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目的通过对患者手术前的健康教育,围手术期的护理、患者及其家属出院时的健康指导,使病人安全度过危险期。方法手术前对患者进行健康教育和准确的评估,手术后仔细观察患者的病情变化,以及并发症的护理,同时加强工作人员和家属的防护,及时对患者和家属做好出院后如何进行必要的防护指导,避免放射源的污染。结果 18例粒子植入内放疗术患者主要并发症是尿频、尿急,血尿,会阴部疼痛及便血。全部患者给予手术前充分的心理指导,准确的护理评估,全面的健康教育,手术后细致的病情观察,出院前进行健康指导,使患者安全的度过围手术期并能顺利出院。结论经直肠超声引导下经会阴穿刺前列腺~(125)I粒子内放疗术创伤小,并发症少、住院周期短。护理人员细致,耐心的围手术期护理及健康教育,争取患者及家属在住院期间的大力配合,可提高患者顶后。
Objective To make patients safely out of danger through health education before perioperative surgery, perioperative nursing, and health guidance of patients and their families upon discharge from hospital. Methods Before the surgery, the patients were given health education and accurate assessment. After the operation, they carefully observed the patient’s condition and the nursing of the complications. At the same time, they strengthened the protection of the staff and their family members and promptly discharged the patients and their families to the hospital after necessary Protective guidance to avoid contamination of radioactive sources. Results The main complications of 18 patients receiving intra-radiotherapy were frequency of urination, urgency, hematuria, perineal pain and blood in the stool. All patients were given adequate psychological guidance before operation, accurate nursing assessment, comprehensive health education, careful observation of the disease after surgery, health guidance before discharge, safe perioperative perioperative period and smooth discharge. Conclusion Transrectal ultrasound-guided perineal puncture prostate 125 I particle radiation therapy is less traumatic, less complications, short hospital stay. Nursing staff meticulous and patient perioperative nursing and health education for patients and their families in the hospital during the strong cooperation can improve the patient’s back.