护患情境会话

喘息性肺炎的护理

Nursing Care for a Child with Asthmatic Pneumonia

背景

患儿王宝宝，男，1岁，因喘息性肺炎发作入院2d。家长着急，又心疼孩子，加上原有的生活秩序被打乱，所以情绪不稳定，孩子一有状况就对医护人员表示不满。

Background

Patient Wang，a one year old baby boy，was admitted to the hospital two days ago because of asthmatic pneumonia.Worrying about their baby’s illness and that their routine life had been disturbed，the baby’s parents had no patience for the doctors and the nurses.As soon as their baby had any symptom，they became upset.

交流

护士：您好，王先生，现在要给您的宝宝做氧喷了。

患儿家长：不做！

护士（低头问）：怎么啦？

患儿家长：一做氧喷我的孩子就拼命哭，要哭坏了。你看这孩子到医院给你们折腾得，这头上，扎得象马蜂窝似的。

护士：对不起，我们的感受和您是一样的。心疼孩子生病后受罪，希望孩子早点好。氧喷是治疗喘息性肺炎最好的方法，还可以预防转变为哮喘。要不等他睡着了再做？睡着了做效果也比哭闹时好。

患儿家长：也好，先挂上盐水再说。

（输液开始后）

患儿家长：护士，盐水挂上后我的孩子哭得没停过。是不是这个盐水有问题？你们有没有加错药？看病看病，越看病越多，挂了两天水，孩子还是“吼”得很。

（护士仔细检查输液及孩子的情况后）

护士：输液不错，孩子哭可能有其他原因。

患儿家长：肯定今天的盐水有问题，昨天挂并不哭，怎么今天会哭呢？

护士：输液中的药我们要两人核对后才能加进去。我去请医生来帮孩子检查一下吧。

患儿家长：快去，快去，还磨蹭什么？不是你的孩子不知道心疼。什么态度？！

护士：对不起，医生会马上来。

Interactions

Nurse：Hello，Mr.Wang，it’s time to do the nebulization for your baby.

Parent’s Parent：No.

Nurse：（Looked at the baby）What is the matter？

Parent’s Parent：My baby will cry loudly as soon as he is given the nebulization.Since his Hospitalization，he has been deviled.His head has been punctured with needles so many times，it looks like a horse beehive.

Nurse：Sorry.We have the same feelings as you.We all love the baby and wish him cured sooner.Nebulization is the best way to treat asthmatic pneumania and it can also prevent the disease from changing to asthma.How about if we do the nebulization when he is asleep？It’s more effective when he is sleep than when he is crying.Parent’s Parent：OK.Go ahead to give him the fluid transfusion first.

（After beginning the transfusion）

Parent’s Parent：Nurse，my baby has been crying nonstop since you gave him the transfusion.Are there any problems with the drug you are using？Have you made a mistake？I think he has got more diseases since he came to the hospital.You have given him the fluid transfusion for two days，yet he is still screaming severely.

（After examining the baby and the transfusion carefully）

Nurse：The transfusion is OK.Maybe there are some other reasons for his crying.

Parent’s Parent：I’m sure there are some problems with the fluid you used today.He did not cry when you gave him the transfusion yesterday.Why is he crying today？

Nurse：The drug we used has to be checked twice by two nurses.Let me ask a doctor to examine the baby.

Parent’s Parent：Hurry up！What are you waiting for？He is not your baby，so you just do not care about him.What kind of attitude is this？！

Nurse：I’m sorry.The doctor is coming right away.