Research Article

The Role of Traditional Chinese Medicine Nursing for Stroke: An Umbrella Review

Table 3

Characteristics of the analyzed trials.

Authors, year, reference no.Patients characteristic (intervention E/control C)Stroke statusTime after onsetIntervention (intervention E/control C)Treatment durationOutcomes

Taylor-Piliae and Coull, 2012, [25]E (n = 13) mean age (SD): 72.8 ± 10.1; C (n = 12) mean age (SD): 64.5 ± 10.9Poststroke limb dysfunctionE: 58.3 m E: 53.9 mE: Tai Chi; C: routine nursing + weekly phone calls60-minute class, 3 times per week, for 12 weeks.SPPB, 2-minute step test

Au-Yeung et al., 2009, [26]E (n = 59) mean age (SD): 61.7 ± 10.5; C (n = 55) mean age (SD): 65.9 ± 10.7Poststroke limb dysfunctionE: 54.1 ± 79.2 m, E: 64.2 ± 106.4 mE: Tai Chi; C: general physical therapyEach week, 1 hour of group practice was supplemented by 3 hours of self-practice, for 12 weeks.TUGT

Wang et al., 2013, [27]E (n = 34) mean age (SD): 62.6 ± 5.7; C (n = 34) mean age (SD): 63.3 ± 6.0Poststroke limb dysfunctionE: 25.31 ± 21.40 m, C: 15.07 ± 8.51 mE: Tai Chi + routine rehabilitation exercise; C: routine rehabilitation20∼30-minute class, 2 times per day, 10 times per week, for 6 weeks.FMA-L, BBS, MBI

Huang 2016, [28]E (n = 8) mean age (SD): 65.00 ± 6.16; C (n = 8) mean age (SD): 63.63 ± 7.37Poststroke limb dysfunctionE: 15.13 ± 7.30 m, C: 18.63 ± 31.47 mE: Tai Chi; C: routine exercise at home + phone calls or home follow-up60 min per day, 2 times per week, for 24 weeks.BBS, TUGT

Wang, 2016, [29]E (n = 25) mean age (SD): 60.48 ± 8.29; C (n = 25) mean age (SD): 60.92 ± 10.07Poststroke limb dysfunctionE: 5.50 ± 2.09 m, C: 5.08 ± 1.56 mE: Tai Chi; C: routine rehabilitation therapy30 min per day, 5 times per week, for 8 weeks.BBS, MBI, TUGT

Lv, 2012, [30]E (n = 30) mean age (SD): 66.13 ± 5.81; C (n = 30) mean age (SD): 65.2 ± 5.17Poststroke constipationUnclearE: auricular plaster + Routine nursing; C: routine nursing4 min per acupoint, 4 times per day, for 2 weeks.Effective rate, number of bowel sounds

Yan, 2012, [31]E (n = 29) mean age (SD): 64.49 ± 8.56; C (n = 28) mean age (SD): 66.82 ± 9.90Poststroke dysphagiaE: 36.03 ± 14.70 d, C: 35.21 ± 17.48 dE: acupoint massage + routine rehabilitation; C: routine rehabilitation20 min each, 2 times per day, for 4 weeks.Effective rate, WST

Wei, 2016, [32]E (n = 100) mean age (SD): 58.35 ± 9.52; C (n = 100) mean age (SD): 57.89 ± 9.91Poststroke dysphagiaE: 25.21 ± 5.18 d, C: 24.98 ± 5.13 dE: acupoint massage + routine rehabilitation; C: routine rehabilitation15 minutes each, 3 times per day, for 4 weeks.Effective rate, WST
Zhao, 2011, [33]E (n = 30) mean age (SD): 64.93 ± 8.80; C (n = 30) mean age (SD): 65.03 ± 8.64Poststroke dysphagiaE: 58.57 ± 15.08 d, C: 61.33 ± 13.61 dE: acupoint massage + routine rehabilitation; C: routine rehabilitation5 min per acupoint, 2 times per day, for 4 weeks.Effective rate, WST

Yao et al., 2012, [34]E (n = 15) mean age (SD): 67.77 ± 10.24; C (n = 15) mean age (SD): 63.33 ± 9.48Poststroke dysphagiaE: 26.50 ± 25.07 d, C: 28.43 ± 26.63 dE: acupoint massage + routine rehabilitation; C: routine rehabilitation2 min per acupoint, 20–30 min each, 1 time per day, for 2 weeks.MAS, SAS, SDS

Hu, 2013, [35]E (n = 32) mean age(SD): 60.5 ± 9.8; C (n = 32) mean age (SD): 62.2 ± 8.9Poststroke constipationE: 134.00 ± 1.26 d, C: 129.00 ± 1.35 dE: auricular plaster + routine nursing; C: routine nursing1 min per acupoint, 20–30 min each, 3-4 times per day, for 4 weeks.SAS, SDS

Yu et al., 2014, [36]E (n = 35) mean age (SD): 41.3 ± 7.28; C (n = 33) mean age (SD): 43.3 ± 6.89Poststroke constipationUnclearE: auricular plaster + routine nursing + health education; C: routine nursing + health education3 min per acupoint, 3 times per day, for 15 days.Effective rate

Ji et al., 2015, [37]E (n = 40) mean age (SD): 61.3 ± 8.6; C (n = 40) mean age (SD): 59.6 ± 9.7Poststroke constipationUnclearE: auricular plaster + routine nursing; C: routine nursing3 min per acupoint, 3 times per day, for 2 weeks.Effective rate

Cai and Zhang, 2015, [38]E (n = 28) mean age(SD): 56 ± 20; C (n = 28) mean age(SD): 57 ± 20Poststroke constipationE: 78.6 ± 77.2 d, C: 75.6 ± 78.8 dE: auricular plaster + routine nursing; C: routine nursing2 min per acupoint, 3 times per day, for 4 weeks.Effective rate

Guo et al., 2011, [39]E (n = 60) mean age (SD): 63.1 ± 3.2; C (n = 60) mean age (SD): 61.1 ± 2.6Poststroke shoulder-hand syndromeE: 1.7 ± 0.2 m, C: 1.5 ± 0.2 mE: TCM soaking + routine rehabilitation exercise; C: routine rehabilitation exerciseFirst soak in hot water for 15 min, then soak in cold water for 15 min. 2 times per day, for 3 weeks.Effective rate, VAS

Zhang et al., 2014, [40]E (n = 40) mean age (SD): 53.61 ± 8.71; C (n = 40) mean age (SD): 54.21 ± 7.23Poststroke shoulder-hand syndrome2∼5 mE: TCM soaking + routine rehabilitation exercise; C: routine rehabilitation exerciseFirst soak in cold water for 10 min, then soak in hot water for 10 min, and finally cool the blister for 10 min. 1 time per day, for 4 weeks.VAS, FMA

Qu, 2013, [41]E (n = 50) mean age (SD): 59.4 ± 1.5; C (n = 50) mean age (SD): 58.3 ± 1.4Poststroke depressionUnclearE: TCM emotional nursing + routine nursing; C: routine nursingFor 4 weeks.Effective rate

SPBB: short physical performance battery; TUGT: timed up and go test; BBS: Berg balance scale; MBI: modified Barthel index; SAS: self-rating anxiety scale; SDS: self-rating depression scale; WST: water swallowing test; MAS: motor assessment scale; VAS: visual analog scale; FMA: Fugl–Meyer scale.