Objective To examine the positioning dilemma and transformation pathways of convalescent medicine within the broader health system, and to propose an integrated convalescent care framework based on ecological construction theory, thereby providing theoretical and practical support for improving the continuous"medical-rehabilitation-care" service system. Methods A literature review and comparative analysis were conducted to systematically compare four types of institutions—convalescent hospitals, nursing homes, integrated medical and eldercare institutions, and rehabilitation centers—in terms of core positioning, target population, staffing, payment methods, and admission criteria. In combination with population aging trends and health insurance payment reform, the practical challenges and distinctive value of convalescent care were analyzed. Based on ecological construction theory, an integrated framework featuring institutional coordination, standardized criteria, linked payment mechanisms, and joint talent development was proposed. Results Convalescent care has long remained at the margins of the broader health care chain and faces four major challenges: ambiguous institutional identity, lack of payment mechanisms, absence of talent standards, and a missing evaluation system. The four types of institutions differ fundamentally in medical attributes, length of stay, rehabilitation intensity, and payment methods, but operational synergy can be achieved through standardized referral pathways, resource-sharing platforms, and benefit-sharing mechanisms. Convalescent medicine has three key values—health maintenance, cost savings, and social burden reduction—and serves as a critical link between rehabilitation and eldercare. Conclusion Reconstructing convalescent care through an ecological lens and building a coordinated "medical-rehabilitation-convalescence-eldercare" network is an effective way to address current challenges. A phased approach is recommended: a pilot phase (1-2 years) to validate the model, a promotion phase (3-5 years) to establish standards, and a mature phase (6-10 years) to build a nationwide convalescent service network.
Objective To investigate the association between thrombospondin-1 (THBS-1) and non-alcoholic fatty liver disease (NAFLD), to develop a THBS-1-based multimarker combined diagnostic model, and to evaluate its clinical performance in NAFLD screening. Methods Clinical data from volunteers receiving care at a certain institution from October 2024 to October 2025 were retrospectively analyzed. Using the training set (100 patients with NAFLD and 100 healthy control subjects), clinical indicators for constructing a combined diagnostic model for NAFLD were screened. Binary logistic regression and receiver operating characteristic curve (ROC) analysis were used to evaluate the diagnostic performance of different combinations of clinical indicators, and the diagnostic performance of the constructed model was further assessed in the validation cohort. Results The NAFLD group had significantly higher mean age, body mass index (BMI), alanine aminotransferase (ALT), aspartate aminotransferase(AST), γ-glutamyl transpeptidase (GGT), alkaline phosphatase (ALP), glucose (GLU), triglycerides (TG), and THBS-1 levels than the control group, whereas direct bilirubin (DBL) and high-density lipoprotein (HDL) levels were significantly lower(P<0.05). Binary logistic regression analysis showed that BMI, ALT, GLU, TG, HDL, and THBS-1 were closely associated with the presence of NAFLD. ROC analysis showed that THBS-1 alone had excellent diagnostic performance, with an area under the curve (AUC) of 0.896 8 (95%CI: 0.853 2-0.940 4). The NAFLD combined diagnostic model incorporating THBS-1, BMI, ALT, and TG demonstrated the best diagnostic performance, with AUCs of 0.970 0 (95%CI: 0.951 0-0.989 0) in the training set and 0.968 0 (95%CI: 0.949 1-0.988 3) in the validation set. Conclusion The THBS-1-based multimarker combined diagnostic model enables sensitive screening for NAFLD and may provide a reliable basis for early diagnosis and clinical intervention in patients with NAFLD.
Objective To analyze the research status, hotspots, and development trends of auricular therapy for stroke-related symptoms, thus providing references for future studies. Methods Chinese-language articles on the application of auricular therapy for stroke-related symptoms published from database inception to January 2026 were retrieved from China National Knowledge Infrastructure, Wanfang Data, and VIP Database. Visual analyses of publication output, author and institutional collaboration networks, keyword co-occurrence, clustering, timeline distribution, and burst terms were conducted using CiteSpace. Results A total of 1 058 publications were included. Overall, the number of publications on auricular therapy for stroke-related symptoms showed an increasing trend, with a marked growth since 2015. Traditional Chinese medicine universities and their affiliated hospitals were the major research institutions. However, collaboration among authors and institutions was relatively scattered. High-frequency keywords included stroke, auricular acupressure, sleep disorders, and constipation. Research hotspots mainly focused on stroke-related symptoms, including sleep disorders, constipation, depression, and dysphagia. Auricular acupressure was the main therapeutic modality. Conclusion Research on auricular therapy for stroke-related symptoms has shown sustained development, presenting typical research trends of diverse stimulation modalities, an increasing use of combined therapeutic approaches, and more comprehensive outcome evaluation. In the future, more efforts are required to strengthen multicenter collaboration and promote the standardization of therapeutic protocols and evaluation indicators for auricular therapy.
