護患情境會話：拇指再植術前病人的護理

交流

病人：（由衷地）大姐，好多了。真的好感謝你。現在我對明天的手術充滿了信心，我一定聽你的話做好手術前準備，吃好睡好，勇敢地接受明天的手術。

護士長：祝你手術成功！手術后我還會來為你作術后復健指導的。

病人：謝謝你！

Interactions

Patient：（sincerely）Elder sister，I feel much better.I really appreciate what you have done for me.Thank you very much.I feel confident about tomorrow’s operation.I will listen to you to prepare well for the operation.I will eat and sleep well，and bravely accept tomorrow’s surgery.

Head Nurse：I hope you have a successful operation.I will come back to give you rehabilitation instructions after your operation.

Patient：Thank you.

結果

小陳通過護士長的心理疏導，排除了焦慮、恐懼和緊張，增強了戰勝疾病的信心。第二天成功地進行了再造拇指的手術。

Result

After the psychological care，Miss Chen’s anxiety and fear were eliminated.With much confidence to overcome the situation，she received the thumb re-plantation the next day successfully.

點評

該例術前心理護理成功的原因有賴于護士長良好的溝通。針對小陳的情緒變化和她所擔心的手術失敗、外形不美及功能欠佳等焦點問題，護士長采取了仔細聆聽、善意誘導、主動講解、給予心理疏導的方法，避免了負面情緒的影響，增加了病人的信心和力量，接受手術。

Comments

The reason of success in this preoperative psychology care was due to the good communication of the head nurse.She focused on Miss Chen’s emotional changes，her concerns about a potential unsuccessful operation，ugly shape and ineffective function of her thumb.The head nurse provided the psychological care with careful listening，kind guidance，and active explanation.These care prevented the patient’s negative emotional effect，and increased the patient’s confidence and strength to receive the operation。