護患情境會話

高熱驚厥抽搐患兒的護理

Nursing Care for a Child with Febrile Convulsions

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·英語學習·

護患情境會話

高熱驚厥抽搐患兒的護理

Nursing Care for a Child with Febrile Convulsions

交流

病兒，媽媽：又是觀察，這就是你們的托辭嗎？觀察有什么用？你們當然不著急，又不是你們的孩子。

護士：大姐，您放心，我們對每個孩子都很重視的。我們會根據她的病情及時用藥的。

病兒媽媽：又是用藥，你知道我已經花了多少醫藥費了嗎？

病兒：媽媽，我要喝水。

護士：(主動為孩子喂水，并輕輕拍打孩子，有意岔題)孩子臉色好多了。現在我們共同把孩子的病治好是最重要的。

病兒：謝謝護士阿姨。(安靜的躺下)

病兒媽媽：(眼淚掉下來)你知道我有多著急嗎？她已是第三次住院了。一發熱就抽搐，我真怕她腦子抽壞了，以后可怎么辦？

護士：大姐，不要著急，您的孩子檢查下來大腦并沒有器質性病變。現在診斷是高熱驚厥，這種病沒有嚴重的后遺癥，等她長大后會慢慢好轉的。您不能太煩躁，應盡量配合我們的工作，不然對孩子的治療也是不利的。

病兒媽媽：謝謝你，剛才我的態度很不好，對不起。

護士：沒關系，我理解您的心情，您累了，休息會兒吧。我過會兒過來看徐晶，有事請呼我。

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.

點評

兩歲左右的孩子，對因病住院的反應已較嬰兒明顯了。護理人員應該用關心體貼的真誠行動，如輕拍、撫摸、摟抱、逗笑、講故事、看圖畫、玩玩具等方式與他們建立起友好的關系，以利于工作的開展。對于家屬的焦慮，防衛心理，則應以耐心的態度和淵博的知識加強健康教育，以取得他們的信賴。

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.

(倪志紅)