Objective To establish a method for the determination of Radix et Rhizoma Rhei in Roufuyuliecuotie. Methods The sample was extracted with methyl and the chromatographic condition was as follows :C18 chromatographic column (250 mm?4.6 mm, 5 ?m), a mobile phase of acetonitrile-water- glacial acetic acid (60∶40∶l), the detection wavelength at 437 nm and the flow rate at 1.0 mL/min. Results A linearity of Radix et Rhizoma Rhei in Roufuyuliecuotie was obtained at range of 0.014～0.14 ?g, r =0.9996 (n =6). The average recovery was 98% and RSD=1.47% (n=6). Conclusion This method is easy, sensitive and accurate for the determination of Radix et Rhizoma Rhei in Roufuyuliecuotie.

Objective By comparing the medical complaints and disputes between the two tertiary general hospitals in Beijing and Lhasa, this paper proposed on how to build a harmonious doctor-patient relationship.Methods A study of annual reports of these two hospitals analyzed descriptively patient complaint rate, rate of medical disputes registered for court jurisdiction, makeup of medical disputes, and their solutions.Results In 2016, the patient complaint rate, and rate of medical disputes registered for court jurisdiction were 3.5/10 000 and 12.4/10 000 respectively, much higher than 0.8/10 000 and 1.1/10 000 of the Lhasa counterpart hospital.A significant gap was also found in the makeup of medical disputes, their solutions, and role of hospital leadership between the two hospitals.Conclusions Beijing is recommended to appoint hospital leader on duty, to assist in handling medical complaints and disputes, and ease doctor-patient contradictions.Lhasa is recommended to improve the medical dispute handling mechanism, improve medical service competency and management.

Objective To observe the therapeutic effect of extracorporeal shock wave therapy on the pain caused by soft tissue injury.MethodsThere were 63 cases with tennis elbow, 106 cases with frozen shoulder, and 45 cases with the pain syndrome. All the 214 cases were divide into study group and control group, 107 cases in each group. The study group received extracorporeal shock wave therapy around the pain point; the control group recieved partial closure, massage, and drugs treatment. Visual Analogue Scale (VAS) were assessed before and 4 weeks, 8 weeks and 12 weeks after treatment.ResultsThe scores of VAS showed no difference between the two groups before and 4 weeks after the treatment (P＞0.05). The study group improved in VAS 8 weeks and 12 weeks after the treatment compared to the control group (P＜0.01); the overall efficacy rate was higher in the study group than in the control group (P＜0.01).ConclusionExtracorporeal shock wave therapy is effective to treat the pain caused by soft tissue injury.

Objective To investigate the status of self-management of elderly patients with chronic heart failure (CHF) in Xinjiang Region,and to explore the effects of different demographic factors on self-management.Methods A total of 704 patients with chronic heart failure were randomly selected from Urumqi,Kashgar,Khotan,Changji,Shihezi,Yili Hazakh in Xinjiang Uygur Autonomous Region via convenience sampling method and were investigated using heart failure self-management scale.Results The total score of self-management of chronic heart failure elderly patients was(47.6±11.1) and scoring rate was 59.5％.There were statistically significant differences(P＜0.01) in self-management score among patients with different ethnicity,religion,self-care ability,per capita income.The influencing factors of self-management were self-care ability,NYHA class and per capita monthly income(P＜0.05).Conclusion The overall level of self-management of elderly patients with chronic heart failure in Xinjiang Region is low,and self-management is affected by self-care ability,NYHA class and per capita monthly income.Tailored culture-based education should be provided to improve patients' self-management.

This paper reviewed the content and assessment tools of self-management needs in elderly patients with chronic heart failure according to diversified demand, current status of self-management and existing problems of them so as to provide a reference for developing the practice in self-management needs among elderly patients with chronic heart failure in China.

Objective:To developed a self-management demand questionnaire for elderly patients with chronic heart failure (CHF) so as to provide an evaluation tool for effective assessment of self-management demand of patients.Methods:From August to September 2019, based on Maslow's hierarchy of needs theory and cross-cultural nursing theory, the dimensions and item pool of the questionnaire were constructed through literature review and preliminary qualitative research of the research group. A total of 15 experts related to this research field were selected and the Delphi method was used to conduct two rounds of letter consultation on the contents of the questionnaire to calculate the expert's positive coefficient, authority coefficient, concentration degree of expert opinions and Kendall's coordination coefficient (Kendall's W) . Results:In 2 rounds of letter inquiries, the positive coefficient of experts was 100.0%, and the coefficient of expert authority was 0.86. In the first and second rounds of letter inquiries, Kendall's W values for the first-level indexes were 0.171 and 0.233, and Kendall's W values for the second-level indexes were 0.190 and 0.164 ( P<0.01) . The questionnaire for elderly self-management demand of CHF patients was preliminarily formed, including 5 dimensions (physiological guidance needs, safety knowledge and skill guidance needs, psychological care needs, respect and social support needs and self-realization needs) and 46 items. Conclusions:The self-management demand questionnaire for elderly CHF patients compiled by the Delphi method has high reliability. It is of practical significance to assess the self-management needs of elderly CHF patients and conduct targeted self-management interventions, but reliability and validity tests are also required.

