·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

交流

护士(扶着她的肩膀)：李妈妈，像您宝宝这情况是婴儿肺炎恢复期常见的症状。您看宝宝的烧，是不是退了？

患儿妈妈(情绪稍平稳)：体温倒是退了，医生听听也说肺好多了。但你看宝宝，又吐又拉的。

护士：是的，这吐和拉我都看见了。您看宝宝吐的东西，白白粘粘的，这都是痰。因为宝宝小，他不会象大人一样咳痰。加上小孩的胃、食管也和大人不一样，容易受刺激呕吐。还有这拉肚子，您看，也是痰，这是小孩咽下去后拉出来的。而且痰咽到肚子里会刺激肠子动得快，所以宝宝大便次数也多了。

患儿妈妈：那这是好事啦。

护士：是呀，医生说了，宝宝再住两天，痰少点就可以回家了。

患儿妈妈(擦干眼泪)：是这样啊。那我就放心了，谢谢你。

护士：不用谢，这是我的工作。

Interactions

Nurse: (Holding her shoulder) Mrs. Li, your baby’s symptoms are common for the recovery period of pneumonia. You see, his temperature is lower than before, isn’t it?

Patient’s Mother: (Becomes calmer) Yes, his temperature is lower. The doctor also said his lung is much better. But you see the baby still has vomiting and diarrhea.

Nurse: Yes, I know. I have seen these symptoms. You see what he is vomiting is white and sticky sputum. The baby’s stomach and esophagus are different from adults. It can be stimulated to vomit easily. Most of his stools also contain sputum, which was swallowed by the baby. The sputum can stimulate the movement of the intestine. So the baby relieves the stool more times than usual.

Patient’s Mother: Then, it is good for him, isn’t it?

Nurse: Of course. The doctor has said that your baby can go home in a couple of days when the sputum production is reduced.

Patient’s Mother: (Wiped her tears) I see. I feel much better now. Thank you.

Nurse: You are welcome. It is my job.

点评

孩子生病，妈妈是非常心疼的。所以她们心情都很紧张、焦虑。护士在和她们交流时，首先要学会移情，要理解体谅她们的心情。另外，护士除了要具备疾病护理知识外还要掌握适当的育儿知识。以通俗的语言指导年轻妈妈正确照料生病的宝宝。

Comments

It makes the mother’s heart ache when her baby is sick. So she is worried and anxious. When nurses communicate with the sick baby’s mother, they should learn to deal with the problems from the mother’s point of view and try to understand her feelings. Besides, nurses should not only have the knowledge of nursing the patients but also the knowledge about child development. Nurses should instruct the young mother how to take care of her baby correctly with easy to understand language.

(张芳)

焦虑症病人的护理

Nursing Care for a Patient with Anxiety Neurosis

背景

吴女士，41岁。因睡眠差、紧张、焦虑、坐立不安而入院。经药物治疗后，焦虑症状改善。医生考虑减少催眠药物的剂量，可是病人出现了明显的焦虑不安，担心晚上减了药后会睡不着，于是她找到责任护士。

Background

Patient Ms. Wu, 41 years old, was hospitalized for insomnia, nervousness, anxiety and restlessness. Her symptoms of anxiety were improved after medical treatment. Her doctor has considered reducing the dose of her sleep medicine. But, the patient became very anxious and worried that she cannot fall asleep at night. She went to talk to her nurse.

(赵惠英)