Background To investigate the physical and psychological effects of five-element music therapy combined with Baduanjin qigong treatment on inpatients with mild coronavirus disease 2019 (COVID-19) in Wuhan. Methods A mixed-methods study was used. In the quantitative study, a randomized controlled trial was performed on 40 study participants divided into a control group ( n = 20) and an intervention group ( n = 20). The Self-rating Anxiety Scale, Self-rating Depression Scale and Pittsburgh Sleep Quality Index were compared. For qualitative analysis, it adopted purposive sampling method, 13 patients of different ages from 18 to 60 years old and different exercise behavior were selected as the participants from the intervention group. A semi-structured interview method was used to collect data, and the content analysis method was used for data analysis. An interview outline was developed to assess the psychological condition and personal functional-exercise behavior of patients. Results In the quantitative study, the anxiety self-scores and depression self-scores of patients in intervention group were significantly lower compared with control group after treatment ( p < .05). The sleep quality of intervention group was significantly improved compared with control group ( p < .001). Participants in the qualitative study responded to questions posed through semi-structured interviews. The effect of intervention was good, which has been supported and recognized by patients. Conclusion The treatment of five-element music therapy combined with Baduanjin qigong on patients with mild COVID-19 alleviated anxiety and depression, and improved sleep quality, which was beneficial to the patients’ physical and psychological recovery.

Background: With the spread of the Coronavirus Disease 2019 (COVID-19) epidemic in the world, medical staff have become the main force to fight the epidemic. In the process of clinically fighting the epidemic, many nurses experience enormous physical and psychological strain. All parties are under tremendous pressure due to the shortage of medical resources and the large numbers of severely ill patients requiring assistance. Herein, we explored the inner experience of first-line clinical nursing staff during the COVID-19 epidemic.Methods: In March 2020, qualitative research methods were used to interview 18 clinical first-line nurses. Semi-structured interviews were used, and data analysis consisted of content analysis of the interviews. Results: A total of four themes were identified: (1) work-level experience: (a) difficulty in the implementation of nursing operations, (b) a sense of accomplishment in innovative nursing work; (2) experience at the physical level: (a) tiredness, (b) injury/discomfort; (3) psychological experience: (a) enormous psychological pressure, (b) post-traumatic psychological obstacles, (c) sense of mission/achievement; (4) traditional Chinese medicine (TCM) nursing experience: (a) frustration during treatment, (b) joy after treatment. Conclusions: Anti-epidemic clinical first-line nurses were able to maintain their high-level nursing ability under large amounts of psychological pressure and a high level of physical discomfort, which laid the foundation for victory over the epidemic.Trial registration: None

BACKGROUND: Many non-drug interventions for decreasing non-specific chronic low back pain (NSCLBP) in nurses have been extensively studied, but the most effective approach is still unclear. OBJECTIVE: This systematic review and network meta-analysis evaluated the efficacies of 12 non-drug interventions in reducing NSCLBP in nurses. METHODS: PubMed, ScienceDirect, Web of Science, Cochrane, EMBASE, CINAHL, Medline, WANFANG, VIP, China Knowledge Integrated, and SinoMed were searched from their establishment to July 2019. Randomized controlled trials (RCTs) comparing non-drug interventions for NSCLBP in nurses were included and analyzed using Stata v15 statistical software. RESULTS: A total of 31 RCTs (n= 7116) and 12 non-drug interventions were included. The first three results with the highest surface areas under the curve ranking area (SUCRAs) were low back exercise plus healthy education, single low back exercise, and yoga (SUCRAs: 79.4%, 76.2%, and 75.1%, respectively). In addition, single yoga was inferior to protective equipment (standardized mean difference [SMD] = 3.88, 95% confidence interval [CI]: 0.92 to 6.84) and multidisciplinary intervention (SMD =-4.06, 95% CI: -7.33 to -0.78). CONCLUSIONS: Low back exercise plus health education may be the best approach to reduce NSCLBP in nurses. Considering the heterogeneity, our findings need to be confirmed in future multicenter large sample RCTs in different countries.

A reliable clustering algorithm for taskoriented dialogues can help developer analysis and define dialogue tasks efficiently. It is challenging to directly apply prior normal text clustering algorithms for task-oriented dialogues, due to the inherent differences between them, such as coreference, omission and diversity expression. In this paper, we propose a Dialogue Task Clustering Network (DTCN) model for task-oriented clustering. The proposed model combines context-aware utterance representations and cross-dialogue utterance cluster representations for task-oriented dialogues clustering. An iterative end-to-end training strategy is utilized for dialogue clustering and representation learning jointly. Experiments on three public datasets show that our model significantly outperformed strong baselines in all metrics 1 .

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