Nursing care for patients after endometrial cancer surgery

The psychological care of patients with endometrial cancer is the focus. Patients with endometrial cancer should also pay attention to their diet and take special care of themselves. It is necessary to understand the manifestations of endometrial cancer, reduce the harm of the disease to patients, and help detect endometrial cancer at an early stage. What are the main nursing measures for endometrial cancer?

1. To calm patients’ fears, non-technical language should be used as much as possible so that patients can understand, help them reduce their anxiety and fear about the disease and surgery, build their confidence, and actively cooperate with treatment and care.

2. General care should strengthen nutrition and provide a high-calorie, high-protein, and high-vitamin diet.

3. Surgical patient care

(1) Preoperative care should include routine preparation, including visceral function examination and skin preparation.

(2) Patients should be advised that surgery is the treatment of choice and that laparotomy should be performed as long as the patient's general condition can tolerate it and there are no contraindications to surgery.

Patients in the early stage generally undergo total hysterectomy and bilateral adnexectomy. Stage II patients should undergo extensive total hysterectomy and bilateral pelvic lymph node dissection. For patients in stage Ia, if cancer cells are found in the ascites or deep muscle layer is infiltrated, and lymph node metastasis is suspected or positive, external irradiation should be added after surgery, using 60CO or linear accelerator external irradiation.

For patients with stage Ib uterus larger than 2 months of pregnancy, stage III and some stage IV patients can be irradiated before surgery or intracavitary irradiation with 137Cs, 192Ir, etc. Surgery can be performed within 1 to 2 weeks after the end of radiotherapy.

4. Nursing care for hormone and other drug treatments

(1) Progestin therapy can be considered for patients with advanced cancer, recurrent cancer, those who cannot undergo surgery, or young patients with early stage cancer who wish to preserve their fertility. Generally, the dosage is high, such as 200-400 mg/day of medroxyprogesterone acetate and 500 mg/day of progesterone acetate. It takes at least 10-12 weeks to initially evaluate the effect. During treatment, it is necessary to pay attention to observe side effects. Generally, side effects are mild and can cause water and sodium retention, edema, and drug-induced hepatitis. Patients should be told that they will gradually improve after stopping the medication.

(2) Patients treated with tamoxifen should pay attention to the side effects of the drug, such as hot flashes, chills, and menopausal syndrome, as well as bone marrow suppression. A small number of patients may experience vaginal bleeding, nausea, and vomiting. If any side effects occur, they should report to the physician. Tamoxifen is a non-steroidal anti-estrogen drug, usually taken orally at a dose of 20 to 40 mg/day. It can be used for a long time or for a course of treatment.

5. Chemotherapy drug treatment nursing is based on routine chemotherapy nursing, which is often used in advanced cases that cannot undergo surgery, radiotherapy, or relapse after treatment. Commonly used drugs include 5FU, CTX, MBC, etc.

6. Traditional Chinese medicine treatment nursing should follow the requirements of Fushan Shen series of anti-cancer preparations of Hebei Fushan Traditional Chinese Medicine Cancer Hospital, and patients should be required to take the medicines regularly without interruption.

7. Cancer prevention knowledge should be popularized to outpatients, especially those with high-risk factors, or menopausal women with menstrual disorders and postmenopausal women with irregular vaginal bleeding, who should be given high attention.

Generally speaking, after the treatment of the disease, it is best to regulate it with professional Chinese medicine. The conditioning effect of Chinese medicine is very good, especially for early patients. The effect is very obvious, mainly reflected in two aspects: one is to prevent recurrence, and the other is to help patients recover quickly.