Objective: To explore the factors of common nursing disputes in obstetrics and gynecology, and to improve the corresponding nursing preventive measures. Methods: 20 100 pregnant women from June 20 14 to June 20 14 were selected as the research objects, and risk prevention measures were taken on the basis of routine nursing. Results: 100 cases of lying-in women had no medical accident during hospitalization, and all of them were discharged smoothly after delivery. Conclusion: Improve the technical level of nursing staff, improve service attitude and management methods, and reduce nursing disputes in obstetrics and gynecology.
[Keywords:] Obstetrics and Gynecology Nursing; Risk factors; preventive measure
Nursing dispute is a kind of doctor-patient dispute. With the gradual deepening of medical system reform, the incidence of medical disputes has increased year by year in recent years, and the relationship between doctors and patients has become increasingly tense [1]. Obstetrics and gynecology work has high risk, high intensity and high accident rate, especially the incidence of nursing disputes. This paper discusses the causes and preventive measures of nursing disputes in obstetrics and gynecology in our hospital.
Clinical data and methods of 1
1. 1 general information
Taking 20 14 to 20 14 June as the research object. The patients ranged in age from 22 to 38, with an average of 28.5 years.
1.2 method
Taking 100 parturient as the research object, consulting relevant records, and combining with the clinical nursing experience of obstetrics and gynecology, this paper studies various nursing risks and treatment methods of 100 parturient, and discusses the methods of preventing risks and effective nursing.
2 Analysis of the causes of common risks
2. 1 nursing staff factors
2. 1. 1 Medical staff have a weak legal concept and poor awareness of self-protection. With the popularization of legal knowledge of medical disputes by public opinion, patients' awareness of rights protection has been improved. Some nurses' legal awareness can't keep up with the needs of the development of the times, and their legal knowledge is weak and their awareness of self-protection is not strong. When encountering nurse-patient disputes, I don't know how to protect my professional behavior with laws and regulations. Nurses do not pay attention to the accuracy of words when communicating with patients. The main handwriting is unclear, and the contents of nursing records are arbitrarily altered, which contradicts the doctor's illness records. Some nurses talk about problems or mistakes in nursing work in public, which makes them the source of complaints and disputes for patients.
2. 1.2 Nurses have poor service attitude. Obstetrics and gynecology is a department with high requirements for nursing technology and high risks. The work pressure of nursing staff is great, and the number of nursing staff is obviously insufficient, which leads to long-term high tension, serious physical exhaustion and physical and mental exhaustion of nursing staff. Many nurses are easily impatient, impatient and excited. Some nurses have a blunt service attitude, giving patients a feeling of indifference and strangeness. In addition, pregnant women and their families have high expectations of medical staff and are sensitive to nurses. If their words are slightly inappropriate, they will be dissatisfied and nurse-patient disputes will inevitably occur.
2. 1.3 Nurses are not skilled in professional skills. Nursing technical errors are mainly manifested in unskilled skills, failure to strictly abide by rules and regulations, weak sense of responsibility, and careless observation of labor process. Some new nurses are inexperienced in first aid, and they are unprepared and at a loss when faced with special circumstances such as postpartum hemorrhage, shock and coma. Some nurses are not skilled in the operation of newly purchased instruments and equipment, which makes patients' families doubt the nurses' working ability and technology, and lays a hidden danger for nurse-patient disputes.
2.2 Hospital management factors
The lax implementation of obstetrics and gynecology management system will lead to the decline of nurses' sense of responsibility. There are many literature reports that patients' dissatisfaction with medical expenses is also an important reason for nurse-patient disputes.
2.3 Patient factors
With the intensification of competition for survival, people's psychological pressure is increasing, and the medical risks of patients are also rising, which is prone to pregnancy-induced hypertension, premature delivery, macrosomia or other diseases [2]. In addition, due to the one-child policy, some patients are overly nervous and easily lead to various accidents. Some patients' families have a wrong understanding of childbirth, know little about childbirth and maternal care, are not fully prepared psychologically, and are terrified when there is an abnormality.
