Dissertation of Specialist Nurses: Exploring the Clinical Nursing of Children with Epilepsy
Keywords: children; Epilepsy; clinical care
Epilepsy is a paroxysmal abnormal brain function caused by abnormal discharge of brain neurons. Its clinical manifestations are characterized by recurrent attacks and sudden attacks, which are short-lived and self-limited. Epilepsy is a common nervous system disease in childhood. Long-term frequent seizures can damage brain function. Regular exercise, such as walking and cycling, can promote blood circulation, maintain good muscle tension and stimulate the activity of bone cells.
1.4.2.4 Nursing care of symptoms related to estrogen reduction The main manifestations of estrogen reduction are flushing, hot flashes, loss of libido and vaginal dryness. The occurrence time and duration are different, mostly during early treatment. Patients sometimes feel an upwelling heat wave that spreads from the chest to the neck and face. Hot flashes and hot flashes generally occur at the same time, mostly at dusk or at night. When activities, diet, clothing and other calories increase, or people are emotional, they affect their mood and sleep. There is generally no need to stop taking drugs [7]. First inform the patient that this is a drug reaction, and the reaction disappears after stopping the drug, thus eliminating the patient's doubts. Individual patients will also have emotional changes. Pay attention to communication with patients during medication, relieve psychological pressure and treat sexual life correctly. In this group, there were 5 cases with symptoms related to estrogen reduction, mainly hot flashes and emotional changes, and timely nursing intervention could adhere to the doctor's advice. Chen Xinwang
Two results
12 patients all achieved the goal of drug castration. The treatment time of noride was 10 ~ 42 months. During the treatment, serum testosterone, estradiol, progesterone, follicle stimulating hormone, luteinizing hormone and prolactin all reached the menopausal level. Two patients had obvious headache, joint pain and hyperhidrosis, which improved after symptomatic treatment. Other toxic reactions are mild. After targeted nursing intervention, patients can better receive the drug treatment of this scheme.
3 discussion
Breast cancer is one of the most common malignant tumors in women. Endocrine therapy can effectively reduce the recurrence rate and mortality rate of early patients, shrink tumors, improve symptoms, improve quality of life and prolong survival time for metastatic patients, so endocrine therapy has become an important part of comprehensive treatment of breast cancer. Compared with chemotherapy, endocrine therapy for breast cancer is characterized by positive curative effect, mild adverse reactions, good quality of life of patients receiving treatment, no need to use drugs such as antiemetic and leukocytosis, which is conducive to long-term medication for patients who benefit from treatment [9]. Because breast cancer patients often play an important role in family and work, on the one hand, they are worried that they will lose their original life after losing breast milk, on the other hand, they will have serious self-blame psychology because of the economic problems of long-term endocrine therapy, which will lead to depression and disappointment. Therefore, while giving nursing intervention, we should also do a good job of family members to help patients eliminate worries to the greatest extent. The participation of family members can greatly support patients, make patients feel the care and needs of family members, and enhance the enthusiasm and initiative of rehabilitation training [10]. In addition, in the process of nursing, as a responsible nurse, it is necessary to understand the toxic reactions and benefits related to treatment, give patients adequate education, make patients fully prepared to face possible toxic reactions, and intervene in time to relieve symptoms, so as to better cooperate with treatment. From the nursing process of this study, it can be seen that patients can well receive endocrine therapy with targeted psychological, physiological and pathological changes in the clinical treatment process, and the treatment is safe and effective.
refer to
[1] Liang Huifen. Norred [J]. China Pharmaceutical Handbook Annual, 2004, 8:69 12692.
[2]MichaelGnant, BrigitteMlineritsch, WalterSchippinger, etal .[2] Endocrine therapy for breast cancer. Nengljmed, 2009,360 (7): 6792691.
[3]ForwardDP，CheungKL，JacksonL，etal。 [2] Clinical Endocrinology Oncology [J]. Business Journal, 2004,90 (3): 5902594.
[4] Zhao Yaping, He Xiaojun, Zheng Haidi. Nursing care of Noride in the treatment of prostate cancer [J]. China Journal of Modern Clinical Medicine, 2008,6 (7): 6542656.
