The nursing that the cancer chemotherapy sufferer is constipated

The constipation is one of the cancer sufferer familiar complicationses, its incidence rate has 15% ［s around one ］ .Constipation can to sufferer's stomachache, abdominal distension, have a poor appetite even fidgety worry anxiously etc., clinical ascend this symptom is often neglected by the medical personnel, with the result that increased the sufferer's pain and sufferings, influenced a chemotherapy of smoothly progress.January, 2002~my section totally accepts 180 cancer chemotherapies in December, 2004 sufferer, random is divided into it to matched control and experiment set, adopt a normal regulations nursing method respectively, aim at the related factor of its constipation occurrence to carry on a nursing, the aim is inquirying into a kind of effective nursing mode to ease the occurrence that the sufferer constipation and relateds symptom and raise it living quality.
1.Data and method
1.1 general data January, 2002~my section accept a cancer chemotherapy in December, 2004 the sufferer is 180 total, the male is 102, female 78, the age is 14~71 years old, medium the age is 49 years old.Select a condition:(1)Chemotherapy before move bowels as usual;(2)Have no bowel way pathological changes.Will select a sufferer to random is divided into a matched control and experiment a set 90 for each.Two sets of sufferers are in the sex, age, occupation, fall ill category, condition, mental appearance and use medicine project etc., through the statistics learns processing difference don't show Zhao(all P>0.05), having can compare sex.
1.2 methods experiment a set:Starts a day ago from the chemotherapy, in addition to press the tumor chemotherapy section nursing normal regulations in addition to carrying on a nursing, also aim at the related factor of the chemotherapy sufferer constipation occurrence to adopt homologous nursing measure.Include to carry on a chemotherapy and healthily and certainly preach religion, activity and food instruction, carry on a mental nursing in the meantime.Matched control:In addition to pressing the tumor chemotherapy section nursing normal regulations to carry on a nursing, don't carry on other nursings.
2.Result
Two sets of sufferer's chemotherapies 1 with in the week have a bowel movement circumstance and being constipated- related physiology mental state reaction circumstance, see table 1.Table one two sets of being constipated- related physiology mental state reaction circumstance(slightly)s notes:P all<0.05
3.Nursing
3.1 chemotherapies preach religion chemotherapy front detailed introduce the name, method of using, function and bad reaction and protection measure of chemotherapy medicine to the sufferer, make the sufferer have full of thought preparation, the match adopts to homologously guard against measure to ease chemotherapy reaction and makes it keep good mental state, actively match treatment.For the sake of the decrease medicine source constipation of occurrence, also should carry on overall observation and understanding to the sufferer, control the category that it uses a medicine and to measure ［ 2 ］s, in the meantime inquire since go toward have a bowel movement habit, vary from person to person ground to carry on instruction and nursing.
3.2 health education the value preach religion to work, let sufferer and family members well understanding keep the importance of facile defecation, according to the individual difference, adopt homologous nursing measure, get rid of nervous mental state and patiently persuade training, make it develop in fixed time habit of having a bowel movement.Concern a considerate sufferer, can not endure patiently and overcome while telling at ordinary times and having then an idea, is losing liquid and under medical treatment and other inconvenient of time create to goodly have a bowel movement environment for it while appearing then an idea, help to carry on having a bowel movement.
3.3 adequacy exercise to guide a sufferer to carry on appropriate athletics sport, according to each the sufferer's concrete circumstance for his establishment corresponds of toughen plan such as take a walk, beat Taichi, do a Chi Kung...etc..Lie a bed the sufferer should guide he/she goes belly massage and lies on the back and relaxs all over, can active or passive operation, put a palm in the navel just above, point stomach with thumb and 4 from right to left follow colon alignment massage with help the bowel to wriggle, promote to have a bowel movement ［ 3 ］s.
3.4 instruction in fixed time has a bowel movement to toughen Zhu sufferer everyday breakfast rear row then, even if have no then an idea should also in fixed time squat down then to develop in fixed time a habit of having a bowel movement.Guide a sufferer regardless have already then had no an idea after the morning gets up, all apply dint to do to have a bowel movement to act, again and again many, have a bowel movement in the emulation process in, should press hands in the belly, cough action to press by increasing stomach, promote to have a bowel movement;Want to concentrate energy in the meantime, don't read newspaper or do other affairs, develop to goodly have a bowel movement a habit.
