Tiao-She Nursing of Traditional Chinese Medicine for Mild Cognitive Disorder: An Assessment of Clinical Evidence_Chinese Journal of Evidence-Based Medicine

Authors：

 JINYing-hui ¹ ,  SHANGHong-cai ^2,3 , XIEYu-lu ¹ , LIGuo-cui ¹ , CHIKai-li ¹ , LIXiao-hong ¹

1. Nursing School, Tianjin University of Traditional Chinese Medicine, Tianjin 300193, China;
2. Key Laboratory of Chinese Internal Medicine, Ministry of Education, Beijing University of Chinese Medicine, Beijing 100700, China;
3. Tianjin Branch of the Ministry of Education Virtual Research Center for Evidence-Based Medicine, Tianjin 300193, China;

Corresponding author：

SHANGHong-cai, Email: shanghongcai@foxmail.com

Keywords：

Mild cognitive disorder; Tiao-She nursing of traditional Chinese medicine; Evidence

DOI：

10.7507/1672-2531.20150058

Video：

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Objective To assess the efficacy and safety of Tiao-She nursing of traditional Chinese medicine (TCM) for mild cognitive disorder (MCD), and to provide theoretical basis for developing evidence-based guideline of Tiao-She nursing of TCM. Methods We searched PubMed, Web of Science, The Cochrane Library, EMbase, MEDLINE, Springerlink, CBM, CNKI, VIP and WanFang Data for systematic reviews/meta-analyses (SRs/MAs), as well as randomized controlled trials (RCTs), up to December 2014. Two reviewers screened literature according to the inclusion and exclusion criteria and extracted data. Methodological quality and evidence quality of included SRs/MAs were assessed using AMSTAR scale and GRADE tool, respectively. Methodological quality of included RCTs was assessed using risk of bias assessment tool of the Cochrane Handbook 5.1.0. Results Nine RCTs were identified, but no SRs/MAs was retrieved. Interventions for MCD included acupoint massage, moxibustion, auricular-plaster therapy, qigong, Tai chi, calligraphy, and food therapy of ginseng. All included RCTs showed that Tiao-She nursing of TCM was effective on cognitive ability and psychosocial function. Conclusion Tiao-She nursing of TCM might be effective and safe, and the methods are variable. Due to the limitation of the quality of included RCTs, the efficacy and safety of Tiao-She nursing of TCM for MCD are still needed to be verified by high quality studies.

Citation： JINYing-hui, SHANGHong-cai, XIEYu-lu, LIGuo-cui, CHIKai-li, LIXiao-hong. Tiao-She Nursing of Traditional Chinese Medicine for Mild Cognitive Disorder: An Assessment of Clinical Evidence. Chinese Journal of Evidence-Based Medicine, 2015, 15(3): 346-352. doi: 10.7507/1672-2531.20150058 Copy

