Objective: To explore the effects of anxiety and depression on the self-management ability and endogenous creatinine clearance rate of renal transplant patients. Method: Eighty-eight renal transplant recipients who were followed up in the outpatient clinic of the Affiliated Hospital of Zunyi Medical University were selected using convenient sampling. The self-made general data sheet, Self-Rating Anxiety Scale, Self-Rating Depression Scale, and Self-Management Scale for Kidney Transplant Recipients were used. Correlation analysis was used to find factors related to endogenous creatinine clearance, while multiple linear regression was used to identify factors influencing endogenous creatinine clearance. Patients with or without anxiety and depression were divided into groups, and the indexes of the groups were compared using the independent samples t test, rank-sum test, or chi-squared test. Results: Anxiety was present in 12.5% of patients, depression in 25%, and a moderate level of self-management in 34.1%. Only 9.1% of renal transplant recipients had endogenous creatinine clearance within the normal range, and 34.1% had a body mass index not in the normal range (25% were overweight, and 9.1% were underweight). The endogenous creatinine clearance rate was negatively correlated with age and degree of depression, and positively correlated with body mass index, treatment management score, and psychosocial management score. The main influencing factors of endogenous creatinine clearance rate were age, sex, depression, body mass index, and treatment management score. The endogenous creatinine clearance rate and psychosocial management ability were significantly higher in patients without anxiety and depression than in patients with anxiety and depression (all P < 0.05). Conclusions: Anxiety and depression showed significant negative effects on the psychosocial self-management ability and endogenous creatinine clearance rate of renal transplant recipients and thus should be given more attention.

目的 探讨翻转课堂教学法在临床教学中的应用价值.方法 选取2018年4月-2019年4月在本院接受实习72名护生为对象开展实验研究,均分为X组和Y组,X组应用传统教学,Y组应用翻转课堂教学,选用考核成绩、学生自主学习能力评分为指标对调研结果 进行测评.结果 Y组实习学生理论和实践成绩均显著高于X组(P<0.05);Y组教学后自主学习能力评分显著高于教学前(P<0.05),并且显著高于X组(P<0.05).结论 翻转课堂教学法在临床教学中的应用价值较高,值得推广应用.

目的 探讨连续性护理干预在改善系统性红斑狼疮患者自我行为管理方面的应用价值.方法 2018年1月-2019年1月选取本院36例系统性红斑狼疮患者为对象开展实验研究,对所有患者均应用连续性护理干预,对患者护理不同护理阶段进行健康知识评分,并对连续护理前后患者进行行为管理评分,以有效评价连续性护理干预的应用价值.结果 患者不同护理阶段健康知识评分均有不同程度升高,并且各阶段健康知识评分存在显著差异(P<0.05);患者护理后行为管理评分显著高于护理前(P<0.05).结论 连续性护理干预在改善系统性红斑狼疮患者自我行为管理方面的应用价值较高,值得推广应用.

目的:探讨"一病一品"联合"精准护理"模式对肾病综合征患者的临床价值。方法:将2018年1月-2019年8月入院的240例肾病综合征患者按照随机数字法分为对照组和观察组,各120例。对照组实施一般护理常规干预,观察组在对照组基础上实施"一病一品"联合"精准护理"模式干预。观察比较两组肾穿刺率、穿刺后导尿率、平均住院日、患者满意度差异。结果:观察组的肾穿刺率、导尿率均优于对照组,差异有统计学意义（P＜0.05）;观察组平均住院日短于对照组,差异有统计学意义（P＜0.05）;干预后观察组满意度得分高于对照组,差异有统计学意义（P＜0.05）。结论:在肾病综合征患者中实施"一病一品"联合"精准护理"干预可有效提高肾病综合征患者肾穿刺率,降低肾穿刺术后导尿率,利于患者术后康复,并能有效提高患者满意度,值得临床推广应用。

<正>血浆置换(PE)是一种用来清除血液中大分子物质的血液净化疗法[1]。其基本过程是将患者血液引出体外,经过膜式血浆分离方法将患者的血浆从全血中分离出来弃去,然后补充等量的新鲜冷冻血浆或人血白蛋白等置换液,这样便可以清除患者体内的代谢毒素和致病因子,达到治疗的目的[2]。