护患情境会话-论文.pdf

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1、96414X2Ol429，002，·英语学习·护患情境会话乙肝行干扰素抗病毒治疗病人的教育穿活检病变活动的；(4)HBV—DNA浓度小于200pg／ml；(5)无肝硬化或自身免疫性疾病的；(6)无丙肝、丁肝等合并HealthEducationforaHepatitisBPatientTaking感染的病人。Anti—VirusTreatmentwithInterferonInteracti0nsNurse：MissWang，youcan’tdecidewhetherornotto背景receivetheInterferontreatment，right?病人王女士，26岁，苏

2、州人。乙型肝炎病史两年，反复Patient：Yes，Idon’tknowifit’seffective．AIT异常，乙肝病毒标记物检测二对半示1、3、5阳性。床Nurse：Yourconcernisunderstandab1e．Interferonis位医生建议小王接受干扰素抗病毒治疗。小王曾听说有人noteffectiveforallpatientswithhepatitis．Patient’sage，用了干扰素根本没使指标转阴，有人转阴一段时间后再次gender，typeofhepatitisandhowlongthepatienthadthe呈阳性反应，所以小王对自己是

3、否要接受抗病毒治疗举棋diseasewillaffectthetreatmentresult．Letmegiveyou不定。护士来到她身边，开始了以下的谈话。someinformationaboutthistreatment．BackgroundPatient：That’sgreat．IreallywanttoknowsomethingPatientMs．Wang，26yearsold，livesinSuZhoucity．aboutthistreatment．ShehadhepatitisBfortwoyears．TheAITwasabnormalNurse：HBeAg(th

4、ethirdmarkoftheHBVmarks)repeatedlyandthehepatitisBvirusmarkertestshowed1，3，andHBVDNAaredisappearedinabout40～6Oof5。werepositive．Herdoctorsuggestedhertoreceiveanti—vi—thosepatientswithchronichepatitisBandtreatedwithin—rustreatmentwithInterferon．However，shehadheardthatterferon．Patientswithposi

5、tiveHBsAg，ridergreaterthanwiththeInterferontreatment，somepatient’stestresultstill1：32withpositiveHBeAgorHBVDNA．whoseAITismaintaininpositiveandhadothersshowpositiveagainafterabnormalrepeatedlyinsixmonth，whoseinflammatoryreac—sometimeofnegative．Thereforeshewasnotsureifshetionoflivercellsisobv

6、iousandtheleucolytesaremorethanshouldreceivetheanti—virustreatment．Anursecametotalk4000andthebloodplateletsismorethan50，000，aread—toher．visedtoreceivetreatmentwithInterferon．ThosepatientssufferingfromhepatitisBwhohavegenetictendencyorare交流infectedunder3yearsoldorintegrationtypeofHBVDNA，护士：王

7、女士，你难以决定是否要用干扰素是吗?arenotadvisedtoreceivetreatmentwithInterferonbecause病人：是的，我不知道用了是否有效。thecurativeeffectisnotgood．Thecurativeeffectaregood护士：你这种想法是可以理解的。干扰素不是对所有for：(1)femalepatientswithdiseasehistoryoflessthan3肝炎都有效的，而且不同年龄、性别，不同类型的肝炎，病程years，(2)patient