Perioperative care of pediatric perianal abscesses

Preoperative care 1, admission education: due to the child’s young, surgery will cause some ideological pressure on parents, such as: worry about the effect of surgery, the child’s ability to withstand, etc., which requires the nursing staff to give psychological guidance to stabilize the parents’ moods, introduce the successful surgical history and the necessity of the operation, to enhance the confidence of its long cure, and strive for the parents to cooperate with the medical staff with a positive attitude to encourage and reassure the children, so as to improve the treatment and care of the effect of early recovery. We strive for the positive attitude of the parents to cooperate with the medical staff to encourage and reassure the children, so as to improve the treatment and nursing effect and strive for early recovery. 2.Environmental care: the environment of the hospital room should be kept quiet, the temperature of 18 ~ 22 ℃ in winter, 19 ~ 24 ℃ in summer, the relative humidity of 50% ~ 60% ventilation 1 ~ 2 times / d, 30min / times, the room is wet sweeping, so as not to dust, can be hung cartoon patterns, placed in the children’s favorite toys, play children’s music, in order to alleviate the children’s irritability, anxiety. 3, diet care: strictly in accordance with the medical advice to implement dietary taboos, family members should bring their own food inspection, inappropriate food should be prohibited, postoperative children into the breast milk or nutritious, easy to digest fluid or semi-fluid diet, such as milk powder, meat porridge, fish porridge, puree and so on. Appropriate food such as bananas, honey water, sweet potatoes, etc., avoid eating fried, stimulating food, to maintain a smooth bowel movement. Mothers of breastfed babies should not eat spicy, fried and other stimulating foods. Correctly calculate the amount of calories, the amount of water needed and the amount of milk given to the baby every day. Ensure nutritional supply, water-electrolyte balance, and promote recovery. Postoperative nursing 1, emotional care: postoperative pediatric pain due to drug change crying, thus causing anxiety in the family, not convenient for treatment and care, which requires nurses to communicate with the family more, explain its inevitability, and more exchanges with the child to increase feelings, eliminate the strangeness, fear, and jointly guide the child to divert attention to reduce the crying and reduce the family’s psychological pressure. 2.Observation of condition: observe the vital signs, stool volume, color, quality, pus and blood, and whether the child is emotionally stable after the operation. 3.Drug change care: because the pediatric defecation frequency, stool, urine, easy to contaminate the wound. And children’s skin is delicate, repeated fecal stimulation can cause perianal skin inflammatory reaction, therefore, the family should be instructed in the child each time after defecation, with 1:5000 potassium permanganate solution to rinse the anus, and then given to clear the heat and detoxification of traditional Chinese medicine sitting, with soft toilet paper gently dipped in the dry skin around the wound. Children are often uncooperative due to pain when changing medicine for wounds, medical staff should have a high sense of responsibility, explaining that changing medicine may cause pain and agitation of the children, and do a good job of explaining to the family. Strictly abide by the aseptic technical operation, pay attention to the fixed position of the child when changing drugs, fully exposed wounds to facilitate the operation to prevent accidental injury. The action of changing medicine should be skillful and gentle. Try to shorten the time of dressing change. Should carefully observe the wound healing, pay attention to observe whether the wound has redness and swelling, whether the secretion has a bad smell, whether the growth of fresh granulation tissue is normal. The dressing change adhesive tape should be applied breathable small strips of adhesive tape, each time sticking in a different position, so as not to damage the perianal skin. After changing the dressing should strengthen the patrol, pay attention to observation, such as found that the dressing off or by urine, secretions and other wet, should be replaced in a timely manner, to maintain smooth drainage and dry and clean dressing fixed to promote wound healing, to prevent the wound from false healing to maintain the local clean and dry, timely replacement of dressings, to avoid eczema, to prevent wound infection. Ask the family to pay attention to the child’s daily diet, eat more laxative food, eat as little as possible stimulating, fried food, drink more water, pay attention to the bowel movement. Pediatric diarrhea, the number of stools increased, the nature of the change, often more irritating, should be rinsed out with running water after the stool, and coated with a layer of vegetable oil in the perianal area, if there is a rash, can be coated with cod liver oil. When applying, a sterile cotton swab should be used to stick on the skin and gently roll, do not brush, in order to prevent abrasion of the skin and cause infection, infants and young children should try to use cotton diapers, reduce or even avoid the use of diapers, so that the environment around the anus is dry and pay attention to maintain perianal hygiene. As there are more male children, the health education of their families should be strengthened.