Obstetric case nursing paper 1: Obstetric privacy nursing
With the progress of society, the general improvement of national cultural level, the popularization of medical knowledge and the enhancement of legal concept, people's awareness of self-protection and rights protection is also constantly improving, and the incidence of nursing disputes is also increasing year by year. Therefore, how to adapt to the needs of the development of the times, reduce the occurrence of disputes between nurses and patients, and achieve high-quality care that patients are satisfied with is a problem worthy of discussion for nursing workers at present. This paper discusses the factors of common obstetric nursing disputes and puts forward effective preventive measures to enhance the service consciousness of obstetric nurses, reduce nursing disputes and improve the quality of obstetric nursing.
Keywords: privacy nursing measures in delivery room
1 Privacy connotation of delivery room
Privacy is usually understood as a hidden part of the body. According to the data, the standard definition of privacy was first put forward by American jurist Ssmtiel D.Warren LouisD. Brandeis is in 1890, which is gradually recognized by all countries in the world. Privacy refers to the secrets that patients don't want to tell others, including personal body secrets, life experiences and historical secrets. Obstetrics and gynecology is a special environment. When medical staff collect patients' medical history, physical examination and nursing operation, they often involve patients' privacy issues, such as exposure of reproductive organs, unmarried pregnancy, sexually transmitted diseases, abnormal marriage and childbearing history, extramarital sexual partners, genital malformation, infertility and so on. Many patients have different emotional reactions and psychological changes. Therefore, it is particularly important to pay attention to the personal privacy protection of delivery room.
2 Analysis of the reasons why the privacy of delivery room was exposed
Before analyzing the causes of privacy exposure, it is necessary for us to study patients' understanding of privacy.
Gynecological examination, to expose private parts. Many female patients, especially young unmarried women, are afraid of being seen by men and examined by male doctors, and are unwilling to have male interns present. They feel embarrassed to expose their genitals in front of men, and some worry that their families don't understand. Female patients with certain privacy, such as genital malformation, sexually transmitted diseases, unmarried pregnancy, etc. They are in a state of anxiety when accepting gynecological physical examination and asking about medical history. They are afraid that their privacy will be exposed, that they will be discriminated against or affect their feelings and normal life, leading to disharmony in marriage and family, and their hearts are full of contradictions and uneasiness.
2. 1 layout factors of wards and gynecological examination rooms
Improper layout of wards and gynecological examination rooms will lead to patient privacy exposure. For example, the ward is large, the facilities are incomplete, and the ward environment is poor. Each room has 7 to 9 patients or more, and there is no curtain in the middle; Some commonly used sterile items are placed in the gynecological examination room, so that when patients are doing gynecological examination, medical staff often break into the examination room to get things.
2.2 Quality factors of medical staff
Medical staff directly face and contact with patients' privacy, and their weak sense of privacy, incorrect concept and low quality will also directly lead to patients' privacy being exposed. Specifically, it can be summarized as follows:
(1) Weak legal awareness. Without a real understanding of the meaning of privacy and the right to privacy, protecting patients' privacy is one of the main obligations of medical staff, and it is impossible to fundamentally attach importance to the protection of patients' privacy, which is reflected in words and actions.
(2) Influenced by traditional ideas. Although the medical model has changed from a disease-centered stage to a biological, psychological and social medical model, there is still such a concept in practice that you are a patient and I am a doctor, and I only need to cure your disease, and you only need to cooperate with my examination and treatment, thus ignoring the patient's psychological feelings.
(3) Poor service awareness, lack of understanding of patients' personalized service needs, or inability to adapt quickly. Can't take the initiative to serve patients, but mechanically carry out every operation according to the operating rules, simply doing things with hands and brains, without doing it with heart.
(4) disrespect for patients. For example, when interns, interns and nurses examine patients, they don't explain in advance, or they perform surgery without the consent of patients, or they conduct examinations regardless of time and place.
(5) Low professional quality. For example, in offices, corridors and other places, talking about the patient's illness and privacy casually, not closing the door after entering and leaving the ward, and evaluating the environment before surgery all meet the requirements of protecting the patient's privacy. But in fact, in order to save time, be afraid of trouble or think it is unnecessary, we all ignore answering the phone and receiving colleagues or visitors.
