护患情境会话

过敏性鼻炎的护理

Nursing Care for a Child with Allergic Rhinitis



·英语学习·

护患情境会话

过敏性鼻炎的护理

Nursing Care for a Child with Allergic Rhinitis

背景

四岁男孩，因患过敏性鼻炎, 而在门诊哮喘中心进行过敏原测定。

Background

A 4 year old boy needed an allergen examination at the Asthma Center because of allergic rhinitis.

交流

护士：您的孩子患了过敏性鼻炎，请去检查一下过敏原，看是什么原因引起过敏的。

患儿家属：做这个检查有没有副作用？

护士：请放心，就象做皮试一样，没有副作用的。

患儿家属：那要刺那么多的点是做什么的？

护士(指着抗原液)：这是从各种容易产生过敏的动植物中提炼出来的抗原。孩子若有过敏的话，一接触过15分钟就可以看得出结果。

患儿家属：有没有毒？

护士：没有的，我们已做了很多病人，很安全的。

(检查后)

护士：结果出来了，您的孩子是对尘螨过敏，有三个(+)，还有霉菌是两个(+)。

患儿家属：什么？你把什么虫和霉菌扎进我孩子的身体里了？我问你有没有毒，你说没有，你这不是害人么。我要告你，要你赔偿。将来我孩子有霉菌感染，我和你没完。

护士：您搞错了，这是试剂，没有毒的。您也看到我们的用量极其少，而且刺完马上用棉签吸掉余量，对孩子是绝对安全的。我们已经做过上千例了，这和预防针相似，但比预防针用量还小得多。所以您不要担心。

患儿家属：真的不会有事？

护士：请您相信我。我同您一样爱您的宝宝，同您一样希望他安全、健康。现在结果出来了，我们一起来想办法帮助宝宝脱敏、帮助宝宝把病治好，好吗？

Interactions

Nurse: Your child has allergic rhinitis. Please take him to have an allergen test to find out what he is allergic to.

Child’s Parent: Does this examination have any side effects?

Nurse: Don’t worry. It just like a skin test and should have no side effects.

Child’s Parent: Why did you give so many punctures on his arm?

Nurse: (Pointed to the liquid antigen) This is the antigen extracted from animals and plants which may cause allergic reactions. If he is allergic to it, we shall see the result 15 minutes after he is exposed to it.

Child’s Parent: Is the antigen toxic?

Nurse: No. We have examined many patients. It is safe.

(After the examination)

Nurse: Here are the results. Your child is allergic to dust mites with three +++ and to fungus with two ++.

Child’s Parent: What? What have you injected mites and fungus to my child’s body? I asked if it was toxic and you said no. You are hurting him. I’ll sue you. You must pay for what you did. I will not forgive you if my child is infected by the fungus.

Nurse: You misunderstood. This is a reagent which is not toxic. The dose is very small, and any excess antigen was absorbed by the cotton tips right away. It is definitely safe for him. We have done it on thousands of patients. The examination is similar to an immunization shots and the dose we used is much less than that. So you need not to worry.

Parent’s Parent: Is it really safe?

Nurse: Please trust me. I love your baby and hope he is safe and healthy just like you. The test results are here. Now, we can try to help him overcome his allergies and treat his illness. OK?

(姚文英)