Objective To conduct a visualization analysis of the literature related to stroke-associated pneumonia (SAP) at home and abroad from 2010 to 2025 using CiteSpace, to clarify the current research status, hotspots, and trends, so as to provide a reference for the rehabilitation and nursing of SAP patients. Methods The SAP-related literature in the core collections of China National Knowledge Infrastructure (CNKI), Wanfang, VIP, and Web of Science (WOS) databases was retrieved. CiteSpace 6.3.R3 software was adopted to visually analyze the number of publications, authors, countries and institutions, as well as keywords. Results A total of 9 466 articles were included,including 6 340 in Chinese publications and 3 126 in WOS database. The annual average number of Chinese publications showed a downward trend overall, while that of WOS database publications increased. The United States had the highest number of publications, followed by China. The core author in China was Wang Fang (15 articles), and the core institution was the Neurology Center of Beijing Tiantan Hospital Affiliated to Capital Medical University (15 articles). The core author abroad was Meisel, Andreas (26 articles), and the core institution was Harvard University (117 articles). Cluster analysis of keywords revealed that "influencing factors" and "swallowing disorders" were among the research hotspots and frontiers of SAP both domestically and internationally. Conclusion The research on SAP both at home and abroad has shifted from the initial focus on the treatment and nursing of the disease itself to the investigation of the influencing factors of SAP and its subsequent rehabilitation. It is suggested that in the future, researchers in this field should combine more databases and emerging virtual reality technologies to further expand the development of SAP.
Objective To construct a predictive model for poor prognosis after intravenous thrombolysis in patients with acute cerebral infarction (ACI) by integrating multi-dimensional indicators, and to clarify its predictive value, thus providing a reference for early clinical risk identification. Methods A total of 162 ACI patients who received intravenous thrombolysis in the Department of Neurology, Pingdingshan Second People's Hospital from August 2022 to August 2025 were retrospectively selected. According to the modified Rankin scale (mRS) score 90 days after thrombolysis, they were divided into the good prognosis group (n=113) and the poor prognosis group(n=49). The clinical baseline data, biomarkers and imaging parameters of the patients were collected. The independent risk factors for a poor prognosis of ACI after intravenous thrombolysis were identified via the univariate analysis, multicollinearity diagnosis, Lasso regression variable selection combined with multivariate Logistic regression analysis, and a predictive model was constructed. Receiver operating characteristic (ROC) curve, calibration curve and Bootstrap method were used to verify the model efficiency, and the clinical application value of the model was evaluated by risk stratification strategy. Results Multicollinearity diagnosis showed that the variance inflation factors (VIF) of cerebral blood flow (CBF) and mean transit time (MTT) were 12.86 and 11.52, respectively, indicating severe multicollinearity. Lasso regression screened 5 potential core risk factors, including the pre-thrombolysis National Institutes of Health Stroke Scale(NIHSS) score, serum microRNA-126 (miR-126), MTT, serum vascular endothelial growth factor (VEGF), and body mass index (BMI). Multivariate analysis showed that pre-thrombolysis NIHSS score ≥15 points, serum miR-126 <1.23 ng/mL, MTT >6.8 s, and serum VEGF <112.5 pg/mL were independent risk factors for poor prognosis. BMI was excluded due to a moderate multicollinearity with MTT (VIF=5.78) and insufficient predictive efficacy after adjustment. The area under the ROC curve (AUC) of the constructed predictive model was 0.892 (95%CI: 0.835-0.949), with a sensitivity of 81.6% and a specificity of 84.1%. The calibration curve fitted well(P=0.556), and the AUC after Bootstrap validation was 0.875. Taking the optimal cut-off value of 0.320 for stratification, the incidence of poor prognosis in the high-risk group was significantly higher than that in the low-risk group(P<0.001). Conclusion The predictive model constructed based on pre-thrombolysis NIHSS score, serum miR-126, MTT and VEGF has good discriminative efficiency and stability, which can effectively distinguish high and low risk groups of poor prognosis of ACI after thrombolysis, providing a reliable basis for clinical formulation of individualized intervention strategies.
