Nursing measures for cervical intraepithelial neoplasia

If you want to know the care measures for cervical intraepithelial neoplasia, you must first understand what cervical intraepithelial neoplasia is. Cervical intraepithelial neoplasia is a general term for a group of precancerous lesions that are closely related to invasive cervical cancer. It includes cervical atypical hyperplasia and cervical carcinoma in situ, reflecting the continuous development process of cervical cancer, that is, a series of pathological changes from cervical atypical hyperplasia (mild → moderate → severe) → carcinoma in situ → early invasive cancer → invasive cancer. Here are some nursing measures.

Nursing measures for cervical intraepithelial neoplasia:

1. Preoperative care

(1) Instruct the patient to undergo a comprehensive physical examination and prepare for cervical conization surgery.

(2) Skin preparation: Preparation of perineum skin.

(3) Vaginal preparation: Vaginal irrigation should be performed twice on the day before surgery.

(4) Bowel preparation: No bowel preparation is required.

(5) Urethral preparation: Empty the bladder before surgery and bring the catheter to the operating room.

2. Postoperative Care

(1) According to the routine postoperative care after intravenous anesthesia, the patient should remain in a supine position until awake.

(2) Closely observe vital signs and vaginal bleeding. After the operation, the vagina is packed with gauze to stop bleeding and removed after 6 to 8 hours. Keep good nursing records and handovers to ensure that the oil gauze strips are removed in time to prevent infection caused by leaving them in place for too long.

(3) After the patient wakes up, the catheter can be removed and the patient can urinate on his own. The patient's urination condition can be observed.

(4) Bleeding from the cervical stump may also occur 5 to 12 days after surgery. Therefore, teach the patient to observe vaginal bleeding. If the bleeding is more than the menstrual volume, notify the doctor in time to perform vaginal packing.

(5) To prevent cervical adhesion, an iodoform gauze strip was placed in the cervical canal at the end of the operation and removed during the outpatient follow-up visit 2 weeks later. After the operation, the patient was advised to perform vaginal douching twice a week for 2 weeks to prevent cervical adhesion.

3. Psychosocial support for cervical conization is effective in treating CIN II to III patients. If the pathology report shows suspected invasive cancer, or the patient is old and has no fertility requirements, total hysterectomy can be performed. It takes a long time for cervical precancerous lesions to develop into invasive cancer. As long as patients actively cooperate with treatment and follow up and reexamination on time, they can maintain a good quality of life. Therefore, nurses should encourage patients to express their inner feelings to their spouses, encourage spouses to give patients more family and emotional support, reduce anxiety through daily activities and communication, adjust their mental state, correctly understand the disease, follow the guidance of doctors and nurses, and face life positively.

4. Health Guidance

(1) Actively carry out cervical cancer screening and promote and popularize cancer prevention knowledge.

(2) Cervical cancer is an infectious disease that is preventable and curable. Women of appropriate age should undergo regular cervical cytology examinations to diagnose and treat cervical cancer at an early stage.

(3) Maintain a good lifestyle, healthy sexual behavior, avoid promiscuous and unclean sexual history; and adopt appropriate contraceptive methods.

(4) Maintain an optimistic attitude, actively cooperate with treatment, and follow the doctor's instructions for follow-up examinations on time.

(5) Sexual life can be resumed one month after cone biopsy.

The above is a complete introduction to the nursing measures for cervical intraepithelial neoplasia. After understanding the above, you know why the school has opened the nursing major! Before or after surgery, providing adequate care is an extremely important step. I hope everyone can learn more about this aspect.