Objective To preliminarily analyze the credibility and validity of Chinese Medical Constitution Questionnaire(CMCQ).Methods CMCQ was used to investigate the distribution of Chinese medical constitution types of 450 women inpatients with postoperative nausea and vomiting (PONV) after gynecologic laparoscopic surgery from March to October of 2013.Credibility and validity were analyzed by Cronbach's α coefficient and factor analysis.Results Mixed constitution was identified in 184 (40.9％) patients.Cronbach's α coefficient of two dimensions (yang deficiency and qi stagnation) of CMCQ was proper,being 0.815 and 0.803 respectirely,while that of the dimension of harmony type was the lowest (0.514).The total variance explained by 9 common factors extracted from the results of factor analysis was only 48.5％.Conclusion CMCQ may need further revision based on the results of clinical application.

Objective To test the reliability and validity of the Chinese version of the John Hopkins Adapted Cognitive Exam ( ACE) in NICU patients. Methods The English ACE was translated and adapted into the Chinese version . Cognitive functions of 40 critically ill patients in NICU were assessed with the Chi?nese version of ACE and MMSE battery.The scores of ACE and MMSE were analyzed to test the content va?lidity,construct validity,concurrent validity,internal consistency,inter?rater reliability and test?retest reliabil?ity.Result The correlation coefficient between each factor and the total score ranged from 0.617 to 0.938, and the content validity was good.The ACE was significantly correlated with MMSE( r=0.822, P<0.05). Five factors were extracted by main principle analysis, the cumulative contribution was 85. 90%, the factor loading of each item was all over 0.5,the scale had good construct validity.There existed a good internal con?sistency ( Cronbach’ α=0.756 ) as well as a good inter?rater reliability ( ICC>0.95) and test?retest reliabil?ity (ICC=0.652?0.979) of the Chinese version of ACE.Conclusions The Chinese version of ACE has been proved to be a reliable and valid screening tool for cognitive impairment in NICU patients.

Delirium and cognitive impairment are common in the intensive care units (ICU). The Confusion Assessment Method Inten-sive Care Unit (CAM-ICU), Intensive Care Delirium Screening Checklist (ICDSC), Cognitive Test for Delirium (CTD), Nursing Delirium Scale (Nu-DESC) and Delirium Rating Scale (DRS) are recommended to assess delirium. CAM-ICU and ICDSC are the best in the reliabili-ty, validity, sensitivity and specification. Mini-Mental State Examination (MMSE), Abbreviated Mental Status Examination (AMSE), the Johns Hopkins Adapted Cognitive Exam are used commonly for cognitive impairment, and Johns Hopkins Adapted Cognitive Exam is one of the suitable scales for ICU as it is simple, comprehensive, and with higher reliability and validity.

Objective To evaluate the Montreal cognitive assessment (MoCA) for detecting the mild cognitive impairment (MCI) in brain trauma patients with normal mini-mental state examination (MMSE) scores.Methods Fifty brain trauma patients with normal MMSE scores hospitalized from January 2013 to June 2014 were subjected to the MoCA test.The patients were classified as cognitive impairment group scored less than 26 on the MoCA and cognitive normal group scored 26 or above on the MoCA.Differences in MMSE and MoCA scores of the two groups were compared.Receiver operative characteristic (ROC) curve was used to determine the optimal cut-off scores in screening for MCI.Results Overall MMSE and MoCA scores were (27.84 ± 0.89) points and (23.24 ± 2.90) points.There was a positive correlation between MoCA and MMSE total scores (r =0.355 2,P ＜ 0.05).MCI was found in 79％ of the brain trauma patients using the MoCA.MMSE total score and subscores were all similar between the two groups.MoCA total score and subscores of attention,language,abstraction and delayed recall were much higher in cognitive normal group than in cognitive impairment group (P ＜0.05),but there were no significant differences in visuospatial,naming and oritention domains.Area under the ROC curve for MoCA(0.871 ± 0.038) was larger compared with MMSE (0.796 ± 0.054) (Z =3.592,P ＜ 0.05).The optimal cut-off scores of MoCA and MMSE for the identification of MCI were 25.5 and 28.5 respectively.Conclusions MoCA and MMSE total scores are positively correlated.MoCA is a better detector for the identification of MCI in brain trauma patients than the MMSE.

