子宫肌瘤英语查房教案.ppt

九、Nursing护理 Nursing assessment护理评估 Childbearing history, menstrual history history, whether there is a history of abortion, infertility, long-term use of estrogen, drug therapy病史 月经史、婚育史，是否有不孕、流产史、长期服用雌激素、药物治疗 Physical assessment身体评估 Symptom症状：Menstruation, anemia symptoms, vaginal discharge, the size of the situation月经、贫血症状、阴道分泌物、大小便情况；There is no assessment of backache, abdominal bulge, abdominal pain评估有无腰酸、下腹部坠胀、腹痛。Observe whether the dizziness, weakness观察有无头晕、虚弱。Signs体征：Abdominal lumps the size and nature腹部块状物大小及性质；Uterine size, texture, etc子宫大小、B super, curettageB超、诊刮 Social psychology心理社会方面：Psychological impact, married life, role function心理影响、夫妻生活、角色功能 九、Nursing护理 Nursing Diagnosis护理诊断 Infection感染 Malnutrition营养失调 Lack of knowledge知识缺乏 Anxiety焦虑 Self-image disorder自我形象紊乱 九、Nursing护理 Nursing goal护理目标 Infection control感染得到控制 Anemia was corrected, nutritional status improved贫血得到纠正，营养状况改善。 Knowledge of patients with uterine fibroids and their health care病人获得有关子宫肌瘤及其健康保健知识。 Reduce the patients anxiety, increased physical and psychological comfort患者的焦虑减轻，生理和心理上的舒适感增加 Adapt to the life style适应术后的生活方式 九、Nursing护理 Nursing measures护理措施 Psychological nursing心理护理 Provide knowledge of disease and help patients and their families to understand the disease.提供疾病知识，帮助病人及家属正确认识疾病 Emphasizes periodic review, the strict sense of medication强调定期复查、严格用药的意义 Observation of vaginal secretions, keeping the vulva clean dried观察阴道分泌物，保持外阴清洁干燥 Condition observation, symptomatic care病情观察，对症护理 Perioperative nursing围手术期护理 九、Nursing护理 Preoperative preparation术前准备 Skin preparation备皮 Cross matching blood合血 Perineal douche vaginal lavage, vaginal packing 会阴冲洗 阴道灌洗上药、阴道填塞 Bowel preparation肠道准备 Set catheter surgery术中置尿管 Calm sleep镇静入眠 Basic anesthetics基础麻醉药 九、Nursing护理 Postoperative care术后护理 Strict shift严格交接班：Anesthesia and surgical procedures, intraoperative conditions, medication, etc.麻醉及手术方式、术中情况、用药等 Orthostatic体位：The latter supine supine 6h平卧6h后半卧位 Observation of vital sign