Obstetrics and gynecology promotion title thesis a
Obstetrics and gynecology of my opinion
Abstract Young parents are inexperienced, so the need for obstetrics and gynecology nurses in the baby croaked, on the baby's care work. At the same time, they should pay attention to psychological care, because both babies and mothers need psychological comfort at this time. The author from three aspects of the point of view to illustrate the obstetrics and gynecology care.
Keywords: newborn baby; postpartum; psychological care
Classification number R71 Document identification number A Article number 1007-8517(2010)12-245-1
In recent years, in order to better protect the health of pregnant women and their fetuses and babies, to promote eugenics to improve the quality of the nation, and the development of perinatology, which is a major obstetrics and gynecology progress. This is a great progress in obstetrics. Any health care worker facing the birth of a new life, we hope that the baby can grow up smoothly and healthily.
1 newborn baby care measures
37 weekends of pregnancy to 42 weekends before, weight > 2500g birth of the newborn, called full-term newborn. The period from the time the umbilical cord is cut to 4 weeks after birth is called the neonatal period. This period is the newborn gradually adapted to the transitional stage of life outside the womb, in this period must be based on the physiological characteristics of the newborn careful care.
Newborn care measures. ①Warmth: the newborn must take warm measures. In addition to maintaining a suitable room temperature in winter (20 a 24 ℃), can use the mother's body temperature, hot water bags or air conditioning and other warming methods. ② Measurement of body temperature, weight: temperature measurement twice a day, such as higher than 37.5 ℃ or lower than 36 ℃, should be measured once every four hours. If the body temperature is too low, it should be kept warm; if the body temperature is too high, it should be checked whether it is caused by overdressing, too thick blanket or too high room temperature. ③Keep the respiratory tract unobstructed: closely observe the breathing and color of the face, such as the appearance of pale or purple, abnormal crying, shortness of breath, etc., suggesting that the respiratory tract is not smooth. In this case, the respiratory secretion should be cleared first, and the baby should be placed in side-lying position alternately to avoid asphyxiation. Umbilical cord care: Observe the umbilical cord closely for 24 hours after birth to see if there is any blood seepage or bleeding, and pay attention to keep the area clean and dry. ⑤Rest bath: rest bath once a day in the morning can clean the skin, prevent infection, promote blood circulation, make the newborn comfortable and quiet, and promote parent-child interaction. (6) eye, ear, mouth and nose care: eye should be kept clean, if there is any secretion, use saline or 3% boric acid cotton balls to gently wipe from the inside to the outside, and then drop 0.25% chloramphenicol ophthalmic solution twice a day. (7) Skin and buttock care: fetal fat is wiped away with sterilized vegetable oil 6 hours after birth. Clothes, sheets and diapers should be clean and soft. Frequent change of lying position, to prevent local skin pressure.
Nursing staff should publicize to the mother to promote exclusive breastfeeding, do not add any food to the baby (including sugar water). Breast milk is rich in high-quality proteins, unsaturated fatty acids, sugar and the appropriate proportion of calcium and phosphorus, which is conducive to the baby's absorption and utilization, is the ideal natural food for newborns. Through breastfeeding, the baby in the mother's arms sucking nipple, can bring the baby happy, can deepen the mother-child relationship, increase the mother's confidence in breastfeeding and promote lactation.
Due to the size of the city and the limitations of medical conditions, some hospitals will be the newborn baby care by the family to do. But the unified management and care of newborn babies should be a regular hospital service. At present, there are many hospitals using a set of mother and baby identification anti-theft management system to prevent baby theft and strengthen the baby care.
2 fetal distress
Fetus in the uterus with signs of hypoxia endangering the health and life of the fetus, known as fetal distress. Fetal distress is mainly due to: ① insufficient maternal blood oxygen content: such as maternal heart failure, hemorrhagic shock or general anesthesia. ② placental lesions: such as placenta praevia, placental abruption, hypertensive disorders of pregnancy, primary hypertension and other causes of placental hypoplasia. Obstruction of uteroplacental blood transportation: e.g. uterine contraction is too strong, umbilical cord is prolapsed, wrapped around the neck, knotted or too short. Fetal factors: such as prolonged labor to make the fetal head pressure for too long, causing intracranial hemorrhage, or fetal congenital cardiovascular disease.