[5] Ruan Lingxiang. Nursing care of patients with prostate cancer treated by novolac combined with Constance [J]. Nursing and Rehabilitation, 2009,8 (4): 3552356.
[6] Lu Lianfen, Shen Peijuan. [1] Nursing care of patients with severe endometriosis after operation [J]. Nursing Research, 2007,21(6):15621564.
Zhou, Lv Yan 'e, Hong 'an, et al. Clinical application and nursing of novolac [J]. Modern Nursing, 2006, 12(3):276.
[8]BrufskyA，HarkerWG，BeckJT，etal。 Zoledronic acid inhibits the inhibitory effect of Regulation 2 on prostate cancer [J].JClinOncol, 2007,25 (7): 8292836.
, Jiang, Song Santai, et al. Clinical study of novolac combined with Nali in the treatment of premenopausal recurrent and metastatic breast cancer [J]. Cancer Progress, 2004,2 (2):127130.
[10] Luo Yuqiao, Li Zhenglian, Wang Chunyan. Investigation and nursing care of postoperative psychological problems of breast cancer patients [J]. China General Medicine, July 2009 (1): 61262.
The third part: the application of warm nursing in obstetric nursing.
Objective To explore the clinical application effect of warm nursing in obstetric nursing. Methods 90 obstetric patients in our hospital were randomly divided into observation group and control group, 45 cases in each group. The control group was given routine obstetric care, while the research group was given warm care on the basis of the control group, and the nursing effects of the two groups were observed. Results The incidence of postpartum hemorrhage and the amount of postpartum hemorrhage at 2 hours and 24 hours in the observation group were significantly lower than those in the control group, and the first, second and third stages of labor in the observation group were significantly shorter than those in the control group. The satisfaction of patients in the observation group was significantly higher than that in the control group, and the difference between the two groups was statistically significant (P
Keywords: warm nursing; Obstetrics; Apply.
Warm care is based on? People-oriented, patient-centered? Our service concept is mainly to provide humanized care for patients through cultural level, so that patients can feel the warmth and warmth of care [1]. Clinical research shows that in the process of obstetric delivery, warm nursing can effectively alleviate the pain and fear of parturient, alleviate the pain of patients, shorten the labor process and ensure the stability of maternal vital signs [2]. In order to study the clinical application effect of Xin nursing in obstetric care, 90 cases of obstetric patients admitted to our hospital were selected, and the control group was given routine obstetric care, while the research group was given warm care on the basis of the control group, and the nursing effects of the two groups were observed. The report is as follows.
1 data and methods
1. 1 general information
90 obstetric patients admitted to our hospital from 20 10 to 20 13 were randomly divided into observation group and control group, with 45 cases in each group. The patients in the observation group were 22 ~ 40 years old with an average age of (25.3? 3.7) years old, gestational age 37-42 weeks, average (39.3? 2. 1) weeks; The age of patients in the control group was 2 1-4 1 year, with an average age of (25.6? 3.2) years old, gestational age 38-43 weeks, average (39. 1? 2.4) weeks. There is no significant difference in age and gestational age between the two groups (P & gt0.05), which shows that the two groups can be compared and analyzed.
