Ovarian cancer patients undergoing chemotherapy psychological care
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Ovarian cancer mortality of the first Habitat gynecologic malignancies, is a thorough treatment of cytoreductive surgery, postoperative chemotherapy supplemented by polymerization. Chemotherapy patients in stage physical function, quality of life decreased markedly different degrees of psychological pressure. The tense psychological, can directly affect the treatment outcome is not conducive to the smooth progress of chemotherapy. Chemotherapy is the use of chemical substances at the molecular level and to correct various carcinogenic factor in blocking the abnormal proliferation of normal cells of genetic variation is promising in the treatment of cancer, attention to a very popular method of treatment. Right gynecologic malignancies, has been widely used in clinical chemotherapy and received very good results. But the chemotherapy drugs in inhibiting tumor cell growth, but also affect normal cell metabolism, toxicity caused a reaction. Now I Section 2003 to November 1 of 72 cases of ovarian cancer patients undergoing chemotherapy psychological observation, the main problems are psychological.
An analysis of the psychological factors
1.1 fear that the treatment caused a series of side effects, such as hair loss, bone marrow suppression, gastrointestinal reactions. Most patients lack of full understanding of their disease and understanding, and as for incurable cancer, cancer of a strong psychological fear of the loss of confidence in the performance of tension, fear and unease.
1.2 loneliness due to the social factors and the environment, while undergoing chemotherapy, tend to feel the loss of self-worth, feel lonely and helpless on the staff of speech, performance is extremely sensitive, paranoia and hope to gain more love and care.
Afraid of negative 1.3 chemotherapy treatment of chemotherapy effects on the body, it difficult to adapt to the chemotherapy fatigue, nausea, hair loss, pain and the efficacy of chemotherapeutic drugs, lack confidence and have given up the idea of treatment.
1.4 pessimism due to cancer and chemotherapy to disrupt their daily lives, seriously affected the cause of education development. Worried about their role in society after chemotherapy patients with a tremendous role contrast, a strong psychological pessimism, resulting depression, depression, loss of confidence in the fight against the disease.
1.5 anxiety as surgery and chemotherapy long worried that the economy is on the affordable, it can smoothly complete the entire course of chemotherapy, worried about what will be the result of chemotherapy, the patients have made a skeptical attitude, serious thoughts have to abandon chemotherapy.
1.6 depression patients on chemotherapy because of the lack of a proper understanding of psychological imbalance. Let's why I got cancer? Various questions, which they treat biased view of things, depression, self-closed, and others do not want to talk to any things are "indifferent" or suspected mentality.
Two psychological care
2.1 a good nurse-patient relationship should take the initiative to close the patient, do carefully, patience, love. Patients correct answer to the question raised by some chemotherapy on more successful cases. A sincere and cordial language for the patient to comfort, care operation gentle, detailed, accurate, orderly, the patients a sense of security, and use their own sophisticated technologies to the patient's trust, to eliminate the fear patients.
2.2 patients should have a high degree of compassion and responsibility pained by the pain of patients, the patients would like to think. The heart patients and patients communicate. In addition to nurses as a major supporter, should actively encourage their family members, friends, colleagues, often leading comfort and care, social assistance and care, so that patients can feel the love from all sides and the value of their existence, stimulate confidence in life to eliminate loneliness, establish to overcome diseases confidence.
2.3 on the physical effects of chemotherapy drugs, nursing patients on medication prior to the use of drugs and the possible toxicity of the reaction and response measures. If chemotherapy nausea and other symptoms, chemotherapy given before and after chemotherapy antiemetic agent; Li Shu as Deacon, Li Ting and rehabilitation, protection of gastric mucosa, reduce the side effects of chemotherapy. Let patients a sense of security could be arranged after treatment of patients respond to the spirit of a lesser moral support and increase the confidence of patients cured, the patients appropriate recommendations cosmetic and modified to increase their self-confidence, self-esteem maintenance.
240 patients currently use similar work, and living examples of a smooth own experience, allow patients to feel that he is still a useful one, to encourage patients to overcome the disease establish the confidence to meet the challenges of a new life.
2.5 patience to patients and their families, the need for the chemotherapy, and patients on chemotherapy and discuss common program, the timely treatment of this patient information, such as the effect of treatment, the disease causes, with the active treatment, and increase the confidence of the treatment. The issues raised by the patient, give clear, effective and positive reply, dispel their concerns and the anxiety of potential health effects, to encourage patients do regulate emotional activities, such as reading and newspapers and watching television, listening to music, walking and chess activities.
2.6 patient care initiative and talk to patients, care for, encourage and enlighten patients, patients seeking to improve the confidence to overcome the disease, fully mobilize the patient's family, the relatives of all the positive factors, with its request to assist health care workers. Access time to visit the patients condolences performance more care than in the past, considerate patients, the patients do not feel lonely, still live in happiness in the warmth and change other people's concern for their own power, thereby tap their own potential, to resist disease.
Three conclusions
Through chemotherapy in ovarian cancer patients after psychological care, we recognize that psychological factors in cancer patients with chemotherapy in patients with the role that can not be ignored. Cancer is different from other diseases, and its body damage caused by the spirit even more than the physical damage it causes. Chemotherapy at the same time in the psychological care to alleviate anxiety, establish confidence, optimism undergoing chemotherapy.
In well under psychological care, nurses have skilled technical operations, the proper use of the chemotherapy drug methods, and treatment complications, improve the efficacy of rehabilitation for patients. Mental state of the patients, before treatment to health education and strive for better results.
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