For colorectal cancer, surgery is the main treatment method. So how should patients with colorectal cancer be cared for after surgery?
Diet careAfter gastrointestinal peristalsis has recovered, anal exhaust, or colostomy is opened 2 to 3 days after the operation, the gastric tube can be pulled out, and a small amount of liquid can be eaten first. If there is no discomfort, change to a semi-liquid diet, and a low-residue diet for 1 week after the operation, and 2 Zhou Jin Shao Zha common food.
ActivityWhile the patient is bedridden, the patient can be encouraged to turn over in bed and move his limbs; on the first day after surgery, if the patient's condition permits, the patient can be assisted to get out of bed and move to promote the recovery of intestinal peristalsis, reduce abdominal distension, and avoid intestinal adhesions. Pay attention to protect the wound and avoid pulling it during activities.
Drainage tube careKeep the abdominal and presacral drainage tubes unobstructed and properly fixed, and observe and record the color, nature and amount of drainage fluid. Presacral drainage tubes are generally left in place for 5 to 7 days. The tube can be extubated only when the drainage fluid volume is small and the color is clear.
Nursing care of indwelling urinary catheterThe urinary catheter is left in place for about 2 weeks. During the catheterization period, the urinary catheter should be kept unobstructed, the urine situation should be observed and recorded, and the urethral opening should be cleaned. Before extubation, try clamping the tube and open it every 4 to 6 hours to train the relaxation and contraction function of the bladder.
psychological careKeep your mood comfortable, avoid self-isolation, and integrate into normal life, work and social activities as much as possible. For patients with enterostomy, they can participate in sororities for stoma patients to learn and exchange each other's experiences and understandings and regain their confidence.
Regular follow-up visitsRegular outpatient review every 3 to 6 months. Patients undergoing radiotherapy and chemotherapy should have regular blood tests. If the white blood cell and platelet counts appear to be significantly reduced, they should go to the hospital in time.
Enterostomy post-operative care
(1) Pay attention to the blood supply and retraction of the stoma after surgery.
(2) The criteria for selecting ostomy supplies should be lightweight, transparent, odor-proof, leak-proof and protect the surrounding skin, and should be suitable for patients to wear.
(3) Keep the skin around the enterostomy clean and dry. Patients taking long-term antibiotics, immunosuppressants, and hormones should pay special attention to fungal infections at the enterostomy site.