ABSTRACT
Objective To study and explore the influence of humanized nursing on psychological state and life quality in patients with chronic glomerulonephritis. Methods From January 2013 to January 2014 in our hospital 60 patients with chronic glomerulonephritis according to the different nursing methods were divided into observation group (n=30) and control group (n=30). The patients in the control group treated by conventional methods of care. The observation group with humanistic nursing, the efficacy of the two groups, and two groups of the patient's quality of life score, SAS score, SDS score were compared. Results The total effective rate in the observation group was 90.00% (27/30), was sig-nificantly higher than that in the control group 70.00%(21/30), the difference was statistically significant (P<0.05). The SAS score, SDS score of intervention group and the control group after the intervention were significantly lower than be-fore intervention, and the intervention group was significantly lower than the control group, the difference was statisti-cally significant(P<0.05), Energy, pain, emotional reactions, sleep, social isolation and somatic activity score of the in-tervention group and the control group after the intervention were significantly reduced compared with those before in-tervention, and the intervention group was significantly lower than the control group, the difference was statistically sig-nificant (P<0.05). Conclusion The humanized nursing intervention can improve the effect and quality of life in chronic glomerulonephritis, anxiety, depression, so as to enable them to actively cooperate with treatment and nursing.
ABSTRACT
Objective To investigate the features of renal lesion in patients with rheumatoid arthritis (RA). Methods The clinical pathology changes of 20 patients with renal lesion by RA were analyzed. Results The clinical features of patients showed chronic glomerulonephritis in 8 cases,nephritic syndrome 4 cases, chronic interstitial nephritis in 3 cases, chronic renal failure in 4 cases, and acute renal failure in 1 case. The patients with glomerulonephritis accompanied with the increase of immunoglobulin, erythrocyte sedimentation rate, C-reactive protein or rheumatoid factor. Kidney biopsy of 7 patients found membranous nephro-pathy in, IgA nephropathy in 3 and vasculitis in 1. Conclusion The common renal lesion in RA is glomerulonephritis, with mesangial proliferative glomerulonephritis or membranous nephropathy. One of the basic pathoh,gi,.al changes is vasculitis,which could result in necrotizing vasculitis.The disorder of immunologic function couht play important role in renal damage in patients with RA.