Guidance on health care in gastric cancer patients before and after application.docVIP

 PAGE \* MERGEFORMAT 7 Guidance on health care in gastric cancer patients before and after application Of: Yu-Wen Liu Chen Ling Ran Zhang Lianxiang [Keywords:] gastric cancer surgical care health guide Most patients with gastric cancer associated with weight loss, malnutrition, depression, despair, loss of confidence in treatment, the success rate of surgery [1]. Provide timely and effective preoperative and postoperative health guidance to help patients through the surgery successfully shut , and can get the best treatment .2006-2008, we reasonably gastric cancer surgery health guidance, received good results, now experience health guidance below. 1 Preoperative health guidance 1.1 psychological guidance Patients on admission to hospital and ward environment introduced in charge of doctors, nurses, the situation in layman’s language to explain the knowledge, indicating the need for surgical treatment, importance, and cure rate, descriptions of the preoperative preparation (fasting, indwelling stomach tube and the catheter, skin preparation, with blood, skin test, enema, stomach) the purpose and importance of the family members to help guide patients to reduce anxiety and increase confidence in the treatment, eliminating fear, sadness, peace of mind to treat disease. 1.2 dietary guidance Explain to patients the importance of nutrition to increase in order to obtain the cooperation of patients, and patients and their families to develop dietary programs, understand the patient’s eating habits, guidance, encourage patients into high-protein, high calorie, high in vitamins, digestible, bland liquid or semi-liquid food, such as the bowl of soup, milk, broth, soup, vegetable juice. Eat small meals often, 3 ~ 4 h 1 times per 200 mL. preoperative diabetic diet and insulin control of blood glucose in 7.28 ~ 8.33 mmol / L between the urine (+-~+, elderly patients with diabetes, controlling blood glucose targets can be relaxed to ≤ 9.44 mmol / L,