護(hù)患情境會(huì)話

患兒恐懼手術(shù)的心理護(hù)理

Psychological Nursing Care for a Child’s Fear before Surgery

背景

病人××，女，10歲，學(xué)生。全身火燒傷后疤痕攣縮，需手術(shù)治療而收住入院。此病人因反復(fù)多次手術(shù)，對(duì)手術(shù)充滿恐懼。一進(jìn)手術(shù)室就哭鬧不止，無(wú)法給她做術(shù)前的準(zhǔn)備工作。手術(shù)室護(hù)士在手術(shù)室門(mén)口接待病人時(shí)就要開(kāi)始進(jìn)行心理護(hù)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

護(hù)士：喂！小天使××（喊患兒小名，倍顯親切），你來(lái)啦，昨晚睡得好嗎？（用大手拉著小手，面帶微笑 ）

患兒：我怕開(kāi)刀，我睡不著，我不要開(kāi)刀。

護(hù)士：怎么啦，××，是不是怕開(kāi)刀時(shí)痛呀？剛才在病房里打針了嗎？

患兒：打了，我打針的地方好痛，我不要開(kāi)刀（邊哭邊講）。

護(hù)士：××，告訴你，剛才打的可是定心針哦。等一會(huì)兒，讓麻醉師給你打一點(diǎn)睡覺(jué)的藥，等你一覺(jué)醒來(lái)，已經(jīng)開(kāi)好刀了，而且又把昨天的覺(jué)補(bǔ)回來(lái)了。多好呀?。ㄟ吔徽勥厯崦⒆拥念~頭）

患兒：（停止哭鬧，沉默。）

護(hù)士：××，你看，這是魔術(shù)麻醉師，她的本領(lǐng)可大了，有許多比你小的小朋友開(kāi)刀也一點(diǎn)不痛呀。不過(guò)你要配合她哦！

患兒：（患兒點(diǎn)頭），我能配合你們一起完成術(shù)前準(zhǔn)備。

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.

點(diǎn)評(píng)

在對(duì)病人術(shù)前心理護(hù)理過(guò)程中，最為重要的是要深切體會(huì)病人此時(shí)的恐懼心理。病人擔(dān)心安不安全？手術(shù)時(shí)痛不痛？我們理解到病人的心理需要，展開(kāi)耐心細(xì)致的解釋工作。并在解釋的過(guò)程中讓病人感受到護(hù)士對(duì)他們親人般的溫情。消除手術(shù)室對(duì)病人所造成的心理上的那種既神秘又恐怖的色彩。用護(hù)士的耐心、愛(ài)心、熱心來(lái)引導(dǎo)病人配合術(shù)前準(zhǔn)備。

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.