Objective To evaluate the adjunctive efficacy of Yijing Shengsui Formula combined with donepezil in managing mild cognitive impairment related to Parkinson's disease (PD-MCI), and to explore its influence on serum homocysteine (Hcy), cystatin C (Cys-C), lipoprotein-associated phospholipase A2 (Lp-PLA2), Toll-like receptor 4(TLR4), and nuclear factor-κB (NF-κB) levels. Methods A total of 80 PD-MCI patients admitted in the Outpatient Clinic and Encephalopathy Department of Taicang Hospital of Nanjing University of Chinese Medicine(Taicang Hospital of Traditional Chinese Medicine) from June 2023 to August 2025 were included. They were randomly assigned into the control group and research group, with 40 cases per group. Baseline anti-PD regimens maintained throughout the study. Patients in both groups were medicated with donepezil 5 mg every night, and those in the research group were additionally given to one oral dosage of modified Yijing Shengsui Formula. After consecutive interventions for 12 weeks, changes in traditional Chinese medicine (TCM) syndrome scores, Montreal cognitive assessment (MoCA), mini-mental state examination (MMSE), Parkinson's disease-cognitive rating scale (PD-Cog), unified Parkinson's disease rating scale part Ⅱ (UPDRS-Ⅱ), and Barthel index were detected. Serum indicators were detected. Results After 12-week interventions, patients in the research group graded significantly lower on the TCM syndrome, UPDRS-II, and PD-Cog than those in the control group, but higher on MoCA, MMSE, and Barthel Index(all P<0.05). Furthermore, serum levels of Hcy, Cys-C, Lp-PLA2, TLR4, and NF-κB were significantly lower in the research group than the control group(all P<0.05). The incidence of adverse events was comparable between the two groups(P>0.05). Conclusion Yijing Shengsui Formula combined with donepezil attenuates cognitive decline and TCM-related manifestations, and enhances functional independence in PD-MCI patients probably by inhibiting the inflammatory signaling transduction of the TLR4/NF-κB axis and lowering circulation levels of Hcy, Cys-C, and Lp-PLA2.
Objective To explore the diagnosis and treatment methods and clinical effect of ultrasound-guided hydro-acupuncture on the Xinwu acupoint with medicinal injection to treat dysphagia in the convalescent stage of stroke. Methods A total of 60 stroke patients in the convalescent stage treated for dysphagia in Anyang Hospital of Traditional Chinese Medicine from January to December 2025 were selected. They were randomly divided into the study group and control group, with 30 cases in each group. Patients in both groups were treated with swallowing function rehabilitation training, while those in the study group were additionally managed by hydro-acupuncture on the Xinwu acupoint with medicinal injection. After 20 days of treatment, the treatment effect was analyzed by the water swallow test (WST), functional oral intake scale (FOIS), surface electromyography (the maximum and median frequency [MF] of the root mean square [RMS]), swallowing quality of life questionnaire (SWAL-QOL), clinical efficiency and other indicators. Results After treatment, the WST scores of the two groups were significantly reduced(P<0.05), which were significantly lower in the study group than the control group(P<0.05). After treatment, the FOIS scores of the two groups were significantly elevated(P<0.05), which were significantly higher in the study group than the control group(P<0.05). After treatment, the maximum and MF of RMS of the infrahyoid muscle group in the two groups were significantly elevated(P<0.05), which were significantly higher in the study group than the control group(P<0.05). After treatment, the SWAL-QOL scores of the two groups were significantly elevated(P<0.05), which were significantly higher in the study group than the control group(P<0.05). The total effective rate was significantly higher in the study group than the control group (96.67% VS 80.00%, P<0.05). Conclusion Hydro-acupuncture on the Xinwu acupoint with medicinal injection effectively alleviates dysphagia in the convalescent stage of stroke. Ultrasound-guided acupuncture therapy with medicinal injection has a definite efficacy with a high safety profile and small trauma, which effectively improves salivation, pharyngeal sensation, and enhance the strength of swallowing muscles.
Objective To construct a actor-partner interdependence model (APIM) of disease communication quality and cancer recurrence fear in patients after radical thyroidectomy and their spouses, and to analyze their mutual influence path. Methods A total of 380 pairs of patients after radical thyroidectomy in the Second Affiliated Hospital of Nanchang University from December 2024 to January 2026 and their spouses were selected. They were surveyed using the cancer-related communication problems within couples (CRCP) and the fear of progression questionnaire-short form (FoP-QSF). Pearson correlation analysis was conducted to assess the correlation of the two scales, and an APIM was constructed. Results No significant differences in CRCP and FoP-QSF scores were detected between patients and spouses(all P>0.05). The CRCP scores of patients were negatively correlated with the FoP-QSF scores of patients and their spouses. The CRCP scores of spouses were negatively correlated the FoP-QSF scores of patients and their spouses. The FoP-QSF scores of patients were positively correlated with those of spouses(P<0.05). APIM analysis showed a negative prediction of CRCP scores of patients and spouses in the FoP-QSF scores of the patients in the term of subject effects, and a negative prediction of CRCP scores of patients and spouses in the FoP-QSF scores of their counterparts in the term of objective effects(P<0.001). Conclusion Significant bidirectional interaction exists in CRCP and FoP-QSF scoring of patients after radical thyroidectomy and their spouses. Clinical focus is allocated on spousal communication patterns and improved communication quality to reduce mutual fear of cancer recurrence, and constructing family-centered cancer rehabilitation strategies.
