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肿瘤居家康复指导
$54.61
本书从专业的角度,阐明了恶性肿瘤患者康复过程中的主要技术与要点,,包括了康复中患者心理、生理功能的恢复调整,日常生活膳食结构的合理安排,四季养生、居家护理的注意要点,美容、旅游等相关生活细节,疼痛等常见症状释疑。也以通俗易懂的语言结合图片深入细致地解答了广大癌友们*关心的问题,如肿瘤患者到底该吃什么饮食才是合理的?恶性肿瘤手术治疗后还能像以前一样去上班吗?肿瘤患者到底该不该去健身运动?出院时医院里给配了不少药,肿瘤患者在家用药该...
本书从专业的角度,阐明了恶性肿瘤患者康复过程中的主要技术与要点,,包括了康复中患者心理、生理功能的恢复调整,日常生活膳食结构的合理安排,四季养生、居家护理的注意要点,美容、旅游等相关生活细节,疼痛等常见症状释疑。也以通俗易懂的语言结合图片深入细致地解答了广大癌友们*关心的问题,如肿瘤患者到底该吃什么饮食才是合理的?恶性肿瘤手术治疗后还能像以前一样去上班吗?肿瘤患者到底该不该去健身运动?出院时医院里给配了不少药,肿瘤患者在家用药该注意些什么?妇科肿瘤手术以后还能生育吗?为什么肿瘤患者脾气会变得这么怪这么难相处?是广大肿瘤患者、家属和肿瘤康复专业人员及相关医护工作者的重要参考书籍之一。
博士、博士生导师、主任医师,任院长助理、科教科长、乳腺内科主任等职,兼任党委委员、妇化总支书记等,兼省中西医结合重点实验室副主任。从事肿瘤内科工作近30年,擅长多学科综合诊治分析与判定,特别是乳腺癌等内分泌相关肿瘤基础与临床研究,参与国内绝大部分乳腺癌等指南制订,及CSCO乳腺癌诊治指南执笔。美国宾夕法尼亚大学访问学者,省"151”人才工程第二层次对象,曾担任浙江省重大科技专项专家组成员。所带领的乳腺肿瘤内科规模与学术水平为省内、国内领先,为国家卫计委抗肿瘤药物合理用药专家组成员兼乳腺癌合理用药规范培训基地。连续举办继续教育项目十届,以及首届杭州国际乳腺癌峰会(HIBCS)和杭州湘湖乳腺中青年论坛(HXBCS),创办"康俪沙龙”俱乐部、"QQ患教交流群”以及FM95"粉红星期六”科普频道等医患交流平台。主持国家自然科学基金、省科技重大专项、省自然基金等20余项,发表论文100余篇,其中SCI 30余篇,主编(副主编)著作4册,作为分中心PI承担各类国际与国内临床研究50项余,其中全国PI一项。
目 录 章 肿瘤居家康复概论 节 概述………………………………………………… 1 第二节 肿瘤患者居家康复所涉及的主要方面…………… 2 一、心理康复……………………………………………… 3 二、身体与功能康复……………………………………… 3 三、生活、社交与职业指导……………………………… 4 四、带瘤生存……………………………………………… 4 五、维持治疗……………………………………………… 5 第三节 肿瘤患者康复展望………………………………… 6 第二章 肿瘤患者的中医治疗指导 节 概述………………………………………………… 8 第二节 围手术期…………………………………………… 9 第三节 辅助治疗期…………………………………………11 第四节 随访观察期…………………………………………14 第五节 晚期姑息治疗期……………………………………16 第三章 肿瘤患者的饮食与营养指导 节 概述…………………………………………………23 一、生命的物质基础——蛋白质…………………………24 二、人体燃料——碳水化合物……………………………24 三、加油站——脂肪………………………………………25 四、润滑剂——维生素……………………………………25 五、人体宝藏——矿物质…………………………………26 六、肠道清洁工——膳食纤维……………………………26 七、生命之源——水………………………………………26 第二节 肿瘤患者营养指导…………………………………27 一、术后患者的饮食………………………………………28 二、放、化疗后患者的饮食………………………………29 三、消瘦患者的饮食………………………………………30 四、管饲患者的饮食………………………………………31 第三节 如何合理安排三餐…………………………………32 一、营养早餐………………………………………………32 二、平衡的中餐……………………………………………34 三、合理的晚餐……………………………………………34 第四节 肿瘤患者忌口问题…………………………………34 一、因证忌口………………………………………………35 二、因病忌口………………………………………………35 三、因症忌口………………………………………………36 四、因治忌口………………………………………………36 五、正确认识“发物”……………………………………36 第五节 肿瘤患者如何选用保健品…………………………37 一、保健品的概念…………………………………………37 二、保健品的功能…………………………………………37 三、保健品分类……………………………………………38 第四章 肿瘤患者的心理康复指导 节 概述…………………………………………………43 第二节 肿瘤患者常见的心理问题和表现…………………44 一、情绪障碍………………………………………………44 二、精神障碍………………………………………………46 第三节 肿瘤患者心理问题的干预措施……………………48 一、社会心理干预…………………………………………48 二、常用的药物治疗………………………………………51 第五章 肿瘤患者的社交与职业指导 节 概述…………………………………………………56 第二节 肿瘤患者的社交困惑及社交指导…………………57 一、影响社交的几种常见心理状态………………………57 