Influence of transitional nursing on the compliance behavior and disease knowledge of children with purpura nephritis

Individual nursing promotes rehabilitation of patients with acute myocardial infarction complicated with arrhythmia

OBJECTIVE

This research is aimed at exploring the application effect of individual nursing on patients with acute myocardial infarction (AMI) complicated with arrhythmia.

METHODS

One hundred AMI patients complicated with arrhythmia admitted to the West China Hospital, Sichuan University from April 2018 to June 2020 were observed and researched. Among them, 47 (control group, CG) were given conventional nursing, and on this basis, 53 (experimental group, EG) were given individual nursing. The heart function, complications, negative emotions, exercise endurance, activities of daily living (ADL) and nursing satisfaction of the two groups were observed.

RESULTS

Compared with the CG, the incidence of complications in the EG was lower and the time of bed rest and hospitalization was shorter. After nursing, the heart rate (HR), left ventricular posterior wall thickness (LVWP), self-rating anxiety scale (SAS) and self-rating depression scale (SDS) scores of patients in both groups decreased, while the left ventricular ejection fraction (LVEF) and stroke volume (SV) scores increased. In addition, compared with the CG, the scores of HR, LVWP, SAS and SDS in the EG were lower while those of LVEF and SV were higher. The 6-minute walking distance and Barthel index (BI) of both groups increased after nursing, and scores in the EG increased most remarkably and were higher than in the CG. At last, research revealed that the overall nursing satisfaction of the EG was obviously better than that of the CG.

CONCLUSION

An individual nursing mode can improve the physical condition, ADL and nursing satisfaction of patients, and reduce the incidence of negative emotions and complications.

Effect and safety evaluation of tacrolimus and tripterygium glycosides combined therapy in treatment of Henoch-Schönlein purpura nephritis

OBJECTIVE

Henoch-Schönlein purpura nephritis has become a significant threat to children's health. Traditional combined therapy of glucocorticoids and cyclophosphamide leads to severe toxicity and complications. Therefore, identifying a feasible and effective strategy with low side-effects for the treatment of Henoch-Schönlein purpura nephritis is of great significance.

METHODS

A randomized, controlled trial was carried out. A total of 279 children with Henoch-Schönlein purpura nephritis were recruited and randomly divided into three groups: control group (receiving the current standard therapy), TA group (receiving tacrolimus) and TA + tripterygium glycosides group (receiving tacrolimus + tripterygium treatment). The total duration of the trial was 6 months, and the duration of follow-up observation was 9 months.

RESULTS

Various therapies showed similar therapeutic effects in the third and sixth months. The relief of Henoch-Schönlein purpura nephritis symptoms caused by TA + tripterygium glycosides was slower than the TA and control groups. The incidence of adverse reactions in the TA + tripterygium glycosides group was lower in the control and TA groups. The final treatment effect of the experimental groups was better than the control group. The recurrence rate in the TA + tripterygium glycosides group was also significantly lower.

CONCLUSION

Tacrolimus and tripterygium glycosides combined therapy had better effects and safety for long-term treatment of Henoch-Schönlein purpura nephritis.