Hospitalization nursing: Nurses should warmly receive patients, introduce the hospitalization environment, responsible nurses and attending doctors in detail, and eliminate patients' fear and strangeness.
Pay attention to protect the condition: patients with acoustic neuroma with nerve paralysis should pay attention to diet, drinking water temperature and washing water temperature to avoid scalding patients; Deafness and uncoordinated movements should help patients with daily life (including going to the toilet, washing, eating, etc.). ) to avoid hurting patients.
Closely observe the condition: mainly observe the headache of patients with acoustic neuroma, and report to the doctor if there are symptoms of increased intracranial pressure, such as aggravated headache, vomiting and diplopia, so as to treat them in time.
Psychological nursing: Because the tumor grows in the position of cerebellopontine angle, patients with acoustic neuroma have unilateral facial paralysis, eyelid insufficiency, drooling and so on. Postoperative patients are prone to anxiety, nervousness, irritability and other emotions. Therefore, it is necessary to patrol wards more, communicate with patients at any time, carry out publicity and education, and strive for patients' active cooperation.
Preventive measures of acoustic neuroma
Preoperative preparation
Patients with acoustic neuroma should take a bath one night before operation, prepare skin and match blood, do antibiotic skin test according to the doctor's advice, and fast water after 12 in the afternoon.
postoperative care
(1) The acoustic nerve tumor is located in the posterior cranial fossa and cerebellopontine angle, close to the brain stem, and its anatomical relationship is complex and important. The operation is difficult and time-consuming. Therefore, it is the key to closely observe the changes of patients' consciousness, pupils and vital signs after operation. Especially the changes of breathing and consciousness are the most important.
(2) Facial nerve, trigeminal nerve injury, eyelid dysfunction and corneal ulcer are easy to occur after operation, and in severe cases, there is a risk of blindness. Drop eye drops and ointment, wear an eye mask, and even inform the doctor to do eyelid suture to protect the cornea.
(3) People with trigeminal nerve injury lose facial sensation, so they should prevent burns when eating.
(4) If the pharyngeal reflex is weakened or disappeared, dysphagia, cough weakness and expectoration may occur. Patients with acoustic neuroma should be helped to turn over and knock on their backs on time, suck sputum at any time, and do atomized inhalation regularly to prevent respiratory obstruction and pneumonia.
(5) Do a good job of gas cutting nursing after tracheotomy.
(6) When patients with acoustic neuroma have lateral herpes zoster after operation 1 week, apply ointment according to the doctor's advice to prevent secondary infection.
(7) Patients with posterior cranial nerve injury are often accompanied by hoarseness and choking cough. After operation, they are temporarily fasted for 3 days and given nasal feeding diet if necessary to prevent choking and aspiration.
Qu Yan, director of the Department of Neurosurgery, Tang Dou Hospital of the Fourth Military Medical University, reminded that acoustic neuroma is located in an important position in the brain, and the operation is difficult and time-consuming. Therefore, family members must pay attention to it before and after the operation, and comfortable nursing can sometimes alleviate the condition!