With the introduction of bio-psychological-social medical model, the health needs of human beings are constantly improving, and it is of great significance for nurses to have good language communication skills to improve the quality of community nursing.
First, the importance of language communication
1. Language is a unique tool for human beings to express their feelings, communicate and reach mutual understanding. Language is the basic means for nurses to take care of patients. In community nursing, good language can play a positive therapeutic role for patients, while bad language will have a negative impact.
2. The communicative art of language can arouse patients' subjective initiative. Nurses can turn patients' negative psychological factors into positive factors through good language art, thus enhancing their confidence in overcoming diseases.
3. The artistic performance of language communication reflects the professional quality of nurses. A nurse with excellent professional quality should be able to correctly use the art of language communication to help educate patients, let sick patients re-recognize their social values and promote their recovery as soon as possible.
Second, the problems that should be paid attention to in nurse-patient language communication
1. Emphasize the standardization of language. Nurses should be accurate in language communication with patients, use medical terms as much as possible, and explain them in simple terms when necessary. Using standardized medical terms can not only bring patients a sense of security and trust, but also reflect the formal beauty of the outside world in the nursing process, and can give patients psychological satisfaction and spiritual enjoyment. Speak Mandarin when communicating, so that patients from all directions can understand and pay attention to their tone.
2. Improve the moral level in language communication. The nurse-patient relationship is a special interpersonal relationship. Nurses should pay attention to the moral requirements of language when facing patients with different needs every day. A dedicated nurse, in the face of various requirements, will patiently explain and treat patients sincerely. For example, patients who lack medical knowledge should listen to their questions patiently and give detailed answers. They should never handle things with fear of trouble, let alone laugh at them. As the saying goes? Speak from the heart? . Good language is the basis of gaining trust and support, and language can be used as a therapeutic means to achieve therapeutic purposes. On the contrary, bad words hurt people and cause disputes. Patients who come to the community for medical treatment must not increase their psychological burden. Have compassion and love for patients, strengthen self-cultivation, be good at controlling and regulating your words, deeds and feelings, and under no circumstances should you get angry with patients, judge people by their appearances or by their power. As the saying goes:? A good word warms three winters, but a bad word hurts June? . Nurses' beautiful language can make patients feel warm, increase their confidence and strength in overcoming diseases, and make patients feel warm in community nursing.
3. Pay attention to the emotional characteristics in language communication. Emotion is people's attitude towards whether objective things meet their personal needs. People's emotions are different, such as language, intonation and tone. It will be completely different, and it will bring people different feelings. Therefore, in community nursing practice, nurses must attach importance to the emotional characteristics in language communication. Through their own services, they show concern and respect for patients, sympathy and love, care and consideration, serve with a smile, and use civilized language to give patients a sense of intimacy. For patients who come to the community for treatment for the first time, nurses should first introduce the community environment, schedule, rules and regulations, so that patients can quickly get familiar with the environment and eliminate tension and strangeness. When talking with patients, pay attention to adjust the harmonious atmosphere, pay attention to appellation and avoid using it? No? Word, is it still useful? For your health, okay? Please pay attention.
4. Pay attention to the way of language communication. Establish a good nurse-patient relationship by verbal communication: when talking with patients, keep a proper distance and maintain a relaxed and comfortable posture; Don't interrupt each other's conversation or change the subject easily when asking for others' opinions. To show that you are listening carefully, you can nod your head or? Hmm? 、? what's up Wait to show that you have accepted each other's content and understood each other's meaning, so as to encourage each other to continue. In the collective communication of expounding and stating one's own views, we can strengthen the tone, slow down the speech and emphasize its key points with gestures. For angry patients, first of all, express understanding to patients and divert their attention as much as possible, which not only respects and attaches importance to patients' demands, but also effectively handles patients' opinions; For crying patients, listen patiently to the reasons for crying after venting, so that patients can be comforted; For patients with sensory defects, such as hearing loss, nonverbal communication should be used more; For people with poor eyesight or loss, it is necessary to reduce non-verbal information and try to supplement what is missed because they cannot see or hear. In a word, community nursing can not be separated from the art of language communication. In order to improve the quality of community nursing, nurses must fully understand the important role of language communication art and constantly improve their language communication art in community nursing practice.
