护患情境会话 换瓣术后病人的康复指导

护患情境会话 换瓣术后病人的康复指导

Post-Operative Nursing Instructions on Constipation for a Coronary Artery Bypass Graft Patient

交流

病人：这样我就放心了，但我已经好几天没上厕所了，估计还是不能很顺利地解出。

护士：别担心，让我来帮你，我先来给你按摩按摩腹部好吗？它可以刺激肠蠕动，促进排便。

病人：好的，谢谢你。

护士：你这些天不太敢吃蔬菜和水果是吗？（一边按摩一边微笑着说）。

病人：是啊，你怎么知道的？以前我每天都是吃很多水果的，排便一直很正常。但是开完刀后就什么都不敢吃，每天就吃点米饭和鱼汤啊什么的。

护士：难怪您的皮肤这么好！是啊，很多水果和蔬菜都含有大量的维生素和纤维素。维生素对身体包括皮肤都有好处，纤维素则可以帮助排便。比如：香蕉、芹菜、竹笋等。心脏手术跟胃肠道没什么关系，不用担心，现在吃根香蕉好不好？

病人：好…（开心的笑容），谢谢你。

护士：没关系的（给病人剥好香蕉）。为了保持排便通畅，除了多吃纤维素含量多的水果、蔬菜，按摩腹部之外，你还可以每天定时去厕所，培养“情绪”。另外，你也要适当下床活动，这对你的康复也是有好处的。

病人：我知道了，听你这么一解释，我放心多了。谢谢你。

护士：不用谢。现在我需要去看别的病人，待会我再来看你，你如果有事就打铃，我会立刻过来的。

（半小时后护士再次来到床边）

病人：我刚刚去过卫生间了，你的方法真的很有效。

护士：赵阿姨，现在感觉怎么样？

护士：您的胃肠道本来就很好，而且您也很愿意配合，所以才会取得这么好的效果。你瞧您到现在体温一直正常，其它情况也都很稳定，像您这样配合，一定很快就会康复的。

病人：太谢谢你了，小刘。

Interactions

Patient：That＇s good.But I have not been to the toilet for some days now，I＇m afraid I can not do it successfully.

Nurse：Don＇t worry，I can help you.How about letting me massage your abdomen now？It can stimulate the intestine＇s movement and promote defecating.

Patient：All right.Thank you.

Nurse：You haven＇t eaten vegetables and fruits these days，haven＇t you？（Speaking with a smile while massaging the patient）

Patient：Yes，how do you know？I used to eat many fruits and have regular bowel movement.But since the operation I dare not eat anything but rice and fish soup.

Nurse：No wonder your skin is so nice.There are lots of vitamins and fiber in fruits and vegetables.Vitamin is beneficial to your body and skin，and fiber is beneficial for bowel movement.The heart operation has nothing to do with your gastrointestinal tract.So don＇t worry.How about having a banana now？

Patient：OK…（smiling）Thanks.

Nurse：It＇s my pleasure（peeling a banana）.In order to keep free bowel movements，besides eating more fruits and vegetables rich of fiber，and massaging your abdomen，you should try to go to the toilet at same time every day to make it a habit.In addition，you need to come down from the bed and move around little more.It＇s good for your recovery.

Patient：I see.I don＇t worry any more after your explanation.Thanks a lot.

Nurse：You are welcome.I need to see another patient now，but I will see you later.You can ring me any time if you need me，and I will be right over.

（Half an hour later，the nurse came to the bedside again.）

Nurse：Mrs.Zhao，how do your feel now？

Patient：I just went to the toilet and had bowel movement.Your method is very effective.

Nurse：Your gastrointestinal tract is pretty good and you are willing to cooperate with us，that is the reason you have achieved such a good result.You see，your temperature have been normal all this time，and other conditions are also stable.I believe you will recover soon.

Patient：Thank you very much，Miss Liu.

（曹影婕）