肌無力病人在氣管切開前的恐懼

A Myasthehia patient’s Fear before Tracheotomy

老楊點了點頭，他兒子跪在床邊緊緊地握住父親的手，同時在五官科主任的示意下先為患者靜推了10mg安定，并馬上配合施行了氣管切開手術(shù)，為患者連接了人工呼吸機輔助呼吸。當一切就緒后，患者在輔助呼吸下，呼吸暢通了，紫紺消失了，臉上露出了疲憊而放松的微笑，慢慢地睡著了。

點評

由于自感病情嚴重而導(dǎo)致精神上的極度不安，這是危重病人共有的心理特征。他們感覺瀕臨死亡，既希望得到即刻的救治，又害怕因醫(yī)護人員處理不當而造成嚴重后果。護理人員應(yīng)洞悉病人及家屬的這種矛盾心情，用沉著和切境的語言進行安慰和疏導(dǎo)，取得護理對象的信任和配合，同時以果斷和熟練的技術(shù)贏得治療時機，爭取搶救成功。

Mr.Yang nodded.His son kneeled down at the bedside keeping his father’s hand in his grasp.At the same time with the advice of the ENT department，the doctors gave the patient 10mg of Valium intravenously，performed the tracheotomy immediately，and connected the respirator to the patient to assist his breathing.After all was done，the patient’s purplr complexion disappeared gradually.He breathed without difficulty，and fell asleep with an exhausted but relaxed smile on his face.

Comment

Extreme fear from awareness of the severity of the disease is the common psychological characteristic of critically ill patients.Feeling close to death，they are not only longing for an immediate treatment，but also afraid of the serious consequence that may result from improper treatment by doctors and nurses.Nurses should be aware of the concerns of the patients and their families.Nurses must provide comfort and guidance to obtain the patients’trust and cooperation by using calm and appropriate words.At the same time，nurses also need to grab the opportunity for emergency interventions with decisive and skillful technique to help patients to obtain successful treatment.

（蘇翠紅）

高位截癱病人的整體護理

Holistic Nursing Care for a High Level Paraplegia Patient

背景：病人梁先生，30歲，因騎摩托車發(fā)生車禍，后胸、腰椎骨折。入院診斷：高位截癱。病人神志清楚，精神沮喪，二便失禁，不能坐立。新婚3個月的妻子趙某來院見狀憂慮不安，一個完整的家庭面臨著危機。此時，床位護士來到病人和他妻子的身邊，向他們伸出了援助之手。

Background：Patient Mr.Liang，30years old，fractured his thoracolumbar vertebra from a motorcycle accident.The hospital admission diagnosis was high paraplegia.The patient was conscious，sad，He had inconvenience of stool and urine and could not sit and stand.His wife arrived at the hospital in a hurry and was very concerned.The young couple got married only three months ago.The whole family faced a crisis.The nurse in charge went to the patient and his wife，and tried to give them a hand.

交流

護士：梁先生，請您張開嘴，給您漱漱口，好嗎？

病人：（沮喪地）不必了。

護士：您現(xiàn)在的狀況確實使大家都很痛苦，但并不是毫無希望呀！后天主任就要給您動手術(shù)進行復(fù)位。您的狀況對手術(shù)會有一定影響，告訴我您在想什么，讓我來為您分擔些，好嗎？

Interactions

Nurse：Mr.Liang，please open your mouth and let me brush your teeth，OK？

Patient：（sadly）No，there is no need.

Nurse：The situation of your health makes everyone feel sad，but there is still hope.The chief doctor is going to perform the operation on you the day after tomorrow.Your condition will have some influence on the success of the operation.Please tell me what you are thinking and let me share your concern，OK？

（宋良琤 王莉）