医院经常要面对这样的患者，为了生命的延续，他们不得不做了气管切开，暂时失去语言功能，虽然神志清楚，却无法用语言表达感觉和需求，造成了不同程度的心理负担及痛苦。

Hospital often have to face such patients,In order to the continuation of life,They have to do it in the trachea incision,Temporarily lose function of language,Although the conscious,But can't use language to express feelings and needs,Caused the different levels of psychological burden and pain.

　　在多年观察和实践后，浦东新区人民医院护理部自创了一套“监护室手语”，十年来，无声的交流，成为打开数百名患者心灵的一把钥匙。“手语”无声，却让无力者有力。

After many years observation and practice,Pudong new district people's hospital nursing department invented a"Medicine sign language",Ten years,Silent communication,Be open hundreds of patients of heart a key."Sign language"silent,But let the weak strong.

想要小便伸出小指 Want to urinate stretch out the little finger

　　有位年过花甲的老者，因心情抑郁而自缢，在浦东新区人民医院全力抢救，气管切开后，老人得救了。老人清醒后，尽是漠然之情，不仅不配合治疗，还不时自行拔除针头、气管套管。护士们不厌其烦地为其插上针头，安慰他、劝导他，大便拉身上了，及时帮他擦身……

Once one of the old man,Because of the mood depression hanged himself in,In the pudong new area to rescue people's hospital,After tracheotomy,The old man was saved.The old man awake after,All looseness of love,Not only do not cooperate with treatment,Also from time to time to pull out a needle/Tracheal tube.The nurses take great pains for the plug in needle,Comfort him/Persuation he,Defecate to pull the body,Timely help wipe his body...

　　一天天过去了，老人度过了危险期，护士们发现，老人变了，不再抗拒治疗和护理。于是，护士拿来了“手语指导册”，一个一个指导他：伸出大拇指代表想要大便，伸出小指代表想要小便，身体不适就用食指指向具体部位，想要翻身就翻转手掌，食指拇指捏拢表示口渴，用手指向太阳穴表示睡眠不佳，拇指小指作打电话状表示想联系亲人，手握拳或挥手表示冷或热，拍三下胸表示想了解病情……

Passed the,The old man spent the crisis,The nurses found,The old man has changed,No longer resist treatment and nursing.so,The nurse brought a"Sign language guide book",A a his guide:Thumb up representative want to move bowels,Stretch out this represent want to urinate,The body discomfort with the index finger point to specific parts,Want to keel over will flip the palm,Thumb forefinger knead approach said thirsty,Use finger to temporal said poor sleep,Little thumb for call shape expressed to want to contacting relatives,Clench fist a wave or said cold or hot,Take three chest said want to know illness......

　　简单而形象的“手语”，老人很快就学会了。通过无声的交流，老人得到了周到的护理，心情一天天好转起来，脸上也渐渐有了笑容，还能从护士那里得知病情的进展，打消了厌世的念头，拔出插管那天，他眼含热泪用虚弱的声音讲了入院后的第一句话：“谢谢你们！”

Simple and image"Sign language",The old man soon learned.Through the silent communication,The old man got good care,Mood better day by day,Face also gradually with the smile,Still can from the nurse there that the progress of the disease,Reassure the pessimistic thoughts,Pull out intubation that day,He tears with a weak voice spoke first sentence after admission:"Thank you!"

十种手语一教就会 Ten kind of sign language teaching will be a

　　护理部主任江萍从业20多年，不仅临床护理经验丰富，而且还是二级心理咨询师，长期的临床实践使她深深体会到：“语言是沟通的桥梁，当这座桥倒塌时，病人的情感世界不仅无法宣泄，连最基本的生存需求也难以诉说，他们承受的种种痛苦体验，是健康人无法体会到的。”

Head of the nursing department JiangPing from more than 20 years,Not only clinical nursing experience,And still secondary psychological consultant,Long-term clinical practice made her deeply understands that:"Language is the bridge of communication,When the bridge collapse,The patient's emotional world not only can't catharsis,Even the most basic survival needs also difficult to tell,They bear a variety of painful experience,Is healthy people can't realize the."

