一例哺乳期合并巨大外生型肝癌患者的围手术期护理  

Perioperative nursing of a patient with giant exophytic hepatocellular carcinoma during lactation

作　　者：乔楠 刘玉芬[1] Qiao Nan;Liu Yufen(Department of General Surgery,China-Japan Friendship Hospital,Beijing 100029,China)

机构地区：[1]北京中日友好医院普外科,100029

出　　处：《中国实用护理杂志》2019年第33期2602-2605,共4页Chinese Journal of Practical Nursing

摘　　要：目的总结1例哺乳期合并巨大外生型肝癌患者围手术期的临床护理实践经验.方法针对该例患者围生期合并肿瘤,导致患者在围手术期因疾病本身、母婴分离产生的焦虑抑郁状况等负面情绪,对该患者进行全面心理状况评估,予患者制定个性化阶段性心理干预,同时改善患者营养状况,提高手术耐受性,完善术前准备.术后护理中重视患者情绪干预,应用时辰护理,因时制宜,观察腹压变化,进行症状干预,预防并发症的发生.结果通过对患者有针对性的治疗和护理14 d后患者康复出院.结论该患者手术难度大且处于特殊生理期,临床护理中不同于普通患者,护士应对患者及时准确进行全方位的评估,并采取个性化的护理方案,注重情绪干预,减少并发症的发生,保证患者顺利出院.Objective To summarize the clinical nursing practice experience of a patient with huge exophytic hepatocellular carcinoma during lactation period.Methods In response to this patient′s perinatal tumor,the disease itself,mother-to-child separation,etc.and thus the patient was easily suffered from negative feelings such as anxiety,fear and worry.Given such conditions,the patients′psychological status should be evaluated in a sound manner,and then make a personalized plan of stage psychological intervention.Meanwhile,preoperative preparation should be made,for example,enriching nutrition given to the patient in order to enhance her surgery tolerability.Postoperative nursing should be based on specific conditions,especially abdominal pressure should be observed in case the occurrence of complications.Results The patient was cured and discharged after 14 days of targeted treatment and nursing.Conclusions Given the patient was in lactation period,there′s great difficulty in performing surgery on her.The nurses should give accurate evaluation on the patient in time,and make personalized nursing plan,pay attention to the emotion in order to reduce the occurrence rate of complications and ensure smooth discharge of the patient.

关 键 词：外生型肝肿瘤 围手术期护理 

分 类 号：R47[医药卫生—护理学]