Gastroparesis, also known as stomach pain, is a frequent pain in the upper abdomen near the heart fossa. It is mostly caused by worry, depression and anger or diet and fatigue that damage the qi of the spleen and stomach. The location of the disease is in the stomach, involving the liver and spleen. The clinical evidence is divided into two categories of deficiency and actuality: cold evil visiting the stomach, dietary stagnation, liver qi offending the stomach, liver and stomach heat, blood stasis in the stomach is actual evidence; stomach yin deficiency, spleen and stomach deficiency cold is deficiency evidence. In modern medicine, acute and chronic gastritis, gastric and duodenal ulcers. Gastric cancer, gastric neurosis and other diseases with the above-mentioned manifestations can be referred to the care of this disease.
Key points of nursing care
1.General care
(1) Maintain appropriate temperature and humidity in the room. Pay attention to keeping warm in the deficiency cold type.
(2) Those with persistent stomach pain, more severe pain or vomiting blood or black stool should rest in bed, and can get out of bed after relief.
(2) Observe the location, nature, degree, time, precipitating factors of stomach pain, the relationship with heat and cold and diet, pay attention to the color, nature and accompanying symptoms of vomitus and stool, and keep records. Narcotic analgesics are prohibited for those whose diagnosis is unknown.
If the following conditions are observed, report to the physician immediately and the medical and nursing care should be handled in collaboration.
(1) Sudden increase in stomach pain, or with vomiting, chills and fever, or fullness of the whole abdomen and painful refusal to press.
(2) Vomiting blood or black stool, pale face, cold sweat, cold extremities, restlessness, decreased blood pressure, and no pulse.
3.Medication care: Chinese herbal soup should generally be taken warm. If the spleen and stomach are cold or cold stagnation, the soup should be served hot.
4.Dietary care: The diet should be soft, easy to digest with less residue, and less food and more meals. Quit smoking, alcohol, strong tea, coffee. Avoid spicy, fatty, sweet and congested pumpkin, sweet potato, potato and other foods. For cold stomachache, eat ginger porridge and red date porridge. Those who have accumulated food can eat radish porridge.
5.Emotional and moral care: help patients eliminate tension, fear and other adverse emotional effects, so that they can maintain an optimistic mood and a regular life.
6.Providing care for clinical evidence (symptoms).
(1) Food stagnation and stomach pain, fasting for 6-12 hours, gradually give a full-flow or semi-flow diet after relief. If necessary, induce vomiting by exploring the vomiting method.
(2) Use acupuncture to relieve pain as prescribed by the doctor. Take acupuncture points such as Neiguan, Zhongguancestor, and Feosanli. Use diarrhea method for the actual evidence of violent pain and tonic method for the deficient evidence of prolonged pain.
(3) For deficiency cold stomach pain, apply heat and iron to the stomach and epigastric region. Or moxibustion of Zhonggui, Sansili and Shen Que points or warming the umbilical cord paste on the abdomen to warm the middle and relieve pain.
(4) For vomiting blood and black stool, follow the routine of blood evidence care.
(7) In patients with prolonged illness and old age, if the nature, duration and regularity of pain change significantly, or if there is repeated bleeding and poor treatment, attention should be paid to the presence of malignant lesions, and active cooperation with various examinations is required.
Health guidance
1. Prohibit stimulating foods such as tobacco, alcohol, strong tea and coffee. Recommend recipes to improve the original eating habits.
2.Live a regular life, combine work and rest, ensure sleep, and keep optimistic mood.
3.See a doctor promptly if there is pain, acid reflux and vomiting.
4.Let the patient and family understand the nature of the disease, learn simple methods to control pain, and reduce physical and mental stress.