中华护理杂志 ›› 2023, Vol. 58 ›› Issue (20): 2503-2507.DOI: 10.3761/j.issn.0254-1769.2023.20.010

• 个案研究 • 上一篇    下一篇

1例高龄卵巢卵泡膜纤维瘤合并肌萎缩侧索硬化症患者的护理

郭立文(), 洪文静, 胡美华, 李旭英()   

  1. 410013 长沙市 湖南省肿瘤医院妇瘤四科(郭立文),护理部(洪文静,胡美华,李旭英)
  • 收稿日期:2022-10-08 出版日期:2023-10-20 发布日期:2023-10-19
  • 通讯作者: 李旭英,E-mail:lixuying@hnca.org.cn
  • 作者简介:郭立文:女,硕士,副主任护师,护士长,E-mail:646841037@qq.com
  • 基金资助:
    湖南省卫生健康委科研计划项目(202214034757)

Nursing care of an elderly patient with ovarian thecoma-fibroma tumors complicated with amyotrophic lateral sclerosis

GUO Liwen(), HONG Wenjing, HU Meihua, LI Xuying()   

  • Received:2022-10-08 Online:2023-10-20 Published:2023-10-19

摘要:

总结1例74岁高龄卵巢卵泡膜纤维瘤合并肌萎缩侧索硬化症患者的护理经验。护理要点:预防呼吸衰竭,做好气道护理;掌握气管插管的拔管指征,加强拔管后观察;监测患者体温变化,预防呼吸道感染;加强锻炼,促进呼吸功能恢复;识别营养风险,做好营养支持,维持机体代谢;完善功能康复训练与心理护理。通过个性化的护理措施,患者恢复良好,住院15 d后出院。

关键词: 卵巢卵泡膜纤维瘤, 肌萎缩侧索硬化症, 呼吸功能, 营养支持, 护理

Abstract:

To summarize the nursing experience of a 74 year old patient with ovarian thecoma-fibroma tumors complicated with amyotrophic lateral sclerosis. Nursing points include:prevention of respiratory failure,good airway care;to master the indications of extubation and strengthen observation after extubation;to monitor temperature changes of patients to prevent respiratory tract infection;to strengthen the exercise,promote the recovery of respiratory function;to identify nutritional risks,provide nutritional support,and maintain body metabolism;to improve functional rehabilitation training and psychological nursing. Through personalized nursing measures,the patient recovered well and was discharged after 15 days in hospital.

Key words: Ovarian Thecoma-Fibroma Tumors, Amyotrophic Lateral Sclerosis, Respiratory Function, Nutritional Support, Nursing Care