Psychological care experience in the application during cesarean section


80 years in carrying out some of our hospitals, modern medical research shows that people's mental activity and human physiological function between intrinsically linked. Observations by this group shows that psychological care for cesarean section women can play an active rehabilitation, promote lactation. Cesarean section women in the preoperative, intraoperative and postoperative varying degrees of fear, anxiety, tension, postoperative pain, do not want to breast-feeding, resulting in psychological and physiological stress response, a strong reaction to the mental, psychological, endocrine cycle system to produce hyperthyroidism, the metabolism increased,ugg boots norge, oxygen consumption increased, immune function, decreased lactation rate, reduced milk, so after the preoperative psychological care should be given to relieve the psychological burden of patients to obtain the patient's trust and cooperation, should be reduced shock response, and enhance the confidence of the patient through the operative delivery, emotional stability, to ensure adequate milk, physical and mental health, health satisfactory to the early discharge, while in a market economy, so that the people-oriented full-service, increased patient emotional improve the quality of care. Win the market, I think that psychological care should be in primary hospitals. Fractures in patients with diabetes care intervention Zibo City, Shandong Province,ralph lauren online, the First Hospital of Orthopaedics (255200) Liuai Qin Zhou Haiying Guoyan Xia Wei Yanli fracture surgery and postoperative diabetes increased the risk, especially in some elderly patients is often associated with respiratory and circulatory system diseases, so preoperative and postoperative care intervention. Is to reduce the complications of an important part of this paper summarizes diabetes patients 8o cases of fracture care before and after surgery intervention, no case of delayed wound healing, receive good clinical results. 1 Clinical data 80 cases, 52 males and 28 females, aged 20 to 88 years. Types of fractures: 62 cases of limb fractures, spinal fractures l8 cases of elective surgery in 45 cases, emergency surgery in 35 cases, admission blood glucose fluctuations in the 13.3 ~ 23.5retool, one type of incision in 69 cases, two types of incision in 8 cases, three type incision in 3 cases. 2 Preoperative Care nursing intervention 2.1 2.1.1 The psychological care to prepare the psychological burden of patients, blood glucose, blood pressure fluctuations ... 1. The fractures are mostly accidental injury, an urgent requirement as soon as possible after admission in patients with surgery, but with diabetes, blood glucose control to be stable in operation, which is even more heavy psychological burden of patients, so nurses should be ready to explain patiently, made it clear that high blood sugar the impact of surgery, possible consequences and complications, to obtain the patient to understand and maintain emotional stability,ralph lauren home, with the treatment and care. 2.1.2 The control of blood glucose and blood glucose levels in diabetic patients the incidence of surgical complications was positively correlated with ... 1. As part of the type Ⅱ diabetic patients showed only postprandial hyperglycemia, therefore, should be routinely measured 2h postprandial blood glucose, blood glucose levels strictly controlled before surgery. 2.1.2.1 diet control diabetes need to control diet, limit sugar intake, into the high-protein, low fat, low sugar diet, and supplement with fiber tangled rich vegetables, fruits,abercrombie deutschland, prevent constipation, blood glucose control in 5.56 ~ 11.12mmolA-. , Urine (+)~( Shi Shi) [. 2.1.2.2 Control of drug injection in patients with oral hypoglycemic drugs or insulin tangled, daily check blood sugar, urine sugar, electrolytes, medication to prevent the occurrence of low blood sugar, insulin pump to accurately tangled dose, injection time, injection of 30 minutes in time to eat, according to blood sugar, urine sugar change to adjust the amount. Start the morning the day of surgery, the normal total islet tangled after subcutaneous injection of 1 should be 30 minutes, start intravenous 10% GS500n11. Continue to enter surgery, and blood glucose changes. 2.1.3 preoperative skin preparation strict skin preparation, but prevent cut through the skin. Necessary, the operative field the skin disinfected with 2% iodine, 75% iodine alcohol bandage with sterile towel. 2.2 Postoperative care 2.2.1 Daily inspection of incision observed temperature changes, such as body temperature 38.5E above. Should check the blade, and if prompted to infection,abercrombie outlet, should be promptly removed some sutures, debridement and drainage, but not removal of all sutures, or wound dehiscence is easy to delay the healing time. In addition, infrared radiation can be combined with local, strengthening medication, and strict aseptic technique, to keep dressings clean and dry. 2.2.2 In addition to drug treatment after application of anti-infective drugs, should continue to apply hypoglycemic drugs, while paying attention to sodium, potassium supplement, to maintain electrolyte balance. 2.2.3 to prevent complications due to high blood glucose. The patient's skin to reduce resistance to pressure and increased sensitivity to various stimuli, especially some elderly patients, should actively prevent bedsores from occurring, keep beds flat and dry skin clean, timing stand massage pressure areas. Encourage patients to cough and deep breathing, prevention of pulmonary complications, to encourage patients to drink more water, the prevention of urinary tract infection. 2.2.4 diet therapy in patients with trauma fracture after large stable base in the blood sugar