护患情境会话

焦虑症病人的护理

Nursing Care for a Patient with Anxiety Neurosis

交流

病人：我的病刚刚好一点，你们就要给我减药。晚上肯定睡不好，毛病就会加重。这样肯定不行，你帮我跟医生讲讲，不要减药。

护士：你的心情我理解。但是，治疗是一个完整的过程，总有减药的时间。

病人：我知道，但现在肯定不行。

护士：医生对你的病情很了解。这是根据你的病情进行的用药调整，你该信任你的床位医生。

病人：我不是不相信医生，可万一减了药真的睡不着，那该怎么办？

护士：你放心，晚上我们的值班护士会定时巡视病房。如果你真的睡不着，她会联系值班医生给你酌情用药，第2天护士也会向你的床位医生作详细交班。所以，现在你要做的是放松自己。要知道，你紧张焦虑的情绪反而会严重影响你晚上的睡眠。

病人：听你这么一解释，我现在放心一点了。

护士：那太好了。我带你出去散散步，放松一下。

病人：好的，谢谢你。

Interactions

Patient：My doctor plans to reduce the dose of my medicine.If I don＇t take enough medicine，I can＇t sleep well and my illness will get worse.Could help me ask the doctor not to reduce the dose of my medication？

Nurse：I understand how you feel.But the whole treatment process consists of many stages.At some point the dosage of the medicines will need to be reduced.

Patient：I see.But it is not the right time，yet.

Nurse：Your doctor knows about your condition very well.He adjusts your medicine according to your condition. You should trust your doctor.

Patient：I do trust my doctor.But I don＇t know what to do if I cannot sleep well at night.

Nurse：Don＇t worry，the nurse on duty at night will look after you.She will call the doctor on duty to give you medication if you can＇t sleep.And she will report your situation to your doctor in detail the following morning.So what you should do now is relax.As you know，your anxiety and nervousness will affect your sleep.

Patient：I feel a little better now after your explanation.

Nurse：Great.Let＇s take a walk to relax some.

Patient：OK and thanks.

结果

由于护士给予了有效的心理疏导，病人解除了因减药而带来的焦虑情绪，整夜睡眠没有问题。

Result

Because of the effective psychological guidance from the nurse，it reduced the patient＇s anxiety caused by the medicine reduction.The patient slept through the night without a problem.

点评

吴女士因减药而出现焦虑，护士对其所担心的事情作出合理的解释和保证，并带其外出散步转移注意力，有效地减少了病人的焦虑情绪。

Comments

Ms.Wu was anxious because the reduction of her medicine.According to the things that worry the patient，the nurse provided reasonable explanations and reassurance，and also took the patient out for a walk.These diverted the patient＇s attention and effectively reduced her anxiety.