护患情境会话



·英语学习·

护患情境会话

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天”入院。现住院第四天，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)

肺炎患儿的护理

Nursing Care for a Child with Pneumonia

交流

护士：您的宝宝好多了。以后要注意冷暖，及时根据季节变化增减衣服，少去公共场所，注意喂养，及时添加辅食。

患儿家长：谢谢你，我孩子现在咳嗽少多了，我们也放心了。

Interactions

Nurse: Your baby is much better now. After you get back home, you should watch her clothing, add or reduce her clothes with the changing seasons. Avoid going to public places with your baby when possible. Pay attention to your baby’s nutrition and add supplemental foods when needed.

Patient’s Parent: Thank you very much. The baby is coughing much less now. We are not worried any more.

点评

七个月的婴儿，虽然对生病住院的心理反映较小，可是家属的心理反映却甚大。案例中的护理人员非常同情和理解他们的紧张、急躁情绪，并采用加强沟通、交流的正确方法。这样的护理措施起到了良好的安抚教育作用，也取得了家属的信任和配合。

Comments

A 7 month old baby has less psychological responses when hospitalized, but the child’s parents usually have much severe psychological responses. In this episode the nurse understood and sympathized with the parent’s anxiety. She also correctly applied the methods for strengthening interaction and communication. These nursing interventions played a good role in educating and calming down the parent, and also won the parent’s trust and cooperation.

(汤文决)