创伤外科的患者大多病情急,变化快,危险大。当遇到聋哑患者时,由于医务人员不懂哑语,不会手势,不便或无法与病人交流,导致沟通障碍,不利于病情资料的获得。病人因无法说出自己的病情及需要,往往觉得孤立无援,自卑感及猜疑心加重。表现为烦躁不安,悲观恐惧或情绪低落,严重者有自残或伤人、毁物等行为。沟通障碍会导致患者的心理异常,病程延长,不利于治疗及护理,严重时可能会危及生命。我科是基层医 Most of the traumatic surgery patients in acute condition, rapid change, dangerous. When deaf patients encounter, because medical staff do not understand the dumb language, no sign, inconvenience or unable to communicate with patients, leading to communication barriers, is not conducive to the acquisition of the disease information. Because patients can not tell their own illness and needs, often feel isolated, inferiority and suspicion increase. Manifested as irritability, pessimistic fear or depression, serious self-mutilation or wounding, destruction of other acts. Communication disorders can lead to the patient’s psychological abnormalities, prolonged course, is not conducive to treatment and care, serious may be life-threatening. My department is primary care