3 prepayment and countermeasures
To improve the comprehensive quality of nurses and enhance their legal awareness, nurses should use legal means to safeguard the legitimate rights and interests of both nurses and patients as soon as possible, and rely on the law to safeguard the legitimate rights and interests. If nurses want to enhance their service consciousness, they should change their service concept, improve their service attitude and establish their service consciousness. Patient-centered? Service concept. Be caring, sincere, patient, put yourself in the patient's shoes and care for the patient and the parturient. Strengthen professional knowledge training to improve the overall quality and skills of nursing staff. Strengthen the communication skills between nurses and patients, and eliminate communication hidden dangers. In nursing work, every nurse should master communication skills skillfully, give patients more care and understand their psychological activities through effective communication, so as to take effective treatment and nursing measures in time, make patients feel comfortable and actively cooperate with treatment and nursing.
[References]
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Objective To explore the influence of health education on obstetrics and gynecology nursing. Methods 65,438+060 parturients hospitalized in our hospital from February 438, 1965 to June 65, 2006 were randomly divided into study group (n=80) and control group (n=80). The control group used conventional nursing methods, while the research group added health education measures on the basis of the control group, and the nursing effects of the two groups were compared and analyzed. Results The hospitalization time and expenses of pregnant women in the study group were significantly lower than those in the control group (P
Keywords: health education; Obstetrics and gynecology; Study on therapeutic effect
In recent years, with the continuous improvement of people's living standards and the emergence of new nursing models, people pay more attention to obstetric and gynecological nursing services and put forward higher requirements and expectations for the quality of obstetric and gynecological nursing [1]. Health education is the main unit to implement humanized, high-quality and efficient holistic nursing [2]. Health education in obstetrics and gynecology can protect maternal and infant health, promote better delivery and recovery as soon as possible, and improve the overall nursing quality in obstetrics and gynecology. From February 20 14 to February 0 10, health education was given to 80 pregnant women admitted to our hospital, and good results were achieved. The summary report is as follows.
1 data and methods
1. 1 general information
From February 20 14 to February 20 10, 160 pregnant women, aged 22-36, with an average age of (28.4? 2.5) years old; 108 primiparas and 52 multiparas; The gestational age was 29 ~ 42 weeks, with an average gestational age (38.4? 2.5) weeks; There were 86 cases of natural delivery and 74 cases of cesarean delivery. The selected subjects were randomly divided into study group and control group, with 80 cases in each group. There was no significant difference in general data such as age and gestational age between the two groups (P & gt0.05), which was comparable.
1.2 method
The control group adopted routine nursing measures, while the research group implemented health education on the basis of routine nursing in the control group.
1.2. 1 pregnant women's health education has carefully opened up pregnant women's classes, taught pregnant women's health knowledge in the form of illustrated lectures and individual interviews, distributed health education materials and telephone guidance, paid attention to pregnant women's physiological and psychological changes, and carefully guided them to carry out nutrition and health education, so that they could understand the precautions of normal delivery and cesarean section, as well as various complications that may occur after operation, and then guided them to learn to make scientific choices. Introduce the value of prenatal education to pregnant women and tell them the indirect and direct methods of prenatal education, so that pregnant women can carry out prenatal education in a planned, step-by-step and purposeful way, and then promote the better growth and development of the fetus. Introduce the significance, methods and other precautions of moderate exercise during pregnancy to pregnant women, so that they can master the correct exercise methods, thus promoting maternal and infant health [3]. Inform pregnant women of the clinical significance, time, content and frequency of prenatal examination. Guide pregnant women to learn the method of counting fetal movements, let pregnant women pay close attention to the growth of the fetus, and guide them to go to the hospital regularly for placental function and maturity examination.
