The practice of high-quality nursing in the Department of Gastroenterology Abstract High-quality nursing is to make the inpatients in the Department of Gastroenterology recover better, make them reach a better state psychologically and physically, shorten the pain caused by physical and mental pleasure, and then promote the rehabilitation of their diseases. It can be said that the quality of nursing greatly affects the patient's condition. Therefore, developing high-quality nursing plays a very good role in patients.
Quality care; Gastroenterology; Nursing quality
First, the psychological characteristics of inpatients in gastroenterology department
Mastering the psychological characteristics of inpatients in gastroenterology department can provide great help for nursing work. Specifically, the psychological characteristics of inpatients in the Department of Gastroenterology are as follows:
(A) grumpy, impulsive
Because of the long course of disease and long hospitalization time, inpatients in gastroenterology department recover very slowly, and are prone to temper tantrums and impulsiveness. This makes patients always complain, and their emotions can't be effectively controlled. If they are slightly unhappy, they will get emotional and do things without considering the consequences, which will have a very adverse impact on the recovery of their illness.
(B) Inner loneliness
Because the inpatients in the department of gastroenterology need to stay in the ward all day, leave their familiar living environment and circle of friends, and lack the necessary interpersonal communication. After a long time, patients will feel bored and lonely, and their inner thoughts will begin to wander, which will greatly increase their inner pressure. Not only that, some seriously ill patients will worry about their own condition. When they lack the care of others, their inner loneliness will surge, resulting in fear.
(3) remorse
Many patients in the Department of Gastroenterology will feel self-reproach, and feel that their hospitalization has brought a heavy burden to their families, which not only costs a lot of medical expenses, but also takes up more time for their families.
feel pessimistic
Many inpatients in the Department of Gastroenterology feel pessimistic and depressed because of the long hospitalization time and no obvious effect of repeated treatment. Coupled with the high cost of treatment, patients have psychological resistance, give up treatment, or even do not cooperate with treatment, so that the condition can not be alleviated, forming a vicious circle.
Second, the importance of providing quality care in gastroenterology.
Because of the unstable inner feelings of inpatients in the Department of Gastroenterology, the above-mentioned psychology often appears, which brings great obstacles to the recovery of patients' condition. If the nursing work is not done in place, patients will have resistance, not cooperate with nursing and treatment, and have a bad temper, which not only brings trouble to the smooth development of nursing work, but also is very unfavorable to the treatment of patients' condition.
And if there is high-quality nursing work, providing patients with a better environment for treating diseases and relieving inner pressure can make patients' hearts more peaceful, which is very beneficial to their condition. Therefore, it is very necessary for hospitals, especially gastroenterology departments, to provide high-quality nursing work.
3. Discussion on providing quality nursing service in the department of gastroenterology.
In order to provide better service for inpatients, the Department of Gastroenterology of the hospital should do the following:
(A) to increase the quality of nursing staff training.
The comprehensive quality of nurses is the basis of providing high-quality nursing service. Therefore, hospitals should not only train nurses in nursing skills, but also teach them working attitudes, so that nurses can know more about their work and understand that their duties are not just to accompany patients, but to accompany and care for patients. To this end, the Department of Gastroenterology can formulate rules for regular nursing, requiring nursing staff to offer love, help and bring happiness to patients at regular intervals.
Improve the hospital nursing system
A good hospital system can improve the service level of the hospital and help patients better. For the department of gastroenterology, the work of nursing staff can be further refined, so that each nursing staff can have a clearer nursing direction and let the nursing staff focus on the care of patients' lives in the department of gastroenterology. In addition to vital signs monitoring, oral care, functional exercise, admission and so on. We should also take care of the patients' daily life.
In addition, the Department of Gastroenterology can also implement the nurse responsibility system, and hand over the patient's nursing work to a few fixed nursing staff to form a fixed nursing group, so that the nursing staff can take full responsibility, thus strengthening the communication among the nursing groups, accumulating work experience and improving the nursing level of the hospital.
(3) Strengthen psychological counseling for patients.
Psychological counseling of inpatients in digestive department is sometimes more important than physiological nursing. Therefore, the department of gastroenterology should strengthen psychological counseling for patients. Nurses can psychologically guide patients by implementing psychological intervention technology, play some soothing music for patients every day, sincerely listen to patients' opinions and complaints, relieve patients' pressure in time, and keep patients in a happy mood.
For patients who give up on themselves, nurses should actively communicate with patients, let them know their own condition, understand the characteristics of long-term and repeated treatment of digestive system diseases, increase patients' patience and self-confidence, and let patients recover better.
Simplify the workflow
Because nurses ask and record patients' conditions every day, some patients will become impatient. Therefore, the department of gastroenterology should simplify the workflow, spend more time with patients, and let patients feel cordial nursing service.