If the above situation occurs, the nurse should try to ensure that the pregnant woman's emotional stability, psychological comfort increased. Timely detection of fetal heart rate, fetal movement abnormalities, so that the condition of the fetus to improve, the birth of a healthy fetus. Nursing staff should closely monitor the situation of the fetus: listen to the fetal heart every 10 minutes, chronic fetal distress feasible placenta function test, fetal heart rate monitoring, instructing pregnant women to count the fetal movement method. At the same time, nursing staff should cooperate with the doctor's treatment.
3 Psychological care
Give the baby psychological care. The newborn baby is the weakest, and therefore has the strongest dependence on adults. The infant's reflexes and motor movements are controlled by the cerebral cortex in order to satisfy physiological needs. The gentle language and kind smile of the parents will often stabilize the restless newborn. If the infant is caressed and well taken care of, and his physiological needs are satisfied, he will develop a sense of trust in the environment. Newborns should be cared for psychologically in conjunction with daily life care, and the attachment between mother and baby should be established as early as possible, which has an important impact on the neurological development of newborns, especially on the formation of their personalities in the future. Many parents do not realize this, so the author puts forward, expect? Psychological care This is why I hope that psychological care will be emphasized. Obstetrics and gynecology nurses can teach such psychological rules to new parents: caress the child more, talk to him, play with him, and so on.
Psychological care for pregnant women. The first thing we need to do is to tell the mother that the baby is healthy. Humanized service, first of all, to understand the needs of the mother and psychology, nothing can not be prepared for the war. As for the gender of the baby, we need to communicate with the mother beforehand, and we should not tell her the gender of the baby in a hurry after the delivery, because it is not good for the mother to be too happy or too sad at this time. If the gender of the newborn is the opposite of what the mother expects and the mother's spirit is devastated, it is important to do a good job of thinking for the family,**** with the help of the mother to ease her worries. Provide the pregnant woman with relevant information, such as the operation process, expected results, and means of cooperation, and inform her of the real situation at the right time. Since anxiety arises when there is uncertainty about future risks, informing the family of the actual situation can alleviate the anxiety to a certain extent. In the unfortunate event of fetal death, the mother should not be informed for the time being, or at another appropriate time, and the nursing staff can arrange for the mother to be kept away from the other babies so as not to aggravate her distress. Nursing staff can accompany the mother, or ask her family to accompany her, so that they can talk about their pain and relieve their stress. In the mind must be enlightened, can tell some more unfortunate things than her, so that their psychological balance. According to the different characteristics of the patient's bad mood for different people to carry out psychological guidance,? The natural elimination, the survival of the fittest? The actual condition of the baby will be explained by scientific means, and the maternal plot will be appropriately transferred to eliminate psychological barriers so as not to leave a shadow. To make it through the physiological and psychological discomfort, to reduce the impact of adverse factors on maternal mental health, to promote maternal recovery, to achieve the goal of nursing.
The basis of humanized nursing care is to be skilled and exquisite nursing skills, on the basis of which to understand the psychology of mothers and babies, and to take corresponding measures in order to receive better results.
References
[1] Gong Zhengfeng, Qian Peifen, eds. Clinical Obstetrics and Gynecology Nursing Manual - Modern Medicine Standing Series[M]. World Book Publishing Corporation, 2005, 06.
[2] An Li-Bin, ed. Practical Obstetrics and Gynecology Nursing [M]. People's Military Medical Press, 2009, 05.
Obstetrics and gynecology promotion title thesis two
The application of safety nursing in obstetrics and gynecology
Abstract: Obstetrics and gynecology safety hidden care is one of the outstanding difficulties in the current work, not only need to analyze the specific level of hidden problems, but also need to start from the perspective of the control and coordination of hidden problems, to achieve the real meaning of the reasonable realization of the hidden problems. Meaning to realize the reasonable solution to the hidden danger. The article will focus on this aspect of the content of the discussion, a detailed analysis of the key points and difficulties of the obstetrics and gynecology safety hidden care. At the same time, the work process needs to pay attention to the relevant content and work methods and other comprehensive analysis, aiming to use this as a basis to better realize the improvement of the obstetrics and gynecology safety hidden danger nursing work.