1.	何耀. 我国的人口老龄化与健康老龄化策略. 中国慢性病预防与控制, 2012, 20(5):507-509.
2.	Petersen RC. Mild cognitive impairment:transition from aging to Alzheimer's disease. Neurologia, 2000, 15(3):93-101.
3.	张振馨, 陈霞, 刘协和, 等. 北京、西安、上海、成都四地区痴呆患者卫生保健现状调查. 中华医学科学院学报, 2004, 26(2):116-121.
4.	王艳平, 翟静波, 朱芳, 等. 太原市社区老年人轻度认知功能障碍向阿尔茨海默病转归三年随访研究. 中华流行病学杂志, 2011, 32(2):105-109.
5.	王健凯, 杨锡燕. 中医药干预老年人轻度认知功能损害研究进展. 河北中医, 2014, 4:628-630.
6.	中华中医药学会. 中医护理常规技术操作规程. 北京:中国中医药出版社, 2006.
7.	张素秋、石福霞. 中医护理技术操作实训. 北京:人民军医出版社, 2011.
8.	Higgins JPT, Green S. Cochrane Handbook for Systematic Reviews of Interventions Version 5.1.0[updated March 2011]. The Cochrane Collaboration, 2011. Available at:www.Cochrane-handbook.org.
9.	Shea SJ, Bouter LM, Peterson J, et al. External validation of a measurement tool to assess systematic reviews (AMSTAR). PLoS ONE, 2007, 2(12):e1350.
10.	The GRADE Working Group, 2009. Available at:http://www.cc-ims.net/gradepro.
11.	冯晓敏. 穴位按摩对轻度认知障碍患者认知和社会功能的影响研究. 长沙:中南大学, 2012.
12.	孙景贤. 认知训练和穴位按摩对轻度认知功能障碍老年人认知功能的影响研究. 长沙:中南大学, 2013.
13.	陈仿英, 王青平, 范文云, 等. 耳穴压豆辅治轻度认知功能障碍疗效观察. 浙江中西医结合杂志, 2013, 4:315-317.
14.	朱才丰, 杨骏. 艾灸督脉组穴治疗轻度认知功能障碍疗效观察. 上海针灸杂志, 2010, 29(11):695-697.
15.	Lam LC, Chau RC, Wong BM, et al. Chan. Interim Follow-up of a Randomized Cont-rolled Trial Comparing Chinese Style Mind Body (Tai Chi) and Stretching Exercises on Cognitive Function in Subjects at Risk of Progressive Cognitive Decline. Int J Geriatr Psychiatry, 2011, 26(27):733-740.
16.	Lam LC, Chau RC, Wong BM, et al. A 1-year randomized controlled trial comparing mind body exercise (Tai Chi) with stretching and toning exercise on cognitive functi-on in older Chinese adults at risk of cognitive decline. J Am Med Dir Assoc, 2012, 13(6):568.
17.	Kwok TC, Bai X, Kao HS et al. Cognitive effects of calligraphy therapy for older people:a randomized controlled trial in Hong Kong. Clin Interv Aging, 2011, 6:269-273.
18.	郑信团, 于娟, 凃人顺, 等. 健身气功六字诀对老年轻度认知障碍康复作用的研究. 国际中医中药杂志, 2013, 35(11):968-972.
19.	Park K, Jin H, Rhee HY, et al. A randomized, double-blind, placebo-controlled clinical trial ofKorean ginseng as a functional food in mild cognitive impairment. Alzheimer's & Dementia, 2013, 9(4Suppl):804.
20.	黎惠英, 李向芳, 陈小清. 综合医院中医护理现状与建议. 护理实践与研究, 2012, 18(9):77.
21.	中国护理事业发展规划纲要(2011-2015年). 中华护理杂志, 2012, 47(3):286-288.
22.	明. 王肯堂. 证治准绳.
23.	Wayne PM, Walsh I, Taylor-Piliae R et al. The Impact of Tai-Chi on cognitive performance in older adults:A systematic review and meta-analysis. J Altern Complement Med, 2014, 20(5):10-11.
24.	赵翠萍, 王京菊. 中医情志护理初探. 中医药导报, 2013, 3:121-122.
25.	杨玲玲. 中医思志理论的探讨及遗忘型MCI患者思志变化的临床研究. 福州:福建中医学院, 2008.
26.	章进. 从中医学角度论述书法的养生保健作用. 中医研究, 2013, 26(11):12-14.
27.	鲁周南. 从书法艺术探讨五行学说中的情志因素. 光明中医, 2013, 28(6):1093-1094.
28.	袁世宏, 王米渠, 高尚仁, 等. 书法及针刺调治老年痴呆的行为和细胞水平研究. 中国民间疗法, 2003, 11(2):4-6.
29.	徐小国, 蒋萌. 替代指标在临床试验中的应用与局限性. 中国临床药理学与治疗学, 2006, 11(10):1194-1197.
30.	张宏伟, 刘建平, 万霞, 等. 临床干预结局评估指标的分类及效应表达. 中西医结合学报, 2007, 5(5):497-501.
31.	American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, DSM-IV TR, Text Revision. Fourth Edition. Washington, DC:American Psychiatric Association; 2000.
32.	Morris JC. Clinical dementia rating:a reliable and valid diagnostic and staging measure for dementia of the Alzheimer type. Int Psychogeriatr, 1997, 9(Suppl 1):173-176.
33.	张子洋, 常富业. 老年性痴呆的中医药诊断和治疗研究进展. 中华中医药学刊, 2014, 8:1811-1814.
34.	张宏伟, 刘建平, 万霞, 等. 临床干预结局评估指标的分类及效应表达. 中西医结合学报, 2007, 5(5):497-501.
35.	唐娟娟, 肖军. 蒙特利尔认知评估量表与简易精神状态量表在认知功能障碍筛查中的应用与比较. 实用医院临床杂志, 2011, 8(2):193-195.
36.	方积乾. 卫生统计学. 第5版. 北京:人民卫生出版社, 2006:137.
37.	Savović J, Jones H, Altman D, et al. Influence of reported study design characteristics on intervention effect estimates from randomised controlled trials:combined analysis of meta-epidemiological studies. Health Technol Assess, 2012, 16(35):1-82.
38.	吴泰相, 商洪才, 卞兆祥. 随机对照实况试验的概念、设计和实施. 中国循证医学杂志, 2009, 9(12):1277-1280.
39.	孙贤桢, 郭志男. 血管性痴呆的诊断及治疗进展. 中国当代医药, 2012, 19(31):18-20.
40.	Li H, Li J, Li N, et al. Cognitive intervention for persons with mild cognitive impairment:A meta-analysis. Ageing Res Rev, 2011, 10(2):285-296.
41.	Singh B, Parsaik AK, Mielke MM, et al. Association of mediterranean diet with mild cognitive impairment and Alzheimer's disease:a systematic review and meta-analysis. J Alzheimers Dis, 2014, 39(2):271-282.
42.	Berg AI, Wallin A, Nordlund A, et al. Living with stable MCI:experiences among 17 individuals evaluated at a memory clinic. Aging Ment Health, 2013, 17(3):293-299.
43.	Roberts JL, Clare L. Meta-representational awareness in mild cognitive impairment:an interpretative phenomenological analysis. Aging Ment Health, 2013, 17(3):300-309.
44.	Courtney DL. Dealing with mild cognitive impairment:help for patients and caregivers. Clin Geriatr Med, 2013, 29(4):895-905.