Objective:To translate the English version of Collaborative Practice Assessment Tool (CPAT) into Chinese and test the reliability and validity of the Chinese version.Methods:In accordance with Brislin translation principles, two rounds of expert consultation were used for cross-cultural adaption, and the Chinese version of CPAT was formed. Using the random cluster sampling, a total of 620 medical staff from 8 tertiary hospitals in Shanghai were selected from April to July 2020 to conduct a survey to measure reliability and validity of the scale.Results:The Chinese version of CPAT consisted of 56 items in 8 dimensions. Exploratory factor analysis extracted a total of 8 common factors and the cumulative variance contribution rate was 82.473%. The Cronbach's α coefficient of the total scale was 0.984 and the Cronbach's α coefficients of each dimension were 0.934 to 0.971. The split-half reliability was 0.869, and the test retest reliability was 0.857. The content validity index at the item level of the scale was from 0.80 to 1.00 and the content validity index at the scale level was 0.96.Conclusions:The Chinese version of CPAT has good reliability and validity, which can be used as an evaluation tool for the domestic interprofessional medical team collaboration practice level.

Objective:To test the reliability and validity of the Self-management Demand Questionnaire for Elderly Patients with Chronic Heart Failure.Methods:In October 2019, convenience sampling was used to select 425 elderly patients with chronic heart failure from 11 general hospitals in Shanghai and Jiangxi Province for pre-survey. Formal questionnaires were formed through item analysis and exploratory factor analysis. In December 2019, 494 elderly patients with chronic heart failure from 11 general hospitals in Shanghai and Jiangxi Province were selected for a formal survey. Confirmatory factor analysis and reliability test were used to evaluate the reliability and validity of the questionnaire.Results:In the first phase of the survey, a total of 425 questionnaires were distributed, and 387 valid questionnaires were recovered. In the second phase of the survey, a total of 494 questionnaires were distributed, and 484 valid questionnaires were recovered. The formal questionnaire included 42 items in 5 dimensions. Five common factors were extracted by exploratory factor analysis, and their cumulative variance contribution rate was 75.538%. The Cronbach's α coefficient of the questionnaire was 0.982, the split-half reliability was 0.871, and the content validity index was 0.891. Confirmatory factor analysis showed that the model fit was good.Conclusions:The Self-management Demand Questionnaire for Elderly Patients with Chronic Heart Failure has good reliability and validity, and can be used as a tool to evaluate the self-management needs of elderly patients with chronic heart failure in China.

Objective To evaluate the clinical efficiency of febuxostat on hyperuricemia and hyperlipidemia,provide evidences for the option of clinical treatment.Methods From Mar.2015 to Mar.2016,80 patients with hyperuricemia and hyperlipidemia were enrolled to this study,and they were randomly divided into observation group and control group by random number table,each group with 40 cases.The observation group received 40 mg of fenbuterol tablets once a day.The control group received 100 mg allopurinol tablets three times a day.The levels of serum uric acid,lipids,endothelium-soluble intercellular adhesion molecule-1 (sICAM-1) and endothelium (ET-1) were measured at the baseline,12 weeks after treatment and 24 weeks after treatment.Meanwhile,the liver and kidney function damage and adverse reactions were recorded.Results After treatment,the levels of uric acid,blood lipid,sICAM-1 and ET-1 were decreased in two groups,and there was significant difference between them (P＜0.05).The adverse effects of the two groups were transient.The incidence of liver or kidney damage,side effect of drug in observation group was lower than that in the control group,and there was no significant difference between the two groups (P＞0.05),except the incidence of rash.Conclusion Febuxostat intervention in treatment of patients with hyperuricemia and hyperlipidemia is safe and efficient.

Objective To deeply understand the real experience and feeling of nurses in the evaluation of cultural background in the patients with religions belief through the application of sunrise model , and to understand the feasibility and difficulties in the assessment of culture in order to lay the foundation for further provide multicultural nursing training .Methods Thirteen nurses received the semi-structured interview which was from the phenomenological methods of qualitative research , and the data were analyzed by Colaizzi ’ s analysis.Results The interview data were read , coded, analyzed, reflected, classified, theme refining and verification, and four main concepts from the feeling of evaluator were summarized including the roles of the culture assessment , the skills of the culture assessment , the difficulties of culture assessment and the considerations of the culture assessment .Conclusions Application of sunrise model in cultural background assessment in patients is very necessary and feasible .The study reveals that the training of multicultural nursing theory, values, religious knowledge and multilingual language should be strengthened , and the ways of training including scene simulation and role-playing should be adopted .