Curbing COVID-19 progression and mortality with traditional Chinese medicine among hospitalized patients with COVID-19: A propensity score-matched analysis.

BACKGROUND: Viral- and host-targeted traditional Chinese medicine (TCM) formulae NRICM101 and NRICM102 were administered to hospitalized patients with COVID-19 during the mid-2021 outbreak in Taiwan. We report the outcomes by measuring the risks of intubation or admission to intensive care unit (ICU) for patients requiring no oxygen support, and death for those requiring oxygen therapy. METHODS: This multicenter retrospective study retrieved data of 840 patients admitted to 9 hospitals between May 1 and July 26, 2021. After propensity score matching, 302 patients (151 received NRICM101 and 151 did not) and 246 patients (123 received NRICM102 and 123 did not) were included in the analysis to assess relative risks. RESULTS: During the 30-day observation period, no endpoint occurred in the patients receiving NRICM101 plus usual care while 14 (9.27%) in the group receiving only usual care were intubated or admitted to ICU. The numbers of deceased patients were 7 (5.69%) in the group receiving NRICM102 plus usual care and 27 (21.95%) in the usual care group. No patients receiving NRICM101 transitioned to a more severe status; NRICM102 users were 74.07% less likely to die than non-users (relative risk= 25.93%, 95% confidence interval 11.73%-57.29%). CONCLUSION: NRICM101 and NRICM102 were significantly associated with a lower risk of intubation/ICU admission or death among patients with mild-to-severe COVID-19. This study provides real-world evidence of adopting broad-spectrum oral therapeutics and shortening the gap between outbreak and effective response. It offers a new vision in our preparation for future pandemics.

[The nursing experience in helping an unmarried adolescence girl to care for her premature infant].

This case study describes the author's experience in helping an unmarried adolescent girl learn to take proper care of her premature infant. Primary data were collected by observing interactions as well as from face-to-face and telephone interviews. Roy's model, family structure and the APGAR family function assessment theory were used to analyze data. Major problems identified included: alteration of family function, potential risk of parent/infant attachment and insufficient knowledge on the part of the mother regarding childcare. During the course of this study, the author served in a variety of roles including caregiver, educator and support-giver to the adolescent mother as well as provided training on in-home use of the Kangaroo technique for premature births. Maintaining a non-judgmental attitude and providing encouragement to the adolescent mother were essential to the success of assistance efforts. The establishment of an adolescent obstetrics outpatient service with social work intervention, discharge services and home visits by community nurses may be necessary in order to achieve holistic care goals.