Study On Nursing Standard Of Safety Application Of Moxibustionbox

ObjectiveMoxibustion therapy has been more than 2,000 years of history.Its effect,non-toxic,economy,convenience are the reasons that clinicians and patients love.But traditional hand moxamoxibustion has many shortcomings in the process of existence time-consuming,labor and easy to fall off,easy to cause burns and so on.The use of clinicalmoxibustion is inconvenience which affects the development of moxibustion.Moxibustion box is safe and easy to operate.Because of not affecting patients activity and without moxibustion gray flying,it has been used increasingly.Routine technical procedures for Chinese medicine care and Nursing staff TCM manual developed by state administration of traditional Chinese medicine define the moxibustion technology process.But now the application of moxibustion box don't have clinical corresponding norms.Recently,there are many studies of moxibustion box.But most of them are limited to clinical efficacy observation and methods of operation,moxibustion time,moxibustion,etc.are not uniform.They also can't control entire temperature of moxibustion.State administration of traditional Chinese medicine issued 52 of the dominant disease care programs in 2015.More than 100 symptoms have been applied to moxibustion technology.So moxibustion technology has been used more and more increasingly in clinical practice.Due to hand moxa a long time and other shortcomings,clinical nurses prefer moxibustion box to the traditional hand moxamoxibustion.Over the years,safety research work has been devoted to the tutor of the thermotherapy technology,this topic in teacher Zhang Suqiu under the guidance of the director,to the clinical needs of moxibustion at Zusanli patients as the research object,through the use of box moxibustion moxibustion at Zusanli point,explore the application of moxibustion box operating specification.This study was designed to observe the moxibustion box moxibustion at Zusanli,by measuring the moxibustion local skin temperature,to determine whether to adjust the distance with the skin temperature,every time a moxa stick down 10mm,specific time point records need to be adjusted and the number of each adjustment.When reach adequate quantity of moxibustion and patient intolerance,record the local skin temperature,which is time-consuming and the moxa stick length,pain assessment,so as to arrive at the base to ensure the therapeutic effect of moxibustion moxibustion box,the optimum distance(distance end moxibustion moxibustion ignite the skin distance),the shortest time,the use of moxibustion at least to ensure patient safety,use moxibustion box.MethodThis study selected 66 patients from Guanganmen Hospital of Chinese Academy of Sciences and Beijing University of Chinese Medicine Chinese affiliated huguosi hospital need treatment with moxibustion at zusanli,According to the inclusion criteria,all cases were screened and randomly divided into two groups:A and B.Group A:Moxibustion distance 3cm,group B:Moxibustion distance 4cm.The single hole moxibustion box fixed in patients with right Zusanli(single hole,one end point)uniform vertically into the ignited moxa box,according to the thermometer temperature,when the temperature drops,and the skin distance adjustment fire moxibustion(each down 10mm),until the skin of patients with uniform flushing(adequate quantity of Moxibustion,records)at this time the skin temperature,skin temperature to determine adequate quantity of moxibustion,moxibustion continued,until the patients can not tolerate,feel pain,stop moxibustion,record the skin temperature,to determine the safety of moxibustion temperature limit and record the pain score,and record in the process,to patients cannot tolerate the required time the consumption of moxa,length,number of adjustments.Result1 case completion66 cases from Guanganmen Hospital of Chinese Academy of Sciences and Beijing University of Chinese Medicine Chinese huguosi hospital,33 cases of A group,B group of 33 cases,a total of 63 cases,3 cases,the loss rate is 4.5%,of which 2 cases for patients who cannot tolerate the moxa smoke stimulation,refuse treatment,1 cases of incomplete data.2 baseline dataGeneral information:a total of 63 patients were enrolled,including 29 cases of male,female 34 cases,age 58-75 years old,the average(62.59±10.12)years;two groups of patients in the baseline data,no significant difference(P>0.05),comparable.3 findings1.In the two groups,the number of moxibustion intervals needed to be adjusted in the course of adequate moxibustion treatment.The result of A group was 3.12 ± 0.13,and that of group B was 4.25 ± 0.57,and that of group A was lower than that of group B,with statistical significance(P<0.05).2.The two groups in each treatment process reach adequate quantity of moxibustion moxibustion in the adjustment from the time point,A group were adjusted in 420.63± 56.71s,780.58 ± 68.32s,1200.24 ± 80.82s three time points;B group were adjusted in 360.64±70.67s,660.37±56.38s,1380.15±40.64s,1689±62.37s four time,compared between the two groups was significant(P<0.05).3.The comparison results between two groups each time in the course of treatment to patients who cannot tolerate the adjustment from the time point of moxibustion,group A was 1567.58 ± 68.32s,B± 70.67s group was 1860.84s,compared with two groups of results were statistically significant(P<0.05).4.The two groups in the course of treatment,the total long time-consuming results,A group the entire treatment process took a long time of 1680.85 + 80.56s,B group was 1950.53 + 20.98s,the two groups of results compared with statistical significance(P<0.05).5.The two group of consumption in the process of treatment moxa stick length,length of group A was 6.23 + 0.53cm consumption of moxa moxa,group B consumption length is 7.56 + 0.89cm,the results were compared between the two groups was statistically significant(P<0.05),A group used moxa length was significantly less than in group B.6.The two group in the treatment process to achieve adequate quantity of moxibustion and patients cannot tolerate the results of skin temperature,A group to achieve an adequate quantity of moxibustion at skin temperature:46.87 + 2.16 C,patients cannot tolerate the skin temperature:49.68 + 3.67 C,B group to achieve an adequate quantity of moxibustion at skin temperature:46.25 + 3.51 C,patients cannot tolerate the skin when the temperature of 48.89+7.36 DEG C,the temperature in the two groups,no statistical significance(P>0.05),but the two node temperature has clinical significance.7.The two group in the treatment process to achieve effective moxibustion quantity and patients cannot tolerate the pain score,A pain group to achieve an adequate quantity of moxibustion when the score was 3.25 + 0.81,patients cannot tolerate the pain score was 5.37 + 0.46,B group to achieve an adequate quantity of moxibustion pain score was 3.42 + 0.56,patients can not when the pain tolerance score was 5.67 +0.92,compared the results of the two groups,no statistical significance(P>0.05),but the two joint pain score has clinical significance.4 Safety resultThere were no adverse events or events in the two groups of A and B.ConclusionThis study finds the following conclusions:1.The best moxibustion distance:3cm.2.After moxibustion burning 7 minutes,14 minutes,20 minutes,before and after 1 minute,cuttingmoxa 10mm,when moxibustion to 25 points,it can reach the effective moxibustion.This time the skin temperature of 46 degrees Celsius approximately.3.To achieve effective moxibustion at the same time can continue to cut 10mm.In 28 minutes,achieve safe treatment and stop moxibustion.This time the skin temperature of 49 degrees Celsiusapproximately.4.The total length of about 6cm burning moxa.