心脏移植病人的心理护理

心脏移植病人的心理护理

Psychological Nursing Care for a Heart Transplant Patient

（情景一）

术后当晚，经过4 h麻醉苏醒期，病人清醒。由于气管插管接人工呼吸机辅助呼吸，无法说话，只能用点头等简单的动作来表示她的意思。护士很清楚这时病人的心理情况，一直陪伴在身边。

（Scene 1）

Four hours after the operation，the patient regained her consciousness from the anesthesia.She couldn’t talk because a tracheal tube was connected to the respirator.She could only express herself with some simple actions，such as nodding，etc.The nurse knew Mrs.Zhu’s psychological situation，so she stayed with her.

护士：（轻轻握住病人的手，语气轻柔）朱丽，你听到我在喊你吗？

病人：（轻轻点点头，闭着眼睛）

护士：你醒了？感觉还好吗？知道吗，你已经动完手术了，很成功。现在已经在病房了。我是小李，记得我吗？

病人：（点点头）

护士：好的。朱丽，听我讲，你的移植手术做得非常成功。现在为了减轻你的负担，要用呼吸机帮助你呼吸一段时间，所以插在嘴里的管子还不能拔掉，有点难受，忍一忍，好吗？你只需好好的跟着机器呼吸就行了。我们给你用了镇痛剂，暂时不会觉得疼痛，好好休息，我会一直在边上陪你的。

（病人点点头，握紧护士的手）

护士：别怕。我不离开，你放心睡吧。

采用爱丁堡产后抑郁量表（EPDS）对护理后两组产妇抑郁情况进行评定，共10个条目，每个条目0～3分，总分30分，评分越高，表示产妇抑郁症状越严重[3-4]。采用本院自行设计拟定的护理满意度问卷对两组护理后产妇的满意度进行统计，总分100分，分数在90分及以上为非常满意；分数在70～89分为满意；分数不足70分为不满意；总满意=非常满意+满意。

（病人握着护士的手睡着了）

Interactions

Nurse：（holding the patient’s hand and talking to her softly）Mrs.Zhu，can you hear me？

Patient：（nodded with her eyes closed）

Nurse：You are awake.How do you feel now？The operation was a success and you are in the ward.I am nurse Li.Do you remember me？Patient：（nodded her head）

Nurse：Ok.Mrs.Zhu，congratulations.Your operation was very successful.The respirator will help you to breath for some time.Therefore the tube in your mouth can not be taken out.You may feel discomfort but you must bear it during this short period.What you should do is follow the rhythm of the respirator to breath.We have given you some analgesic so you won’t feel pain.Now take a good rest and I will stay with you.

（Patient nodded her head，grasped the nurse’s hand firmly）

Nurse：Don’t worry.I won’t leave.Relax and sleep now.

（The patient fell asleep while holding the nurse’s hand）

（李惠玲）

（情景二）

术后第二天，病人已拔除气管插管，半卧位，鼻导管吸氧，已能进少量流质。今天又是小李值班。（Scene 2）

The tracheal tube was pulled out the second day after the operation.The patient was in a semi-reclining position on the bed，breathing with an oxygen nasal canula，and can take some fluid.It is nurse Li on duty again.

交流

护士：（语气轻快）哟，朱丽，一天没见，这么精神啦。看上去不错。（拉住病人的手）怎么样，胃口好吗？医院的饮食吃得惯吗？

病人：（勉强笑了一下）还可以。

Interactions

Nurse：（speaking quickly and happily）Hi，Mrs.Zhu，I haven’t seen you for only one day and you are looking so well（holding the patient’s hand）.How is your appetite？I am afraid you may not be used to the hospital foods.

Patient：（smiling reluctantly）The foods are fine.

（王玉宇）