1. 何耀. 我国的人口老龄化与健康老龄化策略. 中国慢性病预防与控制, 2012, 20(5):507-509.
2. Petersen RC. Mild cognitive impairment:transition from aging to Alzheimer's disease. Neurologia, 2000, 15(3):93-101.
3. 张振馨, 陈霞, 刘协和, 等. 北京、西安、上海、成都四地区痴呆患者卫生保健现状调查. 中华医学科学院学报, 2004, 26(2):116-121.
4. 王艳平, 翟静波, 朱芳, 等. 太原市社区老年人轻度认知功能障碍向阿尔茨海默病转归三年随访研究. 中华流行病学杂志, 2011, 32(2):105-109.
5. 王健凯, 杨锡燕. 中医药干预老年人轻度认知功能损害研究进展. 河北中医, 2014, 4:628-630.
6. 中华中医药学会. 中医护理常规技术操作规程. 北京:中国中医药出版社, 2006.
7. 张素秋、石福霞. 中医护理技术操作实训. 北京:人民军医出版社, 2011.
8. Higgins JPT, Green S. Cochrane Handbook for Systematic Reviews of Interventions Version 5.1.0[updated March 2011]. The Cochrane Collaboration, 2011. Available at:www.Cochrane-handbook.org.
9. Shea SJ, Bouter LM, Peterson J, et al. External validation of a measurement tool to assess systematic reviews (AMSTAR). PLoS ONE, 2007, 2(12):e1350.
10. The GRADE Working Group, 2009. Available at:http://www.cc-ims.net/gradepro.
11. 冯晓敏. 穴位按摩对轻度认知障碍患者认知和社会功能的影响研究. 长沙:中南大学, 2012.
12. 孙景贤. 认知训练和穴位按摩对轻度认知功能障碍老年人认知功能的影响研究. 长沙:中南大学, 2013.
13. 陈仿英, 王青平, 范文云, 等. 耳穴压豆辅治轻度认知功能障碍疗效观察. 浙江中西医结合杂志, 2013, 4:315-317.
14. 朱才丰, 杨骏. 艾灸督脉组穴治疗轻度认知功能障碍疗效观察. 上海针灸杂志, 2010, 29(11):695-697.
15. Lam LC, Chau RC, Wong BM, et al. Chan. Interim Follow-up of a Randomized Cont-rolled Trial Comparing Chinese Style Mind Body (Tai Chi) and Stretching Exercises on Cognitive Function in Subjects at Risk of Progressive Cognitive Decline. Int J Geriatr Psychiatry, 2011, 26(27):733-740.
16. Lam LC, Chau RC, Wong BM, et al. A 1-year randomized controlled trial comparing mind body exercise (Tai Chi) with stretching and toning exercise on cognitive functi-on in older Chinese adults at risk of cognitive decline. J Am Med Dir Assoc, 2012, 13(6):568.
17. Kwok TC, Bai X, Kao HS et al. Cognitive effects of calligraphy therapy for older people:a randomized controlled trial in Hong Kong. Clin Interv Aging, 2011, 6:269-273.
18. 郑信团, 于娟, 凃人顺, 等. 健身气功六字诀对老年轻度认知障碍康复作用的研究. 国际中医中药杂志, 2013, 35(11):968-972.
19. Park K, Jin H, Rhee HY, et al. A randomized, double-blind, placebo-controlled clinical trial ofKorean ginseng as a functional food in mild cognitive impairment. Alzheimer's & Dementia, 2013, 9(4Suppl):804.
20. 黎惠英, 李向芳, 陈小清. 综合医院中医护理现状与建议. 护理实践与研究, 2012, 18(9):77.
21. 中国护理事业发展规划纲要(2011-2015年). 中华护理杂志, 2012, 47(3):286-288.
22. 明. 王肯堂. 证治准绳.
23. Wayne PM, Walsh I, Taylor-Piliae R et al. The Impact of Tai-Chi on cognitive performance in older adults:A systematic review and meta-analysis. J Altern Complement Med, 2014, 20(5):10-11.
