护患情境会话



·英语学习·

护患情境会话

哮喘急性发作患儿的护理

Nursing Care for a Child with an Acute Asthma Attack

交流

(2 h后)

护士：沈敏，怎样，感觉好一点了吗？

患儿：阿姨，我好多了，都能平躺着睡觉了。

护士：这次你是好多了。以后一定要坚持用药，适当进行体育锻炼，不能太调皮，少去公共场所，及时增减衣服，预防感冒。这样就不会像今天这样发作了。

Interactions

(Two hours later)

Nurse: Shen Min, how do you feel? Are you feeling any better?

Patient Child: Auntie nurse, I feel much better now. I can sleep lying flat on the bed.

Nurse: You are better now. After you go home, you should continue taking the medicine, do some exercises, and don’t be too naughty. You should avoid going to public places if possible. Watch your clothing to prevent from catching cold. This will help you to prevent an asthma attack like this time.

点评

支气管哮喘在儿童呼吸系统疾病中较为常见。孩子会因为哮喘的经常发作，心中感到恐惧。各种治疗注射带来的疼痛，更感苦不堪言。家属也因此而痛心疾首。因此护理人员除了需随时观察其病情变化和进行正确治疗外，还应对患儿和家属的心理需求经常进行评估和支持。使患儿和家属既能清楚将面临的情况，又能在比较平静的心境下主动参与和良好配合医护人员的各项治疗措施，促进孩子早日康复。

Comments

Asthma is a common respiratory system disease in children. Children will have fear because of frequent asthma attacks. The pain from various treatment injections may also cause much discomfort. The parents also feel pain when seeing their beloved child suffer from the illness. So the nurses should not only observe changes in the patient’s condition and provide proper treatment, but they also need to evaluate and support the patients’ and their parents’ psychological needs. This will help them understand the situation they are facing, and encourage them to actively participate and collaborate with the medical personnel for the treatment to facilitate a speedy recovery for their child.

(汤文决)

支气管肺炎患儿的护理

Nursing Care for a Child with Bronchitis Pneumonia

背景

患儿李宝宝，男，17个月，因“咳嗽、发热2 d”入院。现住院第4天，患儿仍有咳嗽、伴呕吐、轻度腹泻。家属焦虑，认为病情加重，治疗不当。护士小张到病床边护理。

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

护士：李妈妈，您好。宝宝有点拉肚子，请让我看看他的屁股红不红。

患儿妈妈：不要看了，屁股没什么，倒是这肺炎，是不是用的药不对？怎么越来越重？你看宝宝，又咳又吐，还拉肚子，都瘦了！如果是你的孩子，能让他这样吗？

护士：是的，如果我看到自己的孩子这样也会急的。

患儿妈妈(流泪)：就是啊，我都担心死了。

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.

(张芳)