?

·英語(yǔ)學(xué)習(xí)·

護(hù)患情境會(huì)話

支氣管肺炎患兒的護(hù)理

Nursing Care for a Child with Bronchitis Pneumonia

背景

患兒李寶寶，男，17個(gè)月，因“咳嗽、發(fā)熱2天”入院?，F(xiàn)住院第四天，患兒仍有咳嗽、伴嘔吐、輕度腹瀉。家屬焦慮，認(rèn)為病情加重，治療不當(dāng)。護(hù)士小張到病床邊護(hù)理。

Background

Baby boy Li, 17 months old, was admitted to the hospital because he was coughing and had a fever for two days. After 4 days in the hospital he was still coughing and also vomited and had slight diarrhea. His parents were worried. They thought the treatment the baby had received was not adequate and may even worsen his condition. Nurse Zhang came to the baby’s bedside to care for him.

交流

護(hù)士：李媽媽，您好。寶寶有點(diǎn)拉肚子，請(qǐng)讓我看看他的屁股紅不紅。

患兒媽媽：不要看了，屁股沒(méi)什么，倒是這肺炎，是不是用的藥不對(duì)？怎么越來(lái)越重？你看寶寶，又咳又吐，還拉肚子，都瘦了！如果是你的孩子，能讓他這樣嗎？

護(hù)士：是的，如果我看到自己的孩子這樣也會(huì)急的。

患兒媽媽(流淚)：就是啊，我都擔(dān)心死了。

Interactions:

Nurse: Hello, Mrs. Li, your baby has diarrhea. Please let me check his buttocks to see if it is red.

Patient’s Mother: You don’t need to look. There is nothing wrong with his buttocks. But his pneumonia has become more serious. I wonder if the drug he took is adequate. You see, the baby is coughing and vomiting, having diarrhea, and has lost weight. If he was your baby, would you let him be like this?

Nurse: Yes. I would be worried if my baby is sick like that.

Patient’s Mother: (Bursting into tears) Gosh. I am so worried about his disease.

(張芳)

肺炎患兒的護(hù)理

Nursing Care for a Child with Pneumonia

交流

護(hù)士：您的寶寶好多了。以后要注意冷暖，及時(shí)根據(jù)季節(jié)變化增減衣服，少去公共場(chǎng)所，注意喂養(yǎng)，及時(shí)添加輔食。

患兒家長(zhǎng)：謝謝你，我孩子現(xiàn)在咳嗽少多了，我們也放心了。

Interactions

Nurse: Your baby is much better now. After you get back home, you should watch her clothing, add or reduce her clothes with the changing seasons. Avoid going to public places with your baby when possible. Pay attention to your baby’s nutrition and add supplemental foods when needed.

Patient’s Parent: Thank you very much. The baby is coughing much less now. We are not worried any more.

點(diǎn)評(píng)

七個(gè)月的嬰兒，雖然對(duì)生病住院的心理反映較小，可是家屬的心理反映卻甚大。案例中的護(hù)理人員非常同情和理解他們的緊張、急躁情緒，并采用加強(qiáng)溝通、交流的正確方法。這樣的護(hù)理措施起到了良好的安撫教育作用，也取得了家屬的信任和配合。

Comments

A 7 month old baby has less psychological responses when hospitalized, but the child’s parents usually have much severe psychological responses. In this episode the nurse understood and sympathized with the parent’s anxiety. She also correctly applied the methods for strengthening interaction and communication. These nursing interventions played a good role in educating and calming down the parent, and also won the parent’s trust and cooperation.

(湯文決)