The psychological characteristics of 1
1. 1 Some patients with anxiety and irritability are too worried about their illness, eager for success, and have doubts about various treatment methods circulating in society (such as extracorporeal lithotripsy and drinking Paishi decoction).
1.2 The formation of gallstones due to emotional instability is a long-term process, and long-term recurrent attacks have an impact on daily life and work, making people feel irritable.
1.3 psychological endoscopy technology for surgical treatment of lack of confidence is a new product gradually developed since the 1990s. Many people still don't understand it, but they just have a vague concept and doubt about the surgical effect and the technical level of the operator. At this time, it is necessary to stabilize the patient's psychological state and mood, help him to establish the confidence of surgical treatment, and carry out all-round treatment according to the doctor's advice to make him recover as soon as possible [1].
2 Health education
In view of the current situation that patients with cholecystolithiasis in China have insufficient understanding of endoscopic techniques, we should actively carry out health education, increase relevant health care knowledge, change observation and attitude, and then consciously take effective measures to promote health.
2. 1 Communication with patients (1) Communication with patients with gallstones is an effective way of health education. By talking with patients, we can know their age, cultural background and long-term living habits, and make a detailed evaluation. (2) Non-verbal communication refers to communication with expressions, eyes, postures and movements. It is more important for medical staff to understand patients' pain and anxiety and sincerely help and support patients to improve their mentality, confidence and health, because every move of medical staff has a great influence on patients, and good use can get twice the result with half the effort.
2.2 Health education related to laparoscopic cholecystectomy
2.2. 1 Give health education lectures regularly. When introducing patients to the hospital, inform patients of the time, place and content of health education, and explain its importance. There will be someone in charge. The notice, handwriting and location will be eye-catching in the publicity document of the previous day. On health education day, patients and speakers should be warm and generous, the language should be easy to understand and the content should be comprehensive.
2.2.2 Preoperative health education (1) Pre-operative skin preparation: patients should wash their skin, take a bath and change clothes on the first day of operation, but to prevent colds, nurses will go to the ward to make trouble.
The surgeon shaves off the hair in the operation field, which makes the skin disinfection more thorough during the operation, and the surgical field of vision more clear, effectively preventing the wound infection of the operator's hand. Female patients pay special attention to the cleanliness of perineum when lying in bed after operation to prevent urinary tract infection. (2) preoperative intestinal preparation: eat a light, low-fat and digestible diet one day before operation, and don't eat too much. Fasting and drinking water after sleeping late before operation to prevent reflex vomiting caused by excessive undigested food accumulated in the gastrointestinal tract on the day of operation, which will affect the surgical vision and the recovery of intestinal function after operation. (3) Inserting gastric tube from nasal cavity before operation: it is mainly used to suck out vomit when patients vomit during operation to prevent suffocation. Explain the purpose for patients, eliminate their fear, guide the matters needing attention when inserting gastric tubes, and obtain their active cooperation, so as to proceed smoothly.