What should be paid attention to in family nursing for patients with gastric cancer during chemotherapy?
I hope I can help you! First, the nursing points of patients with gastric cancer patients are prone to infection in various parts of the body because of their low self-resistance. They should take a bath with warm water every day to keep their skin clean and dry. For patients who stay in bed for a long time, it is necessary to change their lying position regularly and massage with alcohol regularly to promote blood circulation. Beds should be kept clean, dry and flat to avoid the stimulation of dampness, friction and diarrhea. Prevent patients from bedsore, encourage and help patients to do physical exercise in bed and prevent thrombophlebitis. 1, keep a good mood and exercise moderately to avoid fatigue and colds. 2, quantitative and moderate diet, should be light diet, avoid cold, hard, spicy, wine and other irritating foods, eat more fruits and vegetables, do not eat flatulence and greasy food. 3, a small number of meals, keep the stool unobstructed, and observe whether there is black stool, bloody stool, if there is any abnormality, seek medical attention in time. 4. Avoid eating too sweet food. When abdominal pain, acid reflux, nausea and vomiting are found, check for medical treatment in time. 5. Patients in convalescence should strengthen self-care and arrange appropriate exercise every day according to their physical recovery: walking, gymnastics, Tai Ji Chuan, qigong, etc. 6. Take time out to be in the natural environment as much as possible, breathe fresh air, and reduce the impact of unfavorable factors such as urban waste gas and noise on the body. You can resume your work properly, which will help rebuild the law of life, have a positive impact on personality and psychology, and be conducive to physical recovery. Two, the diet of patients with gastric cancer should be based on the severity of the disease, combined with the patient's gender, age, physique, hobbies and other comprehensive syndrome differentiation. It is necessary to comprehensively consider food collocation. 1. Most patients with gastric cancer show weakness and need to replenish qi and blood, but it is necessary to distinguish between yang deficiency and yin deficiency. Yang deficiency warms (tonify yang), while yin deficiency clears (tonify yin). Warm tonic foods include beef and mutton, chicken, dog meat, eel, sea cucumber, pig liver, goose, carp, silver carp, grass carp, yellow croaker, litchi, walnut, chestnut, carrot and brown sugar. Tonic foods include: yam, longan, lotus seeds, fungus, mushrooms, lilies, crystal sugar, lotus roots, tofu, honey, mung beans, ducks, turtles, mussels, milk, coix seed, red dates, glutinous rice and so on. 2. Diet anti-cancer is one of the characteristics of dialectical food application in TCM. Things that have been proved to have definite anti-gastric cancer effects include astragalus, garlic, ganoderma lucidum, mushrooms, auricularia, ginseng, honey, royal jelly, yam, sea cucumber, Lithospermum and so on. Vegetables, fruits and beans are rich in microbial growth factor A, microbial growth factor C, trace elements, copper and so on, and also have certain anti-cancer effects. Patients with gastric cancer should feel comfortable when eating, so as not to be stuffy in the spleen. 4, diet should conform to the four seasons. When the yang is rising in spring and summer, don't eat too much greasy food to avoid "trapping the spleen" and eat less cold food to avoid blocking the spleen and stomach. You can eat mung bean soup and lotus leaf porridge in summer. When the sun is shining in autumn and winter, you need to eat soft food and eat more warm food. 5. Eat more foods rich in trace elements: meat, seafood, grains, garlic, onions and sesame seeds. 6, should eat more foods to improve immunity: kiwi, figs, apples, honey, milk, Hericium erinaceus, Ganoderma lucidum, mushrooms, hippocampus, turtle, yam, turtle, squid, sea cucumber. 7. Anti-cancer foods: soybeans, cabbage, cauliflower, mussels, carrots, spinach, tomatoes, mushrooms, Hericium erinaceus, asparagus, garlic, strawberries, green vegetables and oranges. 