护患情境会话

高热惊厥抽搐患儿的护理

Nursing Care for a Child with Febrile Convulsions



·英语学习·

护患情境会话

高热惊厥抽搐患儿的护理

Nursing Care for a Child with Febrile Convulsions

交流

病儿，妈妈：又是观察，这就是你们的托辞吗？观察有什么用？你们当然不着急，又不是你们的孩子。

护士：大姐，您放心，我们对每个孩子都很重视的。我们会根据她的病情及时用药的。

病儿妈妈：又是用药，你知道我已经花了多少医药费了吗？

病儿：妈妈，我要喝水。

护士：(主动为孩子喂水，并轻轻拍打孩子，有意岔题)孩子脸色好多了。现在我们共同把孩子的病治好是最重要的。

病儿：谢谢护士阿姨。(安静的躺下)

病儿妈妈：(眼泪掉下来)你知道我有多着急吗？她已是第三次住院了。一发热就抽搐，我真怕她脑子抽坏了，以后可怎么办？

护士：大姐，不要着急，您的孩子检查下来大脑并没有器质性病变。现在诊断是高热惊厥，这种病没有严重的后遗症，等她长大后会慢慢好转的。您不能太烦躁，应尽量配合我们的工作，不然对孩子的治疗也是不利的。

病儿妈妈：谢谢你，刚才我的态度很不好，对不起。

护士：没关系，我理解您的心情，您累了，休息会儿吧。我过会儿过来看徐晶，有事请呼我。

Interactions

Patient’s Mother: Observation, observation, always observation. Is this your pretext? What is the use of observation? You just don’t care because she is not your child.

Nurse: Don’t worry, Mrs. Xu. We pay attention to all the children. We will use medicine in time according to her condition.

Patient’s Mother: Use medicine. Do you know how much money I have already spent on medicines?

Patient: Mom, I want to drink some water.

Nurse: (Patting the child gently while voluntarily feeding her water, saying something else deliberately to change the conversation) Her complexion is much better. The most important thing for us to do now is to cure the child’s disease together.

Patient: Thank you auntie nurse. (Lied down quietly)

Patient’s Mother: (tears falling down) Do you know how much I worry about her? She has been in the hospital for the third time. She twitches every time she has a fever. I am really afraid that there is something wrong with her brain. What should I do?

Nurse: Mrs. Xu, don’t worry. There is no organic pathological change in your child’s brain. Her illness is Febrile Convulsion. This illness does not have serious consequences and will slowly get better after she grows up. You need not be too upset, and should try your best to cooperate with us. Otherwise it is not good for her treatment.

Patient’s Mother: Thank you. My attitude was pretty bad, I am sorry.

Nurse: It’s OK. I understand how you feel. You are tired. Take a rest and I will see Xu Jing after a while. Please call me if you need me.

点评

两岁左右的孩子，对因病住院的反应已较婴儿明显了。护理人员应该用关心体贴的真诚行动，如轻拍、抚摸、搂抱、逗笑、讲故事、看图画、玩玩具等方式与他们建立起友好的关系，以利于工作的开展。对于家属的焦虑，防卫心理，则应以耐心的态度和渊博的知识加强健康教育，以取得他们的信赖。

Comments

The response to being in the hospital because of illness is more obvious for a child about two years old than a younger baby. The nursing staff should care for the patient with sincere action, such as patting, stroking, hugging, joking, telling stories, looking at pictures, playing toys, etc. to establish friendly relations with them which will make the nursing care smoother. With regard to the parent’s anxiety and defensive mood, we should strengthen their health understanding with patience and knowledge to obtain their trust.

(倪志红)