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Abdominal surgery and guidance for the health needs of patients

Move to accept the status, indicating that the eyes of the patients, the most acceptable is this conversation between nurses and the traditional way. Instructions to 3.1t 3t health education health education guide for routine abdominal surgery guidance, supplemented by guidance for the disease, the individual characteristics of the health education model, respectively, before surgery, and discharge of all phases of health education . 3.1.1 hospitalized before surgery mission 3 ... 111 new patients admitted unfamiliar hospital environment, warm and own initiative to its introduction ward environment, time, level and department head of the medical doctor, director, head nurse, the nurse's qualifications situation,[link widoczny dla zalogowanych], so that patients are familiar with the hospital environment as soon as possible, to adapt to hospital life, to the best physical and mental condition for treatment. 3.1.1.2 preoperative education, surgery is major abdominal surgery in patients with treatment. Most patients do not know enough of the surgery, when patients know when to take surgery, and I feel very nervous. Pain of the disease increased with the preoperative, intraoperative and postoperative difficulty with. To this end we have learned through education so that patients themselves how to meet them during the operation, gained confidence in communication, and enhance the confidence of the surgery to reduce the tension. We guide the patient to understand the need for surgery and treatment to stabilize the ideological sentiment. Preoperative routine education, including diet, activity, rest, respiratory preparation, bowel preparation, tests and so on. Such as gastrointestinal surgery patients after admission to low-residue diet, eat preoperative flow 3d juice diet, 3d drugs before surgery to clean the bowel catharsis, required before surgery for gastrointestinal decompression in patients with stomach cannula line, in addition to the patient explain the necessity of stomach cannula, how to meet, the need to do missionary nursing pipeline. General anesthesia and epidural anesthesia in patients fasting before surgery ,4-6h 12h forbidden to drink, so that the full emptying of the gastrointestinal tract to avoid anesthesia and surgery during vomiting causing suffocation or aspiration pneumonia. Before surgery to maintain adequate sleep before surgery 1-2wk smokers to stop smoking, to reduce respiratory tract irritation, reduce respiratory secretions, urine specimens from patients with the correct guidance for routine testing of blood specimens from samples with the nurses to test for blood type and vital organs function tests and lung X-ray examination in a timely manner,[link widoczny dla zalogowanych], ECG, to fully understand the patient, promptly correct unhealthy state, raising the tolerance of surgery. 3.1.2 Education, including patients after post-operative diet, posture, activity, rest, special care and guidance and the prevention of complications. To be fasting after abdominal surgery, the general question before eating flatus. When anesthesia is not clear, head to one side, so that oral secretions easy out to avoid choking and aspiration pneumonia. Should stay in bed the day after surgery,[link widoczny dla zalogowanych], the condition permits, activities in bed as soon as possible, and gradually get out of bed, appendicitis 6h to get out of bed after surgery to increase the peristalsis,[link widoczny dla zalogowanych], preventing intestinal adhesion, increased lung capacity, improve blood circulation and promote wound healing. There should be proper drainage pipes to prevent them from folding, twisting, or prolapse, maintaining unobstructed drainage, activities should be fixed in the wound drainage tube below the level to prevent backflow caused by retrograde infection. Postoperative shivering, mostly due to anesthesia, bedding and other precautionary measures to stamp, usually disappear with the disappearance of anesthesia. L 2d after a wound pain is a normal phenomenon, may be given relaxation, music therapy and pain relief medication. Dysuria may be taken after listening to the sound of water, gently massage the lower abdomen, urethra heat and other methods to stimulate the micturition reflex bladder sphincter contraction. 3.1.3 Education of patients discharged from hospital phase of the occasion, after discharge for patients about rest,[link widoczny dla zalogowanych], nutrition, diet, medication, follow-up and other knowledge work, go home for patients with pipe should be made clear what day the bar management, bar- tube may be situations where referral to the hospital at extubation. Fill a small card, discharged patients, providing the convenience of the health department telephone advice. Our data show that patients after surgery before and after the health education and discharge and guidance, control 95% of their knowledge, improve the health knowledge to help patients reduce the blindness of the surgical patients, improved surgical results, reducing the complications, the patient's quality of life improved. In addition, the implementation of health education to improve the theoretical level of the nurses, because patients becoming more health education requirement, which requires nurses continue to improve their theoretical knowledge to enrich and expand knowledge. Improve the level of nurses and overall quality of the business. Through health education, patient satisfaction of nurses over 95%, and harmonize relations between nurses and patients, reducing the occurrence of nursing disputes and achieved good social benefits.

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