24. 赵翠萍, 王京菊. 中医情志护理初探. 中医药导报, 2013, 3:121-122.
25. 杨玲玲. 中医思志理论的探讨及遗忘型MCI患者思志变化的临床研究. 福州:福建中医学院, 2008.
26. 章进. 从中医学角度论述书法的养生保健作用. 中医研究, 2013, 26(11):12-14.
27. 鲁周南. 从书法艺术探讨五行学说中的情志因素. 光明中医, 2013, 28(6):1093-1094.
28. 袁世宏, 王米渠, 高尚仁, 等. 书法及针刺调治老年痴呆的行为和细胞水平研究. 中国民间疗法, 2003, 11(2):4-6.
29. 徐小国, 蒋萌. 替代指标在临床试验中的应用与局限性. 中国临床药理学与治疗学, 2006, 11(10):1194-1197.
30. 张宏伟, 刘建平, 万霞, 等. 临床干预结局评估指标的分类及效应表达. 中西医结合学报, 2007, 5(5):497-501.
31. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, DSM-IV TR, Text Revision. Fourth Edition. Washington, DC:American Psychiatric Association; 2000.
32. Morris JC. Clinical dementia rating:a reliable and valid diagnostic and staging measure for dementia of the Alzheimer type. Int Psychogeriatr, 1997, 9(Suppl 1):173-176.
33. 张子洋, 常富业. 老年性痴呆的中医药诊断和治疗研究进展. 中华中医药学刊, 2014, 8:1811-1814.
34. 张宏伟, 刘建平, 万霞, 等. 临床干预结局评估指标的分类及效应表达. 中西医结合学报, 2007, 5(5):497-501.
35. 唐娟娟, 肖军. 蒙特利尔认知评估量表与简易精神状态量表在认知功能障碍筛查中的应用与比较. 实用医院临床杂志, 2011, 8(2):193-195.
36. 方积乾. 卫生统计学. 第5版. 北京:人民卫生出版社, 2006:137.
37. Savović J, Jones H, Altman D, et al. Influence of reported study design characteristics on intervention effect estimates from randomised controlled trials:combined analysis of meta-epidemiological studies. Health Technol Assess, 2012, 16(35):1-82.
38. 吴泰相, 商洪才, 卞兆祥. 随机对照实况试验的概念、设计和实施. 中国循证医学杂志, 2009, 9(12):1277-1280.
39. 孙贤桢, 郭志男. 血管性痴呆的诊断及治疗进展. 中国当代医药, 2012, 19(31):18-20.
40. Li H, Li J, Li N, et al. Cognitive intervention for persons with mild cognitive impairment:A meta-analysis. Ageing Res Rev, 2011, 10(2):285-296.
41. Singh B, Parsaik AK, Mielke MM, et al. Association of mediterranean diet with mild cognitive impairment and Alzheimer's disease:a systematic review and meta-analysis. J Alzheimers Dis, 2014, 39(2):271-282.
42. Berg AI, Wallin A, Nordlund A, et al. Living with stable MCI:experiences among 17 individuals evaluated at a memory clinic. Aging Ment Health, 2013, 17(3):293-299.
43. Roberts JL, Clare L. Meta-representational awareness in mild cognitive impairment:an interpretative phenomenological analysis. Aging Ment Health, 2013, 17(3):300-309.
44. Courtney DL. Dealing with mild cognitive impairment:help for patients and caregivers. Clin Geriatr Med, 2013, 29(4):895-905.

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Tiao-She Nursing of Traditional Chinese Medicine for Mild Cognitive Disorder: An Assessment of Clinical Evidence

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