患儿恐惧手术的心理护理

Psychological Nursing Care for a Child’s Fear before Surgery

背景

病人××，女，10岁，学生。全身火烧伤后疤痕挛缩，需手术治疗而收住入院。此病人因反复多次手术，对手术充满恐惧。一进手术室就哭闹不止，无法给她做术前的准备工作。手术室护士在手术室门口接待病人时就要开始进行心理护理。

Background：

A 10year old female student was hospitalized for surgical treatment on the scar formations after she suffered whole body burns.This little girl was so scared of operation after her multiple surgeries.It was a challenge to make preoperative preparations for her，because she couldn’t stop crying once she got in the operating room.Operating room nurses began psychological nursing care as soon as the patient arrived at the door of the operation room.

交流

护士：喂！小天使××（喊患儿小名，倍显亲切），你来啦，昨晚睡得好吗？（用大手拉着小手，面带微笑 ）

患儿：我怕开刀，我睡不着，我不要开刀。

护士：怎么啦，××，是不是怕开刀时痛呀？刚才在病房里打针了吗？

患儿：打了，我打针的地方好痛，我不要开刀（边哭边讲）。

护士：××，告诉你，刚才打的可是定心针哦。等一会儿，让麻醉师给你打一点睡觉的药，等你一觉醒来，已经开好刀了，而且又把昨天的觉补回来了。多好呀！（边交谈边抚摸孩子的额头）

患儿：（停止哭闹，沉默。）

护士：××，你看，这是魔术麻醉师，她的本领可大了，有许多比你小的小朋友开刀也一点不痛呀。不过你要配合她哦！

患儿：（患儿点头），我能配合你们一起完成术前准备。

Interactions

Nurse：Hello，little angel××（calling her name，feel-ing very close to her.）Did you sleep well last night？（holding her hands gently with a smile.）

Girl：I’m afraid of the operation.I couldn’t fall asleep.I don’t want the operation.

Nurse：How is that？×× are you scared of the pain？Have you got an injection in the unit？

Girl：Yea，it hurts so much where they gave me the injection.I don’t want the operation（crying as she spoke.）

Nurse：That injection will make you calm.The doctor in the operation room will give you some sleeping drugs which will make you fall to sleep.When you wake up，the operation will be over.It’s magic，right？（chats while fondling the child’s forehead）

Girl：（The girl stopped chatted orying but kept silent.）

Nurse：Look at her.She is the anesthetist，agreat magician.She has made many patients younger than you to have no pain during their operation.If you want no pain，then you must cooperate with her.

Girl：（nodding）I will cooperate with you.

点评

在对病人术前心理护理过程中，最为重要的是要深切体会病人此时的恐惧心理。病人担心安不安全？手术时痛不痛？我们理解到病人的心理需要，展开耐心细致的解释工作。并在解释的过程中让病人感受到护士对他们亲人般的温情。消除手术室对病人所造成的心理上的那种既神秘又恐怖的色彩。用护士的耐心、爱心、热心来引导病人配合术前准备。

Comments

The most important thing in the process of preoperative psychological nursing care is to understand the fear of the patients.They are afraid of the pain，and worried about their safety.Therefore，we must understand patients’psychological need，and show our care and compassion while carefully explaining the process and eliminate.Eliminate their fear and mystery of the operating room.We must use our patience，be caring and enthusiastic，and make patients cooperate with preoperative preparations.