3. What food should I choose after radiotherapy, chemotherapy and surgery? During or after radiotherapy, if radiation reaction occurs, it can cause loss of body fluid, dry mouth and red tongue with little fur. I want to eat some products that nourish yin and promote fluid production, such as green tea, lotus root juice, pear, loquat, mung bean, watermelon, honey, fig, sea cucumber, crucian carp and almond. Do not eat fried and spicy food. 2. During and after chemotherapy, when leukopenia occurs, it is advisable to supplement animal liver, placenta, bone marrow, pig's trotters, lean meat, fish, dates, longan, red beans, mushrooms, goose blood, walnuts, turtles and other foods with anti-cancer and leukopenia effects. When patients have anorexia, dyspepsia, constipation and other symptoms, they can be given foods that strengthen the spleen and stomach, such as Coicis Semen, Ruby, hawthorn, kiwi fruit, jujube, walnut, whitebait, loach, pond fish, grass carp and so on. , can strengthen the spleen and stomach, protect digestive function and reduce the adverse reactions of chemotherapy. In case the oral mucosa is damaged, wild rose, rose or mulberry leaf can be used instead of tea. 3, patients with more blood loss after surgery, as appropriate, eat more blood-enriching yam, jujube, longan, walnuts, lotus seeds, lean meat, river fish, eggs and dairy products, and eat more fresh vegetables and fruits. Four. Matters needing attention in the treatment and rehabilitation of tumor patients 1. Nutrition should be strengthened during chemotherapy. Chemotherapeutic drugs have certain lethality to normal tissue cells while killing tumor cells, and almost all chemotherapy drugs have inhibitory effects on dietary intake. Can cause nausea, vomiting, abnormal taste and affect appetite. Some drugs can also cause diarrhea, constipation or liver function damage, which leads to malnutrition, decreased immunity and accelerated the deterioration of the disease. Therefore, patients should strengthen nutrition, pay attention to the deployment of diet and enhance their ability to resist chemotherapy reactions and diseases during chemotherapy. 2. Home care of cancer patients is very important. Family is the most basic unit of everyone's life. Cancer patients get along with their families from the beginning of treatment, and they can get the most timely and clear understanding of their illness and spirit. They can not only share the pain of patients mentally, but also help doctors and patients to do their work during the treatment process, so that patients can cooperate with doctors to successfully complete the whole treatment process and strive for satisfactory curative effect. Encourage patients to actively cooperate with doctors and reduce fear and pessimism, which is the key to home care. 3. Psychological adjustment of cancer patients is very important. In real life, almost everyone is afraid of cancer, let alone cancer patients, because of the influence of the concept that cancer is incurable. There are worries, depression, pessimism and fear in the treatment process, which seriously affects the treatment effect. Therefore, first of all, we should make psychological adjustment, actively cooperate with treatment, maintain a good attitude, optimistic mood and strong will, and promote our psychological recovery in time and effectively, which plays an important role in the curative effect. 4. During the rehabilitation period, patients can carry out some appropriate activities of daily life, such as going upstairs and downstairs, sweeping the floor, cooking, etc. In order to make patients recover as soon as possible, rehabilitation exercise should be carried out according to individual differences. Walking more can improve blood circulation, promote metabolism and improve the body's immune function. You can also choose some traditional fitness methods, such as Qigong and Tai Ji Chuan, which are very suitable for rehabilitation after illness. 5. Infection should be prevented during chemotherapy. Wash your hands frequently, especially before and after meals, before and after going to the toilet; Stay away from patients with colds and infectious diseases; After vomiting, help the patient clean and gargle in time; Don't cut yourself when using scissors or blades. 6. When hair loss is caused by chemotherapy, it should be noted that scalp and hair need special care. Use mild shampoo, a soft comb, and low temperature when blowing your hair. Don't dye your hair or use electricity. When you need a wig, you should go to a specialty store to buy it before a lot of hair falls off, so you can choose according to your previous hair color and hairstyle. Wear a hat or wig when you go out to protect your hair from the sun. 5. Diet therapy for patients with gastric cancer during chemotherapy. From the perspective of nutrition supply, it is necessary to meet the requirements of high protein, rich vitamins and sufficient calories. During chemotherapy, the patient suffered from poor appetite, nausea and vomiting. The diet should be light and easy to digest, and a small amount of meals is better. If the food intake is not enough, glucose, vitamins and amino acids can be supplemented by infusion, and albumin can be given if necessary. 