diff --git a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/worker/WorkHR.java b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/worker/WorkHR.java
index bfee698..2d38257 100644
--- a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/worker/WorkHR.java
+++ b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/worker/WorkHR.java
@@ -188,12 +188,17 @@ public class WorkHR implements Callable<List<RiskPatientsResult>> {
                         }
                     }
                 }
-                if (sb.toString().endsWith(",")) {
-                    riskPatientsResult.setrFactor(sb.substring(0, sb.length() - 1));
-                } else {
-                    riskPatientsResult.setrFactor(sb.toString());
+                if (StringUtils.isNotEmpty(riskPatientsResult.getrFactor()) && StringUtils.isNotEmpty(patients.getoRiskFactor())) {
+                    riskPatientsResult.setrFactor(riskPatientsResult.getrFactor()+","+patients.getoRiskFactor());
+                }else if (StringUtils.isNotEmpty(patients.getoRiskFactor()))
+                {
+                    riskPatientsResult.setrFactor(patients.getoRiskFactor());
                 }
             }
+            else if (StringUtils.isNotEmpty(patients.getoRiskFactor()))
+            {
+                riskPatientsResult.setrFactor(patients.getoRiskFactor());
+            }
             List level = new ArrayList();
             if (StringUtils.isNotEmpty(patients.getRiskLevelId())) {
                 try {