(5) Strengthen the assessment of nursing quality of nursing staff.
Effective supervision is an important means to improve the enthusiasm of nursing staff. We should strengthen the assessment of nursing quality of nursing staff, formulate a systematic reward and punishment mechanism, improve the enthusiasm of nursing staff, make them care for patients wholeheartedly, and make patients get better nursing services.
Conclusion: High-quality nursing work can greatly promote the improvement of patients' condition. On the one hand, it can make the patient's condition get better care, on the other hand, it can also make the patient maintain a positive and optimistic attitude and promote the improvement of his condition.
refer to
[1] Cui Chen; Zhuang Haihua; Zhang Qianqian; Xue; Chen Bei; ; Development? High-quality nursing service demonstration ward. Practice and experience [J]; PLA Nursing Journal; 20 1 1 24
[2] Zhang; Text; Zhong Canhua; ; Practice and experience of establishing high-quality nursing service demonstration ward in gastroenterology department [J]; Ordinary care; 20 1 1 22
[3] Li Yanyan; ; Talking about the importance of high-quality nursing service in the nursing of internal medicine diseases [J]; China medical guide; 30 issues 20 12
[4] Huang Huigen; Chen Ying; Huang Hongyou; Ye Hong; ; Development? Demonstration project of quality nursing service? Practice and experience of pilot projects [J]; Journal of nursing administration; 20 10 05
[5] Liu Juan. A preliminary study on the pilot wards of implementing the demonstration project of high-quality nursing service. Health vocational education, 20 1 1, vol. 29, no.20.
Model 2: Talking about Medical Treatment and Nursing in Gastroenterology The so-called gastropathy is actually a general term for many diseases. They have similar symptoms, such as epigastric discomfort, pain, eating less but feeling full, stomach acid, and even nausea and vomiting. The symptoms of stomach trouble can be mild or serious, and serious stomach cancer will appear. Therefore, it is very important to pay attention to diet at all times and have a reasonable diet. The following discussion will let us know how to prevent and care for some problems related to gastrointestinal diseases.
Stomach disease; Peptic ulcer; Medical treatment; nurse
Gastroenterology is a clinical three-pole subject that mainly studies diseases such as esophagus, stomach, small intestine, large intestine, liver, gallbladder and pancreas. There are many kinds of digestive system diseases, extensive medical knowledge and complex and precise operation. With the continuous development of economy and the continuous improvement of medical level, such as gastropathy, gastric ulcer and duodenal ulcer in gastroenterology, the clinical cure rate of these cases is very high, but due to some factors, the recurrence rate of these diseases is as high as 40-70%, which leads to poor physical fitness.
1 Overview of Gastropathy in Gastroenterology
Gastropathy patients are one of the most common gastroenterology departments in China, with different incidence rates in different regions and also reflected in different occupations, such as school students, white-collar workers and workers. What is the cause of stomach trouble? Gastropathy is a multifactorial disease in our life. For example, environment, diet, drugs, heredity, bacteria, smoking and drinking can all cause stomach problems. All these factors will lead to excessive gastric acid secretion and destroy the stomach. Clinical common stomach diseases include acute gastritis, chronic gastritis, gastric ulcer, duodenal ulcer and gastroduodenal compound ulcer.
1. 1 Etiology of Gastropathy in Gastroenterology The specific causes of Gastropathy are generally as follows: 1. Long-term drinking, smoking, irregular diet, strong tea, strong coffee, eating spicy and junk food and other unreasonable living habits. Second, gastric mucosal damage persists after gastritis. Third, often take drugs that are harmful and irritating to the stomach, such as glucocorticoids and aspirin. Fourth, some chronic diseases, such as uremia, chronic nephritis and severe diabetes.
1.2 Gastropathy drugs in the Department of Gastroenterology: antacids: The main components of the drugs used are antacids such as baking soda, Wei You, calcium carbonate, Weishuhu, Gaiweiping, Weibizhi and Vitalot tablets, which must be taken after meals 1- 1.5 hours. These are all developed by experts. In order to make the drug play a good role, the buffering effect can be maintained for a long time. Some drugs can be quantified according to their own situation or curative effect. For example, if the symptoms are not obviously relieved after taking aluminum hydroxide gel, it can be changed to four times a day. The general rule is 10ml every three times. Pay attention to weishuping and gaiweiping as chewing agents, and the effect is good after chewing. In order to better treat gastric ulcer, proglumide is taken for adults, 2 tablets each time, before meals 15 minutes, 3-4 times a day or as directed by the doctor. Take it for about 30-60 days. The withdrawal time should be determined according to the doctor's advice and the endoscopic examination. For the treatment of abdominal distension, nausea and vomiting, loss of appetite, there are better drugs such as metoclopramide, motilium and Wei You. Take 1-2 tablets before meals, three times a day for adults. In order to achieve a good therapeutic effect, it should be avoided that metoclopramide cannot be taken with other drugs at the same time, for example, metoclopramide cannot be taken with atropine at the same time, otherwise the effect will be greatly reduced.