Objective To analyze the distribution characteristics of chronic comorbidities, medication status, and the occurrence of potentially inappropriate medication (PIM) among elderly military patients; to examine the association of factors such as age, number of comorbidities, and number of medications with PIM; and to construct a management model for medication safety and comprehensive chronic disease prevention and control suitable for military recuperation institutions, thereby enhancing the quality of military recuperation support services. Methods This was a retrospective cross-sectional study involving 300 recuperation personnel aged 65 and above from a military recuperation institution. Demographic data, disease diagnoses, and medication information were collected. The 2023 Beers Criteria were used to assess the occurrence of PIM. Chi-square test, analysis of variance, and multivariate logistic regression were employed to analyze the influencing factors. Results Among the 300 elderly patients, the comorbidity rate was 34.6%. The most common two-disease combination was hypertension combined with diabetes (36.5%), while hypertension combined with diabetes and coronary heart disease was the most common combination involving three or more comorbidities (29.3%). The average number of medications used per patient was (1.85±2.02), and the prevalence of polypharmacy (≥5 medications) was 10.3%. The overall incidence of PIM was 10.7%. There was no significant difference in PIM incidence among different age groups(P>0.05). The PIM incidence was significantly higher in patients with ≥3 comorbidities compared to those with <3 comorbidities. However, having ≥3 comorbidities was identified as an independent protective factor against PIM(OR=0.305, P=0.010). Conclusion Medication use among elderly military recuperation patients is generally standardized, with a moderately low incidence of PIM. Age is not an independent risk factor for PIM, while the number of comorbidities is closely related to PIM occurrence. Standardized and refined chronic disease management primarily explains for the relatively low PIM risk in this population.
Objective To investigate the influencing factors for small airway function in high-altitude personnel and variation patterns, thus providing scientific evidence for the development of targeted protective measures. Methods A total of 186 long-term stationed high-altitude personnel (altitude≥3 800 m, continuous stationing ≥3 months) who received recuperation at our center from 2022 to 2025, and 74 healthy plain residents (altitude ≤400 m) were enrolled as research subjects. All participants did not report a history of chronic respiratory diseases. Ex-smokers and patients with recent acute respiratory tract infections were excluded. Small airway function indicators, including the forced expiratory flow at 25% of forced vital capacity(FEF25%), forced expiratory flow at 50% of forced vital capacity(FEF50%), forced expiratory flow at 75% of forced vital capacity(FEF75%), and maximum mid-expiratory flow (MMEF) were measured using an altitude-calibrated spirometer. Comparative analyses were performed by subgrouping according to smoking status, history of acute mountain sickness (AMS), and altitude/duration of high-altitude exposure. Results Compared with the plain group, FEF50%, FEF75% and MMEF of high-altitude personnel were significantly lower(P<0.05). FEF75% and MMEF showed a significant decreasing trend with the increase of altitude(P<0.05). Spearman correlation analysis indicated that altitude was negatively correlated with FEF75%(r =-0.482, P<0.001) and MMEF(r =-0.517, P<0.001). MMEF showed a decreasing trend with the increase of duration of high-altitude exposure(P<0.05). FEF75% significantly decreased with the increase of smoking index (P<0.05). Personnel with a history of AMS had significantly lower FEF50%, FEF75% and MMEF than those without AMS history(P<0.05); FEF75% and MMEF also showed a significant decreasing trend with the aggravation of AMS severity(P<0.001). Multivariate linear regression analysis showed that altitude(β=-0.287, P<0.001), duration of high-altitude exposure(β=-0.182, P=0.006), smoking index(β=-0.165, P=0.015) and AMS severity(β=-0.153, P=0.024) were independent influencing factors for MMEF decline, and the four factors could explain 42.3% of MMEF variation. Conclusion The high-altitude environment can cause a significant decline in small airway function. Higher altitude, longer exposure duration, smoking, and AMS are independent risk factors. Targeted measures including enhanced publicity and education of tobacco control, early screening and active intervention for AMS, and rational optimization of high-altitude posting duration should be implemented to effectively protect small airway function of high-altitude personnel.