二、肿瘤患者的家庭支持…………………………………58 三、肿瘤患者融入社会的方式……………………………59 第三节 肿瘤患者的职业指导………………………………61 一、时机选择………………………………………………62 二、工种选择………………………………………………63 三、如何兼顾工作和身体…………………………………63 第六章 肿瘤患者的居家环境指导 节 卧室布置:明亮温馨亲情深………………………67 第二节 室温调节:冬暖夏凉温如春………………………68 第三节 开窗通风:病菌灭踪不感冒………………………70 第四节 凉台养花:赏心悦目心情好………………………71 第五节 厕所防滑:安全措施要周到………………………73 第六节 厨房除烟:科学烹饪营养高………………………75 第七节 客厅接待:谢绝二手烟……………………………76 第八节 常洗衣服常洗澡,常晒被褥疾病少………………77 第七章 肿瘤患者的运动指导 节 概述…………………………………………………80 第二节 肿瘤与行走…………………………………………80 第三节 肿瘤与气功…………………………………………82 第四节 肿瘤与瑜伽…………………………………………84 第五节 肿瘤与太极拳………………………………………85 第六节 肿瘤与其他运动……………………………………86 第七节 几种常见的恶性肿瘤的康复运动指导……………87 一、肺癌……………………………………………………87 二、前列腺癌………………………………………………88 三、乳腺癌…………………………………………………88 四、肝癌……………………………………………………89 第八章 肿瘤患者的整形与美容指导 节 肿瘤整形:超越生存,选择生活…………………91 第二节 乳腺肿瘤整形………………………………………92 一、美与伤:乳腺肿瘤整形的意义与现况………………92 二、鱼与熊掌:选择合适的乳腺肿瘤整形方式…………93 三、治与养:在院靠医生,出院靠自己…………………97 第三节 头颈部肿瘤患者的整形美容…………………… 103 一、头颈部肿瘤整形手术的目的与意义……………… 103 二、头颈部肿瘤整形手术的选择……………………… 104 三、头颈部肿瘤整形术后恢复的注意点……………… 108 第九章 肿瘤患者的旅游指导 节 旅游的概念、旅游对康复的意义……………… 111 第二节 旅游前的准备…………………………………… 112 一、自身评估…………………………………………… 112 二、旅游交通工具的选择……………………………… 113 第三节 旅游的注意事项………………………………… 114 一、怎样预防晕车、晕船……………………………… 115 二、“水土不服”怎么办……………………………… 115 三、旅途中外伤的处理………………………………… 115 四、旅游饮食指导……………………………………… 116 第四节 不同肿瘤患者的个性化旅游…………………… 116 一、肺癌康复期患者…………………………………… 117 二、乳腺癌康复期患者………………………………… 117 三、食管、胃肠道肿瘤康复期患者…………………… 117 四、大病初愈患者……………………………………… 118 五、小结………………………………………………… 118 第十章 肿瘤患者的养生指导 节 顺应四季规律,防治各有侧重………………… 120 一、《黄帝内经》中调节情志及生活方式的四季 规律……………………………………………… 120 二、春夏养阳、秋冬养阴……………………………… 121 第二节 万物生长如“肝木”,一年营养可在春……… 122 第三节 夏阳如火要静心,清暑防汗慎丢营养物质…… 123 一、规律饮食,注意补充营养物质…………………… 123 二、炎热夏天一定要补充足够水分…………………… 123 三、严防中暑…………………………………………… 123 四、保持乐观的心情…………………………………… 124 五、注意家庭护理……………………………………… 124 六、改善睡眠…………………………………………… 124 七、注意心脑血管健康………………………………… 124 第四节 金秋干燥宜滋润之品,丰收之季远离“悲秋” 之心……………………………………………… 124 一、立秋………………………………………………… 125 二、秋分………………………………………………… 125 三、金秋………………………………………………… 125 四、入秋………………………………………………… 126 第五节 保暖养阳气,寒冬宜温补……………………… 126 一、精神调养…………………………………………… 127 二、饮食调养…………………………………………… 127 第十一章 肿瘤患者的疼痛居家康复指导 节 概述…………………………………………… 130 第二节 疼痛的分类和评估方法……………………… 131 一、疼痛的分类……………………………………… 131 二、疼痛的评估方法………………………………… 132 三、疼痛控制的标准………………………………… 133 第三节 疼痛的治疗方法……………………………… 134 一、疼痛治疗的时机………………………………… 134 二、癌痛的治疗方法………………………………… 135 三、目前常用的镇痛药物…………………………… 135 四、止痛药物的副作用和注意事项………………… 136 第四节 疼痛患者居家镇痛治疗指导………………… 137 一、注意预防及观察药物的相关副作用…………… 137 二、备用短效阿片类药物预防暴发痛……………… 138 三、若有异常,应及时就医………………………… 138 四、芬太尼透皮贴
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