護患情境會話

焦慮癥病人的護理

Nursing Care for a Patient with Anxiety Neurosis

交流

病人：我的病剛剛好一點，你們就要給我減藥。晚上肯定睡不好，毛病就會加重。這樣肯定不行，你幫我跟醫生講講，不要減藥。

護士：你的心情我理解。但是，治療是一個完整的過程，總有減藥的時間。

病人：我知道，但現在肯定不行。

護士：醫生對你的病情很了解。這是根據你的病情進行的用藥調整，你該信任你的床位醫生。

病人：我不是不相信醫生，可萬一減了藥真的睡不著，那該怎么辦？

護士：你放心，晚上我們的值班護士會定時巡視病房。如果你真的睡不著，她會聯系值班醫生給你酌情用藥，第2天護士也會向你的床位醫生作詳細交班。所以，現在你要做的是放松自己。要知道，你緊張焦慮的情緒反而會嚴重影響你晚上的睡眠。

病人：聽你這么一解釋，我現在放心一點了。

護士：那太好了。我帶你出去散散步，放松一下。

病人：好的，謝謝你。

Interactions

Patient：My doctor plans to reduce the dose of my medicine.If I don＇t take enough medicine，I can＇t sleep well and my illness will get worse.Could help me ask the doctor not to reduce the dose of my medication？

Nurse：I understand how you feel.But the whole treatment process consists of many stages.At some point the dosage of the medicines will need to be reduced.

Patient：I see.But it is not the right time，yet.

Nurse：Your doctor knows about your condition very well.He adjusts your medicine according to your condition. You should trust your doctor.

Patient：I do trust my doctor.But I don＇t know what to do if I cannot sleep well at night.

Nurse：Don＇t worry，the nurse on duty at night will look after you.She will call the doctor on duty to give you medication if you can＇t sleep.And she will report your situation to your doctor in detail the following morning.So what you should do now is relax.As you know，your anxiety and nervousness will affect your sleep.

Patient：I feel a little better now after your explanation.

Nurse：Great.Let＇s take a walk to relax some.

Patient：OK and thanks.

結果

由于護士給予了有效的心理疏導，病人解除了因減藥而帶來的焦慮情緒，整夜睡眠沒有問題。

Result

Because of the effective psychological guidance from the nurse，it reduced the patient＇s anxiety caused by the medicine reduction.The patient slept through the night without a problem.

點評

吳女士因減藥而出現焦慮，護士對其所擔心的事情作出合理的解釋和保證，并帶其外出散步轉移注意力，有效地減少了病人的焦慮情緒。

Comments

Ms.Wu was anxious because the reduction of her medicine.According to the things that worry the patient，the nurse provided reasonable explanations and reassurance，and also took the patient out for a walk.These diverted the patient＇s attention and effectively reduced her anxiety.