The issue of blood is one of the stomach cancer sufferer familiar complicationses.The emergence of this symptom is early late to have, patient often in the short run again and again a great deal of issue of blood, death rate Gao, rescue a difficulty greatly.Because under the influence of subjective felling and traditional idea, the sufferer produces to a little bit seriously fear mental state and influences a curing of sufferer and recovers from illness.
Causing the reason of stomach cancer issue of blood is a lot of.The stomach cancer patient mainly takes places a digest way to bleed.The stomach cancer bleeds causal second for last digest way and has 19.3%, men and women comparison is 2.9:1, is known as the majority of the stomach Dou department to see, have 54.5%.After the stomach parts of resection or the stomach and intestines after fitting together the Shu fit together a people in the jejunum of stomach neighborhood can take place ulcer.Fore the incidence rate is 1~3%, can be up to a 15-3 Os in the latter%, time happen much after Shu in 2 years can also after operation more than ten day.50% fits together a people ulcer issue of blood, and can cause big bleed, often not easy from.Stomach or 12 issue of bloods of bowel ball departmentses that the stomach cancer causes, although also very nasty.But an issue of blood doesn't over the 500 mls measure and pass by aggressive of non- surgical operation the treatment much can stop bleeding.But can bleed again in the days to come.The sufferer often housebound feeling again and again goes into action.Bleed quantity much.The not clear reason worries treatment can not thoroughly but the creation fear mental state.
To the unfamiliar feeling of the hospital and the medical personnel.The living environment doesn't adapt to, the family members are rattled, weep over etc. all can result in sufferer the spirit strain but creation fear mental state.Moreover, the stomach cancer bleeds much to go into action in the nighttime, in the dead of night, bloody condition and worry to can not get to cure to aggravate to fear mental state further in time.
Fear a mental performance
Mental state the change mainly have:①Fidgety uneasy, spirit strain;②Suppress Yu worry, suspect heart to aggravate;③The despair is close to dead and even appears a suicide idea to read aloud or behavior;④Lack a sense of security, need medical personnel's support and help urgently.The physiology change mainly has:①Circulating change, the complexion is pale, the vein is quick and tired, the blood pressure descends, and the confused is even fainted;②The stomach department is unwell, disgusted have already turned over a movement, have disgusted feeling before throwing up blood, then have idea feeling before the blood.
Nursing counterplan
Discover latent sex issue of blood in time, fight for attaining to early observe, early discover and early cure.Should guide me after the Shu to the sufferer of convalescent period and the family members hard observe a patient food circumstance, the bowels form, color, patient's complexion, lips, A bed color, the inquiry patient's subjective felling includes a not intentional panic, tired and dizzy etc. lord to tell, the periodical reexamination moves bowels concealed blood experiment, blood normal regulations etc..Once discovering the abnormality should actively cure and tell when it's necessary of the sufferer and family members may cause issue of blood quantity to enlarge with the condition development.Raise big bleed of mental state bear dint.
Close observation condition monitors a life body to advertise for.To after the Shu more than ten days and issue of blood periods' sufferer, overall, delicately observe condition variety.
Control to produce terrified reason.Appease to different reason implementation mental state, ease to fear.Patient's producing terrified reason is mainly a disease and to the fearing of death.Thinking of the majority mistake, cancer=death, erupted issue of blood to weigh a sufferer more to death of fear, at the moment, sufferer should tell, the stomach cancer issue of blood doesn't mean tumor already to later period or death close by, occupy pass data to suggest, appear 20% cases in the earlier period shallow watch type stomach cancer.Because the stomach wall glues film bottom layer to have abundant blood to provide and invades and the mucosa lower earlier period stomach cancer, such as the focus bigger mucosa bottom layer blood vessel be subjected to gradually break may also the occurrence is big to bleed.Please effective patient's personally appear.Since low the confidence for fearing mental state, recovering a treatment.
In response to the mental feeling of full understanding sufferer, with the kind and sincere attitude.The mood been concerned with ?, sympathized with.Calmly communicate with sufferer.But need not demand.Grasp the patient's hand when it's necessary.The whole sickroom is full of foul smell flavor while throwing up blood.Opening a window in time is well ventilated.Clean up to vomit a thing.Keep a bed sheet neat comfort.When it's necessary.Move single sickroom.Avoid others emotion influence.
Guide how to relax by one's own.Adopting actively should be to the way.Use tranquilizer and loose Chi Shu, music therapy and suggestive therapy respectively according to the different condition.Also pass effective exchanges.Bleeding with pity, comfort, encouragement and dispersion attention etc. method relief is causable of fear.The negative temperament clue that the sufferer in agree with stomach cancer earlier period and progress period tells influences to the bad paroxysm, let it adequacy of get off the heart to let out.The sufferer in agree with stomach cancer later period is when it's necessary carry on dying education and eases to the fearing of death.Even if the disease can not cure,should adapt to reality, at quiet accept reality.
Pacify a fearing of stomach cancer issue of blood sufferer
3.11.2009
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