消化性潰瘍病英文版護(hù)理課件

EnglishversionofnursingcoursewareforpepticuOverviewofpepticulcerdiseaseTreatmentofpepticulcerdiseaseNursingcareforpepticulcerdiseasePreventionandhealtheducationofpepticulcerdiseaseThelatestresearchprogressonpepticulcerdiseasecontents目錄01OverviewofpepticulcerdiseaseDefinitionPepticulcerdisease(PUD)isaconditioninwhichtheliningoftheStomachorDuodenumisencodedbyacidandpepsin,resultinginpainanddiscomfortClassificationPUDcanbeclassifiedaseithergasordualULCER,dependingonthelocationoftheULCERDefinitionandclassificationThecausesofPUDaremultifactorial,includingHelicobacterpyloriinfection,excessivegastricacidsecretion,useofnonsteroidalantiinflammatorydrugs(NSAIDs),andstressEtiologyThepathophysiologyofPUDinvestmentsanimbalancebetweenaggressivefactors(acidandpepsin)anddefensivefactors(mucus,bicarbonate,andbloodflow)intheStomachandDuodenumPathophysiologyEtiologyandpathophysiologyClinicalrecommendationsTheclinicalrecommendationsofPUDincludeepicpay,belching,bloating,nausea,invoicing,weightloss,andgastrointestinalbleedingDiagnosisThediagnosisofPUDisbasedonsymptoms,physicalexamination,endoscopy,andhistopathologicalexaminationClinicalpresentationsanddiagnosis02TreatmentofpepticulcerdiseaseDrugtherapyAntacidsUsedtoneutralizestochasticacidandrelatedsymptomsofheartburnandacididentificationH2blockersInhibittheproductionofacidinthestockbyblockingtheactionofamine,achemicalthatstimulatesacidsecretionPPIs(ProtonPumpInhibitors)CompletelyblocktheproductionofacidintheStomachbyinhibitingtheprotonpumpsresponsibleforacidsecretsAntibioticTherapyMaybeusedtotreatHelicobacterpyloriinfection,whichisacommoncauseofpepticulcerdiseaseEndoscopicbiopsyTodiagnosepepticulcerdisease,endoscopyallowsvisualizationoftheStomachandbiopsysamplingofsuspiciousissueUsedtostopblendingfrompepticulcersbycomputerizingtheblendingvesselwithheatoranelectricalcurrentAtechniquethatusesmetalclipstocloseoffblendingpepticulcersandpreventfurtherblendingInsomecases,astemmaybeplacedtokeeptheulceropenandallowittoheatproperlyEndoscopiccomputerizationEndoscopicclippingStentplacementEndoscopictherapyRemovetheaffectedportoftheStomachandofteninvolvecreatinganewStomachtouchtoreplacetheremovedportRemovetheentirestoneandoftenrequirereconstructionofthedigestivetractSurgicaltreatmentTotalgastronomyPartialgastronomyIncludeschangesindie,smokingtreatment,andstressreductiontechniquestohelpmanagesymptomsandpromoteulcerhealingLifestylemodificationsSomepatientsmayseekcompletionandalternativetherapiesasprobiotics,insurance,ortraditionalChinesemedicinetomanagetheirsymptomsComprehensiveandalternativetherapiesOthertreatments03NursingcareforpepticulcerdiseaseMentalnursingAssistpatientsindevelopingpositivecopingstrategiestodealwiththestressofhavingachronicIllnessEnhancepositivethinkingandcopingstrategiesAssesspatients'mentalstateandprovidecomfortandsupporttohelpthemovercomeanxietyandfearProvidecomfortandsupporttopatientsHelppatientsidentifyandmanagestressthatmaytriggerorexacerbatetheirsymptomsInstrumentpatientsonhowtomanagestressAdvisepatientsonabalanceddieEncouragepatientstoeatabalanceddiethatincludeswholegrains,fruits,vegetables,leanprotein,andhealthyfatsInstrumentpatientsonhowtoavoidtriggersInformpatientsaboutfoodanddrinksthatmaytriggerorexaggeratetheirsymptomsandprovideguidanceonhowtoavoidthemMonitorandadjustdieasneededAssesspatients'dietaryintakeandmakenecessaryadjustmentstotheirdietomeettheirnutritionalneedsDietarycareAssessandmanagepayRegularlyassesspatients'paylevelsandprovideappropriatepaymanagementstrategies,suchasmedicine,relaxationtechniques,oralternativetherapiesInstrumentpatientsonhowtomanagepaintEducatepatientsonhowtorecognizeandmanagetheirpaint,includinghowtousepaintmedicalpropertyandwhentoseekmedicalattentionMonitorforsignsofadditionortoleranceBeawareofthesignsofadditionortolerancetopaymedicineandmanageitappropriatelyPaincarePreventaspirationbyinstructingpatientsonhowtoavoidaspirationfoodorliquidintothelungsPreventweightlossbyencouragingpatientstoeatasufficientamountofcaloriesPreventdehydrationbyensuringthatpatientsmaintainequalfluidintakePreventinfectionbyinstructingpatientsonhowtomaintaingoodpersonalhygieneandcleanlinessPreventionandnumberingofapplications04PreventionandhealtheducationofpepticulcerdiseaseEncouragepatientstomaintainregulareatinghabits,avoideatingtoomuchspice,acid,andgreatfood,andreducetheintakeofcoffeeandteaEatinghabitsHelppatientsidentifyandmanagestress,anxiety,anddepression,whichareriskfactorsforpepticulcerdiseaseStressmanagementSmokingisariskfactorforpepticulcerdisease,soresourcepatientstoquitsmokingSmokingprocessPreventiveMeasureSymptomrecognition01Teachpatientstorecognizethesymptomsofpepticulcerdisease,suchasepicpaint,acidreflux,andbelchingMedicalknowledge02Informpatientsaboutthetypesofmedicineusedtotreatpepticulcerdisease,includingprotonpumpinhibitorsandantiinflammatorydrugsFollowupcare03TeachpatientstheimportanceoffollowingupcareaftertreatmentandtheneedtoseekmedicalattentionpromptifsymptomsrecurorworsenHealthEducationTeachpatientshowtocontroltheirdiettopreventpepticulcerdiseaserecurrenceTheyshouldeatregularly,avoidspice,acid,andgreatfood,reducetheintakeofcoffeeandtea,andeatmorehighqualityproteinandvegetablesTeachpatientseffectivestressmanagementtechniquessuchasrelaxationtraining,mindfulnessreview,andcognitivebehavioraltherapytohelpthembettercopewithstressandanxietyTeachpatientshowtotakemedicineproperly,remindthemtotakemedicineontime,andresourcethemtoadapttothesubscribedtreatmentplanDietarycontrolStressmanagementMedicalcomplianceImprovingPatientSelfManagementSkills05ThelatestresearchprogressonpepticulcerdiseaseNewdrugresearchResearchersareactivelyexploringnewdrugsthatcaneffectivelytreatpepticulcerdisease,includingtraditionalChinesemedicineandWesternmedicineDevelopmentofnewdrugsforpepticulcerdiseaseResearchhasshownthatcombiningdifferentdrugscanachievebettertreatmentresults,reducingtheriskofulcerrecurrenceandimprovingpatientqualityoflifeDrugcombinationtherapyEndoscopicdiagnosisandtreatmentWiththedevelopmentofendocopictechnology,endocopyhasbecomeanimportantmeansofdiagnosisandtreatingspecificulcersEndocopyallowsdirectvisualizationoftheulcerandsurroundingissues,enablingmoreaccuratediagnosisandtreatmentMinimallyi