護(hù)患情境會(huì)話

乳房術(shù)前擔(dān)憂疏導(dǎo)

Counseling for an Anxious Patient before Breast Surgery

點(diǎn)評(píng)

疾病給病人帶來(lái)了各種焦慮，手術(shù)又是一個(gè)較大的刺激，病人會(huì)產(chǎn)生更嚴(yán)重的心理反應(yīng)。所以他們?cè)谑中g(shù)前存在的種種擔(dān)憂是必然的，而這將會(huì)影響到手術(shù)的成敗和術(shù)后的康復(fù)。因此，術(shù)前健康教育就顯得分外重要。術(shù)前健康教育一般在決定手術(shù)時(shí)即已開(kāi)始。大致包含飲食指導(dǎo)、活動(dòng)和休息指導(dǎo)、心理健康指導(dǎo)、體檢指導(dǎo)、術(shù)后康復(fù)指導(dǎo)、家屬指導(dǎo)、術(shù)前各方面的準(zhǔn)備指導(dǎo)等內(nèi)容。手術(shù)室護(hù)士對(duì)病人進(jìn)行的行為指導(dǎo)是術(shù)前健康教育的重要組成部分。Comments

Illness will bring various anxieties to a patient，and surgery itself is a bigger catalyst for serious psychological reactions.Anxieties they may have before their surgery are inevitable.Sometimes，these can affect the success of the surgery and their recovery from illness.Therefore，it is very important to give preoperative health instructions to patients.It should begin as soon as the decision to have surgery is made.Health education，in general，includes guidelines for nutrition，activity and resting，guidance for mental health and physical examinations，postoperative rehabilitation，instructions for family members，and preoperative preparations，etc.These guidelines are given by operating room nurses，and they are an important part of preoperative patient education.

（殷雪群 王莉）

子宮切除術(shù)病人的心理護(hù)理Psychological Nursing Care for a

Patient with Hysterectomy

背景

病人葛女士，38歲，文員。因多發(fā)性子宮肌瘤入院。明日準(zhǔn)備在連硬麻下進(jìn)行子宮切除術(shù)。醫(yī)生來(lái)看病人后，病人一直呆坐在病床上。護(hù)士小李來(lái)到其病床，欲為其進(jìn)行手術(shù)前準(zhǔn)備，發(fā)現(xiàn)此情況，對(duì)其進(jìn)行護(hù)理。Background

Patient Mrs.Ge，38years old，a clerical staff，was hospitalized because of multiple-myoma of the uterus.Uterectomy will be performed the next day under continuous extradural anesthesia of the spinal cord.After the doctor’s visit，the patient was sitting on the bed sluggishly.When nurse Li came to the ward to do the preoperative preparation，she noticed this situation and began her nursing care.

交流

護(hù)士：葛女士，你明天要手術(shù)，現(xiàn)在我要為你進(jìn)行一些手術(shù)前的準(zhǔn)備工作，好嗎？

病人：（無(wú)力地、面無(wú)表情地說(shuō)）做吧。

護(hù)士：（看了看她的表情，微笑著說(shuō)）你是不是對(duì)明天的手術(shù)擔(dān)心呢？

病人：不，不擔(dān)心。沒(méi)什么好擔(dān)心的。我的子宮上長(zhǎng)了這么多的肌瘤，手術(shù)是免不了的。而且，手術(shù)后，就沒(méi)有月經(jīng)了，我的貧血就可以糾正了。

護(hù)士：那你是擔(dān)心手術(shù)后會(huì)對(duì)你的身體及日后的生活帶來(lái)什么影響吧？Interactions

Nurse：Ms.Ge，you will have the operation tomorrow.Now let me do some preoperative preparations for you，OK？

Patient：（showed no expression）Go ahead.

Nurse：（Nurse Li looked at her and said with a smile）Are you worrying about tomorrow’s operation？

Patient：No，I’m not worried.There are so many myoma in my uterus，the operation is inevitable.Also，I’ll have no more menstruation after the operation and my anemia would be corrected.

Nurse：Then you must be worried about how the operation will affect your health and living，right？