護(hù)患情境會(huì)話

喘息性肺炎的護(hù)理Nursing Care for a Child with Asthmatic Pneumonia

交流

醫(yī)生檢查過(guò)后，認(rèn)為還是喘憋引起的煩躁

護(hù)士：孩子是因?yàn)榇瞬皇娣趴薜摹＝o他用點(diǎn)睡覺(jué)的藥，盡快將氧噴做了就會(huì)好的。氧噴中有緩解氣道痙攣的藥。

患兒家長(zhǎng)：這個(gè)藥有毒嗎？對(duì)小孩的副作用大嗎？吸了會(huì)上癮嗎？是不是每次咳嗽都需要吸藥？我們單位效益不好，這費(fèi)用哪吃得消啊。

護(hù)士：這些藥沒(méi)有毒，無(wú)太大副作用，也不會(huì)上癮。回去后做好預(yù)防工作，控制住不發(fā)也就好了。

患兒家長(zhǎng)：小孩一生病，我這心里就亂了，恨不能代替他。

護(hù)士：我能理解，孩子睡著了，給他做氧噴吧。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.

點(diǎn)評(píng)

孩子生病，家屬的心情是非常焦急的。希望用藥后馬上能有效。而疾病的恢復(fù)是一個(gè)緩慢的過(guò)程。在這期間，怎樣緩解家屬的焦慮心情，使之配合我們的治療和護(hù)理是非常重要的。所以，我們除了要做好疾病護(hù)理，還要實(shí)施有效的心理護(hù)理，特別是家屬的心理護(hù)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）

腹瀉患兒的護(hù)理Nursing Care for a Child with Diarrhea

背景

女病兒，李佳，8個(gè)月，因腹瀉住院2d。患兒每天排便10余次，呈黃色水樣便，時(shí)有哭鬧。護(hù)士小陸來(lái)到床邊進(jìn)行護(hù)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

護(hù)士：張姐，寶寶今天大便次數(shù)少一點(diǎn)了嗎？

病兒媽媽：少什么少？還是這么多。你們給我家小孩用的藥對(duì)不對(duì)？

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？

（周月麗）