　　江萍向记者介绍，在自创“手语”交流前，临床上的气管插管患者由于暂时“失语”，各种需求只能通过面部表情、手势甚至躁动的情绪来表达，而护士经常不理解患者要表达什么，只能“猜测”，从而引起患者更加焦虑、烦躁、恐惧，不能密切配合治疗护理，甚至有时因未能及时提供护理措施而引起不满情绪。

JiangPing introduces to the reporter,In a"Sign language"Exchange before,Clinical patients with tracheal intubation and temporarily"aphasia",All kinds of demand only through facial expressions/Gestures even restless mood to express,And the nurse often don't understand patients to express,Can only"guess",So as to cause more anxiety patients/fidgety/fear,Can't closely cooperate with treatment and nursing,Even sometimes because of failing to provide nursing measures and cause resentment.

　　针对神志清楚的“失语”患者，从2002年初起，江萍和同事们制定了一套不同于盲人手语的“监护室手语”。“病人一教就会。”江萍说，手语高度契合患者基本需求，如“大小便”“擦身”“有痰”等生理需求，“冷热”“口渴”“睡眠不佳”等感觉需求，“呼叫护士”等交流需求，“想见亲人”“了解病情”等心理需求，一共十种手语。

According to the conscious"aphasia"patients,From the beginning of 2002,JiangPing and colleagues has developed a set of different from the blind of sign language"Medicine sign language"."The patient will teach."JiangPing said,Sign language height fit the basic needs of patients,if"urine""brush""Have phlegmy"Physiological needs, such as,"Cold and hot""thirsty""Poor sleep"Feeling such as demand,"Call a nurse"Exchange demand,"Loved to see""Understand the illness"And psychological needs,A total of 10 kinds of sign language.

　　如今，这套“手语”不仅在专科、重症和急诊的监护病房使用，还应用于普通病房如呼吸科戴着面罩吸氧或外科胸外伤暂时“失语”的患者身上。每年，都有近百名患者接触到这套“手语”并从中受益，得到了病家和社会的认可。

now,this"Sign language"Not only in college/Severe and visits to the emergency room strongroom use,Also applied to ordinary ward such as respiratory medicine wearing a mask oxygen or surgical chest trauma temporarily"aphasia"patients.Every year,There are nearly patients come into contact with this"Sign language"And benefit from it,Got a patient and his family and the society's acceptance.

无声手势沟通医患 Silent gestures doctor-patient communication

　　重症监护病房护士长周艳说，有了手语交流，改善了患者的情绪，也能让医护人员及时了解患者需求，并及时给予解决。

Intensie care unit head nurse ZhouYan said,A sign language communication,To improve the patient's mood,Also can let the medical staff know patients in demand,And give the solution in time.

　　一位40岁的外来务工人员，因脑外伤急诊入院，来院后大量呕吐，为了预防窒息，实施了气管插管。三天后，患者神志转清，由于他只有小学文化，识字不多，家属在外地无法来照料，心情比较忧郁，于是护士便教他用手语沟通，借此鼓励他努力战胜病魔，及时解决各种需求，消除了他的顾虑，从而努力配合治疗并很快康复出院。(记者 金恒)

A 40-year-old migrant workers,Due to cerebral trauma emergency admission,To the hospital a large number of vomiting,In order to prevent asphyxia,Implement the endotracheal intubation.Three days later,The patient was turning clear,Because he is only primary school culture,Literacy little,Families in the field can't come to take care of,More melancholy mood,So the nurse will teach he sign language communication,To encourage him to overcome the disease,Solve all kinds of demand,Eliminate his concerns,Thus efforts to cooperate with treatment and quickly rehabilitation hospital discharge.(Reporter JinHeng)