Objective To explore the changing patterns of activities of daily living (ADL) among individuals with chronic obstructive pulmonary disease (COPD) spanning the hospitalization phase to the initial post-discharge stage, and to examine the determinants impacting their recovery, thus offering empirical data and conceptual foundations for formulating precise stratified rehabilitation schemes and personalized nursing strategies. Methods A total of 396 COPD patients admitted to the Department of Respiratory and Critical Care Medicine of a hospital in Henan from January to December 2025 were selected as observation subjects. Through convenience sampling, the ADL of included patients was assessed by grading the modified Barthel index (MBI) on admission, immediately at discharge, and1 month and 3 months after discharge. Baseline data, demographic data, respiratory function, nutrition, psychological health, and social supporting were collected. Growth mixture modeling (GMM) was used for clustering the trajectory of ADL, and multivariate Logistic regression model was applied to investigate the influencing paths. Results A total of 378(95.5%) valid samples meeting the inclusion criteria were obtained. GMM clustering analyses identified 3 different ADL trajectory subgroups: fast recovery group(n=160, 42.3%), slow recovery group(n=146, 38.6%), and persistent low level group(n=72, 19.1%). Baseline MBI was comparable among the three groups, which, at 1 month and 3 months after discharge, was significantly different(P<0.01). Multiple Logistic regression analysis showed that age, the modified medical research council (mMRC) score, malnutrition risk, frailty status, depressive symptoms, and social support level were influencing factors for ADL trajectories(P<0.05). Conclusion The differences in ADLs for COPD patients at hospitalization and the beginning of post-discharge are quite different. Many people show very slow ADL recovery and continue to remain at low levels over the long period.
Objective To explore the intervention effect of the virtual reality relaxation training system on the rehabilitation compliance, psychological state and sleep disorders of special service recuperation personnel. Methods A retrospective analysis was conducted on the relevant data of 100 special service recuperation personnel who received recuperation at a certain convalescent center from January 2024 to December 2025. They were divided into two groups according to different intervention methods. The control group(n=50) received conventional intervention; the observation group(n=50) received virtual reality relaxation training system in addition to the conventional intervention. The rehabilitation compliance, improvement of sleep disorders and psychological state of the two groups were compared. Results After intervention, the rehabilitation training compliance scores (8.14±1.03), treatment compliance (8.08±1.01), and diet, work and rest compliance (8.52±0.74) in the observation group were all higher than those in the control group (7.08±1.05), (7.02±1.04), and (7.68±1.08), respectively. The differences were statistically significant(P<0.05). The Pittsburgh Sleep Quality Index(PSQI) score (5.48±1.01) and the Insomnia Severity Index (ISI) score (5.25±1.05) after intervention in the observation group were lower than those in the control group (6.69±1.08) and (6.50±1.12), respectively. The depression score (5.48±1.02), anxiety score (6.52±1.12), and stress state score (6.85±1.15) were also lower than those in the control group (6.63±1.07), (8.20±1.36), and (8.36±1.27), respectively. The differences were statistically significant(P<0.05). Conclusion The virtual reality relaxation training system can enhance the rehabilitation compliance of special service recuperation personnel, improve their sleep quality, and alleviate their psychological burden.
Objective To understand the classification characteristics and related influencing factors of the traditional Chinese medicine physical constitution among special service personnel. Methods According to the Classification and Judgment of Traditional Chinese Medicine Constitutions, the physical constitution of the special service personnel participating in the health check-up of a certain unit was determined through traditional Chinese medicine methods. Data was collected through questionnaires and statistical analysis was conducted. Results Among the physical constitutions of the flight crew, yang deficiency constitution (15.8%) was the most common. Among the physical constitutions of the maritime crew, phlegm-dampness constitution (17.4%) was the most common. Among the physical constitutions of the people in the high-altitude area, yin deficiency constitution (15.4%) was the most common. Working age, sleep habits, exercise habits, gender, food preferences, flight aircraft type and psychological stress were the key factors influencing the formation of yang deficiency constitution among flight crew. Body mass index (BMI), abdominal circumference, working age, sleep habits, exercise habits, food preferences, smoking and alcohol drinking were important influencing factors for the formation of phlegm-dampness constitution among maritime crew. Altitude, working age, sleep habits, exercise habits, food preferences, psychological stress and life satisfaction were closely related to yin deficiency constitution among people in the high-altitude area. Conclusion This study has found that the professional environment and behavioral habits of special service personnel are closely related to their traditional Chinese medicine physical constitution. It also provides clinical evidence for conducting targeted traditional Chinese medicine constitution adjustment for this group of personnel and implementing the concept of "preventive treatment of disease".
Objective To analyze the effect of the exercise-psychological-sleep intervention on sleep quality in pilots. Methods From April to May 2025, a total of 248 pilots with sleep disturbances were selected from a military unit and randomly assigned using a random number table to an experimental group and a control group, with 124 cases in each group. The experimental group received the exercise-psychological-sleep intervention, while the control group received routine intervention. After 3 months of intervention, the Pittsburgh sleep quality index (PSQI), fatigue scale-14 (FS-14), and World Health Organization Quality of Life-BREF (WHOQOL-BREF) were compared between the two groups. Results The experimental group had a PSQI score of (7.72±0.64), which was lower than that of the control group (9.78±1.42). The FS-14 score in the experimental group was (6.31±1.27), also lower than that in the control group (8.74±1.41). In the WHOQOL-BREF, the experimental group scored (57.83±4.36) in the social relationships domain, (58.47±4.41) in the environmental domain, (56.92±4.88) in the physical domain, and (58.15±4.53) in the psychological domain, all higher than the corresponding scores in the control group (54.26±4.18), (55.14±4.26), (53.28±4.62), and (54.37±4.29), respectively. The differences were statistically significant(P<0.05). Conclusion For pilots with sleep disturbances, the exercise-psychological-sleep intervention can significantly alleviate fatigue and improve sleep quality.