(6) Do not strictly abide by the operating procedures. At present, many diagnosis and treatment operations clearly stipulate that the environment should be evaluated before operation, which meets the requirements of protecting patients' privacy, but in fact, it is ignored for saving time, fearing trouble or thinking it unnecessary.
2.3 Hospital management factors
Improper hospital management is also one of the reasons for patients' privacy exposure. For example, the disorder of outpatient service is characterized by more patients and caregivers, and even there are male caregivers in obstetrics and gynecology clinics. The visiting system is not strict, the number of visitors is large and the visiting time is long. Some beds are accompanied 24 hours a day, and sometimes even many people are accompanied. The list says the diagnosis of the disease, and people will know what the patient has when they look it up. Poor medical record management, illness, accompanying people to read privately, etc.
3 objects and methods
3. 1 interviewee
Randomly select 1 16 obstetrical patients (including 15 induced labor in big months) from May to August, 2009, distribute 1 16 questionnaires, and recover valid questionnaires16. 1 10 patient age 18 ~ 36 years old; 97 cases were married and unmarried 13 cases; Education level: 22 cases in primary school, 38 cases in junior high school, 29 cases in senior high school, and 2 1 case in college or above.
3.2 methods
Through the questionnaire survey, the questionnaire is designed by ourselves, including general information: age, education level, marital status, privacy awareness, whether personal privacy has been leaked, the main ways of disclosure, and the psychological state after disclosure. There can be multiple answers, which should be filled in or dictated by the patient himself.
Four results
Privacy awareness of patients: 56 cases (50.9%) thought the illness was personal privacy; 69 cases (62.7%) thought that some parts of the body belonged to personal privacy; 32 cases (29. 1%) thought the history of marriage and childbearing was personal privacy; 27 cases (24.5%) thought other psychological activities were personal privacy.
5. The corresponding measures to improve the privacy care of delivery room.
3. 1 Strengthen the awareness of privacy protection of medical staff.
Because obstetrical patients are different from other departments, it is inevitable to face medical staff's inquiries about the history of marriage and childbirth, pregnancy and childbirth, and the exposure of private parts of the body, such as perineal skin preparation, monitoring of abdominal fetal heart sounds, stone removal during childbirth, necessary anal and vaginal examinations, and breast exposure during lactation. In view of the special situation of obstetric patients, hospitals should strengthen privacy education for medical staff, strengthen their legal awareness and pay attention to patient privacy protection.
3.2 Improve the medical environment
The outpatient triage desk and consultation room were transformed into "one doctor, one patient and one room", and family members or relatives and friends were invited to wait outside the consultation room, which avoided the embarrassment of patients, relieved their psychological scruples and facilitated them to elaborate on their illness. The ward was changed into a single room or a double room.
3.3 Improve the service awareness and level of medical staff.
(1) When being admitted to the hospital in emergency, pregnant women should be placed in the outpatient clinic for prenatal examination. Avoid asking about medical history and past history, especially maternity history, in front of family members or relatives, so as not to expose the privacy of pregnant women and cause family and social problems. If it is vaginal bleeding, vulvar laceration or genital inflammation caused by sexually transmitted diseases caused by unmarried pregnancy or other reasons, nurses should treat patients equally and should not be indifferent or contemptuous.
(2) During the examination, treatment and nursing operations, especially during anal examination, vaginal examination and perineal irrigation, the door should be closed or covered with a screen. Avoid face-to-face with the patient as much as possible during the operation, and use lateral position for catheterization. For patients undergoing surgery, the private parts should be covered to avoid unnecessary exposure. The patient's privacy should not be discussed during the operation. After the operation, the patient should be helped to wipe away the blood, put on clothes, cover the quilt, and sent back to the ward to rest.
