Anorectal comprehensive perioperative nursing _354

e707004304 · Wysłany: Wto 22:17, 22 Mar 2011

Anorectal comprehensive perioperative nursing care

To master the art of the use of psychological care, self-improvement, and continuously improve and better services for patients. (Edit Zhen El Nido) Anorectal comprehensive perioperative nursing care 276 500 Hospital of Rizhao city and county Zhang Hongxia Zhang Hongjun Li Fengxia [Article ID] 1562-9023 (2003) 11-0125-01 comprehensive perioperative care, acute surgical operations on patients with very large is particularly important, but also to improve the cure rate of Anorectal people are very critical. Since 1997, our department on June 1 June 2001 430 cases were treated Anorectal,[link widoczny dla zalogowanych], with careful preoperative and postoperative comprehensive care, and good results are reported below. 1 430 cases of clinical data of patients, male 257, female 173 cases, 146 patients aged 15-30 years old, 3 BU 45-year-old ,46-60 years 163 cases 89 cases 60 cases 32 cases to I II. 8l cases of hemorrhoids, external hemorrhoids in 73 cases, 80 cases of mixed hemorrhoids,[link widoczny dla zalogowanych], anal fistula, 69 cases, 72 cases of anal fissure, perianal abscess in 31 cases, 24 cases of rectal polyps. 2 psychological care at present, widely used in psychology, lI Fou bed nursing practice in all subjects, especially in ano-rectal diseases in surgical patients, preoperative psychological care can maintain a psychological balance, to maintain emotional stability operation, intraoperative After the euphoria, the patient's psychological, and physiological condition between the good form of recycling, and promote early recovery of patients, therefore, the patient is concerned, psychological care becomes more important. 3 after admission, preoperative care, supervision and help patients improve the relevant tests such as blood, two coagulation, blood glucose, liver function, electrocardiogram,[link widoczny dla zalogowanych], chest, and actively help physicians make a variety of physical examination, the patient should do psychological care, the lifting of anxiety, fear, and enhance the confidence to overcome the disease, so patients can actively cooperate with the surgery. Well before surgery 1 less residue into the semi-liquid diet, regular supervision of oral antibiotics in patients with moderate cathartic, cleansing enema before surgery in 1 case, the gut is fully prepared and to implement the skin test, skin preparation, catheterization, and other completion of tasks, in which patients arrive at the operating room. 4 Surgical Care packages prepared by conventional instruments, with needle suture line, Vaseline gauze, local anesthetic, dressings, plaster. Establishment of intravenous access for patients, regardless of what position to take in patients, a 'set to keep the airway clear, close observation of pulse, respiration and blood pressure changes, identify problems in time, a special report in a timely manner, actively cooperate with the anesthesiologists and surgeons: l: for, care and surgery procedures, to ensure the accuracy of intraoperative care to have a successful operation. 5 routine post-operative care measured body temperature, pulse, respiration, blood pressure. Visited wards,[link widoczny dla zalogowanych], 24h in, to observe whether the bleeding or bleeding wounds, if we find rapid pulse, pale, sweating, heart palpitations, suspected bleeding should be in time, the amount of bleeding for a long time, it is timely rehydration, blood transfusion, if necessary, surgery to stop bleeding. Observe whether the abdominal distension and urinary retention. After 1 day of service Tincture, after 2 days of not holding it as far as possible, serving every night after 2 paraffin oil 30ml. 6g laxative pills 2 times a day, up to laxative purposes, and use of antibiotics to prevent infection. After 2 days into the semi-liquid diet, drinking more than 2 days to encourage patients, especially in the morning or before meals 1Groin drink every time the white warm water, and eat more fruits and vegetables, maintain day 1 stool, preventing constipation. Daily herbal fumigation,[link widoczny dla zalogowanych], we should be prepared to help patients and found that abnormal changes in body temperature and blood pressure physicians to promptly report to the higher, and actively cooperate with the treatment. Instruct patient during treatment, fasting spicy spicy food, flirting chi, fitness work and rest, avoid sexual intercourse, prevention of further missionary work to do. 6 430 cases in this group effect, recovered 409 cases, accounting for 95.1%. L7 cases markedly, accounting for 4%, 4 cases, accounting for 0.9%. The total effective rate 99.1%. 7 patients understand the attitude of medical staff is very sensitive, good doctor-patient relationship depends largely on the efforts of medical staff. Enthusiastic attitude toward the patient, courteous service, especially the new admitted patients and surgical patients should take the initiative to close, careful introduction, as soon as possible to lift the patient's psychological pressure, and gradually improve patient health care trust. Care and care for patients, when patients have negative feelings, the few words of comfort, often play a significant role, as warm and caring people not only need, but also need love, that the power of love is sometimes very strong, it disease patients can overcome all the power generated. Doctors and nurses cooperate and work carefully observed people perioperative Anorectal disease, identify problems in time, patients with the disease do not only careful nursing, and psychological care of patients to do well, so that the patient confidence to face the reality to fully mobilize the initiative tl body to adapt to surgery and recovery process, overcome difficulties and strive for a speedy recovery. (Edit Zhen El Nido)