Objective To explore the improvement effect of acupoint pressing and tendon rolling manipulation based on the TCM theory of "Effective Response Arriving with Qi" on occupational muscle fatigue. Methods A total of 106 patients with occupational muscle fatigue treated in Xingcheng Special Service Sanatorium of Joint Service Support Force from January 2024 to January 2025 were selected and divided into two groups according to the random number table. The control group(n=53) received routine relaxation training and hot compress intervention, while the observation group(n=53) was additionally treated with acupoint pressing and tendon rolling manipulation guided by the theory of "Effective Response Arriving with Qi" on the basis of the control group. Before intervention and 2 weeks after intervention, Visual Analogue Scale (VAS), Rating of Perceived Exertion (RPE) were adopted for evaluation. Blood lactic acid and blood urea nitrogen were detected, and scores of WHOQOL-BREF were compared between the two groups. Results After intervention, the VAS score (2.06±0.55) and the RPE score (9.89±1.16) in the observation group were significantly lower than those in the control group (3.12±0.76), (11.07±1.35), P<0.05. There was no difference of statistical significance in blood lactic acid and blood urea nitrogen between the two groups before intervention(P>0.05). After intervention, the biochemical indexes of both groups decreased. The levels of blood lactic acid (2.15±0.43)mmol/L and blood urea nitrogen (4.21±0.68)mmol/L in the observation group were lower than those in the control group (3.06±0.57)mmol/L, (5.83±0.82)mmol/L, P<0.05. The quality of life score in the observation group was higher than that in the control group after intervention(P<0.05). Conclusion Acupoint pressing and tendon rolling manipulation based on the theory of "Effective Response Arriving with Qi" can effectively dredge meridians, stimulate meridian qi, rapidly relieve occupational muscle fatigue, ameliorate local pain and muscular function, and improve patients' quality of life.
Objective To explore the application effect of tongue pressure resistance feedback training combined with swallowing rehabilitation training in rehabilitation nursing for patients with dysphagia after intracranial tumor surgery. Methods A total of 94 patients with dysphagia after intracranial tumor surgery admitted to Jiangxi Cancer Hospital from September 2024 to December 2025 were selected and divided into a control group (47 cases) receiving swallowing rehabilitation training alone and a study group (47 cases) receiving combined intervention of tongue pressure resistance feedback training plus swallowing rehabilitation training according to the random number table. Tongue muscle strength, swallowing function, quality of life and complications were compared between the two groups before and after intervention. Results There was no difference of statistical significance in tongue muscle strength, swallowing function and quality-of-life scores between the two groups before intervention(P>0.05). After intervention, the peak tongue pressure of the study group was (56.78±7.57)kPa, higher than (48.14±6.15)kPa of the control group; the duration of tongue pressure was (18.72±4.13)s, longer than (15.43±3.31)s of the control group, with difference of statistical significance(P<0.05). After intervention, the study group obtained lower scores on the Standardized Swallowing Assessment (SSA), higher scores on the Functional Oral Intake Scale (FOIS) and higher scores on the Swallowing Quality of Life Questionnaire (SWAL-QOL) than the control group, and all differences reached statistical significance(P<0.05). No difference of statistical significance was observed in the incidence of complications between the two groups(P>0.05). Conclusion For patients with dysphagia after intracranial tumor surgery, combined application of tongue pressure resistance feedback training and swallowing rehabilitation training can strengthen tongue muscle strength, improve swallowing function and quality of life, and has a low risk of complications.
Objective To analyze the application of TCM syndrome differentiation nursing combined with auricular point pressing therapy in elderly patients with constipation. Methods A total of 180 elderly patients with constipation treated in the Department of Traditional Chinese Medicine, Shizhu Tujia Autonomous County People's Hospital from April 2024 to March 2025 were selected and divided into Group A, Group B and Group C according to different intervention methods. Group A was treated with lactulose intervention; Group B was treated with TCM syndrome differentiation nursing combined with auricular point pressing on the basis of lactulose intervention; Group C was treated with TCM syndrome differentiation nursing combined with auricular point pressing. Defecation symptoms, mental state, sleep quality and treatment satisfaction were compared among the three groups. Results There were no significant differences in scores of defecation symptoms, mental state and sleep quality among the three groups before intervention(P>0.05). After 4 weeks of intervention, all scores of defecation symptoms, mental state and sleep quality in the three groups were lower than those before intervention, and Group B had the lowest scores(P<0.05). The treatment satisfaction rate of Group B(95.00%) was significantly higher than that of Group A(71.67%) and Group C(85.00%), with difference of statistical significance among groups(χ²=12.365, P<0.05). Conclusion TCM syndrome differentiation nursing combined with auricular point pressing can effectively improve defecation symptoms, relieve anxiety and improve sleep quality in elderly patients with constipation. The combined application with lactulose achieves better clinical efficacy.
