uggs bestellen Psychological care of patients with

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Psychological care of patients with hepatitis C and health education

EARLYENTERALNUTRITIONfNPATfENTSAFTERESOPHAGEALCANGERSURGERYZHUDanping, HUANGPeishan Abstract Objective Through the support of early postoperative enteral nutrition observation and effective care, provide care for the enteral nutrition guidelines. Methods 56 patients with esophageal cancer in the jejunal feeding tube placed during surgery, early postoperative nutrition into the strictly choice and control into the nutrient solution temperature, speed, and complications of observation and care. Results of 56 cases of early postoperative enteral nutrition therapy care satisfaction, no serious complications. Conclusion The early postoperative enteral nutrition is easy to grasp and implement, and promote the healing of anastomosis to speed up the recovery of gastrointestinal function, early enteral nutrition should be promoted. Key words esophageal cancer esophageal cancer patients of early enteral nutrition care as difficulty in swallowing, the majority of poor nutritional status, combined with metabolic disorder caused by the tumor itself, surgical trauma, post-operative fasting for a long time, so that malnutrition and immune function in patients more obvious, so that postoperative complications and mortality. Therefore, nutritional support after esophageal cancer has been the restoration of an important factor in surgical patients. To meet the nutritional needs of patients body to provide a guarantee, October 2005 ~ December 2006 our department 56 patients with esophageal cancer resection of early enteral nutrition in the past did not use of early enteral nutrition compared with patients peristalsis and rapid recovery and early wound healing, shorter hospital stay and hospital costs decreased to good effect. Nursing now reported as follows. 1 clinical data Zhu Ping Huang Peishan short: Chaozhou Chaozhou Chaozhou, Guangdong,[link widoczny dla zalogowanych], 5210002005 Hospital in October ~ December 2006 in patients with early postoperative enteral nutrition group for the treatment of 56 patients, 38 males and 18 females; age of 39 to 75 years The average age of 55.7 years; line profile of 43 cases radical operation of esophageal cancer left chest, right chest profile neck, chest, abdomen three incisions combined radical surgery in 12 cases, 1 case of esophageal colon; in this group underwent early postoperative enteral nutrition . January 2004 ~ September 2005 were not used in 59 cases of early enteral nutrition as the control group, male plus, female 19 cases; aged 37 to 76 years, mean age 53.6 years; line profile of esophageal cancer radical left chest 42 cases of surgery, cuts right chest neck, chest, abdomen, three incisions combined radical surgery in 15 cases, 2 cases of esophageal colon; this group of patients underwent intravenous rehydration. Two groups of age,[link widoczny dla zalogowanych], sex, disease, surgery type, and so comparison, P> 0.05, comparable. 2 Methods 2.1 tube method (Continued) so that patients have access to psychological comfort at the same time, the gradual elimination of concerns,[link widoczny dla zalogowanych], attitude adjustment, emotional stability, for the patient to create a good family support, and actively cooperate with the treatment,[link widoczny dla zalogowanych], and establish the confidence to overcome the disease . 3.2 The implementation of health guidance in the psychological care of patients at the same time, positive and effective health education is also required, and nurses is a major force in health education. Health guidance in the implementation process, the medical staff to patients and their families should be actively in relevant knowledge about the disease, the correct guidance they know the source of hepatitis C, transmission, clinical presentation, treatment and prognosis and so on. Patients should be informed, focus on prevention and treatment of hepatitis C is to protect the susceptible population, cut off the transmission. Hepatitis C is blood-borne route of transmission, sexual contact and mother to child vertical transmission, and thus to strengthen the management of blood products, promote the use of prohibited drugs and disposable syringes to avoid dirty and so on. Also, tell the patient, it is possible to cure hepatitis C, in addition to regular review, but also with reasonable health diet, avoid strenuous exercise or over exertion. In short,[link widoczny dla zalogowanych], in practice, we should be based on the patient's age, educational level, personality, interests and needs and expectations of patients for different stages of the disease, the syndrome nursing and enhance the response to disease and adaptability. 4 Conclusion In patients with hepatitis C during treatment, health care workers to patients in addition to skilled medical technology, should be emphasis on strengthening active and effective psychological care and health guidance, it can enhance patient compliance, patients and their families set overcome the ills of confidence, helping improve the efficacy, promote rehabilitation, and effectively improve the quality of life of patients.
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