1.2 nursing methods
The control group was given routine nursing measures, and the parturient was given routine health education and psychological care after admission. The traditional observation method of labor process was adopted to deliver in different classes. Patients in the study group were given warm care on the basis of the control group. First of all, they prepared the environment, provided a quiet, clean, comfortable and warm delivery room, controlled the temperature and humidity, and the indoor light should be soft to avoid strong light stimulation. Open the window regularly for ventilation, and reduce the bacterial content in the air through ultraviolet radiation. Before delivery, explain the related knowledge of delivery to the parturient in detail, including pain mechanism, occurrence time, duration, etc. Strengthen psychological care, listen patiently and carefully to the parturient, meet their needs as much as possible, help them breathe correctly, reduce their psychological burden, improve their self-control and self-confidence, and learn the skills of self-relieving pain and decompression. In terms of diet care, pregnant women are encouraged to eat a high-energy, digestible and light liquid diet during the interval of uterine contraction, and eat a small amount of meals to ensure adequate nutritional support. Stay in the delivery room for 2 hours after delivery, affirm and praise the performance of the parturient, encourage the parturient to take a warm semi-liquid diet, restore physical strength as soon as possible, reduce bleeding and promote postpartum urination. Keep maternal clothes dry and tidy, help maternal early contact and suck newborns, encourage maternal breastfeeding, inform the benefits and methods of breastfeeding, make maternal confident in breastfeeding, and do a good job in puerperal health education and daily nursing of newborns. At the same time, strengthen the management of high-risk pregnant women, check regularly, identify high-risk factors, carry out prevention and preparation as early as possible, closely monitor the whole production process, and deal with and prevent postpartum hemorrhage in time once risks are found. The amount of postpartum hemorrhage, labor time and satisfaction were observed in the two groups.
1.3 statistical processing
The data obtained were analyzed by SPSS 15.0 statistical software package, and were analyzed by (x? S) indicates the measured data, and t test is used for comparison between groups. Used to count comparisons between data sets? 2 test, p
Two results
2. 1 postpartum hemorrhage
The incidence of postpartum hemorrhage and the amount of postpartum hemorrhage at 2 hours and 24 hours in the observation group were significantly lower than those in the control group, as shown in table 1.
2.2 Working hours
The time of the first, second and third stages of labor in the observation group was significantly shorter than that in the control group, and the difference between the two groups was statistically significant (P < 0.05), as shown in Table 2.
2.3 Satisfaction
In the observation group, 45 patients expressed satisfaction with nursing service, the satisfaction rate was 65438 000%, while in the control group, 36 patients expressed satisfaction with nursing service, the satisfaction rate was 80%, and the difference between the two groups was statistically significant (P
3 discussion
In the process of delivery, there will be a stress reaction to the mind and body. If we can't coordinate the physiological body in time and reduce uterine contraction, it will probably lead to postpartum hemorrhage, so we must strengthen clinical nursing in the process of production [3]. Warm nursing is the care of professional medical staff for lying-in women, forming a nursing model combining health care and service technology. The application of warm nursing in obstetric ward can effectively protect the life safety of mother and baby, improve the safety of parturient delivery, and implement warm midwifery, comfort, encouragement and guidance according to the emotional, psychological and physiological changes of parturient, which can effectively regulate the cerebral cortex of parturient, reduce the influence of subcortical center on cerebral cortex, coordinate uterine contraction, effectively alleviate negative emotions such as psychological tension, fear and anxiety of parturient, and avoid stress and psychological anxiety.
According to the study of this group of data, the incidence of postpartum hemorrhage, the amount of postpartum hemorrhage at 2 hours and 24 hours in the observation group were significantly lower than those in the control group, and the first, second and third stages of labor in the observation group were significantly shorter than those in the control group. The satisfaction of patients in the observation group was significantly higher than that in the control group, which was related to the results reported by Gu et al. [5], which fully affirmed the clinical application effect of warm nursing in obstetric nursing. In a word, warm nursing intervention for obstetric pregnant women can effectively shorten the labor process, reduce postpartum hemorrhage and improve patients' satisfaction with nursing, which is worthy of clinical application.
References:
Wang Jianhui. The application value of warm nursing in patients' hospitalization [J]. China Community Physician, 2012,5 (14): 313.
[2] Chen Chongjun. Effect analysis of obstetric nursing intervention and warm midwifery [J]. Psychologist, 2012,8 (3): 200.
[3] Lin Jiajuan. Influence of nursing intervention and warm midwifery on delivery [J]. Qilu Nursing Journal, 2009, 15 (3): 30-3 1.
[4] Guo Suling. Influence of warm midwifery on delivery [J]. China Practical Medicine, 20 10/0,5 (23): 247-248.
[5] Gu. Study on the effect of nursing intervention and warm midwifery in obstetrics [J]. Chinese and foreign medical research, 20 13,1(4): 81-82.
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