(3) Due to the change of the current delivery service mode, it is suggested to advocate happy delivery and home delivery, and most pregnant women are accompanied by their families or husbands during delivery. Therefore, special attention should be paid to the tone and skills of speaking during the examination, and family members should be told not to wander in the delivery room, so as not to reveal and invade the privacy of other pregnant women. Pregnant women should properly cover their abdomen and perineum during labor and examination, and pay special attention to prevent maternal privacy from being inadvertently leaked during childbirth.
(4) For patients suffering from sexually transmitted diseases or other infectious diseases during pregnancy, they should directly arrange to live in a single room, and do a good job of confidentiality and disinfection. List and bedside card only write name and bed number, not diagnosis. At present, many hospitals' nurse stations are open, and the input, copying and perfection of medical records are all completed here. Therefore, the management of medical records is more important. Irrelevant personnel should be prevented from browsing medical records and treatment books at will to avoid revealing privacy. After writing an electronic disease, they should exit the interface or encrypt at any time. However, nurses' protection of patients' privacy is not unconditional and overwhelming. When the privacy of patients and the confidentiality of medical information will harm the life and health interests of third parties and social public safety, confidentiality must be compromised.
4 conclusion
The nature of nursing work determines the special relationship between nurses and patients at work. However, the particularity of diagnosis, treatment and nursing of obstetric patients is more likely to lead to unintentional disclosure of patients' privacy. Therefore, how to improve service skills and level, strengthen legal awareness, and do a good job in protecting the privacy of pregnant women is the legal obligation and responsibility of every obstetric nurse. We should take a cautious attitude, consciously safeguard patients' privacy, avoid unintentional infringement and reduce unnecessary medical disputes.
References:
[1] Wang Xiang, Deng, problems and countermeasures of protecting patients' privacy in nursing practice, China Medical Ethics, 2005, 18 (6 1: 88-89.
[2] Dai Huiping, Investigation and Analysis on Privacy Protection of Obstetrics and Gynecology Patients, Chonghua Modern Nursing Journal, 2007a (20): 1846.
[3] Pan, Introduction to Nursing, Beijing: People's Health Publishing House, 1999, 138.
[4] Qin Meizhen, China Journal of Modern Nursing, 2007,4 (18):1693.
[5] Zhang Xinbao, editor-in-chief, Legal Protection of Privacy, 1 Edition, Beijing: People's Publishing House, 2004, 6 10.
Jiang Jian-she, Pan Wei-min, Ding Shu-jun, et al. Observation of lying urethral catheterization in female patients. Journal of Practical Nursing, 2003, 19-48.
[7] Shi, Yang, how nurses should treat patients' privacy, Chinese Journal of Nursing, 2004, 36: 3 12-3 14.
Obstetric case nursing paper 2: Obstetric nursing management
With the development of social economy, the reform of medical system and the improvement of people's legal consciousness, clinical nursing workers are facing great challenges and impacts. As people put forward higher and higher requirements for medical technology and medical service quality, it is imperative to improve the quality of nursing. We must implement a comprehensive and standardized modern nursing management model, actively mobilize the potential of nurses, and provide patients with more comprehensive and better services.
Obstetrics and gynecology; Nursing management; survey
Nursing management is very important for obstetrics and gynecology, and high-quality nursing management can bring good news to patients in obstetrics and gynecology. In particular, the number of difficult, complex, critical and difficult cases in obstetrics and gynecology is increasing day by day, which requires us to effectively reform the current management mode of obstetrics and gynecology. Therefore, this paper first analyzes the characteristics of obstetrics and gynecology nursing management, and finally puts forward some suggestions for some problems encountered in obstetrics and gynecology nursing management mode, so as to better guide the practice of obstetrics and gynecology nursing in the future.
1, existing problems:
1. 1 Concept and professional level of nursing staff
At present, there are many nurses and doctors in obstetrics and gynecology delivery rooms whose basic medical services are not in place and their professional level is relatively backward. This fundamentally affects the quality of our overall work. It may also cause the family members of patients to distrust the hospital. Secondly, it will also have a bad influence on the newborn baby. And now many medical staff are not patient enough in diagnosis and treatment and service, and they are not enthusiastic enough to serve patients; In the current medical management, some inspections are too procedural to be implemented, so some medical workers just handle things casually, while others are even more careless. Treat some appraisal seriously at that time, and then take it seriously.