1.2.2 health education during childbirth. Nurses should carefully introduce the physiological process of childbirth and possible discomfort symptoms during childbirth, and teach them corresponding skills and methods. If necessary, it can guide the communication between the parturient and the parturient, and help the parturient to increase their self-confidence and sense of self-control. Let the parturient get familiar with the environment and rules and regulations as soon as possible. Strengthen prenatal health education and seriously guide pregnant women to master the method of self-monitoring mother and fetus [4]; Strengthen prenatal psychological care of pregnant women, give psychological comfort and eliminate fear. After the parturient enters the waiting room, she can arrange a responsible nurse to accompany her and implement it? One to one? Objective: To provide prenatal health education and guide them to learn how to alleviate the pain caused by uterine contraction. Nurses should communicate the progress of labor process to the parturient in time while doing a good job of life care, which is helpful to enhance the parturient's confidence in delivery and promote the parturient's smooth delivery.
1.2.3 puerperal health education After delivery, the nurse should make a scientific assessment of the physical and psychological status of the parturient and make a personalized health education plan. Guide and arrange a scientific and reasonable diet within 24 hours after delivery, promote the recovery of physical strength as soon as possible, help the parturient to promote milk secretion, and ensure the smooth progress of breastfeeding. Strengthen breast-feeding knowledge education: introduce the significance and function of breast-feeding to pregnant women and guide them to master breast-feeding posture accurately. Suck early, touch early and milk early? [5], and guide the parturient to master the characteristics and significance of effective sucking, and then improve the success rate of breastfeeding [6]. Strengthening the health care of newborns: Nurses should seriously guide the parturient and their families to pay close attention to and observe the crying and defecation of newborns, and make the parturient learn the nursing measures of newborns' umbilicus, and explain the importance and precautions of newborn vaccination. You can also introduce pregnant women to scientific and beneficial parenting methods such as baby touching and baby swimming. Give necessary sexual life and family planning guidance, and inform the parturient to choose the right time to place the IUD.
1.3 observation index
The hospitalization time, hospitalization expenses and the quality of nursing work in obstetrics and gynecology were compared and analyzed between the two groups. The satisfaction of patients was investigated by using the nursing job satisfaction questionnaire developed by our hospital. The nursing norms, communication skills and service norms of the two groups of nurses were scored.
1.4 statistical processing
The data were statistically analyzed by SPSS 18.0, t-test or not? 2 test, p
Two results
2. 1 Comparison of hospitalization time, hospitalization expenses and nursing satisfaction between the two groups
The hospitalization time and expenses of pregnant women in the study group were significantly lower than those in the control group (P
2.2 Comparison of nursing index scores between the two groups
The scores of nursing norms, communication skills and service norms in the study group were significantly better than those in the control group (P
3 discussion
Obstetrics and gynecology nursing work is to promote the physical and mental health of pregnant women through a series of nursing measures, so that pregnant women can get more support in physical, psychological and social adaptation, so that pregnant women can give birth smoothly in the best state [7-9]. Therefore, nurses should constantly improve their nursing quality and health education ability, and strive to master more nursing professional knowledge and skills. On the one hand, health education can improve the level of obstetrics and gynecology diagnosis and treatment, on the other hand, it can make pregnant women face the whole process of pregnancy and delivery in the best physical and mental state. Health education can not only effectively improve the health status of mothers and infants, reduce the occurrence of complications, but also improve the self-protection awareness of lying-in women. This study shows that health education can improve pregnant women's cognitive level, improve perinatal health care quality, promote pregnant women's mental health, reduce hospitalization time and hospitalization expenses, standardize clinical nursing operation norms, and improve nurse-patient communication ability [10- 12]. To sum up, the implementation of health education for pregnant women, introducing the value of health education, making pregnant women aware of the importance of health education, and giving pregnant women better health guidance, correct dietary guidance and psychological support intervention during pregnancy, childbirth and puerperium can ensure the health of mothers and infants and promote the steady improvement of obstetric and gynecological nursing level.
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