Fan Wen-er: On the Application of Traditional Chinese Medicine Nursing in Community Nursing With the rapid development of economy, the gradual establishment of home-based care model, the change of disease spectrum and the deepening of medical system reform, China's community health service system has begun to take shape. The health view and prevention view of community nursing coincide with the holistic view and prevention view of TCM nursing. Traditional Chinese medicine nursing has unique advantages in prevention, health care, medical treatment, health preservation, rehabilitation and so on, and can adapt to the function of community health service well. In particular, the nursing technology of traditional Chinese medicine is favored by the masses in the community because of its simplicity, experimentation and cheapness, which meets the requirements of low income, high efficiency, low cost and wide coverage, and has broad application prospects in the community health service system. In the relevant documents of the Ministry of Health, state administration of traditional chinese medicine and other ministries and commissions, it is clearly pointed out that: Community health service institutions should actively adopt appropriate technologies of traditional Chinese medicine, integrated traditional Chinese and western medicine and ethnic medicine, and give full play to the characteristics and advantages of traditional Chinese medicine in community health service? .
1 Feasibility of application
First of all, community nursing is an important part of community health service. The health concept of community nursing is to take people's health as the center, treat people as a whole, and treat them with biological, psychological and social needs [1], emphasizing the influence of family, society and psychology on people's health. What is the difference between it and TCM nursing? Harmony between man and nature? And then what? Unity of form and spirit? The overall view of life is the same strain. Traditional Chinese medicine nursing always attaches importance to the harmony between man and nature and society, and regards the harmony between man and living environment and the harmony between body and mind as the basic standard of health, which runs through the theory and practice of disease prevention and anti-aging. The main connotation of community nursing is to provide nursing services for individuals, families and community people with health promotion as the goal and disease prevention as the focus, which is different from traditional Chinese medicine nursing. Nip in the bud? The concept of prevention coincides with mine. The preventive concept of TCM nursing is branded with the traditional culture of China, emphasizing the idea of keeping fit and preventing diseases, and formulating the principle of keeping fit by adapting to natural changes externally and promoting the body's disease resistance and coordination internally. It can be seen that the holistic view and preventive view of TCM nursing have been fully reflected in the modern concept of community nursing, which has laid a theoretical foundation for establishing a community nursing system with China characteristics. Secondly, Chinese medicine nursing comes from the people, and its unique diet culture, health care and simple and low-cost nursing technology are more easily accepted by community residents [1]. The community people have deep feelings for Chinese medicine nursing, which has laid a solid mass foundation for building a community Chinese medicine nursing model in line with China's national conditions. Finally, the background of the vigorous development of international community nursing and the continuous development and maturity of Chinese medicine community health service system provide the possibility for Chinese medicine nursing to enter community nursing quickly.
2 Application status
2. 1 Application of TCM nursing in community home care As a developing country, there is still an imbalance in the distribution of medical resources in China. With the actual development of economy and the gradual formation of an aging society, family nursing will become the main community nursing method to meet the public's needs. Home nursing is that community nurses go directly to patients' homes under the premise of following the doctor's advice and apply nursing procedures to provide continuous and systematic basic medical care services for individuals with diseases in the community, that is, patients after discharge or chronic patients with long-term family rest, disabled people and patients with mental disorders [2]. Community nurses will become the main force of family nursing. Traditional Chinese medicine nursing enriches the connotation of home nursing with its characteristics of high quality, obvious effect and simplicity.
2. 1. 1 Application in home care evaluation The main contents of traditional Chinese medicine nursing evaluation and community home patient evaluation are similar, including medical history, clinical manifestations, physical examination and treatment. Under the guidance of holistic view and dialectical view, TCM nursing evaluation technology has distinct characteristics in the aspects of present medical history, personal life history, family environment evaluation, symptoms and signs evaluation and so on. The introduction of TCM nursing evaluation content has strengthened the depth and breadth of home nursing evaluation. At present, when evaluating the nursing needs of home patients, the nursing needs assessment scale for home patients is commonly used. In order to give full play to the advantages of TCM nursing, the scale can be revised to increase the content of TCM nursing evaluation.
