OBJECTIVE: A HPLC-ELSD method was developed for determination of the content of astragaloside Ⅳ in Xin'an granules.METHODS: The separation was performed on Kromasil ODS C18 column(150 mm?4.6 mm,5 ?m) with the mobile phase consisted of acetonitrile-water(35∶65).The temperature of the drift tube was 40 ℃ and the flow rate of gas(air) was 2.1 L?min-1.RESULTS: The linear range of astragaloside Ⅳ was 1.32～7.95 ?g(r=0.998 9) and the average recovery was 97.84(RSD=1.01%,n=9).CONCLUSION: The method is simple,accurate and reproducible,and it can be used for the quality control of Xin'an granules.

Objective:To analyze the clinical features of post-pancreaticoduodenectomy hemorrhage, and explore effective and practical nursing strategies.Methods:Clinical data of 62 patients with post-pancreaticoduodenectomy hemorrhage from Jan 2014 to Dec 2019 in the First Affiliated Hospital of Naval Medical University were retrospectively analyzed. The bleeding time, location, vital signs, accompanying symptoms and surgical treatment measures and clinical outcomes were analyzed.Results:Among the 62 cases, early (within 24 h) hemorrhage occurred in 19/62 patients (30.6%), and late hemorrhage occurred in 43/62 patients (69.4%). 36/62 patients (58.1%) had arterial bleeding; And 43/62 patients (69.4%) had abdominal hemorrhage. Grade C hemorrhage occurred in 32/62 patients (51.6%). Sentinel hemorrhage occurred in 8/62 patients (12.9%). The manifestation of hemorrhage in 42 patients was bloody fluid from abdominal drainage tube (67.7%). Hemorrhage occurred in 23 patients with pancreatic fistula(37.1%), 12 patients with abdominal infection and other complications (19.4%). Shock symptoms occurred in 41 cases (66.1%) with postoperative hemorrhage. Pancreaticoduodenectomy hemorrhage were early detected in 0.3 h and last detected in 869 h, with a median time of 192.00 (14.63, 297.00) h. 30/62 cases (48.4%) of hemorrhage patients occurred 1 hour before and after nursing shift. When hemorrhage was found, emergency treatments such as blood transfusion to maintain blood volume ( n=47, 75.8%), hemostasis ( n=35, 56.5%) and vasoactive drugs to increase blood pressure ( n=32, 51.6%) were usually given immediately. 31/62 patients (50.0%) underwent emergency secondary surgery within 4 h of hemorrhage, and 45/62 patients (72.6%) were cured by emergency surgical treatment. A written treatment pre-plan for surgical nurses was established. Conclusions:Surgical nurses should be familiar with the clinical manifestations of post-pancreaticoduodenectomy hemorrhage, and improve the alarming ability of identifying the complications of post-operative hemorrhage. The establishment of an emergency pre-plan for surgical nurses could help to treat such patients timely and effectively.

By far, mobile learning has been widely applied in nursing education. The tools commonly used include smartphones and tablets. Classroom teaching is assisted by WeChat, video, and online education platforms, thereby increasing the forms and methods of teaching, enhancing the interest of students, facilitating the communication between teachers and students and stimulating the development of nursing education to some extent. However, there are limitations and shortcomings in mobile learning. For example, some students may use mobile devices for some irrelevant purposes; information forwarding might involve privacy; and the costs of mobile devices are high. This paper tries to summarize the status quo of the application of mobile learning in nursing education with the hope to provide reference for nursing education.

Wechat has been widely used in nursing clinical clerkship teaching now. The application of Wechat in nursing clinical teaching mainly takes the form of Wechat group chat, Wechat public signal platform, Wechat friendship circle, online test and so on. Among them, Wechat group chat and Wechat public signal platform are used widely. Wechat enriches the teaching way, and improve the effectiveness of teaching, moreover, it facilitates the relationship between teachers and students. However, there are the ongoing challenges such as lacking of supervision and protection of intellectual property rights.

Postprandial hypotension is an abnormal regulation of blood pressure, which is common in the elderly. Due to insidious symptoms, postprandial hypotension is easily neglected by patients and medical staff in clinical practice, but it has a high degree of harm. There are many factors related to the occurrence of postprandial hypotension, including demographic factors, disease-related factors, lifestyle factors, postprandial postural factors and so on. Among demographic factors, age is positively associated with the occurrence of postprandial hypotension. Among disease-related factors, the existence of some basic diseases such as hypertension and diabetes, and the use of most kinds of anti-hypertensive drugs can increase the risk of postprandial hypotension. Among lifestyle factors, smoking is a risk factor for postprandial hypotension: while reducing the intake of staple foods, drinking large amounts of water or drinking green tea before meals may reduce the risk of postprandial hypotension. By taking different postures after meals, postural factors affect the rate of gastrointestinal emptying and then affect the occurrence of postprandial hypotension. Among the above factors, it is feasible to prevent postprandial hypotension by changing postprandial posture.