Objective To investigate the clinical efficacy of Loewenstein Occupational Therapy Cognitive Assessment (LOTCA) battery for patients at the early stage of traumatic brain injury (TBI). Methods 72 patients with TBI hospitalized from January, 2013 to October, 2014 and 30 healthy controls matched gender, age and educational background were assessed with the Chinese version of LOTCA battery and Mini-Mental State Examination (MMSE) respectively. Results The score of MMSE and LOTCA were correlated (r=0.56, P<0.01). Compared with the controls, the scores of all the subtests of LOTCA decreased (P<0.01) in the patients, especially the orientation, visuomo-tor organization and thinking operation;with the more incidence of medium and serious dysfunction of all the subtests of LOTCA except perception (P<0.01), in which thinking operation was the most and attention was the least. The area under the receiver operating curve (ROC) was (0.84±0.04) in LOTCA, less than that of (0.91±0.03) in MMSE (P<0.05). Conclusion Cognition is widely impaired in patients after TBI, most involved thinking operation. LOTCA is less effective to identify cognitive dysfunction than MMSE, and can be used as an al-ternation or a supplement.

Objective To investigate the clinical validity of the Chinese version of John Hopkins Adapted Cognitive Exam (ACE) for in-patients in neurological intensive care unit (NICU). Methods From May, 2014 to June, 2015, 94 inpatients in NICU and 52 healthy persons were assessed with the Chinese version of ACE and Mini-Mental State Examination (MMSE). Results The total score of ACE correlated with the total score of MMSE (r=0.805, P<0.001). There was a significant difference in the total score and the scores of the subtests of both the ACE and MMSE between the patients and the controls (t>2.458, P<0.05). The area under the receiver operating curve was not different between ACE and MMSE (Z=0.707, P=0.480). Conclusion The Chinese version of ACE can be the tool for assessment of cognition for pa-tients in NICU.

[Objective]To study the plant origin of the Honeybee Grass,contained in Lvchanyan Bencao,explore its medicinal value and discuss the value of Lvchanyan Bencao.[Methods]Through consulting ancient and modern materia medica literature,plant resources and field investigation,it studied the morphological characteristics of plants,distribution of origin,nature and flavor,effects and the interpretation of medicinal names and discussed the value of the Honeybee Grass and Lvchanyan Bencao.[Results]Through the comparison of the literature on materia medica and botanical morphology,it was found that the characteristics of the Honeybee Grass in Lvchanyan Bencao were consistent with Galeobdolon chinense(Benth.)C.Y Wu(G.chinense).Field investigation found that G.chinense was widely distributed on the roadside and under the sparse forest at low altitude,which was in line with the sampling range of Lvchanyan Bencao.G.chinense and the Honeybee Grass have similar effect in nature,flavor,and usages.G.chinense is an herb,the flowers and leaves have honey fragrance and the whole plant is densely soft hair,while the bee body is fuzzy,just fitting the name of"the Honeybee Grass".[Conclusion]The medicinal record of G.chinense can be traced back to the Song Dynasty in 1220,its medical name is the Honeybee Grass,and it can treat diseases such as traumatic bleeding and tuberculosis.The colorful pictures in Lvchanyan Bencao are exquisite and vivid.And the research on Lvchanyan Bencao is not only to maintain the correct innovation for the renewal of the history of medicine,but also to inherit the cultural essence of traditional Chinese medicine.

