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护患情境会话

2013-04-08吴山虹

护士进修杂志 2013年7期
关键词:侧卧位王女士床位

产妇入院指导Admission Instructions for a Woman in Labor

背景

病房走廊里,一位孕妇从外面走来,床位护士迎了上去。

Background

交流

护士:您好!您有什么需要协助的吗?

病人:是的。我姓王。

护士:很高兴见到您。我是李护士,您可以叫我小李。您有什么不舒服吗?

病人:我怀孕已经39周,今天感到下腹有点胀痛,我想可能要生了,就来医院检查。围产期检查室的医生建议我住院,我就来了。

护士:噢,别着急,我先带您到产房与助产士见面,并且做一些产科方面的检查。

病人:好的,谢谢你。

产生这种缺陷一般都是因为混凝土的配合比达不到要求,或者灌注桩混凝土内部碎石、砂子、水泥发生分离而相关技术人员未能及时发现,最终在钻孔灌注桩内部产生空洞,严重的甚至会引起断桩。

(李护士把王女士介绍给助产士后,暂时离开。王女士在产房做各项检查,四十分钟后,助产士陪同王女士来到病房护士站。李护士边迎面打招呼边从助产士手中接过王女士的病历和检查单并快速看了一下。)

护士:从您的面部表情看来,检查结果很不错,是吗?床位都给您准备好了,我陪您过去。

病人:太好了。

护士:这是您的床位。您现在感到累吗?

病人:有点累。

护士:那就先躺下休息一会儿,我去通知营养室帮您准备午餐。十分钟后我再来给您做入院介绍并了解一些您的情况,您看如何?

病人:好的。李护士,刚才助产士告诉我睡觉要采取左侧卧位,为什么?

护士:噢,取左侧卧位可增加子宫、胎盘之间的血流,对胎儿较为有利。

病人:原来如此,那我为了宝宝一定要坚持左侧卧位。(李护士协助产妇慢慢摆好了体位,盖上被子,离开病房。)

Interactions

Nurse:Hi!Do you need any help?

Patient:Yes.My last name is Wang.

Nurse:Very nice to meet you.I am nurse Li.You can call me Xiao Li.Are you having any discomfort?

Patient:I am 39weeks pregnant and feel a little distention pain in the lower abdomen today.I thought it may be time to give birth,so I came to the hospital to have it checked out.The doctor at the prenatal clinic suggested hospitalization,that’s why I’m here.

Nurse:Oh,don’t be nervous.I will take you to the delivery room to meet the midwife and have some obstetric examinations.Patient:Good,thank you.

(After introducing Mrs.Wang to the midwife,nurse Li leaves temporarily.Mrs.Wang has all the tests done.A-bout 40minutes later,the midwife accompanies Mrs.Wang to the nurses’station of the ward.Nurse Li greets them,and receives Mrs.Wang’s medical record and test results from the midwife and reviews them quickly.)

Nurse:I can tell from your facial expression that the test results must be very good,right?The bed is ready for you.I’ll accompany you over there.

Patient:Great.

Nurse:This is your bed.Are you tired?

Patient:A little.

Nurse:Lie down and rest.I’ll notify the nutrition department to prepare lunch for you.I will come back in 10 minutes and provide the admission introduction and also obtain some information from you,OK?

Patient:Good.Nurse Li,the midwife told me to lie on my left side.Why?

Nurse:Oh,lying on the left side can increase the blood flow between the uterus and the placenta.This is good for the fetus.

Patient:I see.I’ll lie on my left side for the sake of my baby.(Nurse Li helps the pregnant woman to lie down slowly,covers her with a quilt and leaves the room.)

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