Objective:To develop the modified medication regimen complexity index of Chinese version (mMRCI-C)and test its reliability and validity.Method:The Chinese version of MRCI was developed by modification,translation and back translation. The MRCI was interculturally adapted by 2-rounds of expert consultation and pilot study to ensure the semantics, content and conceptual equivalence. The validation of the mMRCI-C scale was tested among 420 community-dwelling elderly patients with type 2 diabetes mellitus(T2DM) in Shanghai Changfeng Community Health Service Center from October to December 2020. SPSS 23.0 was used to analyze the reliability and validity of the scale.Results:The mMRCI-C scale included 3 dimensions, namely drug dosage form (14 entries), medication frequency (5 entries), and additional instructions (6 entries), with a total of 25 entries. Among 420 valid questionnaires collected,the respondents were 212 males (50.4%) and 208 females (49.6%) with a mean age of (71.4±8.1) years. The test-retest reliability was 0.999 and internal consistency reliability was 0.849. The content validity exceeded 0.80,the convergent validity was 0.932; and discriminant validity P<0.001. Conclusion:The preliminary testing results show that the reliability and validity of the mMRCI-C scale are satisfactory.
目的:探索中医体质类型与骨密度的相关性,为防治骨质疏松提供依据.方法:收集辖区2009-2013年居民健康横断面调查中同时进行骨密度检测和中医体质调查的数据4116份.其中男性资料1848份,占45％;女性资料2268份,占55％;调查对象的平均年龄为(61.29±10.20)岁.分析调查对象的中医体质和中轴骨骨密度检测数据.结果:男性的平均骨密度值高于女性,差异具统计学意义(P<0.001).调查对象的骨密度值随年龄增高而下降,差异具统计学意义(P<0.001).不同体质者骨密度存的差异具统计学意义(P=0.001),其中湿热、痰湿和平和体质者的骨密度值较高,虚性体质者的骨密度值较低.平和体质者的骨密度随着平和体质积分增大而增高(P=0.014).结论:骨密度状态和变化与体质、性别和年龄差异且相关.
目的:分析拔伸端提折顶手法整复外用小夹板外固定治疗老年桡骨远端伸直型骨折的疗效.方法:收集2015年11月—2016年11月收治的桡骨远端伸直型骨折患者39例,采用拔伸端提折顶手法整复后小夹板外固定,并将患肢功能位悬吊于胸前6周.观察治疗后的效果.结果:骨折复位情况良好,尺偏角、掌倾角及桡骨短缩距离均较治疗前改善.治疗优良率为97.4%,其中优31例,良7例,差1例.结论:拔伸端提折顶手法整复小夹板外固定治疗伸直型桡骨远端骨折简单方便,疗效可靠.