1.2 patient communication problems
From the hospital's point of view, the nursing evaluation mechanism set up in many hospitals is very inconsistent with the needs of patients, which makes it difficult for patients' demands to spread, and is not conducive to the improvement of hospitals themselves and the requirements for medical staff. At the same time, this has also created a very big gap with the patients' families. This result eventually leads to the tension caused by the distrust of doctors and nurses during childbirth. It has a certain impact on the fetal heart and ultimately affects the fetus. In this way, the gap between doctors and patients will deepen day by day. If so, it will have a very serious impact.
1.3 system defect
From the integrity of a problem, we should look for the root of the problem in essence, not the simple surface, but whether there are defects in the system. At present, there are not a few staff in the midwifery room, which leads to some midwives being inactive and not enthusiastic, especially the nurses in obstetrics and gynecology. The workload is obviously overloaded, and the night shift is heavy every day, which also affects their work enthusiasm to some extent. If this continues, it will also be very unfavorable to the health of nurses.
1.4 Lack of practical experience
In recent years, a large number of high-level nursing talents have entered the clinic in China. These new forces have a rich and solid theoretical foundation, but they lack practical experience. Obstetrics and Gynecology, as a basic department, is overloaded with work, frequent patients coming in and out, single process and heavy work, which makes nurses prone to job burnout.
2. Suggestions and countermeasures
2. 1 Nursing managers should pay attention to self-management and improve team cohesion.
Nursing managers are the most basic managers of hospital nursing management, the important role of nursing management, the specific leaders and organizers of ward work, and play a leading role in completing ward management and basic nursing technology management, especially in obstetrics and gynecology of grass-roots hospitals. Nursing managers not only undertake the continuous improvement of midwifery technology, but also undertake the continuous improvement of ward nursing quality, and are the coordinators to solve medical disputes. To improve the overall quality of the nursing team, the head nurse should attach importance to self-management, strive to improve the cohesion of the whole nursing team, and train and use professional nurses.
2.2 Nursing staff should establish a people-oriented service concept.
You can use your professional knowledge to actively observe the patient, give comfort and encouragement to the parturient, and make the patient feel comfortable and comfortable, instead of passively making rounds. Establish a good relationship between nurses and patients, and treat doctors with morality. Nurses should establish a good communication system with patients and keep abreast of patients' needs. Doing a good job in the management of nursing staff is of great practical significance to the improvement of nursing service level, the stability of nursing team, the improvement of nurses' quality and the development of nursing specialty. Nursing managers should adhere to scientific nursing management and give full play to the effectiveness of personnel management through continuous learning, continuous improvement and flexible application.
2.3 Strengthen supervision and management
Vigorously carry out medical work inspection, so as to make a small inspection once a week, a big inspection once a month and a big inspection once a quarter. In the process of examination, we should put ourselves in the patient's shoes, and only from the patient's point of view can we effectively improve the service quality of medical staff. Open days can be set up if conditions permit, so that every patient can participate in the construction of the hospital. At the same time, every medical staff is required to find their own shortcomings in the hospital examination, improve themselves and wholeheartedly raise their professional level to a new height. Treat every patient as his family. At the same time, it should be noted that the quality of medical staff should be effectively and strictly screened from the source. Choose the best candidate through a rigorous written test. Obstetrics and Gynecology is the most special and sensitive place in the hospital, and the medical equipment should be the most advanced and knowledgeable. The medical staff of obstetrics and gynecology should be sent abroad to study and learn new ideas and knowledge. At the same time, we should also learn more about postpartum care, such as breastfeeding and neonatal care.
