護(hù)患情境會(huì)話(huà)

肝炎病人的休息指導(dǎo)

Instructions on Resting for a Hepatitis Patient

交流

病人：好的，我去跟領(lǐng)導(dǎo)說(shuō)說(shuō)，他很有人情味的。

護(hù)士：還有一點(diǎn)很重要，就是在你恢復(fù)期內(nèi)，要盡量安排午睡，這是解除疲勞、恢復(fù)體力的極佳方法。午睡時(shí)間以0.5～1.5小時(shí)為好。另外，睡覺(jué)以右側(cè)臥位為宜，使身體與床面成45度角。

病人：為什么呢？

護(hù)士：因?yàn)檫@種臥位使肝臟位于腹腔動(dòng)脈的下方。動(dòng)脈血液走下行路線(xiàn)流向肝臟，這對(duì)動(dòng)脈血為肝臟輸送營(yíng)養(yǎng)物質(zhì)十分有利。

護(hù)士：原來(lái)，休息還有那么多講究，我一定會(huì)按你的指導(dǎo)去做的。

護(hù)士：是的，休息對(duì)肝炎病人尤其重要。人們說(shuō)肝病三分治療、七分休養(yǎng)，可見(jiàn)休息的重大意義。任何時(shí)候，如果你感覺(jué)疲勞，一定不要硬撐，要學(xué)會(huì)休息，同時(shí)要定期去門(mén)診復(fù)查肝功能，監(jiān)測(cè)肝臟恢復(fù)情況。

病人：謝謝你，今天為我上了一堂生動(dòng)的休息課，讓我收益匪淺。

Interactions

Patient：OK.I will consult with my boss.He is quite nice.

Nurse：Another important thing is you must have midday nap which should last about 30minutes to one and half hour.This is the best method to relieve fatigue and restore physical strength.Furthermore，it is better to turn to your right side，and maintain a 45degree angle while you sleep.

Patient：Why？

Nurse：Because this lying position puts the liver under the celiac artery and allows the blood to flow down to the liver.It is more beneficial for the transport of nutritious substance from artery to the liver.

Patient：Oh.There are so many details regarding the rest.I will follow your guidance.

Nurse：Yes，relaxation is especially important to patients with hepatitis.Many people say that the treatment of hepatitis is 30%therapy and 70%rest.This shows the importance of rest.At any time，if you feel tired please don’t insist on working.You must learn how to rest and be sure to go to hospital outpatient department to reexamine the liver function periodically so that you can monitor the recovery of your liver.

Patient：Thank you for your lively lecture about rest.It will benefit me so much.

點(diǎn)評(píng)

這位護(hù)士的休息指導(dǎo)是理想的。在整個(gè)指導(dǎo)過(guò)程中洋溢著護(hù)患雙方共同參與的良好氛圍。護(hù)理人員用分享康復(fù)快樂(lè)的開(kāi)場(chǎng)白調(diào)動(dòng)了護(hù)理對(duì)象的積極情緒，激發(fā)了他進(jìn)一步配合治療的愿望。在交談過(guò)程中，雙方既都是提問(wèn)者，又都是回答者，護(hù)理對(duì)象不是被動(dòng)地接受護(hù)理，而是積極主動(dòng)地配合和參與護(hù)理活動(dòng)。在這里，護(hù)理人員正確接受反饋信息的同時(shí)，不斷提高工作質(zhì)量，表現(xiàn)出一種新型的平等合作關(guān)系。

Comment

The instruction about rest given by this nurse is ideal.There is a good climate for the nurse and the patient to work together in the whole instructional process.The prologue the nurse used－sharing happiness of recovering with the patient，evoked active emotion of the nursing client and helped him raise his desire to cooperate with the medical personnel during treatment.In the entire conversation process，the two parties are both questioner and responder.The patient did not receive instructions passively but took part actively.The nurse properly received feedback and continuously to provided high quality of work.This shows the new，equal，and collaborative nurse－patient relationship.