On the surgical care in the use of language skills

Author: Su Fengjun Lv Jinming Jin Chung products

[Abstract] care model in the overall framework, the language of communication with patients occupy a prominent position, but often because of language deficiencies leaving words fail to communicate, so enhance the language skills of training on the highlights out. Is on the psychological characteristics of surgical patients , called the language skills to explain the condition of language skills, language skills of persuasion, comforting language skills Experience in the use of an overview.

[Keywords:] surgical care, language skills, psychological care

With the rapid development of medical science, care of mind, the traditional care model can not meet the current care situation and development, the overall patient-centered care model in nursing practice has been effectively verified, and the key to the overall care is that nurses must learn to do according to the patient's psychological communication, language is the main tool of communication with patients. and some surgical nurses: is trauma surgery major diseases, mental communication is not very important, no matter what patients want, as long as the wound handle are still a long good. I believe that this understanding is incomplete, because people as a whole, while the spirit is to control the body, only the patient's mental pleasure, and it helps to improve the efficacy of communication between nurses and patients as very important in surgical care to achieve effective communication with patients, we must learn to use language skills to use concise, clear, quick to ideas, feelings, convey ideas to each other. now my personal Experience Experience outlined below.

A surgical patient's psychological characteristics
Surgical patients with anxiety and fear are the main psychological characteristics, especially chronic diseases in patients hospitalized for elective surgery is more obvious, because they are subject to long-term pain or illness, hospitalization, after adjusting to the hospital environment, especially for the safety of operation, results of operations, can bear the surgical stimulus, etc., are some of the unknown, so the patient before surgery usually worried, anxious, feelings of anxiety, restlessness, emotional instability, etc. The resulting lack of confidence in the future, increased fear, mental capacity was significantly reduced. for emergency surgical patients, due to sudden illness, severe and unpredictable consequences of the disease, so that patients have extremely complex psychological tension, the most extreme tension to see the patient, expression of pain, anxiety, irritable mood, doubt, depression, fear of mind, etc. According to the psychological characteristics of surgical patients, requiring surgical nurses use language skills, better communication with patients, patients with good psychological care, improve the overall care effect.

2 call of language skills
Call is the starting point of communication between people, patients in the hospital's nurses what to call their own are very sensitive to improper patient if the first call you will be able to produce adverse effects, thereby affecting subsequent normal development of nurse-patient relationship. common improper call are: bed almost straight No.: "× × bed, the injections." with "Hey" to call: "Hey! over blood pressure." and so on, and sometimes address him by name there was no respect, especially for older patients the nurse should understand the patient's medical record the identity, age, occupation and other specific information to equality, respect for the principle, vary accurate and appropriate use of the term, which is very important in their names after the general plus "comrades, ladies and gentlemen, Miss or job, title," and other modifications, to patients in rural areas can also be used "uncle", "aunt", "sister," "Uncle," "aunt," "uncle," "aunt "" Brothers, "" Sisters "and other villages used to call. For older patients, can also be called surname plus" old ", such as" Wong Lo "," Li Lao "and to show respect when patients heard close to equality, respect of the call, you will have intimacy, nurses and patients of the distance closer. Remember that the patient's name is also very important, even if the meeting when the name does not call out, the patient will have to forget my name the feeling, emotion alienated on short, accurate and appropriate use of the title, is the starting point for improving nurse-patient relationship, can not be ignored. Links to free download http://www.hi138 . com 3 language skills to explain the disease
Explanatory language is the basis of psychological care by nurses to improve the patient's condition to explain their own understanding of the disease, thereby lifting or reducing the fear of patients, so that patients gradually returned to calm mental state.

In the treatment, disposal, or before and after surgery before and after care to critically ill patients and families to explain the disease process requires the use of multi-language skills: such as implementation of cholecystectomy in patients with diet doctor, the nurse must first explain to patients after cholecystectomy, from the liver produce bile, can not be stored in the gallbladder, and when there is not enough to eat after the bile duct into the duodenum through the bile and food from the saponification of fat, so fat digestive disorder in the final prototype of fat from the intestinal tract, the formation of fatty diarrhea, so after cholecystectomy in patients with low-fat eating only light foods. nurses in addition to the public in plain language to explain to patients, but also make good use of master and modification of language, such as the "bad" as "not satisfied" and "incurable" as "slow recovery" and "cancer" as the "tumor" or "mass" to avoid "vicious," the modifier, etc. before the nurses in the interpretation of the disease , first communicate with the doctor and the patient's condition with the doctor explained that consistency, except in very few patients will be informed after the impact of treatment and rehabilitation, as well as actually holding the hope of cure and late into the lives of patients, it is generally true say , that will tell the patient's condition and treatment of the real situation. only on condition that the process of interpretation, without comment, not on view, in order to avoid patient misunderstanding, leading to health care, doctor-patient conflicts.