2.4 Strengthening the practice of nursing management in obstetrics and gynecology
First of all, we should strengthen the management of obstetrics and gynecology wards, increase the intensity of morning care, make the nursing unit clean and tidy, and strive to create a clean, tidy and comfortable hospitalization environment for obstetrics and gynecology patients. Secondly, it is necessary to carry out holistic nursing, give full play to the subjective initiative of the nurses in charge of obstetrics and gynecology, carefully organize holistic nursing rounds and health education guidance, especially strengthen health education such as admission introduction, rehabilitation guidance and discharge guidance, so that patients can have a high degree of awareness of health education, thus improving patients' satisfaction with obstetrics and gynecology. Thirdly, strengthen the nursing safety management of obstetrics and gynecology, and formulate practical nursing safety measures and nursing safety management systems. Analyze, summarize and improve the deficiencies and mistakes in nursing work in time. Enhance the legal knowledge and related safety awareness of nursing staff; At the same time, strengthen the safety management of inpatients in obstetrics and gynecology to prevent unexpected accidents. Finally, strengthen the management of critically ill patients in obstetrics and gynecology, and train young inexperienced nurses in rescue techniques to improve the success rate of rescue of critically ill patients. In addition, we should strictly implement the check system and nursing operation procedures, and the doctor's advice should be correct in BANCHA, effectively put an end to serious mistakes and computer information inconsistent with the doctor's advice, strengthen the accumulation of basic nursing knowledge for patients by obstetricians and gynecologists, and improve the qualified rate of basic nursing for obstetricians and gynecologists.
3. Summary
Through the analysis of this paper, we can know that due to the particularity of obstetrics and gynecology nursing work, nurses are required to integrate exquisite specialist skills, high sense of responsibility and excellent moral quality, serious work attitude and keen observation into every link of nursing work. Only in this way can we overcome the problems existing in nursing work and better serve the patients.
References:
Li Minghui. Causes and countermeasures of obstetric nursing disputes [J]. China Traditional Chinese Medicine Information, 2012,4 (4): 55.
Tong, Lin Chunmin,. The management role of head nurses in nursing safety [J]. Jilin Medicine, 2005,48 (9): 934-935.
[3] Huang Qiong. Talking about Nursing Management in Obstetrics and Gynecology [J]. chinese medicine guides, 201,99 (13): 149.
[4] Wu Huiqun, Hu Jie, Zhang Mingying. Obstetrics and Gynecology Nursing Safety Hidden Dangers and Countermeasures [J]. Introduction to Traditional Chinese Medicine, 2008,5 (10): 25.
[5] Liu Lanzhen. Application of People-oriented Concept in Obstetrics and Gynecology Nursing Management [J]. Medical Information, 201,24 (5): 21kloc-0/.
[6] Tan Youmiao. Application of nursing rounds in improving the quality of obstetrics and gynecology care [J]. Guide to Traditional Chinese Medicine, 2008,5 (20): 48.
Obstetric case nursing paper 3: Research on obstetric psychological nursing
With the continuous development of China's economy, people's living standards have been improved, and they have begun to raise their spiritual requirements. With the change of medical model, nursing has also begun to develop from physical nursing to psychological nursing, and clinical nursing is more humanized. This paper mainly studies obstetric psychological nursing.
Keywords nursing; Obstetrics; Psychological nursing
In the physiological process of delivery, maternal psychology and physiology will change greatly, so obstetric psychological nursing is very important. If the contractions are restrained and the contractions are weak under the stimulation of bad emotions, the labor process will be prolonged. The secretion of adrenaline in the body will also increase because of stress, and the increase of blood pressure will lead to eclampsia. It can be seen that psychological care for parturient is very important.
The establishment of a new "biological-psychological-social" medical model has made psychological nursing more recognized by people. Psychological factors directly affect people's physiological activities, the length of the course of disease and the degree of rehabilitation of patients. It is imperative to study patients' psychology, do psychological nursing well and improve nursing quality. Obstetric patients are mostly pregnant women, and the change of patients' state will add great pressure to their spirit. This change will make obstetric patients in a state of nervous stress, and it is inevitable that they will have tension, anxiety, fear or depression. If the guidance is improper, it will make the parturient fully prepared psychologically, adjust the mentality and confidence to win, and bring difficulties to delivery. I have been engaged in obstetric care for many years, and now I have made an in-depth study on the psychological care of 20 12 to 20 13 obstetric patients in our hospital.
