颈椎骨折术后康复
Post-operative Rehabilitation for a patient With Fractured Cervical Spine
护士:但通过你的努力,脚趾确实动起来了,这就是良好的开端,只要你坚持下去,恢复的希望就很大。你是我见过的最坚强的女性。
病人:非常感谢,你让我看到了康复的希望。
护士:相信你康复后会走着来看我们的。我们期待着这一天。
结果
在责任护士的指导下,病人坚持四肢功能锻炼。两周后。双上肢活动自如,手能握住并举起100 ml的矿泉水瓶,右下肢踝关节可自主活动,右足趾背伸力好,右膝关节能轻微活动,左下肤足趾活动微弱,患者对康复充满信息。
点评
这段情景对话描写了护士使病人感受到关心、爱护、有安全感并且树立了自信心。护士用充满热情的话语和适当的指导及鼓励使病人获得希望、勇气和力量,从而加快疾病的康复。
Nurse:But with your effort,the toes actually move.It’s a good start You have the great possibility of recovery if you persist.You are the most determined woman I have ever met.
Patient:Thank you very much.You give me hope of recovery.
Nurse:I believe you will walk back to visit us after you have completely recovered.We are looking forward to that moment.
Result
Under the guidance of the primary nurse,the patient exercised her limbs persistently.Two weeks later,the patient’s two arms had free movement,her two hands could hold and raise a bottle filled with 100 ml of water,her right ankle could move freely,the extension strength of her right toes was good,her right knee and left toes had slight movement,and the patient had full confidence onrehabilitation.
Comment
This episode showed that the nurse made the patient felt she had been caredand loved,she was safe,and established her self-confidence.The nurse did this with warm speech and proper guidance and encouragement.This made the patientregain her hope,courage and strength,and accelerated the patient’s rehabilotation.
(张妍)
常用缩略语(英文)
Common Abbreviation(English)
MSL midsternal line 胸骨中线
MV mechanical ventilation 机械通气
NBT nitroblue tetrazolium test 硝基四唑氮试验
NMR muclear magnetic reso-nance 核磁共振
NPN nonprotein nitrogen 非蛋白氮
OB occult blood test 潜血试验
OFR oxygen free radicals 氧自由基
17-OHCS 17-hydroxycorti-costeroids 17-羟皮质类固醇
OT old tuberculin 旧结核菌素
P pulse 脉博
P2pulmonary second sound 肺动脉瓣第二音
PaCO2partial-pressure of car-bon dioxide 二氧化碳分压
PAd T platelet adhesiveness test 血小板粘附试验
PAg T platelet aggregation test 血小板聚集试验
PAICU post-anesthesia intensive care unit 麻醉后监护治疗室
PAO peak acid output 峰值酸排泌
PaO2partial pressure of oxy-gen 氧分压
PAWP pulmonary artery wedgt pressure 肺动脉楔嵌压
PBI protein-bound iodine 蛋白结合碘
PBMV percutaneous balloon mi-tral valvulopsasty经皮二尖瓣球囊成形术
PCG phonocardiograph 心音图
PCR polymerase chain reaction 聚合酶链反应检查技术
PE physical examination 体格检查
PEG pneumo-encephalogram 气脑造影图片
PET positron emission tomo-graphy 正电子放射经中轴断层摄影术
PG pressure gradient 压力阶差
(王美德)