Keywords: Obstetrics and gynecology, hidden safety care; research and analysis; work status; work system
With the continuous development of the current medical career, the majority of people's expectations for medical care are also constantly rising. Correspondingly, obstetrics and gynecology, as one of the departments with relatively high safety risks in the current clinical work, requires the majority of personnel to strengthen the degree of attention to the obstetrics and gynecology safety and hidden care, and to start from the root of the problem in a real sense, to take positive and effective measures to achieve a reasonable solution to the relevant problems, and to achieve effective prevention of hidden risks, and to realize the overall effectiveness of the obstetrics and gynecology safety and hidden care in a real sense. The overall benefit of the enhancement of the nursing staff to improve their own quality.
1 Obstetrics and gynecology safety hidden danger analysis
The current Obstetrics and gynecology safety hidden danger nursing work in the existence of more safety hidden danger, detailed understanding, not only for better enhancement of the Obstetrics and gynecology safety hidden danger nursing quality has a practical role, at the same time can also help to set up a perfect system system within the department, to ensure that the work of the effective implementation. Need the majority of people to strengthen the degree of attention to the hidden safety hazards of obstetrics and gynecology care, from the root causes of the problem and other perspectives, to take active and effective measures to achieve a reasonable solution to the problems associated with, as mentioned above, obstetrics and gynecology is an important department of the current disputes, a better solution to the hidden safety hazards of obstetrics and gynecology care-related problems, is the key to effectively improve the standard of medical technology and enhance the degree of satisfaction of the patients. Current medical technology continues to develop, the use of new equipment and new means of updating speed is also accelerated, so there is a need to effectively enhance the quality of personnel to ensure that the medical technology in place, such as in the rescue and other critical moments, the emergence of a failure to quickly cooperate with the nursing care to carry out the situation, which will leave a huge safety hazards for the later care, and the other in the process of intravenous injection is not timely monitoring and controlling the contraction situation, but also to ensure the safety of the patient's safety and security. In addition, the failure to monitor and control the contractions in the process of intravenous injection will also lead to cerebral palsy and hypoxia in newborns, so strict attention should be paid to this. For the use of medicines, its performance and operating procedures are not clear, the contraindications of the drug is not in place, will also appear a huge hidden danger, also need to pay attention to.
2 Obstetrics and gynecology safety hidden nursing measures analysis
2.1 Strengthen the Obstetrics and gynecology safety hidden nursing awareness of the Obstetrics and gynecology safety hidden nursing work in the relevant protocol system, need to carry out a comprehensive and clear, strict implementation of the relevant family members of the system and the condition of the information system, such as analyzed above, the process of carrying out the current clinical work of the general public for the care of the requirements and standards are constantly improving. Requirements and standards are constantly rising, with the continuous development of the current society, the general public for the quality of medical work and expectations are also rising, so for the entry and exit of patients, surgical patients, anesthesia patients, etc., need to be informed, and for the critically ill patients, emergency patients, and rescue patients, etc., need to be informed in a timely manner. Detailed records of family members' opinions and the contents of the notification should be included in the relevant jumps. Take positive and effective measures to realize a reasonable solution to the relevant problems, to realize the effective prevention of hidden dangers, take positive and effective measures to realize a reasonable solution to the relevant problems, to realize the effective prevention of hidden dangers, to comply with the nursing operation procedures to strengthen nursing management, the need to effectively enhance the quality of personnel capacity, to ensure that the medical technology work to the right place, to improve the nursing work system. Organize nurses to learn the hospital nursing management system, in the implementation and implementation of the system, the head nurse should often supervise and check, strict management. It is also important to note that if the patient's family has a violation of the sexual requirements, you need to inform the relevant risks and possible consequences in detail, in order to ensure the strict implementation of the Obstetrics and Gynecology Safety Hazard Nursing System.
2.2 Enhance the quality of nursing staff ability in the obstetrics and gynecology safety hidden care need to comprehensively strengthen the business and technical aspects of the enhancement, fundamentally improve the standard of nursing management. First of all, we need to encourage nursing staff to continue to trade and study, in practice, comprehensively carry out the 24h duty system, strengthen the technical strength of the department, and better enhance the effectiveness of nursing. For the use of new drugs, we need to carefully read the instructions and properly archived management. It is necessary for the majority of personnel to strengthen the importance of the obstetrics and gynecology safety hidden care, from the perspective of the root cause of the problem, to take positive and effective measures to achieve a reasonable solution to the relevant problems, to achieve effective prevention of hidden problems, to take positive and effective measures to achieve a reasonable solution to the relevant problems, to achieve effective prevention of hidden problems, and to realize the overall effectiveness of the obstetrics and gynecology safety hidden care in the true sense of the word. Finally, the nursing staff also need to regularly carry out professional technical knowledge and first aid knowledge training, to strengthen the skills of training.