From 20 12 to 20 10 to 20 13 April, there were 3/kloc-0 obstetric patients in our hospital, aged 22-37 years, with an average age of 29 years and a gestational age of (35 3) weeks.
1 unique psychological characteristics of pregnant women
Obstetric patients are mostly pregnant women. Delivery is the most important moment for pregnant women, with both the joy of expecting the baby and the fear of the harsh conditions of the newborn. Pregnancy will increase the physical burden of pregnant women and cause a series of physiological changes, such as emotional instability, impatience, mental fragility, crying and so on. These impatient emotional changes will aggravate the pain of patients, and the nursing attitude and medical service quality of medical staff at this time are very important to them. Unfamiliar labor environment, coupled with constant contractions, makes the patient's physical exertion great, which will inevitably lead to cerebral cortex dysfunction, slow down the uterine expansion of maternal patients, inevitably prolong the labor process, and endanger the health of maternal, fetus and newborn.
2. According to the characteristics of obstetric patients, the implementation of clinical psychological care.
In the process of nursing, nurses actively influence and change patients' psychological state and promote their rehabilitation according to psychological theory and the characteristics of obstetric patients. The main measures are as follows.
2 1 A high-quality ward environment facilitates the psychological adjustment of patients to the best state. The maternity ward is set in a quiet area with good ventilation and lighting, suitable indoor humidity and clean environment. There are standard rooms and single rooms in the ward, and the sanitary facilities are complete, which is conducive to the comfort and calm of pregnant women. Each floor of the maternity ward is equipped with a responsible nurse to facilitate the psychological care of pregnant women in the ward.
Establishing a good nurse-patient relationship can easily eliminate the fear of lying-in women. The famous medical historian Seagris once said: "The purpose of medicine is social. Its purpose is not only to treat diseases and rehabilitate an organism, but also to adapt people to the new environment. As a useful member of society, every medical action always involves two parties, doctors, nurses and patients, or more broadly, medical groups and society. Medicine is nothing more than the multifaceted relationship between these two types of people. " This shows the important role of nurse-patient relationship. The nurse-patient relationship is also a kind of interpersonal relationship. A sincere and enthusiastic attitude is conducive to establishing relationships, understanding and acceptance is conducive to deepening relationships, and frequent meetings are also conducive to promoting relationships. The nurse-patient relationship runs through the whole process of medical activities. After the pregnant woman is admitted to the hospital, the nurse arranges beds to stabilize her mood, eliminate her strangeness and fear, and create a relaxed and comfortable environment. Establishing a good nurse-patient relationship can shorten the distance between nurses and patients, facilitate patients to complete various treatments and recover as soon as possible.
23 Prenatal psychological care for pregnant women will have obvious psychological and physiological changes, but when all indicators are normal, it belongs to a special physiological stage for women. For the psychological care of obstetric delivery patients at this stage, the key lies in providing clinical delivery knowledge education, consulting and answering questions, prenatal fetal protection and pregnant women's self-monitoring methods, and preaching breastfeeding knowledge in advance. For pregnant women with individual pregnancy-induced hypertension, it is necessary to take oxygen, reduce blood pressure and monitor fetal movement regularly. Pregnant women with premature rupture of membranes should help lift their buttocks in bed and observe the characteristics of amniotic fluid. Don't panic when pregnant women are in labor pains. This is a sign of childbirth, which helps patients to explain contractile pains, increase their confidence in natural childbirth and prepare for the birth of the baby.
24 Psychological Care in the Three Stages of Labor As the labor process approaches, pregnant women will have more changes in their bodies, such as increased frequency of uterine contraction pain and increased physical exertion, which will inevitably add a great psychological burden to the parturient and will inevitably produce unprecedented fear and emotional anxiety. Nurses need to make accurate predictions on the physiology and psychology of parturient in time, and give targeted care.