3.5 foods guide a sufferer to enter simple elegance easily digest food, little food is many meals and increase food pattern in the meantime to promote sufferer's appetite.Much edible enrich the fresh vegetable of containing the vitamin A, C and E, fruit and imply the foods, such as Brown rice and bean...etc. of thick fiber, with increment bowel peristalsis.Taking a meal to there is the food that the smooth bowel relaxs bowel a function appropriately is 4 ］s such as the ［s, such as honey, sesame and walnut...etc. and encourage many drinkings, the chemotherapy sufferer's drinking promises in the 2000~3000 mlsthe d is above, especially Gao Zhi get empty stomach to drink cool water or boiled water everyday morning one cup.
3.6 mental nursings usually go around and inspect a sufferer, and its exchanges, understand a sufferer mental appearance and the bowels circumstance, even if carry on homologous nursing measure.Helping a sufferer to improve should ease fidgety and anxious emotion to the behavior, keep good mental state and actively match with a chemotherapy.
4.Discuss
The related factor observation of 4.1 constipations occurrence discovers cancer chemotherapy the sufferer is constipated occurrence of the related factor mainly has following 7.(1)The poisonous side effect of the medicine:Cancer sufferer chemotherapy period almost and all apply in the meantime vomit medicine, vomit medicine to very easily cause constipation.The toxicity that grows the spring alkali chemotherapy's medicine because of nervous system can also cause constipation.(2)Food factor:Cancer chemotherapy sufferer for strengthening nourishment, the thing taken a meal is too fine, the food goes into the food of the low fiber high egg white and absorbs humidity over little, can not stimulate a bowel peristalsis, add of the excrement don't can be well softened with the result that be constipated.(3)Lack to toughen:The sufferer of chemotherapy is often tired to have no dint, don't wish to descend a bed activity, the movable decrease causes bowel peristalsis' weakening, easily to be constipated.(4)Taking a meal quantity is little:Chemotherapy sufferer because the appetite is lowly and take a meal quantity little, the food remnant is opposite to reduce, so move bowels quantity also decrease.(5)Disgusted, vomit:Chemotherapy because stomach and intestines way responds, disgusted vomit to the thing taken a meal in great quantities vomit and body internal water cent lose and add it don't wish to drink water to make the body internal water reduce for cent, to move bowels the quantity is little and dry to knot, don't easily eject.(6)The influence of spirit mental factor:The chemotherapy sufferer often appears worry anxiously, nervous emotion.But the mental obstacle is particularly a worry anxiously can increment basin the strain of the bottom muscles, while causing to have a bowel movement thus the ass rectum antinomy sport, cause constipation ［ 5 ］s.(7)Neglect the signal of having a bowel movement:Sufferer because of factors such as treatment or environment etc., be Be sometimes carry on overcoming or endure patiently while appearing then an idea but not and immediately have a bowel movement, like this as time passes will make to have a bowel movement to reflect gradual disappear, subsequently cause constipation.
The function(1) of 4.2 nursing measures passes a chemotherapy and healthily preaches religion and make the sufferer know constipation the bad influence of the body and keep the importance of facile defecation, aware of self before developing breakfast, behind in fixed time habit of having a bowel movement.From table 1 it is thus clear that, experiment a set the sufferer be constipated an incidence rate to obviously lower and have high difference with matched control.(2)Into the easy digest food, little food is many meals and be advantageous to food digest absorption and ease an abdominal distension;The food diversifies, ameliorable sufferer's appetite;Contain cellulose food and smooth bowel to relax bowel absorbing of food, can stimulate a bowel peristalsis, promote to have a bowel movement;The humidity absorbs increment, on the other hand can increase urine quantity and help the chemotherapy toxin to eject and ease the chemotherapy poisonous side effect, can well soften the bowels on the other hand, be easy to eject;Get empty stomach to drink boiled water in the morning, can stimulate the stomach ― colon glint but promote to have a bowel movement ［ 6 ］s.Experiment a set sufferer not only constipation ease, appetite also obviously improve, two sets of sufferer's stomachaches, abdominal distension and have a poor appetite comparison the difference have a statistics to learn meaning.(3)The sufferer carries on appropriate athletics to toughen and especially have oxygen appropriately toughenning not only can increase physical endowment, increase a bowel peristalsis, promote to have a bowel movement, also contribute to giving an appetite.
Observe and discover a chemotherapy a sufferer constipation the incidence rate is higher than a cultural heritage report way, Be been constipated by sufferer of nursing and it the incidence rate of related symptom obviously lower, but still have parts of sufferers to take place constipation, appear stomachache, abdominal distension and have a poor appetite and need to take orally a slow Xie or give to infuse bowel.This probably with in recent years anti-5-HT vomit medicine of extensive application relevant, the observation discovers this kind of medicine all can cause degree don't wait of constipation.This needs to carry on a further observation and as far as possible bring trouble choice to be constipated the function lighter medicine.