護(hù)患情境會(huì)話(huà)產(chǎn)婦入院指導(dǎo)

Admission Instructions for a Woman in Labor

交流

病人：好的，可我很害怕分娩這一刻的到來(lái)。分娩的時(shí)候會(huì)很疼嗎？

護(hù)士：一開(kāi)始，子宮收縮、子宮頸擴(kuò)張的時(shí)候會(huì)感到疼一點(diǎn)。應(yīng)對(duì)疼痛的方法是首先自己要樹(shù)立分娩信心，聽(tīng)從助產(chǎn)士的指導(dǎo)，陣痛間隙要充分休息以保持體力。如果您還是不能忍受疼痛的話(huà)，我們醫(yī)院有一種鎮(zhèn)痛分娩的方法，可以減輕您的疼痛。

病人：是嗎？這種方法對(duì)寶寶會(huì)有影響嗎？

護(hù)士：我們醫(yī)院已經(jīng)做過(guò)很多例數(shù)，一般情況下是沒(méi)有影響的。在鎮(zhèn)痛分娩的過(guò)程中，助產(chǎn)士會(huì)一直守候在您的身邊，用監(jiān)護(hù)儀對(duì)母親、胎兒的情況進(jìn)行持續(xù)監(jiān)護(hù)。如發(fā)現(xiàn)異常，醫(yī)生會(huì)及時(shí)采取措施的。

病人：噢，那等我先生來(lái)了，我們可以商量一下考慮用鎮(zhèn)痛分娩。

護(hù)士：好的，等決定了告訴我，我會(huì)幫您與助產(chǎn)士聯(lián)系的。小王，這幾天您要多注意休息，加強(qiáng)營(yíng)養(yǎng)，注意個(gè)人衛(wèi)生，保持會(huì)陰清潔，勤換內(nèi)褲，注意胎動(dòng)變化。您會(huì)數(shù)胎動(dòng)嗎？

病人：會(huì)的，上次在孕婦學(xué)校培訓(xùn)時(shí)，陳老師已教過(guò)數(shù)胎動(dòng)的方法：每天早、中、晚各數(shù)1h胎動(dòng)。每小時(shí)胎動(dòng)不低于3次，反應(yīng)胎兒情況良好。我說(shuō)得對(duì)嗎？

護(hù)士：非常正確。住院期間您要繼續(xù)注意胎動(dòng)，我們也會(huì)定時(shí)來(lái)聽(tīng)胎心音的。您如果感到下腹脹痛加重，或有見(jiàn)紅、破水等情況應(yīng)及時(shí)與我們聯(lián)系。

病人：好的。太感謝您了。

護(hù)士：我剛才給您說(shuō)的事項(xiàng)在這2張單子上均有，如果您忘記的話(huà)，可以再看看。另外，您如果有什么問(wèn)題可用信號(hào)燈呼我，我會(huì)馬上過(guò)來(lái)。負(fù)責(zé)您床位的胡主任正在為另一位產(chǎn)婦做手術(shù)。等他回來(lái)我會(huì)及時(shí)通知他來(lái)看您，您放心休息吧。我過(guò)一會(huì)再來(lái)看您。

病人：多謝您的介紹，使我很放心。再見(jiàn)！

護(hù)士：再見(jiàn)！

Interactions

Patient：OK.But I am very afraid of giving birth.Giving birth can be very painful，right？

Nurse：In the beginning，you will feel a little pain during uterus contractions and cervix dilation.The methods to cope with the pain are building up confidence during your delivery，listening to the midwife＇s guidance，and resting in between the contractions to maintain your strength.If you still can’t tolerate the pain，we can give you anesthesia to ease the pain.

Patient：Is that so？Will the anesthesia have any adverse effects on my baby？

Nurse：Our hospital does this a lot.Generally speaking，there are no adverse effects.In the process of anesthesia，the midwife will stay at your bedside and monitor your and the baby’s conditions.If something abnormal happens，the doctor will take care of it right away.

Patient：Oh，when my husband comes here later，we will discuss the idea of using anesthesia.

Nurse：Good.When you have made a decision，please tell me.I will help you contact the midwife.Mrs.Wang，you must have adequate rest，eat properly，be hygienic by keeping your vulva clean，change your underwear often，and note fetal movement.Do you know how to record fetal movement？

Patient：Yes，I do.Last time，at expectant mothers’training，teacher Chen taught us the method：record fetal movement for an hour every morning，noon，and evening.Each time there must be no less than 3fetal movements，thus reflecting the fetus is in good condition.Right？

Nurse：Right.You have to continue monitoring fetal movement while in the hospital.You should contact us right away if you feel your abdominal distension pain aggravate，see blood，and／or your water break，etc.

Patient：Good.Thank you very much.

Nurse：What I just told you are in these 2sheets of papers.If you forget，you can review them again.In the meantime，if you have any problem，you can call me with the signal beacon.I will come right away.Doctor Hu，who is responsible for your delivery，is operating on another pregnant woman now.When she finishes，I’ll ask her to see you.Rest now.I will see you again shortly.

Patient：Thanks for the introduction.I am not nervous anymore.Goodbye！

Nurse：Bye！