The primipara's long primipara delivery time and lack of delivery knowledge will cause anxiety and fear of uterine contraction pain, which will easily lead to uterine contraction fatigue, prolonged labor, slow cervical dilatation or edema. They should explain the knowledge of childbirth to the parturient, stabilize the mood of the parturient, use the interval of contractions to learn the skills of combining relaxation and breathing, such as touching the forehead of the parturient, telling the puerpera the physiological knowledge of obedience, holding the puerpera's hand and giving the puerpera psychological strength. Shift the topic to the baby who is about to be born, and distract the mother from the pain. For the lying-in women who have been waiting for a long time, due to the large physical consumption of the patients, nursing staff are needed to accompany them at this time. Let the parturient rest actively, ensure the physical strength between contractions, and supplement nutrition in time to meet the arrival of delivery. Patiently explain, comfort and encourage the parturient, massage the waist bones, divert attention, relieve their helplessness, relax their mentality and successfully complete the delivery, and fully enjoy the unforgettable moment of delivery. For patients who are extremely nervous, it is necessary to play soothing light music to calm the patient's nervous psychology, and let the closest people accompany them at ordinary times to enhance the patient's confidence in welcoming childbirth.
In the second stage of labor, patients will have the phenomenon of increasing reaction intensity and shortening the interval between labor pains. At this stage, nurses need to encourage pregnant women to eat some digestible food. Help patients to reduce the worries caused by labor pains, trust medical staff, and strive to cooperate with them to correctly use abdominal pressure to deliver the fetus.
In the third stage of labor, after the delivery of the fetus, the primipara was extremely tired. At this time, it is necessary to inform the parturient that the baby is healthy and has no deformity, so as to ensure that the parturient is relaxed and fully rested. We should also introduce the pregnant situation and emotions of pregnant women to their families, give them the greatest psychological support, relieve anxiety and avoid postpartum depression.
25 Nursing of postpartum women's psychological disorders Some women will have psychological disorders after childbirth, mainly postpartum depression, that is, postpartum mood is not good, which is a temporary depression; Postpartum depression is a group of non-psychotic depressive symptoms; Postpartum psychosis is a serious mental disorder. The incidence of postpartum depression is about 60%. Maternal emotional excitement, such as crying easily, being wronged by loneliness, fatigue, insomnia and so on. Postpartum will last for 3- 14 days, with a high incidence. Puerperal women with postpartum depression generally have symptoms such as fatigue, insomnia, self-blame, fear of hurting themselves or their babies. Postpartum psychosis, with acute onset and various symptoms, includes nonsense, hallucinations, excitement, reticence, and in severe cases, conscious disorder and suicidal tendency.
The treatment and nursing of postpartum psychological disorder is mainly to let puerperal patients alleviate the adverse social and psychological factors of puerperal women and reduce the psychological burden and physical symptoms. Retreat avoids bad mental stimulation and reduces the pressure of life. Listen to the psychological problems of pregnant women, do a good job of psychological counseling for pregnant women, give psychological care without special treatment for postpartum depression, and promote and help pregnant women adapt to the role of mothers; Patients with severe postpartum depression or mental illness need to be hospitalized for antidepressant and schizophrenia. Pay enough attention to pregnant women with high-risk factors of depression, be highly vigilant against harmful behaviors of pregnant women, and ask psychologists or psychiatrists for treatment if necessary.
To sum up, through the psychological care of nurses, patients can be mobilized to actively self-care and health care, so that they can recover and improve their health as soon as possible. Meet people's health knowledge needs, improve maternal self-care ability, and reduce the incidence of obstetric complications.
refer to
[1] She's psychological care for pregnant women [J] Journal of Luzhou Medical College, 20 1, (01)
[2] Zhang 52 cases of perinatal psychological care of elderly primiparas [J] chinese primary health care, 2009, (1 1)
[3] Shi, Wang Fen. On the role of psychological care in natural delivery of elderly primiparas [J]. Chinese and foreign medical care, 20 10, (16)
[4] Gong Liqi, Tang maternal psychological care comparative study [J] Journal of Henan University (Medical Edition), 2007, (03)
[5] Zhang Ping's perinatal psychological care for 223 elderly primiparas [J] Modern Medicine and Health, 2009, (09)
[6] Yan Yihua, high psychological care for pregnant women [J] Taishan Health, 2004, (02)
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