Objective To explore the effect of narrative nursing combined with peer support on psychological resilience in patients with esophageal cancer undergoing radiotherapy. Methods A total of 90 patients with esophageal cancer undergoing radiotherapy in Guangdong Provincial Hospital of Integrated Traditional and Western Medicine from January 2023 to December 2025 were selected and divided into a control group and a study group according to the random number table, with 45 cases in each group. Both groups received routine nursing. The control group was given additional narrative nursing, while the study group received peer support intervention on the basis of the control group, with an intervention duration of 8 weeks. Psychological resilience, negative emotions, quality of life and social support levels were compared between the two groups before and after intervention. Results After intervention, the scores of toughness, strength and optimism on Connor-Davidson Resilience Scale in the study group were (28.35±3.12)points, (19.47±2.38)points and (10.82±1.54)points respectively, which were significantly higher than those in the control group (24.61±3.45)points, (16.93±2.71)points, and (9.15±1.62)points, with difference of statistical significance(P<0.001). The scores of Self-rating Anxiety Scale (SAS) and Self-rating Depression Scale (SDS) in the study group were lower than those in the control group(P<0.001). The scores of physical function, emotional function and social function on EORTC QLQ-C30 in the study group were higher than those in the control group(P<0.001). The scores of objective support, subjective support and support utilization on Social Support Rating Scale (SSRS) in the study group were higher than those in the control group(P<0.001). Conclusion Narrative nursing combined with peer support can effectively improve psychological resilience, relieve negative emotions such as anxiety and depression, enhance quality of life and strengthen social support level in patients with esophageal cancer undergoing radiotherapy.
As a core vehicle of medical humanities education, aesthetic education can cultivate medical students' empathy and awareness of care for life, thereby helping to ease clinical tensions between doctors and patients. In order to address the practical dilemma that aesthetic education in medical schools is disconnected from clinical practice and divorced from the cultivation of medical talent, this paper systematically examines the current shortcomings in aesthetic education teaching in medical schools and proposes optimization paths that are aligned with medical education and clinical practice. Drawing on the current status of aesthetic education course offerings, classroom teaching, and assessment and evaluation in several medical schools across China, this study summarizes the existing problems in aesthetic education from four dimensions: teaching objectives, curriculum system, teaching implementation, and evaluation mechanism. From the perspective of medical humanities, it proposes building a "pyramid" integrated curriculum system that combines medicine and aesthetics, clarifying aesthetic education goals that serve the cultivation of clinical talent, innovating teaching methods suited to medical settings, and constructing a diversified evaluation system that covers aesthetic competence, humanistic empathy, and clinical practice. In this way, aesthetic education can help make up for deficiencies in medical students' humanistic education, reduce future incidents of poor doctor-patient communication in clinical practice, and foster clinical healthcare professionals in the new era who possess both superb medical expertise and humanistic warmth.
Spinal degenerative diseases are common orthopedic diseases in clinical practice, including lumbar disc herniation, lumbar spinal stenosis, and lumbar spondylolisthesis. The onset of these diseases can interfere with patients' daily activities and reduce their quality of life. In the prevention and treatment of such diseases, traditional Chinese medicine has unique advantages that cannot be replaced by other treatment methods. Buyang Huanwu decoction comes from the book Corrections on the Errors in Medical Works written by the Qing Dynasty physician Wang Qingren. It is a representative formula for nourishing qi and promoting blood circulation, and can be applied to the clinical treatment of qi deficiency and blood stasis syndrome. This article combines the theory of "qi deficiency and blood stasis" to summarize the traditional Chinese medicine pathogenesis of spinal degenerative diseases, analyze the modern pharmacological effects of Buyang Huanwu decoction on such diseases, covering multiple directions such as neuroprotection and repair, inflammation inhibition, immune function regulation, improvement of hemorheology and microcirculation, alleviation of oxidative stress, and promotion of bone fusion. It reviews the current status and development direction of the clinical application of this formula in related diseases such as lumbar disc herniation, lumbar spinal stenosis, and spinal cord injury, and summarizes the feasible directions for the clinical popularization and subsequent research of Buyang Huanwu decoction.
