护患情境会话

护患情境会话

喘息性肺炎的护理Nursing Care for a Child with Asthmatic Pneumonia

交流

医生检查过后，认为还是喘憋引起的烦躁

护士：孩子是因为喘了不舒服才哭的。给他用点睡觉的药，尽快将氧喷做了就会好的。氧喷中有缓解气道痉挛的药。

患儿家长：这个药有毒吗？对小孩的副作用大吗？吸了会上瘾吗？是不是每次咳嗽都需要吸药？我们单位效益不好，这费用哪吃得消啊。

护士：这些药没有毒，无太大副作用，也不会上瘾。回去后做好预防工作，控制住不发也就好了。

患儿家长：小孩一生病，我这心里就乱了，恨不能代替他。

护士：我能理解，孩子睡着了，给他做氧喷吧。Interactions

（After examination，the doctor believed the reason for the baby’s irritation was wheezing）

Nurse：The baby feels uncomfortable and is crying because of wheezing.Let’s give him some calmative drug，and provide the nebulization as soon as possible.He will feel much better after the nebulization.The drug he inhales can release the bronchus spasm.

Parent’s Parent：Is this drug toxic？Does it have any side effects for children？Is it addictive？Does he need to inhale the drug every time he coughs？My company is not doing well and my salary is not very good.The drug is too expensive for me.

Nurse：This drug is not toxic and it isn’t addictive.The side effect is also small.When your baby is discharged，all you need to do is to avoid its attack again.

Parent’s Parent：When my child is sick，I don’t know what to do.I wish it was me who is sick，not my baby.

Nurse：I understand.Now，your baby is sleeping.Let’s give him the nebulization.

点评

孩子生病，家属的心情是非常焦急的。希望用药后马上能有效。而疾病的恢复是一个缓慢的过程。在这期间，怎样缓解家属的焦虑心情，使之配合我们的治疗和护理是非常重要的。所以，我们除了要做好疾病护理，还要实施有效的心理护理，特别是家属的心理护理。Comments

When babies are sick，their parents are always anxious.They wish the diseases can be cured as soon as drugs are used.But the recovery process is usually slow.During this period，it is very important for the nurses to release their worries in order to help them to cooperate with the medical staff.So，the nurses should not only perform disease related nursing care，but also provide psychological nursing care，especially for the baby’s parents.

（姚文英）

腹泻患儿的护理Nursing Care for a Child with Diarrhea

背景

女病儿，李佳，8个月，因腹泻住院2d。患儿每天排便10余次，呈黄色水样便，时有哭闹。护士小陆来到床边进行护理。

Background

A female patient，Li Jia，eight months old，had been in the hospital for two days because of diarrhea.The patient had yellow watery stool more than ten times each day，and cried periodically.Nurse Lu went to care for her.

交流

护士：张姐，宝宝今天大便次数少一点了吗？

病儿妈妈：少什么少？还是这么多。你们给我家小孩用的药对不对？

Interactions

Nurse：Good morning，Mrs.Li，does the baby defecate a bit less today？

Patient’s Mother：No，still a lot.Are the drugs you used for my child correct？

（周月丽）