肺移植病人的心理护理

肺移植病人的心理护理

Psychological Nursing Care for a Patient with Lung Transplantation

交流

护士：XX，现在我们使用面罩来帮助你呼吸，有些不舒服，你可能觉得鼻子、嘴巴和外界空气隔开了，放心，呼吸机能够提供你足够的氧气，绝对保障你的安全。

病人：（点头示意）

护士：从插管到使用面罩是一个很大的进步，情况一天比一天好，一定要有信心。现在你要配合好呼吸机，吸气时闭上嘴巴，气就不会打进胃内，试试看！

护士：很好！面罩很紧？这是为了不泄漏，保证呼吸机给你最有效的呼吸支持，当然我们会给你间断松开的。

病人：（试做）病人：（点头）

护士：有什么需要做手势告诉我们，好吗？右手边有个铃铛，摸摸看！感觉不舒服敲这个铃铛，好吗？

Interactions

Nurse：Mr.XX，the mask is used to help you breathe.You may experience some discomfort.You may feel that your nose and mouth are blocked from the outside air.But don＇t worry.The respirator will provide enough oxygen to you and it is absolutely safe.

Patient：（nodding）

Nurse：It is a great progress from the use of trachea incubation to the use of mask.Your condition has become better and better every day.Now you should work with the respirator and close your mouth during inhalation to avoid air from getting into your abdomen.Try it，OK？

Patient：（trying）

Nurse：Very good.The mask is tight，isn＇t it？This is because we want to make sure that the respirator will supply the most effective air flow to you.Certainly，we＇ll loose it intermittently.

Patient：（nodding）

Nurse：Please make gestures to show your needs，OK？There＇s a bell next to your right hand.Feel it！You can ring it when you feel uncomfortable.

结果

病人对无创呼吸面罩存在恐惧感。护理人员首先应确认和重视患者的恐惧心理反应，解释面罩的安全性质，消除其顾虑。然后需肯定面罩的使用是正性过程，使病人愿意接受，并指导病人正确的配合，最大程度地减少不适。

Result

The patient is frightened by the non-invasive respirator.First，the nurses should accept her fear and tell her the safety features of the respirator to alleviate her anxiety.Then the nurses should ensure the patient that the use of the mask is a positive process which will lead the patient to accept the equipment.Guiding the patient to learn the right usage of the machine will also minimize the patient＇s uneasiness.

点评

器官移植是新兴医学，因此进行器官移植的病人对自身安全感的焦虑会更甚于其他病人。他们迫切需要得到来自于医护人员、社会家庭的各种信息和情感支持，以证实生命不再受到威胁。在上述三例交流会话中，可以体会到护理人员对他们的心理问题进行了合理的疏导。护理人员把检查、治疗的必要性，副作用都作了详尽的说明，比较了利弊得失，帮助病人权衡轻重，给予适当的安全暗示和保证，从而减轻了他们的焦虑、惧怕，并主动配合治疗和护理工作。

Comments

Organ transplantation is a new medical technology.The patients who underwent this procedure usually exhibit more anxiety and concerns about their safety much more than other patients.They tend to need more information and emotional supports from the medical personnel as well as the society and the family members，to ensure themselves out of danger.In the above listed three dialogues，the nurses made detailed explanation about the importance of the examination，the treatment，the side-effects，and so on.The nurse also compared the positive and the negative effects，gave the patient appropriate safe suggestions and reassurance which alleviated the patient＇s anxiety and fear，and obtained his cooperation with the treatments and nursing care.

（蒋芳琴）