护患情境会话：拇指再植术前病人的护理

交流

病人：（由衷地）大姐，好多了。真的好感谢你。现在我对明天的手术充满了信心，我一定听你的话做好手术前准备，吃好睡好，勇敢地接受明天的手术。

护士长：祝你手术成功！手术后我还会来为你作术后复健指导的。

病人：谢谢你！

Interactions

Patient：（sincerely）Elder sister，I feel much better.I really appreciate what you have done for me.Thank you very much.I feel confident about tomorrow’s operation.I will listen to you to prepare well for the operation.I will eat and sleep well，and bravely accept tomorrow’s surgery.

Head Nurse：I hope you have a successful operation.I will come back to give you rehabilitation instructions after your operation.

Patient：Thank you.

结果

小陈通过护士长的心理疏导，排除了焦虑、恐惧和紧张，增强了战胜疾病的信心。第二天成功地进行了再造拇指的手术。

Result

After the psychological care，Miss Chen’s anxiety and fear were eliminated.With much confidence to overcome the situation，she received the thumb re-plantation the next day successfully.

点评

该例术前心理护理成功的原因有赖于护士长良好的沟通。针对小陈的情绪变化和她所担心的手术失败、外形不美及功能欠佳等焦点问题，护士长采取了仔细聆听、善意诱导、主动讲解、给予心理疏导的方法，避免了负面情绪的影响，增加了病人的信心和力量，接受手术。

Comments

The reason of success in this preoperative psychology care was due to the good communication of the head nurse.She focused on Miss Chen’s emotional changes，her concerns about a potential unsuccessful operation，ugly shape and ineffective function of her thumb.The head nurse provided the psychological care with careful listening，kind guidance，and active explanation.These care prevented the patient’s negative emotional effect，and increased the patient’s confidence and strength to receive the operation。