4 language skills of persuasion
Persuade nurses often can show the level of expertise and technology, which is in the minds of patients and their families the basis of prestige, which is a kind of patients have a sense of trust and obedience inherent appeal, particularly given the responsibility of nurses in requirements were asked and learned the language of persuasion skills, basic skills should be a responsibility of nurses. persuasion of language skills determines the success or failure by whether the patient behavioral therapy to change, thus affecting the efficacy of good or bad. persuasion skills first and foremost, is to carefully listen to the patient's statements, standing on the patient's position, smiling, kind and sincere attitude and patient talk, and pay attention to their feelings reveal the impact on patients, attention to guiding the conversation, to avoid the temerity to promise to avoid increasing the psychological burden of patients or lead to medical disputes, for example: When a woman hospitalized cancer patients receiving chemotherapy or radiotherapy again when the nurse said: "I heard that chemotherapy should hair fall out, I'm afraid." nurse if replied: "hair loss is rare, even if it does not matter the hair out a little, a few days will be long out of." This is not practical to ensure that the answer is irresponsible, have been informed patients can have a negative impact, and that you lied to her, in her mind the image of lower confidence and personality. The correct way is: nurse confessed before chemotherapy in patients with chemotherapy or radiotherapy should be the purpose, significance and attention, and told her the course of chemotherapy or radiation therapy side effects may occur, symptomatic treatment by some of the reactions can be mitigated, such as nausea, vomiting and loss of appetite, etc. This will stimulate the patients take the initiative to adjust emotions, reduce fear of chemotherapy or radiotherapy, to improve the control of fear. to persuade nurses to patients before, we must first understand the patient in mind? the same time consider the psychological characteristics of different types of patients, targeted for persuasion, the persuasion process, consciously inspired to ask questions of patients, nurses, and then make the appropriate answer. Around to find the best examples to illustrate what you want to explain the problem. To illustrate: "find their own illness, the most important is the spirit can not collapse." If we find a similar disease in patients, when informed that the hospital has been diagnosed their own suffering from gastric cancer, the same day does not go to eat anything, and insomnia, and even fell asleep was immediately awakened by a nightmare, leading to rapid deterioration, to the hospital are under the <<critical condition>>. This is due to a mental collapse, the brain can no longer regulate the body's normal physiological function, the most prominent manifestations: not eating, not sleeping, world-weary ... ..., so that nutrients are not added, the brain cells do not rest, the body's immune system, resistance to abrupt decline, while the cancer is behind them, the rapid growth of hospitalization after we gave her psychological care, indicating that normal every day produces a variety of original cancer, the medical called cell mutation, these mutant cells appeared will be eaten by phagocytic cells and other immune cells, and immune function controlled by the brain, which is controlled by the spirit, if a nervous breakdown, the person would be finished, so at any time, the spirit can not collapse under any circumstances, even more so for patients due to patients in negative emotions, persuasion can only be used to encourage the language, not with the tone of criticism or education, or lead to resentment of patients, the role of persuasion loses.

5 soothing language skills
A high school student with good academic results, in the evening of July 6, the diagnosis of acute suppurative appendicitis, emergency surgery require hospitalization hospitalization after surgery is very successful, because the next day he would not participate in college entrance examination, so emotional depression, unable to accept the reality, read it slowly so that 12 years down the drain, all knitted brows furrowed, not eating. the responsibility of nurses discovered, take the initiative to approach him with a sympathetic attitude, care about him, and told him: "sick regardless of time and place, because illness in patients with significant opportunities for delays in the hospital is a common thing, if the boss was unable to attend trade fairs for hospitalization, loss of a business opportunity, loss of millions, even tens of millions you have to correctly deal with reality, pull themselves together, the bad things into good things, for it took you this hospital, you do the day before the entrance of acute appendicitis can not participate in college entrance examination this year, is a bad thing, but when you can use this year to consolidate to improve your results next year will be University would be better waiting for you, that does not come good yet. "Links to free download http://www.hi138.com