乳房癌病人術(shù)前的護(hù)理

Preoperative Care for a Patient with Mastocarcinoma

交流

病人：小李，我很害怕，不知該如何面對這樣的事實(shí)。如果不盡快拿掉乳房，癌細(xì)胞浸潤后將危及生命，如果切了，那么將如何過正常人的生活，我愛人和同事又將如何來接受這現(xiàn)實(shí)，真是太殘酷了。

護(hù)士：是的，命運(yùn)常常會(huì)捉弄人?？墒?，比起失去生命，那么切除乳房后所帶來的一切困難要容易克服得多?，F(xiàn)在最重要的是要安全地活著。及早手術(shù)對生命幾乎沒有多大影響，我想，這點(diǎn)你比我更清楚。

病人：是的，接受手術(shù)是肯定的。但一想到手術(shù)后將要面對不再健全的軀體，簡直不知所措。

護(hù)士：我已與您愛人談過了，他完全同意做乳房切除手術(shù)，他希望您能健康地和他共渡一生。關(guān)于切除乳房的現(xiàn)實(shí)我也向他描述過了，他完全能正確地看待這一現(xiàn)實(shí)，并作了充分的思想準(zhǔn)備。

病人：是嗎？真太謝謝你了。很快我就要做手術(shù)了，您能替我辦件事嗎？

護(hù)士：沒問題，您盡管吩咐。

病人：替我想辦法買一只假乳罩，好嗎？我希望手術(shù)后就能戴上。

護(hù)士：好的，我一定盡力去辦，爭取等你拆線后給你戴上。

病人：謝謝你，我的好護(hù)士。

Interactions

Patient：Miss Li，I am frightened and don’t know how to face this reality.My life will be over if the breast with cancer is not removed as early as possible.If it is excised，on the other hand，how can I live a normal life？How will my husband and my staff look at this situation？It’s so cruel.

Nurse：Yes，fate often makes fun of people.But it is lots easier to overcome the difficulties of losing a breast when compared with the loss of life.The most important thing for you is to live.There will not be much difference on life after the operation.I think you know better than I do about this.

Patient：Yes，it is certain that I’ll have the operation.I just don’t know how to face the fact that I will no longer have a“whole body”after the operation.

Nurse：I have talked with your husband and he is fully consent to the operation.He hopes that you could live with him the rest of your lives in health.I have also told him about the reality of breast excision and he has indicated that he could face this reality and has prepared in his mind.

Patient：Really？Thank you very much indeed.I’ll receive the operation soon.Could you do something for me？

Nurse：Sure.It will be my pleasure.

Patient：Please try to buy apadded bra for me.I hope to wear it soon after the operation.

Nurse：Yes，I’ll do it and try to let you wear it after your stitches are removed.

Patient：Thank you，my good nurse.

結(jié)果

病人在愛人的支持、護(hù)士的關(guān)心幫助下，順利地接受了一側(cè)乳房切除術(shù)。10d后拆線，戴上早已準(zhǔn)備好的假乳罩，每天堅(jiān)持臂胸功能鍛煉，兩個(gè)月后又精神抖擻地站上了婦科手術(shù)臺(tái)。

Result