Key points for nursing care of patients after esophageal cancer surgery

Surgery is the first choice for treating esophageal cancer. According to the actual situation of the patient, radical resection of the tumor usually requires resection of most or even all of the esophagus, which causes great damage to the patient. Therefore, after the operation, medical staff and the patient's family should pay attention to the following care:

1. Strengthen basic nursing care

Take good care of the patient's oral cavity and skin, and strictly follow the aseptic operation when performing various nursing operations. In addition, elderly patients with esophageal cancer are blocked from eating before surgery, their body resistance is weak, and they fast after surgery, which reduces their nutritional intake. Therefore, attention should be paid to strengthening nutritional support after surgery, using intravenous nutrition drip to improve the patient's resistance and promote wound healing.

2. Strengthen disinfection and isolation of living environments

Disinfection and isolation of the wards where patients after esophageal cancer surgery live is one of the important means to control the occurrence of hospital infections. The air is disinfected with ultraviolet rays every day, and the ground is disinfected with a 1:200 chlorine-containing disinfectant. Windows are opened frequently for ventilation to keep the indoor air circulating and fresh. When opening windows in winter, attention should be paid to keeping the patients warm, and attention should be paid to controlling the flow of people in the ward, and regular air disinfection and bacterial monitoring should be carried out.

3. Pay attention to health education

Nursing staff should provide psychological care for patients before surgery, and provide more preoperative health education for elderly patients, such as no smoking, light diet, maintaining smooth bowel movements, paying attention to oral hygiene, practicing urination and defecation in bed, etc. After surgery, more care and comfort should be given to patients, and various discomfort symptoms of patients should be dealt with in a timely manner.

4. Rational use of antibiotics

Detect the patient's infection symptoms in time, use antibiotics preventively for the elderly and patients with low immunity, do more bacterial cultures for infected patients, and use antibiotics rationally based on the bacteria and drug sensitivity results to reduce the patient's physical and mental pain and economic burden, and reduce the source of hospital infection.