2.3 Strengthen the inspection and management of medicines As mentioned above, the current medical technology continues to develop, the use of new equipment and new means of updating the speed, so there is a need to effectively enhance the quality of personnel to ensure that the medical technology work to the right place, it is necessary to strengthen the management of medicines and equipment to improve the management of equipment and medicines, so that first aid medicines and equipment at any time in an emergency state. To do special management of emergency equipment, check whether the medical equipment is intact at any time, positioning, quantitative, regular maintenance and repair, so that the equipment in the first aid at any time standby, to ensure that the drugs are sufficient, the use of drugs to make a good record for the record, in order to prepare for use at any time. The supplies, medicines and first-aid equipment necessary for the labor and delivery room should be kept under the "five rules" system. Keep all kinds of items intact and sufficient consumables, so that the first aid equipment is always in a standby state. Monthly meetings are held to analyze the quality of nursing care to improve the awareness of each nursing staff to prevent errors and accidents.
2.4 Strengthen nurse-patient communication and exchanges Nursing staff must establish a service consciousness of communication with patients and their families to minimize disputes arising from family dissatisfaction caused by improper language. Nursing staff should hold tolerance, understanding and forbearance attitude, to fully understand the mood of patients and their families, no matter what the situation, do not have a positive conflict with patients and their families, in order to ease the contradiction between doctors and patients, to avoid intensification of the conflict. For individual patients with poor quality, they should be kind and calmly deal with them without being overbearing, sensitize and guide them with practical actions, so that they can consciously enter the role of patients and listen to the nurse's arrangements and treatments. Take the initiative to care for the mother, take the initiative to communicate and exchange with her, but also need to pay attention to their own quality, to avoid conflicts with the patient and the patient's family members to avoid conflicts, in the process of communication to learn to tolerate and understand the attitude of the patient to face the situation and a variety of bad thoughts and emotions, and actively cooperate with the patient and the family's work, and then to achieve the effect of minimizing the dissatisfaction of the situation. Finally, the obstetrics and gynecology safety hazards in the care of the need to comprehensively strengthen the business and technical aspects of the enhancement, from the root to improve the standard of nursing management. For patients and family members of the relevant questions, but also need to take the initiative to answer, enthusiastic response, in the nursing process need to always think of the patient, take the initiative to solve their problems, care and help love, seriously answer their questions, reduce bad mood, to ensure the best clinical care effect [1-4].
In summary, according to the current modernization of obstetrics and gynecology safety hidden nursing focus and basic core ideas for a comprehensive analysis, aiming to use this as the basis for better realization of obstetrics and gynecology safety hidden nursing improvement, effective measures to achieve a reasonable solution to the relevant problems, to achieve the effective prevention of hidden problems, the real meaning of the realization of the obstetrics and gynecology safety hidden nursing overall benefit of the enhancement, improve the quality of nursing staff themselves, and enhance the quality of nursing staff, to ensure the best clinical effect. Enhancement of the overall effectiveness of obstetrics and gynecology safety hazards nursing, enhancement of the nursing staff's own quality. The real meaning of the work to promote the construction of the work into a new stage.
References:
[1] Chen Huaimin. Analysis of factors to realize the effectiveness of nurse-patient communication[J]. China Medicine Herald, 2007(11):120-12l.
[2]Chen Liangzhu, Lai Minzhen. The main causes of the current medical disputes and the current modernization of the obstetrics and gynecology safety hidden nursing focus and basic core ideological preventive measures [J]. Southern Nursing Journal, 2005, 3(12):83.
[3]Liu Peiyan, Liu Yan. Risk and management in obstetrics and gynecology nursing[J]. Modern Hospital Management, 2007(03).
[4]Zhang Hui. Exploration of occupational stress factors in obstetrics and gynecology nursing[J]. Journal of Clinical and Experimental Medicine, 2007(08).
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