卵巢癌病人的心理护理

卵巢癌病人的心理护理

Psychological Nursing Care for a Patient with Ovarian Carcinoma

背景

病人，朱女士，36岁，工人。因盆腔包块入院。术中诊断为卵巢癌。术后第一天，患者对自己的病情有所了解，表现为不停哭泣，要求拔除补液回家。护士小许到病床边进行护理。

Background

Patient Mrs.Zhu，a 36year old factory worker，was hospitalized because of her pelvic mass.She was diagnosed during the surgery as having ovarian cancer.The first day after her surgery，the patient learned about her illness.She could not help but cry and asked to go home.Nurse Xu came to her bedside and provided nursing care to her.

交流

护士：朱女士，你哪里不适？

病人：我全身都不舒服，帮我把管子拔掉吧。

护士：（仔细地检查了各管子）你的管子很好，没什么问题。今天是术后的第一天。你可能有腹胀、腰痛等不适，但是通过改变卧位，是能够缓解的。来，我协助你翻身。

（病人不太配合）

病人：不要挂水了，挂了也没用的。

护士：水是要挂的，你现在不能吃东西，输液中有抗炎、支持性的药物，会使你的身体慢慢恢复的。

病人：恢复不了，我的病是看不好的，让我回家吧。

护士：怎么看不好呢。你看，你边上的病人是不是一个个都恢复的很好。

病人：不一样的，我的病和别人不一样的，我的病是看不好的。（病人哭得更厉害）

护士：朱女士，即使真的得了什么不好的病，现在医学发展的这么好，对疾病的治疗方法有很多，如术后加上化疗，能很好地控制疾病发展。重要的是你自己心情一定要开朗点。10年前，我碰到一位和你得同样疾病的病人，她手术后化疗了半年，后来参加了我们医学院的一个肿瘤患者康复俱乐部，心情特别开朗，现在身体仍然非常好。所以，你如果能和她一样开朗点，再配合我们的治疗，我想你一定能恢复得很好。因此，你不能太着急。

Interactions

Nurse：Ms.Zhu，what is wrong？Are you OK？

Patient：I do not feel well at all.Please take off the tubes.

Nurse：Your tubes are good.No problem.Today is the first day after your surgery.You may feel abdominal distension，middle back pain and so on.But these can be decreased by change your position.Let me help you.

（The patient is not very cooperative.）

Patient：Don’t give me any more transfusion.It doesn’t work.

Nurse：You have to have the transfusion because you can’t eat anything now.The transfusion fluid contains antibiotics and supportive medications which will help you to recover.

Patient：It isn’t effective.I can’t be cured.Let me go home.

Nurse：Why？You see the patients beside you are all recovering very well.

Patient：It is different.I am different from them.I can’t be cured.（The patient cried even more.）

Nurse：Ms.Zhu，even if you suffer from a bad illness，because medical science has progressed so fast，there are many treatment techniques such as chemotherapy which may be able to cure your illness.The most important thing is for you to have a sanguine mood.Ten years ago，I met a patient with the same illness as yours.She was treated by chemotherapy for six month after her surgery.She joined a Cancer Patient Health Club at our medical college.Now she has sanguine mood and is doing very well.So，if you have the spirit like hers，and cooperate with us，I think you will recover well.Please try not to worry so much.

（钱静）