皮质醇增多症患者53例的临床护理问题探究和实践

Study and Practice on the Clinical Nursing Problems of 53 Patients With Hypercortisolism

目的探讨在治疗皮质醇增多症患者过程中存在的护理问题,从而改善护理方法。方法选取我院2014年1月~2014年10月53例皮质醇增多症患者为研究对象,对比护理前后的病情状况。结果 53例皮质醇增多症患者同时产生多种病症,其中45例患者体象失调,38例患者精神状况不佳,47例患者有不同程度的并发症产生,28例患者感染,12例患者骨质改变。结论针对不同患者采取相应的护理措施。若患者有自残倾向,应采取有效的防护措施;若患者出现焦虑、抑郁等消极心理,应及时做好心理疏导;若患者严重高血压等疾病,避免出现脑血管意外等并发症;若患者自身抵抗力弱,应做好防感染措施;针对骨质疏松患者,嘱咐其不要进行剧烈运动,以免摔伤,并做好静脉采血工作。

Objective To explore the nursing problems in the treatment of patients with hypercortisolism,and to improve the nursing methods. MethodsSelected the patients in our hospital from January 2014 to October 2014,53 cases of patients with hypercortisolism studies the condition of the patients before and after nursing. Results 53 cases of patients with hypercortisolism increased by a variety of diseases,including 45 cases of patients with body disorders,38 cases of patients with poor mental condition,47 patients had different degrees of complications,28 cases of patients with infection,12 cases of bone change. Conclusion The corresponding nursing measures are taken for different patients. If the patient has a tendency to self mutilation,should take effective preventive measures,if the patients suffered from anxiety,depression and other negative psychological,should be timely do psychological counseling,if patients with serious diseases such as hypertension,avoid appear the complication such as cerebrovascular accident,if the patient＇s own weak resistance should be good measures to prevent infection,for patients with osteoporosis and asked them not to strenuous exercise,lest hurt,and do a good job of work of venous blood.