Objective To explore the application value of five row of emotional nursing program in the patients suffering from gastrointestinal operation.Methods Totals of 228 patients suffering from gastrointestinal operation were randomly divided into the observation group and the control group, with 114 cases in each group. The observation group received five rows of emotional nursing program according to the three kinds of negative emotions, and the control group was implemented the general emotional nursing care.The symptom checklist was used to assess patients’ symptoms, the St.Mary’ s Hospital Sleep Questionnaire ( SMH) was used to evaluate the sleep quality of patients.Patients’ symptoms and sleep quality were compared at the second day after admission and the first day after intervention.Results The scores of symptom checklist and SMH were not significant (P>0.05).After the intervention, the total scores of somatization and SMH were (1.36 ±0.20) and (18.09 ±3.58) in the observation group.Those scores of the control group were (1.42 ±0.33) and (17.69 ±2.48).There were no significant differences between the two groups ( t =0.368, 0.985, respectively;P>0.05).Other aspects of the observation group were significantly better than those in the control group (t=2.896-4.023,P<0.05).The self-assessment lists and SMH of the observation group before and after the intervention had significant differences (t=3.012-7.362,P<0.05).After the intervention, the total scores of somatization and SMH of the control group were significantly improved ( t =3.026, -4.331, respectively;P<0.05).The rest of the aspects had no significant differences (t=0.639-0.942,P>0.05). Based on the five row emotional care programme, 112 patients in the observation group were satisfied and 2 patients were not satisfied.Those numbers of the control group were 91 and 23.There was a significant difference between the two groups (χ2 =19.726,P<0.01).Conclusions The five row emotional nursing program for patients suffering from gastrointestinal operation have a certain effect on negative emotional, and can improve the sleep quality and treatment satisfaction of the patients.

Objective To investigate the effects of phased written health education in heart stent surgery patients. Methods A total of 200 cases with heart stent surgery were randomly divided into two groups based on the random number table, 100 cases in each group. The patients of control group used conventional methods of coronary stent nursing care, while the patients of observation group received a phased written health education on the basis of routine care. We contrasted compliance behavior in the two groups of patients, as well as side effects, and treatment satisfaction. Results The compliance behavior of observation group were significantly better than that of the control group (P<0. 05). The incidence of adverse reactions in the patients of observation group was significantly lower than that of the control group (P<0. 05). Similarly, the satisfaction of observation group were better than that in the control group (P<0. 05). Conclusions Phased written health education is an effective health education, which can enhance compliance behavior and patient′s satisfaction with care.

Objective:To understand the current status of knowledge, attitudes and practice of clinical nurses on infusion phlebitis in Heilongjiang Province, so as to provide a reference for targeted management, related training and intervention of infusion phlebitis.Methods:From November to December 2019, this study adopted a two-stage sampling method. The first stage was based on the stratified cluster sampling and the stratification was according to the level of hospitals to select 12 hospitals in Heilongjiang Province, including 9 Class Ⅲ hospitals and 3 Class Ⅱ hospitals. In the second stage, convenience sampling was adopted to select clinical nurses from 12 hospitals meeting the inclusion criteria as the research subject. The investigation was carried out with the self-designed Infusion Phlebitis Knowledge, Attitudes and Practice Questionnaire for Clinical Nurses. A total of 843 questionnaires were returned, of which 775 were valid questionnaires, with a valid response rate of 91.9%.Results:Among 775 clinical nurses, the score of knowledge, attitudes and practice of infusion phlebitis was (52.42±11.11) , (32.71±4.86) and (49.33±10.60) respectively. Univariate analysis showed that there were statistical differences in the total scores of knowledge, attitudes and practice of infusion phlebitis among clinical nurses with different genders, ages, working years, education, professional titles and related training experience ( P<0.05) . Multiple linear regression showed that the influencing factors of infusion phlebitis knowledge and practice included the working year, professional title and whether to participate in training; the influencing factors of infusion phlebitis attitudes included the working year, education and whether to participate in training. Conclusions:The level of attitudes in phlebitis among clinical nurses in Heilongjiang Province is relatively good, and the level of knowledge and practice is at an intermediate level. Managers should regularly provide relevant knowledge and skills training for clinical nurses, and pay particular attention to junior nurses and nurses with low professional titles to improve the quality of clinical care.