Nursing Diagnosis and Interventions for Gallstones

Nov 07, 2025 Source: Cainiu Health
Dr. Gao Jun
Introduction
Common nursing diagnoses for gallstones include pain, nutritional imbalance, risk of infection, lack of knowledge, and anxiety. Corresponding interventions involve pain management, dietary adjustments, infection prevention, health education, and psychological support to alleviate symptoms and control disease progression. If severe abdominal pain, fever, or jaundice occurs, prompt medical attention is recommended.

Common nursing diagnoses for gallstones include pain, nutritional imbalance, risk of infection, lack of knowledge, and anxiety. Corresponding interventions such as pain management, dietary adjustment, infection prevention, health education, and psychological support should be implemented to relieve symptoms and control disease progression. If severe abdominal pain, fever, or jaundice occurs, immediate medical attention is recommended.

1. Pain Management: For biliary colic episodes, assist the patient in assuming a comfortable position (e.g., knee-flexed position), avoid abdominal pressure, administer antispasmodic and analgesic medications as prescribed, monitor the location, nature, and relief of pain, and minimize factors that may trigger pain.

2. Dietary Adjustment: Guide patients to follow a low-fat, low-cholesterol diet, avoiding fried foods and animal offal, while increasing intake of vegetables and fruits. Encourage regular meals and avoid overeating to reduce gallbladder burden and minimize stone irritation.

3. Infection Prevention: Closely monitor body temperature and blood test results, maintain skin hygiene. If signs of cholecystitis appear, administer antibiotics as prescribed to prevent infection spread. Observe patient response to medication to ensure treatment safety.

4. Health Education: Educate patients about the causes of gallstones, treatment options, and prevention of recurrence. Teach them to recognize warning signs of worsening condition—such as jaundice or black stools—and seek timely intervention to enhance self-care abilities.

5. Psychological Support: Pay attention to patients' emotional changes, as recurrent abdominal pain may cause anxiety. Communicate to understand their concerns, provide psychological support, help establish a positive attitude toward treatment, and encourage cooperation with care and therapy.

In daily life, maintain regular作息 (作息 translates to "作息" which means作息 schedule or routine), avoid excessive fatigue, engage in mild physical activities such as walking, manage body weight, and have regular abdominal ultrasound check-ups to monitor stone size and gallbladder condition, thus maintaining gallbladder health.

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