2. Meal time should avoid the peak time of chemotherapy drugs. If intravenous chemotherapy drugs are used, it is best to do it on an empty stomach, because nausea and vomiting may occur after intravenous injection of high concentration chemotherapy drugs, and fasting can alleviate symptoms such as nausea and vomiting. If you take chemotherapy drugs orally, it may cause some irritation to your stomach. It is best to take it after meals. When the drug is absorbed into the blood after 2-3 hours and the concentration reaches the highest, even if it is digested, it will be in an fasting state and the symptoms will be much lighter. 3. Try to cook by steaming, stewing and boiling to avoid high oil temperature cooking; Try to control the intake of salt. (1): Hericium erinaceus meat and egg soup Ingredients: Hericium erinaceus 100g, pork 50g, egg 1, Ganoderma lucidum 15g, a little salt, oil and onion. Methods: Hericium erinaceus was soaked in clear water, washed and sliced. Wash the meat, slice it, and put it in the pot together with Lingzhi tablets. Add the right amount of water. After simmering to make soup, add eggs and seasonings for use. Efficacy: This soup has the functions of strengthening the spleen and stomach and preventing cancer. It is a good therapeutic prescription for patients with gastric cancer. (2): Crucian carp water shield soup Ingredients: 500g live crucian carp, 500g water shield, oil, salt and wine. Methods: Scales, gills and viscera of crucian carp were removed, leaving liver, fish bubbles and fish eggs, which were washed and filtered for later use. Wash and chop the water shield. First, fry crucian carp in a pot, add water to boil, add water shield to cook until cooked, and then add a little salt, wine and oil to serve. Efficacy: This soup has the functions of regulating stomach, stopping vomiting and relieving pain, invigorating spleen and promoting diuresis, diminishing inflammation and detoxicating, and preventing and treating cancer. (3): Alpinia officinarum, dried tangerine peel and black-bone chicken soup Ingredients: Alpinia officinarum 15g, dried tangerine peel 10g, black-bone chicken 250g and five red dates. Production: Black-bone chicken is peeled, washed and chopped, and galangal, dried tangerine peel and red dates are washed. Put all the ingredients into the pot, add appropriate amount of water, cook for two hours, season and drink at will. Efficacy: Warming the middle warmer to dispel cold, regulating qi and relieving pain. (4): Ercao pork lean soup Ingredients: Abrus cantoniensis (fresh) 60g, Leonurus heterophyllus (fresh) 30g, red dates 10, pork lean 150g. Preparation: Wash Abrus cantoniensis, Motherwort and Jujube; Wash and cut the lean pork into pieces, put all the ingredients into the pot together, add appropriate amount of water, cook for one hour, season and drink at will. Efficacy: clearing away heat and toxic materials, promoting diuresis and eliminating jaundice. (5): Brown sugar pot Tofu Ingredients: Tofu 100g, 60g brown sugar, a bowl of clear water. Preparation: Wash brown sugar with clear water, add tofu and cook for ten minutes. Take it regularly, and take it for those who have obvious effects of stopping bleeding and vomiting blood. (6): Longan Peanut Soup Ingredients: 250g peanuts in red, 5 jujubes, longan meat 12. Restraint: remove the core of jujube and boil it with peanut longan once a day to nourish blood and strengthen the spleen. (7): Ganoderma lucidum brown sugar powder Ingredients: 50 grams of Ganoderma lucidum is ground into fine powder and 200 grams of brown sugar. Manufacturing; Add brown sugar and take it with boiling water three times a day before meals, which is helpful to treat vomiting, nausea and stomachache. (8): Ganoderma lucidum boiling water ingredients: Ganoderma lucidum tablets 15g, 5 red dates, 5g medlar' Preparation: all the above materials are put into clear water and simmered for half an hour, which can treat gastropathy if taken for a long time. (9): Ganoderma lucidum Flammulina velutipes Sliced Meat Soup Ingredients: 6 grams of Ganoderma lucidum slices, Flammulina velutipes100g, bean sprouts150g, 2 slices of ginger and 200g of lean meat. Production: put the above materials into water and simmer for 40 minutes. It can strengthen the spleen, stimulate appetite and lower cholesterol.