2. 1.2 Application in home care of patients with chronic diseases. Patients with chronic diseases in the community include coronary heart disease, hypertension, cor pulmonale, diabetes, ulcerative colitis, congenital malformation, chronic renal failure, bone and joint diseases requiring traction and bed rest, etc. Traditional Chinese medicine (TCM) nursing is of high quality, obvious effect, simple and easy to operate, and plays an important role in the home care of chronic patients in the community. The research shows that in community nursing, most nurses can use TCM health knowledge to carry out TCM nursing intervention on patients treated according to syndrome differentiation. The application rate of intervention items is: medication guidance, daily life care, emotional care, healthy diet and rehabilitation guidance, while TCM nursing intervention of medication guidance, daily life care and emotional care ranks in the top three in family sickbeds [3]. It can be seen that the health care methods of traditional Chinese medicine, especially emotional care and medicated diet care, are closer to life, because their nursing methods are simple, easy to learn, intuitive, safe and effective, and more suitable for community promotion. Traditional Chinese medicine nursing techniques, such as acupuncture, cupping, massage, scraping, Chinese medicine application, Chinese medicine fumigation, Chinese medicine intravenous injection and acupoint injection, auricular point seed embedding, umbilical therapy, Chinese medicine iontophoresis, etc., are widely used in community home care for chronic diseases, especially massage, which is loved by community residents because of its simplicity. However, in practical work, acupuncture, cupping, massage, scraping and other techniques are mainly operated by doctors of traditional Chinese medicine, and nurses of traditional Chinese medicine rarely apply them. Chinese medicine application, Chinese medicine fumigation and washing, Chinese medicine intravenous injection and acupoint injection are carried out by nurses according to the doctor's advice. Because of its low cost, TCM health care methods and nursing techniques are particularly important for economically underdeveloped rural areas, which are helpful to improve the coverage of community health services, promote the development of rural community health services, and narrow the gap between urban and rural areas as soon as possible. HttP://wWw.GWYOO.Com
2. 1.3 application in family rehabilitation nursing In the community, patients who need rehabilitation nursing include patients who are in stable condition after discharge but need to continue treatment or rehabilitation, disabled people, etc. Common patients are postoperative patients, cerebrovascular accident patients, paraplegia patients, dysfunction caused by congenital malformation or acquired injury, disabled people and so on. Traditional Chinese medicine medicated diet nursing, emotional nursing, acupuncture, massage and other nursing techniques are widely used in preventing pressure ulcers, improving patients' mental health, promoting patients' nutrition, rehabilitation nursing for deformed and disabled patients, health education, and guidance on adaptive changes in family environment, which makes it possible to provide patients with quality rehabilitation nursing.
2. 1.4 Application in home-based care for the aged At present, China has entered an aging society, and the reality of economic development determines that home-based care for the aged has become the main body of care for the aged in China. At the same time, due to the change of family structure, separated pension will become the main way of family pension in the future. Although it has played an important role in improving the quality of life for the elderly, especially those living alone, such as providing knowledge guidance on diet health care, daily health care, sleep health care, sports health care, psychological health care, medicated diet health care, and teaching simple Chinese medicine nursing techniques such as moxibustion, massage, Chinese medicine application and Chinese medicine fumigation and washing. However, due to the imperfect health service system of community Chinese medicine in China, the nursing manpower of community Chinese medicine is seriously insufficient.
2.2 Application of TCM nursing in community health education In the practice of community health education, TCM nursing and community nursing are organically combined. On the basis of making full use of the theory, mode, procedure and implementation method of modern nursing health education, TCM nursing knowledge and technology were infiltrated into the content of community health education. Environmental health care, daily life health care, diet guidance, psychological adjustment, sexual health care, medication guidance, sports health care, etc. In terms of self-care for women, children, middle-aged and elderly people and rehabilitation care for patients with chronic diseases, the connotation of community nursing health education has been continuously broadened. Traditional Chinese medicine nursing and community health education are gradually and perfectly integrated.
Community nursing is an important direction of nursing development. Although TCM nursing has been applied to a certain extent, due to the lack of practice system of TCM nurses, the serious shortage of TCM nursing manpower in the community, the low level of TCM nursing knowledge and technology, and the imperfect health education system of TCM nursing, the pace of TCM nursing integrating into community nursing is slow. Therefore, China's community nursing should actively introduce foreign advanced management models and service models, and establish and improve the community health service system and regulations of traditional Chinese medicine; Multi-channel training of community Chinese medicine nursing professionals; Strengthen publicity and actively carry out various forms of community Chinese medicine nursing services; Give full play to the characteristics of traditional Chinese medicine nursing, make use of the advantages of traditional Chinese medicine in prevention, health care and rehabilitation, realize the modernization of traditional Chinese medicine nursing, create a community nursing model suitable for China's national conditions, and promote the synchronous development of China's nursing cause and the international community.
References:
Wang Hongyun, Zhao Yanli. Present situation and prospect of TCM nursing research [J]. Family Nurses, 2008,6 (3): 665.
[2] Zhao. Community nursing [M]. Beijing: People's Health Publishing House, 2006: 8.
[3] Xu Shuli, Chen Jigen, Wang Liping. Investigation and analysis on the demand and application of TCM nursing service in community [J]. China Modern Doctor, 2008,46 (6):16.
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