The quality of nursing work directly affects the rehabilitation of patients, and otolaryngology patients are no exception. The following are the downloads I collected for you. Welcome to read the reference!

Download 1 analyze the countermeasures and nursing care of children in otolaryngology department.

To explore the practical experience of otolaryngology nurses in children's clinical nursing, so as to analyze and deal with the common mentality, different psychological characteristics, existing problems and causes of potential safety hazards in children's otolaryngology diagnosis and treatment, strengthen psychological nursing before, during and after treatment, make children cooperate with diagnosis and treatment, and create good conditions for on-site diagnosis and treatment, so as to ensure the implementation of patient-centered diagnosis and treatment nursing and achieve the purpose of curing diseases.

Keywords children; Otolaryngology diagnosis and treatment; Psychological nursing

Due to the wide range of otolaryngology treatment, all the examinations and treatments involved in otolaryngology, such as newborn hearing screening, hearing impairment, foreign body in ear canal, acute epiglottitis, foreign body in trachea, foreign body in nasal cavity, epistaxis, etc. , should be diagnosed and treated in otolaryngology. Quality nursing in our hospital is respect, understanding, sympathy and care for patients. Paying attention to politeness, etiquette and etiquette, paying attention to gfd and manners, and carrying out standardized operation in nursing service are the external manifestations of nurses' initiative, enthusiasm and thoughtful service, which can be felt by patients psychologically [1]. In the clinical nursing of nurses, we should pay attention to the characteristics of young children, lively and easy to cry, and take corresponding measures in time to make the nursing work more perfect. Therefore, it is of great significance to do a good job of nursing children in the process of diagnosis and treatment, so that they can cooperate with the treatment.

1. Children's psychological characteristics

Children can't take care of themselves when they are young, but they are lively and active, emotionally explicit, easily distracted and adaptable, but lack restraint. Children of different ages have different cognition of diseases and acceptance of diagnosis and treatment, and their reactions to diagnosis and treatment are also different. The main psychology of sick children is fear. Psychological classification of confession [2]: degree I: there is a strong refusal reaction * * *-* *, such as crying, irritability, fear, not opening your mouth and other refusal reactions; ⅱ degree: there is * * *-* *, negative reaction, refusing to receive treatment, unwilling to treat, not cooperating with treatment, but not as strong resistance as I degree; For example, unhappy and negative attitude; ⅲ degree: cooperate with the reaction * * *+* *, accept treatment, but talk to the doctor about the conditions; Ⅳ degree: Good coordination and response * *+* *, trusting doctors, showing pleasure and happiness. Nurses take corresponding nursing measures according to the psychological and behavioral characteristics of children during treatment.

2. Analysis of the causes of fear

2. 1 Cognition of the environment. A considerable number of newly diagnosed children have experience in pediatric treatment, so children who enter the hospital will have a psychological reaction of fear. In particular, seeing strange medical staff and equipment in the clinic and hearing the cries of other children in the clinic will increase the degree of fear.

2.2 The influence of medical staff. Children will have fear when they see people outside their families, such as medical staff, especially those who have had treatment experience, such as infusion and blood collection. When they see nurses, doctors or staff in white coats again, they will have a psychological reaction of fear.

2.3 Fear of instruments and appliances. Because children don't understand the treatment, they are uncertain about the treatment method, that is, they don't know what kind of feelings they will cause, which increases their fear. In otolaryngology treatment, the most feared and strongest reaction of children is nasal negative pressure suction replacement, followed by Bosball eustachian tube blowing.

2.4 The influence of parents' emotions on children. The attitude of accompanying parents also has a certain effect on children's psychological reaction. If the parents have received treatment or have a high degree of awareness of treatment, then the child's reaction tends to cooperate and cooperate. On the other hand, if parents are uncertain and hesitant about treatment, children's crying will have an impact on parents' psychology, thus shaking their determination to treat. If parents are emotional and scare their children, it will also increase their fear.

3. Nursing before, during and after treatment

3. 1 Nursing before treatment. In order to achieve the purpose of children's cooperation with treatment, nurses explain the specific operation process to children and parents before treatment, and then parents explain the purpose of treatment in a language that children can understand; Another way is to concentrate the treatment of children, let the children with treatment experience do the treatment first, and let the newly treated children watch it, which plays a role of demonstration and example.

3.2 Nursing in treatment. When doing treatment, older children will actively cooperate with nurses to make preparations under the guidance of nurses, while younger children need nurses to establish good communication with them and gain their trust. For example, ask him what his name is and which kindergarten he is in. Relax his mood through chatting, and then let the child feel it with his hands or face-drop the boss's ball or olive head, drop the medicine on his face with a dropper to let him feel it, eliminate the child's nervousness and accept the treatment happily.

3.3 Nursing after treatment. After the child completes the treatment, the nurse should praise his performance, and if necessary, he can enlarge the praise, which has a positive effect on continuing the treatment and carrying out the next treatment. For example, you can say to your child, "You are the bravest child today. I will tell other children, and I will tell your parents and your teacher. " Wait a minute.

4. Cultivation of nurses' psychological quality

Nursing work is a noble scientific skill in a sense. The primary task of nursing staff is to create a psychological state that patients are willing to treat and maintain good cooperation through words, examples and communication. [2] The nurse faced a case of an eight-month-old baby with a foreign body * * * fishbone * * in the pharynx. The most important thing a nurse can do is to let the child open his mouth and cooperate with the doctor to find out the location of the fishbone, which cannot be solved by language or compulsory methods. And as soon as the tongue depressor enters the cavity of * * *, the child just sucks and doesn't open his mouth. At this time, the nurse will use the bottle to cooperate with the treatment, that is, after the tongue depressor enters the cavity, it will signal the child to see the bottle. At this time, the child will have the intention to breastfeed and naturally open his mouth, thus solving this problem.

At work, nurses can guide, appease and relax nervous emotions with familiar and easy-to-understand language, so that they can have a simple understanding of the treatment process and increase their sense of security; Physical contact can also be used for communication, such as shaking hands, touching children's faces and praising their bright eyes. Let them feel loved and liked and will actively cooperate with the treatment. Once, a four-year-old girl refused to receive nasal cavity negative pressure suction replacement treatment. The nurse sat beside her, approached her, held her hand, whispered to her and told her the treatment process. As a result, the little girl took the initiative to receive treatment. Nurses should not only have a love and patience, but also have a childlike innocence, crouch down, close the distance with children, encourage them more, criticize them less, use the method of "combining hard and soft" to make them cooperate with treatment, and try to avoid using coercive measures, so as not to leave a psychological experience of fear for re-treatment [3].

5. Conclusion According to the judgment of children's behavior, give children personalized psychological care, and strongly appeal to care for every child with sincerity and love. Most children can show a good cooperative attitude and form friendship with nurses, so that nursing and treatment can be successfully completed.

Reference materials?

[1] Liu Yilan, Wang Guilan, Ren Xiaoying, et al. Indications of quality care: survey of inpatients' views [J]. Chinese Journal of Nursing, 2004, 39 * * * 9 * *: 64 1-643.

[2] Ma, Jiang Jiao, Medical Psychology [M]. Dalian: Dalian Press,1997,270?

[3] Gao, the application of humanistic care in the diagnosis and treatment of children's dental diseases [J]. Journal of Medicine and Philosophy, 2008, 4: 66

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