Talking about how nurses do psychological nursing well

With the renewal of health concept and the change of disease spectrum, the causes of diseases are not only physical and chemical factors, but also diseases when the body is stimulated by complex psychological and social factors. The treatment of diseases is not only medicine, surgery and physical therapy, but also measures such as comfort, persuasion and behavior reconstruction. To be exact, we should not only pay attention to what diseases patients have, but also pay attention to their psychology. 1 Significance of professionalization and specialization of nurses' psychological knowledge 1 Problems in psychological nursing (1) The working procedure of psychological nursing is not standardized, it is a mere formality, and it is not targeted and practical. Psychological nursing is a planned, targeted and evaluated psychological nursing for patients' physiological, psychological, cultural and social adaptability according to the methods and steps of nursing procedures, namely, evaluation, plan implementation and evaluation. At present, a considerable number of hospitals do not follow this step-by-step work mode, do not give psychological care to different groups of people, and do not achieve the ultimate goal of psychological care-to establish a healthy psychology. (2) Nurses lack relevant professional knowledge and communication skills, and lack time to communicate with patients. (3) There is a lack of systematic quality control management, an effective psychological nursing quality control system has not been established, the requirements and evaluation of health education in management are basically limited, and there is a lack of effect evaluation at the level of nurse-patient psychological communication. 1.2 It is suggested (1) to set up a special psychological nursing institution, form a local network, and set up a psychological health education department in the nursing department. Psychological education experts with advanced nursing education and many years of clinical experience will conduct in-depth research on the theory and methods of psychological nursing, formulate the model and evaluation method of psychological nursing, guide and control the quality of each department, and set up psychological nursing instructors in each ward with a bachelor's degree in professional psychological nursing training. (2) Incorporate psychological nursing related courses into nursing education at all levels of secondary and higher continuing education. Psychological nursing should penetrate into the daily work of every clinical nurse, and the nurse in charge should do a good job of psychological nursing for patients together with full-time nurses. 2. The influence of traditional medical model 2. 1 Long-term influence on biomedical model and medical service system makes nursing workers only pay attention to the physiological changes related to physical diseases, but often ignore the psychosocial factors closely related to physical diseases and the reactions of patients and their families to diseases. 2.2 It is suggested that the nursing theorist Watson and others think that [1] the goal of nursing is to help patients achieve a higher degree of physical, psychological and spiritual coordination, and the realization of the goal requires the process of mutual care and care expression between people. The deeper the care patients feel, the higher their satisfaction with nursing. In order to improve the quality of nursing, nurses must pay attention to the psychological care of patients. 2.2. 1 Inpatients' evaluation of nurses' psychological care. Patients believe that some expressive nursing behaviors, such as kindness, gentleness and consideration of nurses and respect for patients, have a high degree of psychological care. Sometimes, although the nurse is around the patient, she is indifferent and emotionally far away from the patient, and the patient can't feel psychological care, so what the nurse does may be more important than what she does. In addition, these instrumental behaviors, such as timely medication and skilled nursing techniques, laid the foundation for patients to receive good psychological care. Nurses' attitude in nursing is a part that patients are more concerned, sensitive and valued. It can be said that there is no absolute difference between expressive behavior and instrumental behavior, and the organic combination of the two can give patients maximum care. 2.2.2 Comparing the evaluation of psychological nursing between nurses and patients, the views of nurses and patients are more consistent. Nurses think that paying attention to patients, respecting patients and patiently listening to patients' thoughts have the highest degree of psychological care for patients, which shows that nurses have begun to pay attention to social and psychological care for patients, at least with such awareness, which is related to the development of holistic nursing and nurses' learning of modern nursing theory. With the modern nursing concept, paying more attention to the object of nursing service-the patient himself can also be explained as that nurses take skilled nursing skills for granted, so they pay more attention to using psychological nursing behavior to care for patients. Reference 1 Xiulan Hu. Study on the implementation of psychological nursing in clinical internal medicine nursing.