护患情境会话

肝炎病人的休息指导

Instructions on Resting for a Hepatitis Patient

交流

病人：好的，我去跟领导说说，他很有人情味的。

护士：还有一点很重要，就是在你恢复期内，要尽量安排午睡，这是解除疲劳、恢复体力的极佳方法。午睡时间以0.5～1.5小时为好。另外，睡觉以右侧卧位为宜，使身体与床面成45度角。

病人：为什么呢？

护士：因为这种卧位使肝脏位于腹腔动脉的下方。动脉血液走下行路线流向肝脏，这对动脉血为肝脏输送营养物质十分有利。

护士：原来，休息还有那么多讲究，我一定会按你的指导去做的。

护士：是的，休息对肝炎病人尤其重要。人们说肝病三分治疗、七分休养，可见休息的重大意义。任何时候，如果你感觉疲劳，一定不要硬撑，要学会休息，同时要定期去门诊复查肝功能，监测肝脏恢复情况。

病人：谢谢你，今天为我上了一堂生动的休息课，让我收益匪浅。

Interactions

Patient：OK.I will consult with my boss.He is quite nice.

Nurse：Another important thing is you must have midday nap which should last about 30minutes to one and half hour.This is the best method to relieve fatigue and restore physical strength.Furthermore，it is better to turn to your right side，and maintain a 45degree angle while you sleep.

Patient：Why？

Nurse：Because this lying position puts the liver under the celiac artery and allows the blood to flow down to the liver.It is more beneficial for the transport of nutritious substance from artery to the liver.

Patient：Oh.There are so many details regarding the rest.I will follow your guidance.

Nurse：Yes，relaxation is especially important to patients with hepatitis.Many people say that the treatment of hepatitis is 30%therapy and 70%rest.This shows the importance of rest.At any time，if you feel tired please don’t insist on working.You must learn how to rest and be sure to go to hospital outpatient department to reexamine the liver function periodically so that you can monitor the recovery of your liver.

Patient：Thank you for your lively lecture about rest.It will benefit me so much.

点评

这位护士的休息指导是理想的。在整个指导过程中洋溢着护患双方共同参与的良好氛围。护理人员用分享康复快乐的开场白调动了护理对象的积极情绪，激发了他进一步配合治疗的愿望。在交谈过程中，双方既都是提问者，又都是回答者，护理对象不是被动地接受护理，而是积极主动地配合和参与护理活动。在这里，护理人员正确接受反馈信息的同时，不断提高工作质量，表现出一种新型的平等合作关系。

Comment

The instruction about rest given by this nurse is ideal.There is a good climate for the nurse and the patient to work together in the whole instructional process.The prologue the nurse used－sharing happiness of recovering with the patient，evoked active emotion of the nursing client and helped him raise his desire to cooperate with the medical personnel during treatment.In the entire conversation process，the two parties are both questioner and responder.The patient did not receive instructions passively but took part actively.The nurse properly received feedback and continuously to provided high quality of work.This shows the new，equal，and collaborative nurse－patient relationship.