Disturbed Sleep Pattern and Anxiety - NCP Gastritis


Gastritis is an inflammation of the stomach lining. Gastritis can last for only a short time (acute gastritis), or linger for months to years (chronic gastritis).

Risk Factors:
  • Infection with H. pylori
  • Acquired immunodeficiency syndrome (AIDS)
  • Any condition that requires relief from chronic pain using NSAIDS, such as chronic low back pain, fibromyalgia, or arthritis
  • Alcoholism
  • Cigarette smoking
  • Older age
  • Herpes simplex virus or cytomegalovirus
  • Inflammatory bowel disease

The most common causes of gastritis are:
  • Certain medications, such as aspirin, ibuprofen, or naproxen, when taken over a longer period of time
  • Drinking too much alcohol
  • Infection of the stomach with a bacteria called Helicobacter pylori

Less common causes are:
  • Autoimmune disorders (such as pernicious anemia)
  • Backflow of bile into the stomach (bile reflux)
  • Cocaine abuse
  • Eating or drinking caustic or corrosive substances (such as poisons)
  • Extreme stress
  • Viral infection, such as cytomegalovirus and herpes simplex virus, especially in people with a weak immune system

The most common symptoms of gastritis are stomach upset and pain. Other possible symptoms include:
  • Indigestion (dyspepsia)
  • Heartburn
  • Abdominal pain
  • Hiccups
  • Loss of appetite
  • Nausea
  • Vomiting, possibly of blood or material that looks like coffee grounds
  • Dark stools

Nursing Diagnosis and Interventions for Gastritis


1. Disturbed Sleep Pattern related to pain

Goal: sleep patterns back to normal

Expected outcomes: The improvement in sleep patterns

Nursing Intervention:

1) Perform assessment of the patient's sleep disorder problems, characteristics and causes lack of sleep.
R /: Provide basic information to determine a plan of nursing.

2) The state of the bed, the pillows were comfortable and clean.
R /: Improve comfort while sleeping.

3) Prepare for a night's sleep.
R /: Set the sleep pattern.

4) Collaboration drug delivery.
• Analgesic
R /: Relieve pain, increase comfort and improve the rest.


2. Anxiety related to lack of knowledge about the disease

Goal: Anxiety is reduced or lost

Expected outcomes: Looks relaxed and report anxiety is reduced at a rate that can be overcome.

Nursing Intervention:

1.) Assess the level of anxiety. Help patients identify coping skills that have been done successfully in the past.
R /: therapeutic intervention and participation in self-care, coping skills in the past to reduce anxiety.

2.) Suggest to express feelings. Give feedback.
R /: Make the therapeutic relationship. Helping people closest to identify problems that cause stress.

3.) Give an accurate and real information about what actions are performed.
R /: patient involvement in care planning provides a sense of control and help reduce anxiety.

4.) Provide quiet environment and rest.
R /: Move the patient from external stress, improve relaxation, help reduce anxiety.

5.) Encourage the patient / significant other to express concern, the behavior of concern.
R /: The act of support can help patients feel stress is reduced, allowing for directed energy on healing.

6.) Provide information about the disease process and anticipation of action.
R /: Knowing what to expect can reduce anxiety.

7.) Collaboration of sedative drugs.
R /: Can be used to reduce anxiety and facilitate rest.
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