With the establishment, perfection and popularization of multidisciplinary expert team and disease-based joint diagnosis and treatment
With the establishment, perfection and popularization of multidisciplinary expert team and disease-based joint diagnosis and treatment mechanism, patients with various hepatobiliary diseases will get the best systematic treatment. The following is what I collected for you. Welcome to read the reference!
Discussion on nursing methods of hepatobiliary surgery
There are many requirements and precautions in clinical nursing work for patients with hepatobiliary surgery, so it is difficult and the nursing work is heavy, and there are certain risks in the nursing process. If the quality of hospital nurses is not high, it will aggravate the risk problem in the nursing process. Medical accidents and nursing disputes in hepatobiliary surgery are often caused by nurses' quality problems, medical equipment problems and environmental problems. Therefore, hepatobiliary surgery should pay attention to risk management and treatment, avoid medical disputes in hospitals as much as possible and improve nursing quality.
Hepatobiliary surgery; Nursing methods; Risk analysis
The development of society has brought great changes to people's lives. People's life requirements are getting higher and higher, and more and more attention is paid to the quality of life. They come to the hospital for treatment when they are sick, and the requirements for nursing services are stricter, so the pressure on nursing services is increasing. At present, the quality of hospital nurses is uneven, and some nurses lack the awareness of nursing safety, which leads to the unsatisfactory quality of patient care. In addition, due to the influence of equipment and environment, the nursing quality of hepatobiliary surgery has never been improved, and the work of nurses has also been affected. In this paper, the nursing methods of patients with hepatobiliary surgery were simply analyzed, which provided some help for clinical nursing service and made the nursing work more perfect.
1 problems existing in nursing of hepatobiliary department
1. 1 Problems of nursing staff The nursing work of hepatobiliary surgery is rather heavy, and the pressure of nursing staff is relatively great. Nursing staff are faced with some critically ill patients, and there will be complications at the same time, so it is not easy to care. Some nurses are not fully aware of their thoughts, have no awareness of nursing safety, are careless in their work, and are prone to make mistakes, which leads to patients' dissatisfaction. However, due to the influence of work pressure and environment, nurses are prone to have emotions when facing patients' dissatisfaction, which leads to patients' complaints and nurse-patient disputes. There is also the limited level of nursing staff, unfamiliar operation, which has an impact on patient rescue, or the use of drugs is not flexible enough, resulting in the quality of nursing being criticized by patients.
1.2 The patients in hepatobiliary surgery are seriously ill and need to be hospitalized for a long time, and their psychology will be agitated and anxious. In addition, the current high legal awareness of the general public has also led to a direct increase in the number of nursing complaints. If there are problems in nursing work, patients and their families will persevere, so disputes are often difficult to avoid.
1.3 problems in medical devices and nursing management; problems in medical devices and management lead to problems in the quality of nursing service. The medical devices in the hospital are not maintained and repaired in time, which leads to problems in use and affects medical services. This is the performance of poor hospital management and imperfect system. Nurses are not trained to solve unexpected problems, which leads to their incompetence in nursing work.
1.4 social problems the new medical reform has a certain impact on medical staff. In addition, the current medical technology is advanced, and medical risks always exist. Therefore, it is difficult to obtain the complete satisfaction of patients and their families, and problems and conflicts between nurses and patients exist more or less.
2 nursing countermeasures
2. 1 Nurses should strengthen their sense of responsibility and improve their professional skills. Nurses can't do nursing well without a sense of responsibility. Strengthen the professional ethics education of nursing staff, improve the sense of responsibility of nursing staff, and think of patients in everything. We should not only do a good job in their physical care, but also give them more psychological comfort and care to eliminate their bad emotions.
2.2 Do a good job of nursing drainage tube in hepatobiliary surgery, which is a key issue. Choosing a suitable drainage tube can also improve the curative effect and effectively reduce the complications of patients. The rehabilitation of patients undergoing hepatobiliary surgery is directly related to the nursing of drainage tube. Pay attention to the following issues when nursing drainage tubes:
2.2. 1 Nurses should operate in strict accordance with aseptic technique, and the height of drainage tube should be lower than the exit plane to avoid the infection of patients caused by retrograde reflux.
2.2.2 The position of the drainage tube should be fixed to avoid twisting, squeezing and folding.
2.2.3 Carefully observe the color, quantity, taste and quality of drainage fluid, which generally turns red at the initial stage of operation and yellow at the later stage. If the color is unclear and the clear fluid is abnormal, it means that the patient's physical condition is abnormal, and the doctor should be informed immediately. If the amount of drainage per hour is more than 50 ml and it turns red for three consecutive hours, it is abnormal. However, if the drainage volume suddenly decreases and the patient has fever and abdominal distension, it is necessary to check whether the drainage tube is blocked or falls off immediately.
2.2.4 Treat patients with enough patience, listen carefully to patients' complaints, and carefully evaluate the causes and nature of patients' pain.
3 Conclusion
Nursing work has high risk, because it is related to the patient's condition and recovery, and even to life safety. Without a strong sense of prevention, nurses are prone to job burnout, unable to solve problems in their work in time, unable to enrich their professional knowledge and improve their skills in their leisure time, resulting in the quality of nursing failing to keep up with the development of medical care and society. Nurses need to learn to summarize and reflect on themselves, and find and solve problems through summary and reflection, so as to improve the quality of nursing.
refer to
Li Hongying. 100 psychological care of patients undergoing hepatobiliary surgery [J]. China Journal of Misdiagnosis, 201,17.
[2] Miao Qing, Yang Xiaoli. Clinical application of psychological nursing technology [J]. China Community Physician Medical Semimonthly, 2008, 18.
[3] Yao Qiuai. Effect of group health education on patients' preoperative stress response [J].*** Journal of Nursing, July 2006
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