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[Talking about Health Education of Breast Diseases] Contents of Health Education
Abstract: The incidence of breast cancer ranks first among female malignant tumors, and it has significantly changed the quality of life of female patients. If patients and their families are aware of self-regulation, observation of illness and health care, early detection, early diagnosis and early treatment will improve the survival rate and hope of complete cure of breast cancer patients. Key words: breast diseases; Health education; Classification number of female patients in China Library: R 193 Document ID: A document number:1009-8631(2010) 08-0145-0/breast is. However, female breast is also the "eventful autumn" of many diseases, especially breast cancer, which has become an important disease affecting women's health and life. In recent years, the incidence of breast cancer ranks first among female malignant tumors in China, and it has significantly changed the quality of life of female patients. Most patients can be treated if breast cancer can be detected early. Although the relationship between benign breast tumors and breast cancer is still controversial (it is generally believed that benign breast diseases can increase the risk of breast cancer [1]), and the demands of patients and their families for self-regulation, disease observation and health care are gradually increasing, breast health education plays an increasingly important role in the primary prevention of diseases, and early detection, early diagnosis and early treatment become the hope to improve the survival rate and complete cure of breast cancer patients. First, the importance of health education in preventing breast diseases. The prevention of female breast diseases can be divided into three levels: the first level of etiology prevention, including health education for women, so that they can establish good health awareness, rational diet, cultivate good personal habits, and carry out appropriate physical exercise and labor; Secondary prevention includes early detection of diseases (self-diagnosis of diseases), hospital screening and reducing risk factors, that is, early screening of health problems; Tertiary prevention includes the treatment and rehabilitation of women's diseases. Prevention of breast diseases should focus on strengthening primary prevention [2]. Make them understand the basic knowledge of breast diseases and breast health care methods, and then take corresponding health guidance according to the disease, age, education level and social role. This will greatly promote patients to receive further treatment and have a healthy concept. Second, the scope and methods of health education. The incidence of breast diseases is getting younger and younger, and the early symptoms are not obvious. Therefore, health education should be extended to the outside of the hospital through various propaganda means, and health education should be actively carried out by using the characteristics of rich professional knowledge, strong affinity and strong communication skills of senior nurses. Medical teams and leading groups should be organized regularly to enter the community or rural areas for free clinics, and the leading group should give on-site knowledge lectures and organize women to watch health education CDs to achieve the purpose of education. Strengthen the contact between the hospital and the community or village Committee, and cooperate with each other to make the work go smoothly. 3. Carry out targeted health education among different groups of women, targeting women aged 20-60, especially infertile women whose menarche is earlier than 12 and whose menopause is later than 50 (> 40 years old), women who are not breast-fed, and whose first full-term delivery is later than 35 years old, health examinees, non-surgical patients and surgical patients. As advocates, participants, coordinators and managers of health education, doctors and nurses should fully participate in the following work. (1) Carry out health education and health check-ups for healthy women in communities or rural areas. Among the women who have health check-ups, they should be informed that they need to maintain a positive attitude towards life and an orderly lifestyle to avoid bad emotional stimulation; Teach them the methods of self-examination and the awareness of cancer prevention. Breast cancer is different from visceral cancer, only on the body surface. Palpation is one of the important diagnostic methods and an important means to find early breast cancer. Just teach women to pass the examination regularly, that is, expose the upper body to the mirror, relax their arms and hang them on both sides, bend forward or hold their hands behind their heads, observe whether the two sides of the breast are symmetrical and the appearance is equal, observe whether the breast skin is swollen or swollen, whether there are varicose veins or uneven nodules, and observe whether the breast is symmetrical, whether there is invagination or nipple discharge. , and palpation. In different positions (supine position, the arm of the patient is placed on their sides and behind their head), and then check whether there are swollen lymph nodes in both armpits, so it is possible to find suspicious cases early. (2) Health education for non-surgical patients. Physical examination found lobular hyperplasia of breast, mostly women aged 20-45. One or more breast lumps complicated with periodic breast pain and other symptoms have long been troubled, which has affected the mood, life and work of patients to varying degrees. Educate patients to understand that this disease is caused by endocrine regulation disorder (excessive estrogen secretion) in this age group, and it can be relieved by itself with the growth of age; Keep a cheerful mood, pay attention to breast health care, eat reasonably, and reduce the intake of spicy food and animal viscera; Reduce fat intake, control weight and exercise properly. Avoid the use of estrogen, wear a soft and timely bra to hold up the breast, which can avoid falling pain, and teach patients to check their breasts 2-7 days after each menstrual period, educate patients to establish the consciousness of following the doctor's advice, receive medication and physical therapy, and receive reexamination from specialists every 2-3 months, thus establishing a new concept of early cancer [3]. It is necessary to find out the cause of any breast symptoms. The clinical symptoms of early breast cancer are not obvious. The key is whether to pay attention to some occasional or frequent unnoticed symptoms, such as mild nipple invagination, mild local skin depression, mild areola edema, and post-menstrual nipple pain. (3) Health education for surgical patients 1. In the health education examination of breast benign tumor, breast fibroma accounts for the vast majority of benign tumor. Educate patients to correctly understand diseases, reduce mental burden, and understand the importance and safety of surgery; It is emphasized that surgery is the best treatment for this disease at present. Help patients build confidence in overcoming tumors. Whether patients can receive surgical treatment is a hard index to evaluate the effect of health education. For patients who have not undergone surgical treatment, we should pay more attention to their psychological and physiological changes and requirements, teach them the methods of visual inspection and palpation of breasts, and see a doctor in time when finding texture changes. Establish a sense of self-protection and avoid irregular medical treatment. 2. Health education for breast cancer patients In the physical examination, don't jump to conclusions about the first discovery of breast cancer patients, let alone let them walk away, so as not to delay diagnosis and treatment due to unprofessional induction, and make patients feel uncertain about the disease. Once the uncertainty of the disease occurs, negative emotions will not only interfere with patients' ability to seek to fight the disease, but also lead to the degradation of patients' behavior and the interruption of treatment. Nursing staff should fully understand the patient's medical history and course of disease while accompanying the patient to do B-ultrasound and needle aspiration cytology, and give psychological counseling according to the patient's emotional reaction, age and social role. The patient agreed to the operation. According to the specific situation of the patient, the patient's condition, treatment plan and prognosis should be well introduced. Before operation, the changes of chest appearance after operation should be explained and psychological rehabilitation nursing should be carried out. You can vent it when necessary to achieve psychological balance. The elastic prosthesis breast introduced in this paper can make up for the appearance defects. Communicate and talk with patients more, and let patients learn how to eliminate fear through education, such as listening to music, reading newspapers, listening to the radio, talking to people, etc. This paper introduces the contact between patients and recovered women who have undergone similar operations, and helps patients through the psychological adaptation period through the appearance of successful people, so as to convince them that unilateral mastectomy will not affect their normal family life, work and social interaction. Help patients and their families understand the treatment of this disease, explain the purpose of the operation and the guarantee of success, especially for patients with no economic income, older age and no independent ability, should be given protective treatment to avoid patients giving up treatment opportunities because they are afraid of spending a lot of medical expenses and causing financial burden to their families. Through health education, patients can understand the disease, establish the belief of overcoming the disease and actively cooperate with the treatment. References: [1] Tang Zhaoyou. Modern oncology [M]. Shanghai: Shanghai Medical University Press, 2000. [2] Le Jie, Xie Xing. Obstetrics and gynecology [M]. Beijing: People's Health Publishing House, 2004. [3] Li Shuling. Early diagnosis of breast cancer [a]. LX-H7。