Nursing treatment of malignant liver cancer What are the treatment methods? Introduction to nursing methods for patients after liver cancer surgery

What are the treatment methods for malignant liver cancer?

Nursing for malignant liver cancer: Liver cancer patients are usually depressed, fearful, anxious, pessimistic, disappointed, and lose confidence in treatment. According to the psychological characteristics and cultural quality of patients, we use words that are easy for patients to accept to provide them with patient and meticulous psychological counseling and spiritual comfort, and explain the general process of the operation to patients.

Possible discomfort symptoms after surgery, and we will take corresponding nursing measures for the symptoms, so as to win the trust of patients, reduce their nervousness and fear, enhance their confidence in overcoming the disease, and enable patients to actively accept treatment and care in the best mental and psychological state. Systemic preparation: patients with poor coagulation function and hypoproteinemia should be supplemented with fresh frozen plasma and albumin before surgery. Gastrointestinal preparation: low-fat diet, patients should not eat or drink for several hours before surgery, and patients who are sensitive to anesthetics should be prevented from nausea and vomiting during and after surgery.

Preparation of intravenous access: Because patients undergoing liver cancer radiofrequency ablation in the catheterization room are given intravenous anesthesia, during the operation, patients need to lie flat or sideways with their hands on their heads to fully expose the radiofrequency site. Therefore, before being sent to the catheterization room, an intravenous catheter should be placed in the left hand to facilitate drug administration during the operation. General care: After the treatment, immediately change the wet bedding for the patient, let the patient rest in bed for 30-60 minutes, and closely observe the condition. If there is no discomfort, the patient can be sent back to the ward on a flatbed and absolutely rest in bed for 24 hours. Continue to observe changes in blood pressure, pulse, respiration and abdominal signs, monitor for signs of bleeding with an electrocardiogram, and ask the patient if he or she has pain or worsening pain. Prevent skin burns: Closely observe the color of the local skin for signs of skin burns such as redness, swelling, pain, and blisters. If abnormalities are found, timely symptomatic treatment should be given. Nursing for complications: Observe changes in the condition at any time, such as bleeding and infection at the puncture site, such as bleeding and infection at the puncture site, mainly manifested as abdominal pain, abdominal distension, decreased blood pressure, hemorrhagic shock, fever, abdominal muscle tension, intestinal leakage and bile leakage are mainly manifested as peritoneal irritation signs. When the patient is discharged from the hospital, detailed instructions should be given to the patient to maintain a stable mood and an optimistic attitude.

How should patients be cared for after liver cancer surgery?

Liver cancer surgery is the most effective method for treating liver cancer. The nursing care after liver cancer surgery is very important for the patient's recovery. Therefore, patients should correctly understand the nursing methods after liver cancer surgery. So what are the nursing methods after liver cancer surgery? Let's take a look at it together.

Postoperative care for liver cancer:

1. Psychological care: Since the friction between the surgical incision and the drainage tube can cause pain, it will cause physical pain to the patient. According to the doctor's advice, the analgesic pump should be used continuously, and the effect of the medication should be observed and recorded. Psychological counseling can be carried out according to the patient's psychological and cultural qualities, and spiritual comfort can be given to build confidence in overcoming the disease. Cough, take a deep breath, press the incision with your hands, and properly fix the drainage tube to prevent the pain caused by the drainage tube moving back and forth.

2. Respiratory tract care: Due to the large surgical trauma, elevated diaphragm and limited respiratory movement, if the patient has difficulty coughing or expectorating, nebulizer inhalation can be given twice a day. After each nebulizer inhalation, the patient should be turned over in time and tapped on the back. The patient should be instructed to press the incision with both hands, take a deep breath and cough, and be encouraged to cough up the phlegm.

3. Diet care: Generally fast for 3 days. After the intestinal peristalsis is restored, full flow → half flow → normal diet is given. Due to liver function impairment, loss of appetite and poor nutritional status, nutritional support should be given. When the patient can eat, guide the patient to choose some high-calorie, appropriate amount of high-quality protein, high-vitamin, low-fat, low-sodium, and easily digestible food. Eat small meals frequently as the basic principle, avoid raw, cold and hard food, and measure the patient's weight regularly to understand the nutritional status.

4. Diet adjustment: Eat a light diet at regular times and in regular amounts, with an appropriate amount of high-quality protein, high-calorie, vitamin-rich, low-fat food. Avoid fried, raw, cold, spicy and other irritating foods. Eat more fresh vegetables and fruits, and quit smoking and drinking.

5. Cleaning and care: Because drainage tubes, retained catheters, malnutrition and excessive sputum can be potential risks of infection, skin care should be strengthened, the whole body should be scrubbed with warm water several times a day, the mouth and perineum should be kept clean, the bed should be kept clean and dry, and the bed sheets and hospital gowns should be changed once a day. Oral care should be strengthened during fasting. When changing dressings, treatment and care, aseptic operation procedures should be strictly followed to cut off the infection route.

6. Keep your emotions stable: Traditional Chinese medicine believes that "anger hurts the liver". Try to avoid mental stress and emotional excitement, stay in a good mood, cooperate with all treatments and care with a positive and optimistic attitude, and recover as soon as possible.