Objective To establish a rehabilitation pathway for knee osteoarthritis (KOA) based on the "tendon-bone arophy due to obstruction" theory, so as to provide evidence-based tools for sanatorium and community rehabilitation. Methods The theoretical connotation of KOA "tendon-bone arophy due to obstruction" syndrome differentiation system was systematically sorted out. Multi-source evidence including literature cluster analysis, randomized controlled clinical trials, musculoskeletal ultrasound studies and prediction models was integrated to construct a five-dimensional correspondence framework of syndrome type-pathology-intervention technique. Dual-stage staging combining natural disease course and surgical intervention was integrated to propose matching strategies of rehabilitation techniques for different stages and syndromes. Characteristic sanatorium therapies such as hot spring and mineral mud therapy were incorporated to form an "integrated medical-care" rehabilitation pathway. Results A five-dimensional correspondence framework for four core syndromes, namely cold-dampness arophy due to obstruction, dampness-heat arophy due to obstruction, phlegm-stasis intermingling, and liver-kidney deficiency, was established. Three-stage rehabilitation strategies were formulated, including acute/postoperative early stage, remission/postoperative middle-late stage and rehabilitation/postoperative advanced stage, with clear rehabilitation objectives, core techniques and contraindications for each stage. Four clinically recommended programs and one research design suggestion were summarized. Sanatorium collaborative intervention and home self-exercise guidelines were included to improve the practicability and popularizability of the pathway. Conclusion Centered on "staged classification, syndrome-specific treatment and sequential optimization", the pathway integrates characteristic sanatorium techniques, providing an operable and scalable evidence-based framework for integrated traditional Chinese and Western medicine rehabilitation of KOA.
Post-stroke cognitive impairment (PSCI) is a serious complication following a stroke, which can lead to declines in multiple dimensions of cognitive functions such as memory, thinking, and executive ability, accompanied by abnormal emotions, and significantly affects the rehabilitation outcome and quality of life of patients. "Water and fire in balance, up and down in harmony" is the core theory of traditional Chinese medicine in explaining cognitive functions, emphasizing that the mutual harmony of water and fire in the heart and kidney is the foundation for the generation and transformation of vital energy, and the upward and downward circulation of qi is the path for the circulation of qi. Eye-acupuncture therapy is a characteristic micro-needle technique founded by Professor Peng Jingshan. It is based on a core system of eight zones and thirteen acupoints. After years of clinical and experimental research, it has been proven to have definite therapeutic effects on PSCI. This article will explain the theoretical connotation of "water and fire in balance, up and down in harmony", analyze the theoretical basis and acupoint selection ideas of eye-acupuncture therapy in treating post-stroke cognitive impairment, explore the internal mechanism of combining the two to guide clinical rehabilitation, and look forward to its development direction of integration with modern rehabilitation technologies.
In recent years, the burden of chronic heart failure has gradually increased. Due to the long course of the disease, recurrent symptoms, and complex treatment, patients are prone to experience varying degrees of disease uncertainty during the process of diagnosis, treatment decision-making, and long-term self-management. This can lead to reduced treatment compliance, affect psychological state, disease management effectiveness, and quality of life. This article comprehensively elaborates on the concept, current situation, and assessment tools of disease uncertainty in patients with chronic heart failure. It conducts a comprehensive analysis of the influencing factors from aspects such as demographic factors, symptoms and disease factors, social support, psychological factors, and coping styles. Moreover, it summarizes and analyzes intervention measures for disease uncertainty from different perspectives, with the aim of providing references for clinical nurses to identify high-risk patients, formulate individualized nursing care plans, and enhance patients' self-management ability. This is expected to reduce patients' disease uncertainty, improve their psychological adaptation level and quality of life, and provide a reference basis for future research on intervention measures related to disease uncertainty in patients with chronic heart failure.
Objective To explore the intrinsic connection between osteoporosis (OP) and knee osteoarthritis(KOA), which are common geriatric co-morbidities, and to construct a theoretical basis that integrates the macroscopic pathogenesis of traditional Chinese medicine with modern cell biology theories. Methods By integrating the macroscopic pathological mechanism of "spleen deficiency and blood stasis" in traditional Chinese medicine with the microscopic theoretical framework of mesenchymal stem cell (MSCs) differentiation in modern medicine, this study analyzed the common pathological basis of OP and KOA. Results The abnormal enhancement of MSCs' adipogenic differentiation was the cellular basis that triggers both OP and KOA. This process can be initiated by the metabolic disorder driven by the "spleen deficiency" in traditional Chinese medicine; while "blood stasis" manifests at the microscopic level as microcirculation disorders in bones and joints, leading to the deterioration of the microenvironment for MSCs differentiation. Conclusion This theoretical framework is based on the common pathophysiological basis of OP and KOA, which is centered around the imbalance of MSCs differentiation with "spleen deficiency" as the core, and the local microcirculation disorder characterized by "blood stasis". This model provides an important research idea for in-depth understanding of the co-morbidity mechanism of elderly bone diseases and the development of comprehensive traditional Chinese medicine treatment plans.
