与气管切开病人的沟通

分析2000年5月－2001年7月气管切开30例患的各期心理变化，总结对气管切开患如何正确使用语言和非语言交流技巧，以促进护患之间心理沟通，根据患的体语和病情变化，及时了解气管切开患的心理需求，使病人增强战性疾病的信心，缩短住院时间，提高治愈率。     

106例血液透析患者动静脉内瘘的护理

目的:探讨血液透析患者动静脉内瘘的护理要点。方法:回顾性分析106例血液透析患者动静脉内瘘的相关护理措施。结果:94例患者静脉内瘘使用良好,12例发生内瘘堵塞、假性动脉瘤等并发症。结论:合理使用动静脉内瘘,科学做好全程护理,可延长动静脉内瘘的使用寿命,保护好患者的"生命线"。     

Effective communication with patients

This brief article aims at heightening awareness about communication with various patients, including strategies to assist in improving communicative effectiveness. It assists us as health care professionals to go back to basics and reflect on how we communicate. Several researchers have provided insight into ways that communication may be enhanced. Walter, Bundy, and Donan (2005) suggested personally greeting the patient, introducing oneself, engaging in talk about clinical concerns, and then discussing next steps toward healthcare solutions. Schillinger (2003) implored that health related jargon be avoided and that all messages be clear and simple. Illustrations in the form of black-white line drawn pictures also tend to assist in patient comprehension. Lawton and Carroll (2005) suggested that effective communication requires assessing what the patient knows about their illness. Seidel's model (2004) stated that healthcare providers listen to the patient's story and elicit information through questioning with sufficient time allotted to provide answers. He also discussed the importance of providing a short summary of what the patient conveyed and giving additional information so they learn more about what is happening to them and can become an active participant in making decisions. It is important that patients understand what we as healthcare professionals say to them. Wisner (1999) further conveyed that it is not words alone that communicate. Body language, facial expressions, and tone of voice often provide additional clues influencing communicative effectiveness. Without a doubt, communication, directly impacts service delivery and quality of care in healthcare today. Listen to your patients, they have much to say.