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UNSTRUCTURED Aim of the study: Breast milk is the safest and most nutritious food for infants, and breastfeeding has many psychological and physical benefits for infants and mothers, but the problems encountered in the breastfeeding process, such as lack of milk, swelling, and other factors, are that postpartum women reduce their willingness to breastfeed themselves, if they can improve lactation through TCM auxiliary therapy, the treatment is safer than drugs and can also relieve the discomfort of postpartum breastfeeding. There are many different TCM adjuvant therapies for the treatment of milk deficiency, such as acupuncture, tuina, acupressure, moxibustion, cupping, etc., and this study wants to discuss the overall efficacy of various TCM auxiliary therapies, and sort out in detail the relevant meridians and acupuncture points for the common treatment of breast deficiency for reference. Study Design: A systematic review up to October 2022 was conducted using electronic databases such as Embase, Web of Science, CINAHL, Cochrane, CNKI, PubMed, and Airitilibrary. One author extracted data using a pre-designed database that was reviewed by another independent author; All co-authors were included in data assessment and interpretation. These factors were summarized using MATA-Analysis. Through different therapies of traditional Chinese medicine, acupressure point stimulation has achieved clinical remarkable, showing that it can effectively improve lactation and breast fullness, thereby helping patients with milk deficiency to increase their feeding rate. Results: The data results are statistically different. Statistics in TCM-assisted therapies, the most common is acupressure for breast massage, followed by moxibustion and ear burial beans. Through different therapies of traditional Chinese medicine, acupuncture point stimulation has achieved clinical remarkable, showing that it can effectively improve lactation and breast fullness, thereby helping patients with milk deficiency to increase feeding rate. Conclusion: Nowadays, it is still rare for patients with postpartum milk deficiency to see the use of TCM-assisted therapy clinically. The results of this systematic review can be empirically significant. Breast acupressure, ear acupuncture, and moxibustion are non-invasive treatments and can effectively help patients in lactation, and clinical should be considered and widely promoted.

Depression is the second-leading cause of disability among older patients worldwide. This study examined the effectiveness of the Integrated Care Model (ICM) intervention in decreasing depression, suicide ideation, and psychological symptoms and improving life satisfaction among old patients with depression living in communities. The participants were allocated to either the intervention (n = 67) or control group (n = 76) from July 2018 to November 2018. All participants received the usual geriatric care for three months in eastern Taiwan. Additionally, participants in the intervention group were treated according to the ICM, including the assessment and management of health problems, improvements in spiritual and mental wellbeing, helping with activities of daily life and mobility, providing social welfare resources, and prevention of elder abuse. The patients in the experimental group showed significant improvement in the group-by-time effect on the Center for Epidemiologic Studies Depression Scale, the Brief Symptom Rating Scale, suicide ideation measures, and the Life Satisfaction Index over 18 weeks. The ICM should be included in routine geriatric care and adopted in hospitals, long-term care facilities, and communities

Background: The coronavirus disease (COVID-19) pandemic has resulted in significant changes in nursing education. Maintaining social distance could slow down the spread of COVID-19, and it was necessary, but it significantly reduced students’ hands-on clinical practice experience in healthcare settings. Traditional classroom teaching in schools has transitioned to distance or online learning methods, which significantly reduced students’ hands-on clinical practice experience in healthcare settings. Although distance education had been implemented for a long time, there are many problems and challenges to be resolved. The experiences and needs of nursing students in remote clinical training urgently require further understanding. Purpose: To understand the stress and coping strategies of online nursing practicum courses for Taiwanese nursing students during the COVID-19 pandemic. Methods: A qualitative research approach with purposive sampling was supplemented by snowball sampling. Semi-structured interviews were conducted, and the data were collected following the eight-step process outlined by Waltz, Strickland, and Lenz (2010). The participants were 12 nursing students on a two-year nursing RN-to-BSN program at a university in Eastern Taiwan, consisting of 11 females and 1 male student. Findings: The stress and coping behaviors of nursing students consist of four main themes, each with three subthemes, including “urgent changes”, “the gaps between online courses and practical operations”, “mixed feelings of joy and anxiety” and “unexpected gains”. Conclusions: The pandemic has impacted nursing students’ learning and living. Engaging in online nursing practicum brought about significant stress; nevertheless, students employed various coping strategies to navigate through this challenging period. The findings of this study would also help nursing educators understand the learning gaps in clinical practicum among students.

Introduction: This study explores the status of mental healthcare workers in the eastern region with respect to work pressure, health-promoting lifestyle patterns, and their related factors, which can provide an important reference to aid the formulation and development of health promotion strategies for such individuals. Methods: A total of 115 questionnaires were distributed and 112 valid questionnaires were recovered, with a recovery rate of 97.4%. The number of samples required for regression analysis was 99, as calculated using G-power software. The effect of work stress on health-promoting lifestyle patterns (β=-0.342, p<0.001) was negative, indicating that a health-promoting lifestyle was better and less stressful. Results: This accounted for 11.70% of the total variation in the health-promoting lifestyle scores (F=14.164, p<0.001, R=0.342). The important predictive variables of health-promoting lifestyle patterns had the greatest influence on work stress (β=-0.302, p=0.001). Discussion: The results of the comprehensive analysis showed that the standardized score of the health-promoting lifestyle of psychiatric nurses was 60.86 points. The overall health-promoting lifestyle of this study was lower than that of clinical nurses in two regional hospitals in Pingtung (the standardized score index is 64.84). This shows that the health-promoting lifestyle of psychiatric nursing staff is only better than that of public health-related staff in the same nursing work, and its overall health-promoting lifestyle is slightly worse than that of general nursing staff and school nurses. Conclusions: This influence was negative, indicating that the greater the work pressure, the worse the implementation of health-promoting lifestyle patterns. Creating a friendly workplace and implementing workplace health-promoting programs, organizing and encouraging psychiatric caregivers to participate in networking activities, and form families can help reduce mental health care workers’ work pressure, improve health, and promote lifestyle participation thus maintaining physical and mental health status.