Objective To explore the mediating effect of coping styles on the relationship between social support and self-management among young patients with newly-diagnosed type 2 diabetes(T2DM).Methods A total of 169 young patients with newly-diagnosed T2DM at China-Japan Friendship Hospital were investigated with the Medical Coping Mmodes Questionnaire,Social Support Rating Scale and the Summary of Diabetes Self-Care Activities.Results Among young patients with newly-diagnosed T2DM,there was a positive correlation between social support and confronce coping style(r =0.250,P＜0.01).The confronce coping style was positively correlated with self-management(r=0.367,P＜0.01).Confronce coping style could explain 15.3%variance of self-management(P＜0.01).Confronce coping style had a mediating effect on the relationship between social support and self-management.Conclusions Confronce coping style has a predictive role on self-management among young patients with newly-diagnosed T2DM,and confronce coping style has a mediating effect between social support and self-management.

Objective To investigate effect of specific psychological guidance in improving mental elasticity of intern undergraduates.Methods A total of 80 nursing interns were randomly divided into control group with regular courses and skills training,and experimental group with psychological guidance.Working pressure score,social support score,psychological symptoms score and mental elasticity score before and after intervention were compared.Results After nursing intervention,nursing and work,workload and time allocation,the working environment and resources,patient care,management and interpersonal skills,stress score,somatization,interpersonal sensitivity,depression,anxiety,hostility between terror,paranoia and psychosis scores in the experimental group were significantly lower than the control group,the objective and subjective support,support utilization,social support,firm,self-reliance,optimism and total scores of mental elasticity were significantly higher than the control group (P ＜ 0.01).Conclusion The effect of psychological counseling for nursing undergraduates is remarkable,and it is worthy of clinical application.

Objective To investigate effect of specific psychological guidance in improving mental elasticity of intern undergraduates.Methods A total of 80 nursing interns were randomly divided into control group with regular courses and skills training,and experimental group with psychological guidance.Working pressure score,social support score,psychological symptoms score and mental elasticity score before and after intervention were compared.Results After nursing intervention,nursing and work,workload and time allocation,the working environment and resources,patient care,management and interpersonal skills,stress score,somatization,interpersonal sensitivity,depression,anxiety,hostility between terror,paranoia and psychosis scores in the experimental group were significantly lower than the control group,the objective and subjective support,support utilization,social support,firm,self-reliance,optimism and total scores of mental elasticity were significantly higher than the control group (P ＜ 0.01).Conclusion The effect of psychological counseling for nursing undergraduates is remarkable,and it is worthy of clinical application.

This article reviewed the application status of traditional Chinese medicine (TCM) nursing in acquired immune deficiency syndrome (AIDS) fever, pain, AIDS related diarrhea, anxiety and depression. TCM dialectic nursing and cupping had good effects on dropping in temperature for AIDS fever; ear acupoint pressure could ease the AIDS pain; moxibustion could improve AIDS related diarrhea with weakness of the spleen and stomach and reduce the healing time;TCM emotional nursing could relieve anxiety and depression of AIDS patients. Overall, the application of TCM nursing in AIDS symptom management is less and study quality is still need to be improved.

Gastrointestinal tract is the main site of human immunodeficiency virus (HIV) infection. Intestinal flora and its metabolites can affect the physicochemical properties, nutritional status and immune function of the intestinal tract. Improving the state of intestinal flora of AIDS patients can improve the immune function of patients and suppress the damage caused by HIV virus to the body. Moringa oleifera combined enteral nutrition can improve the intestinal microecology of AIDS patients and effectively improve the nutritional status of the patients, but there is the possibility of interaction with antiviral drugs, garlic, hypericum perforatum and other herbs. The microbial ecological agents have a weak regulation effect on the intestinal flora of AIDS patients, but it can improve the immune function of patients to a certain extent. Fecal microbiota transplantation does not significantly change the diversity of intestinal flora in AIDS patients, and the long-term complications are still to be clarified, but it can improve the immunity of patients to some extent. The preservation of microbial ecological agents, dietary regulation of intestinal flora and nursing after fecal microbiota transplantation in AIDS patients are still to be studied.