蛛网膜下腔出血护理的伦理学探讨.pdf

文档介绍：中国医学伦理学年月第卷第期
2011 10 24 5 http ∥www. yxllx. com

Chinese Medical Ethics Oct. 2011 Vol. 24 No. 5 E-mail zgexllx@ mail. xjtu. edu. cn
蛛网膜下腔出血护理的伦理学探讨
颜超,张敏,祝刚
,
孝感市中心医院神经内科湖北孝感 432000
〔摘要〕针对蛛网膜下腔出血护理工作实践中涉及的四个方面护理人员的专业能力针对患者治疗的医护沟
通蛛网膜下腔出血患者的心理护理及患者家属的心理沟通和疏导临终的人文关怀,从医学伦理学的角度予以
探讨。
〔关键词〕蛛网膜下腔出血医护沟通医学伦理学人文关怀
〔中图分类号〕R47 〔文献标识码〕A 〔文章编号〕1001 - 8565 2011 05 - 0609 - 02
The Ethical Consideration for Nursing Patients with Subarachnoid Hemorrhage
YAN Chao,ZHANG Min,ZHU Gang
Department of Neurology,Xiaogan Central Hospital,Xiaogan 432000,China
Abstract Care for patients with subarachnoid hemorrhage involved in four aspects petence of
nursing staff doctor - munication related to treat the patients psychological care of patients with sub-
arachnoid hemorrhage munication and psychological counseling with families of patients humanistic hos-
pice care. These tissues were explored from the perspective of medical ethics .
Key words Subarachnoid Hemorrhage Health munication Medical Ethics Humane Care
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, 1 ,
蛛网膜下腔出血是指颅内血管破裂后血液流入们适应在床上大小便。在急性期应劝告患者的家属
, ,
蛛网膜下腔的症状为神经内科常见的危重脑血管病和亲友减少探视的次数避免患者情绪激动而再出血。
, ,
之一。此症具有起病急、出血量多、并发症多、死亡率急救时医护人员要在患者肩下垫上枕头使上身和头
, , , ,
较高等特点。一般情况下面对危重病情患者及其家部略抬高保持呼吸道畅通。对于行气管切开的患者
属均无思想准备,情绪难以自控,对救治要求急切或应做好管道护理并密切观察,防止呼吸不畅引起窒息

期望较高。笔者从伦理学的角度对此类患者的护理工和颅内压增高而再出血对于不适应在床上排尿的患
, , ,
作进行分析探讨。者护理人员应及时给予导尿以防尿潴留并