1.3 dietotherapy and nursing of gastropathy in gastroenterology First of all, develop good eating habits and eat an apple a day to keep the disease away. Eat more vegetables and fruits rich in vitamin C because vitamin C has a protective effect on the stomach. Maintaining the normal content of vitamin C in the stomach can effectively prevent and repair stomach diseases, protect the stomach and enhance the disease resistance of the stomach. Secondly, for patients with gastroesophageal reflux, the foods that are not suitable for such patients are chocolate, coffee, spicy, mint, citrus, tomatoes, whole milk and onions, and the edible foods are high protein, vegetables, cereals and digestible rice porridge. Prevent the lower esophagus from working normally and the gastric juice from flowing back to the esophagus. Third, how many fruits and vegetables should people with poor stomach function, frequent stomachache and indigestion usually eat? Mainly based on these light foods, daily breakfast is easy to digest, and millet porridge can be drunk in moderation. Patients with gastropathy and duodenal ulcer should eat more whole grains, freshly squeezed soybean milk, beans and meat (fish, tender lean meat and animal liver). These foods are beneficial to gastrointestinal digestion, rich in nutrition and high in calcium. This diet greatly reduces the damage and irritation to gastrointestinal mucosa. Fourth, both men and women who have stomach problems should drink less coffee, strong tea, cold drinks and carbonated drinks, and hot and sour food, which are very harmful to the stomach. Eat less fried, salted and cold food: because these foods are not easy to digest, it will increase the burden on the digestive tract. Eating too much will cause indigestion, high blood lipid, which is not good for your health.
2. Take peptic ulcer as an example.
Peptic ulcer is a common chronic digestive system disease, which mainly refers to gastric ulcer and duodenal ulcer. The formation of ulcer is closely related to digestion, also known as peptic ulcer. Peptic ulcer is more common than gastric ulcer and duodenal ulcer.
2. 1 Etiology of peptic ulcer Peptic ulcer is a seasonal disease, and the spring and autumn season is the climax of the recurrence of this disease. The main symptoms are recurrent abdominal pain and pain when eating gastric ulcer. Duodenal ulcer pain, then eating, sleeping at night abdominal pain. Satiety, pantothenic acid, nausea and vomiting, etc.
The onset is often related to emotional disorders, irregular diet, overwork, colds and other factors.
2.2 Nursing drug care of peptic ulcer; Stomach-nourishing drugs: domperidone 10mg is commonly used, which is taken orally by adults, three times a day, 15 minutes before meals. Sucralfate, lg once a day, three times a day, before meals 1 hour, once before bed, has the effect of protecting gastric mucosa. Acid inhibitor: 800g,/kloc-0 once a day, taken orally. Severe cases can be treated surgically. The operation of peptic ulcer is suitable for acute perforation, pyloric obstruction, massive hemorrhage, malignant ulcer and so on. General treatment; Eat less spicy food, avoid irritating food, quit smoking and drinking, avoid excessive mental stress and emotional fluctuations, combine work and rest, and keep a good mood every day.
3 summary
Through the analysis of two cases of gastropathy and peptic ulcer in the Department of Gastroenterology, we can understand the detailed condition and various nursing methods in the Department of Gastroenterology. The main reasons are various. Many people don't take stomach trouble seriously. They think they can buy medicine at home or go to the drugstore by themselves. Actually, don't take this seriously. What medicine to take after following the doctor's advice to reduce unnecessary consequences. But in life, we can prevent and care. It can be seen that reasonable eating habits play a vital role in our digestive system. Self-regulation is very important to prevent stomach trouble. Eat more fruits and vegetables to supplement vitamin C, and eat less cold, spicy and fried junk food. Eat regularly, regularly and quantitatively, and do not overeat. ? Life is precious. It's important to cherish life? Keep the disease away from us and start with the little details around us.
refer to
Xiao Liang. Influence of nursing intervention on patients in gastroenterology [J]. Medical Information (Journal of Zhongxun), 20 1 1(05).
[2] Tan Guangxiu. Nursing experience of peptic ulcer [J]. Jilin medicine, 20 10(03).
[3] Yang Fengxiang, Li Mei, Wang Guirong. Effect of comprehensive rehabilitation nursing on psychological state and quality of life of patients with peptic ulcer [J]. PLA Nursing Journal, 2008( 13).
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