Leaving hospital of liver cirrhosis and upper digestive tract bleeding patient guides _'s prevention and health care

Leaving hospital of liver cirrhosis and upper digestive tract bleeding patient guides _'s prevention and health care
Upper digestive tract it bleeds to be the intersection of liver cirrhosis and most common complication under hepatitis, because section, fundus of stomach song one quiet under the gullet oftenPulse breaks and causes. Patient leave hospital, can take a favorable turn because many kinds of inducements lead to the fact that bleed or new complication appears again. ReasonThis, pay attention to, do a good job of liver cirrhosis and upper patient, bleeding of digestive tract, leave hospital guidance, to the existence quality improving the patient,Seem particularly important. And upper patient, bleeding of digestive tract, leave hospital guidance is introduced as follows to liver cirrhosis us now.
A clinical materials
20 patients have liver cirrhosis and upper digestive tract bleeding medical history, 16 men, 4 women. 28-50 years old,38 average years olds.
2 leaves hospital and guides the method
2.1 Educational method of the characters
According to liver cirrhosis and characteristic that the upper digestive tract bleeds, release the propaganda materials written, let the patient find out about relevant diseasesDisease knowledge. When the patient leaves hospital, write out written guidance according to patient's detailed conditions, narrate and leave hospital in detailFuture trouble person observes the attentive matters of the respect at rest, diet, using medicine, reexamining, condition. The convenient patient reads, palmHold, it is easy to keep too. Make the patient apt to understand and apt to accept. It is the most basic, most important form. 2.2 Language education method
Mainly guide the patient through the oral language. Instruct them how to know relevant sickness nursing knowledge, studyWill attend to oneself. Current situation of explaining the present patient, prognosis and how to prevent. Try hard to use popularly in the course of explainingLanguage,want vivid,want with particular emphasis,emphasize, is it patient to want repeatedly. Should follow patient's different situation,Guide pointedly.
3 guides the content
3.1 The psychology of patient and relative is guided The patient often presents some passive psychological conditions, such as worry, pessimism, feeling of loneliness, abandoning the sense,etc., have already taken onThe prognosis of heart disease, worry about repeated numerous aggravating the family burden in hospital again, the patient even having it fears for relatives and weekThe friend enclosing it is fed up about discriminating against oneself. To these psychological obstacles, we should do a good job of the patient's psychology patiently, carefullyWork, dredge patients correctly, encourage it to establish confidence which overcomes disease, the bad mood informed can be brought out tooBlood. The situation of the patient with better prognosis, say to them; Do a good job of relatives' thought at the same time, does not need the forkLook at, is fed up about patients, should care about, cherish, take care of them. Factors such as the patient's life quality and family, the society,etc. are denseIt is relevant to cut, so should strengthen with its relatives' communication, improve the validity that the family supports, strive for the family psychologically,Economical positive support and cooperating, remove the patient's worry. Practice has proved relatives' understanding, support, closeThe heart has inestimable effect on patient. 3.2 The diet is guided Recommend semi-fluid food and soft food, avoid the hard, coarse food. Food such as fragrant-flowered garlic, celery high in cellulose content,etc.Fasting. The food wants the diversification, it is apt to digest, light to be rich in nutrition again. Have more meals a day but less food at each, can't satiate. Can't take foodToo fast, make sure to chew carefully and swallow slowly. Can't be overheated, should be warm and cool. Should take the large stretch of medicine after grinding. 3.3 Guidance of life style Take a good rest, as well as appropriate activity, so as to tired, keep striking a proper balance between work and rest, sound is combined. CarryAdvocacy's taking a walk, qigong, taijiquan,etc. sport, do not advocate running, urgent and leaving etc. and moving vigorously quickly. Avoid suffering from cold and catch a cold, coughCough. Should keep the stool unobstructed, get used to defecating regularly, the overexertion when must guard against the stool and feeling suffocated. Life wantsRegular. Form the good habits and customs, can't stay up, get drunk, smoke. 3.4 Examine guidance at the same time To the hospital to act as the relevant inspection regularly after leaving hospital ' Blood have three items, stool routine more fine routine, liver renal function, liver andOccult blood test,etc.) ,Carry on the liver, gallbladder, spleen Ultrasonography B inspection at the same time. Patient Shang Ke whose economic condition allows makes CT or coresMagnetic resonance, in order to find out about the dynamic change of the condition in time, go to a doctor in time. 3.5 Attend to guidance oneself Improve hygiene general knowledge of patient and relative, learn oneself how to attend to. Know basic medical science of grasping the upper digestive tract and bleedingVarious inducements known and caused the upper digestive tract to bleed, the importance of understanding diet controls. Know that there is black relieving oneself or pitchKind should have a rest immediately, go to a doctor in time. It is forbidden to use the medicine harmful to liver, does not abuse medicines.
4 brief summaries
Through implementing healthy, correct leaving hospital guidance to the patient, can let the patient fully realize the importance attended to,Know the main point of sickness nursing. Improve the patient's self- nursing ability and health care ability, dispel the dangerous factor of disease, reduceLack the bleeding chance. Help the patient to return to the family, return to the society, improve life quality.
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