines, Yoga protocol, dietary recommendations and lifestyle modifications was prescribed by a registered Ayurveda doctor and a Yoga consultant. The patient started experiencing improvement in all the symptoms within 2 days after starting the treatment; he reported approximately 75% relief from the symptoms after 5 days, and almost complete relief within 9 days. Also, the blood sugar levels (both Fasting Blood Sugar FBS, and Post Prandial Blood Sugar PPBS) exhibited significant improvement after 5 days, and came inside the normal range within 12 days. The patient was diagnosed free from infection on the basis of RT-PCR test on the 21st day (sample taken on the 19th day).Conclusions: The Integrative Therapy was found effective in curing the COVID-19 patient with above-mentioned co-morbidities. Moreover, a significant improvement in blood sugar levels (not under control with modern medicine) was also achieved. Integrative Therapy based on classical texts of Ayurveda and Yoga may offer a promising and scalable treatment option for COVID-19 patients. A suitably designed randomized controlled trial is needed to assess its efficacy.

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Home-based traditional Chinese medicine nursing interventions for discharged patients with COVID-19: a rapid review of Chinese guidelines

Cited by 16 publications

References 11 publications

Current Situation and Influencing Factors of Traditional Chinese Medicine Nursing Clinic in Henan Province

Current Situation and Influencing Factors of Traditional Chinese Medicine Nursing Clinic in Henan Province

The use of integrative therapy based on Yoga and Ayurveda in the treatment of a high-risk case of COVID-19/SARS-CoV-2 with multiple comorbidities: a case report

Integrative Therapy based on Yoga and Ayurveda for Treatment of a High-risk Case of COVID-19/SARS-Cov-2 with Multiple Co-morbidities

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