Obstetrics and Gynecology Thesis Sample

Obstetrics and gynecology nursing is a practical and professional science, so obstetrics and gynecology nursing is highly valued by everyone. Here is the Obstetrics and Gynecology graduation thesis I have compiled for you for your reference.

[Abstract] Purpose: To explore the factors of common nursing disputes in obstetrics and gynecology and to improve the corresponding nursing preventive measures. METHODS: 100 cases of maternity from January 2014 to June 2014 were selected as the study object, and risk prevention measures were taken on the basis of routine nursing care. RESULTS: No medical accidents occurred during the hospitalization of 100 cases of mothers, and all of them were successfully discharged after delivery. CONCLUSION: Improve the technical level of nursing staff, improve the service attitude, improve management methods, reduce the nursing disputes in obstetrics and gynecology.

[Keywords] Obstetrics and gynecology nursing; risk factors; preventive measures

Nursing disputes are a kind of doctor-patient disputes, with the gradual deepening of the reform of the health care system, the incidence of medical disputes in recent years has been increasing year by year, and the relationship between doctors and patients is becoming increasingly tense [1]. Obstetrics and gynecology work is high risk, high intensity, high accident rate, is the high incidence of nursing disputes. Now on our hospital obstetrics and gynecology nursing dispute causes and its preventive measures to discuss.

1 Clinical data and methods

1.1 General information

The 100 cases of laboring women seen by the obstetrics and gynecology department in our hospital from January 2014 to June 2014 were taken as the study object. The age of the patients ranged from 22 to 38 years old, with an average of 28.5 years old.

1.2 Methods

Sampling 100 cases of maternal cases, reviewing the relevant records, combined with the clinical nursing experience in obstetrics and gynecology, the 100 cases of maternal, the existence of various types of nursing risk and treatment to study, to explore the prevention of risk and effective nursing methods.

2 Analysis of the causes of common risks

2.1 Nursing personnel factors

2.1.1 Healthcare workers have a weak legal concept, poor self-protection awareness. With the popularization and education of social opinion on the legal knowledge of doctor-patient disputes, the patients' awareness of their rights has been improved. Some nursing staff legal awareness can not keep up with the needs of the times, thin legal knowledge, poor self-protection awareness. When encountering nurse-patient disputes, they do not know how to protect their professional behavior with laws and regulations. When nursing staff communicate with patients, they do not pay attention to the accuracy of words. The main writing handwriting is not clear, randomly scribble the content of the nursing record, contradicting the physician's condition record, and some nursing staff talk about the problems or mistakes in nursing in public, making it a source of patient complaints and disputes.

2.1.2 Poor service attitude of nursing staff. Obstetrics and gynecology is a department with higher requirements for nursing skills and higher risks, nursing staff work under greater pressure, and the number of nursing staff is obviously insufficient, resulting in nursing staff being in a state of high tension for a long time, with serious physical overdraft and physical and mental fatigue. Many nursing staff are prone to impatience, impatience, agitation and other emotions. Some nursing staff have a hard service attitude, giving patients a cold, rusty feeling, in addition, mothers and their families have higher expectations of medical staff, more sensitive to the attitude of nursing staff, a little inappropriate words, will produce dissatisfaction, it is inevitable that nurse-patient disputes will occur.

2.1.3 Nursing staff business technology is not skilled. Nursing technical errors are mainly manifested in unskilled technology, not strictly in accordance with the rules and regulations of the implementation of the operation, work responsibility is not strong, the labor process observation is not meticulous. Some new nurses lack emergency experience, and when faced with special situations such as postpartum hemorrhage, shock, coma, etc., they lack mental preparation and are at a loss. Some nursing staff are not skilled in the operation of newly purchased instruments and equipment, which makes the patient's family members have doubts about the nursing staff's ability to work and technology, laying a hidden danger for nursing disputes.

2.2 Hospital management factors

The poor implementation of the management system of obstetrics and gynecology can lead to a decline in the work responsibility of nursing staff. There are more literature reports that patients' dissatisfaction with medical costs is also an important cause of nursing disputes.

2.3 Patient factors

Increasing competition for survival, people's psychological pressure is increasing, the existence of medical risks for patients has also risen, and it is very easy to develop hyperemesis gravidarum, preterm labor, macrosomia, or a combination of other medical conditions [2]. In addition, due to the one-child policy, some patients are overly nervous, and are prone to emotional distress that can lead to various accidents. Part of the patient's family has a wrong perception of labor, little knowledge of labor and maternal care, not fully prepared for psychological preparation, any abnormalities will be alarmed.

3 prepaid and treatment countermeasures

Improve the comprehensive quality of nursing staff, enhance legal awareness, should be as soon as possible so that nursing staff in the nursing work of legal means to safeguard the legitimate rights and interests of patients and nurses, relying on the law to safeguard the legitimate rights. Enhance the service consciousness, nursing staff should change the concept of service, improve the service attitude, establish ? Patient-centered? The concept of service. Do have love, sincerity and patience for patients, put themselves in the position of understanding patients, care for patients and mothers. Strengthen professional knowledge training, improve the overall quality and skills of nursing staff. Enhance the communication skills of nursing staff and patients to eliminate communication hazards. In nursing, each nurse should be skilled in communication skills, through effective communication to give patients more care, to understand their psychological activities, in order to take timely and effective means of treatment and care measures, so that patients feel comfortable, actively cooperate with the treatment and care.

[References]

[1] He Li-Zhen, Kong Bi-Hua, Liang Huan-Tang, et al. Analysis and Prevention of Nursing Safety Hazards in Obstetrics and Gynecology Outpatient Operating Room[J]. Modern Hospital, 2011, 11(7):117-118.

[2]Ju Jinmei, Liu Huali, Tang Huimei, et al. Exploring the risks in obstetrics and gynecology nursing and the practical value of humanized management[J]. Medical Information (Upper Ten Journal), 2011, 24(1): 409-410.

Abstract:ObjectiveTo explore the impact of health education on obstetrics and gynecology nursing. Methods 160 cases of maternity admitted to our hospital from February to October 2014 were selected and randomly divided into the research group (n=80) and the 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 to compare and analyze the nursing effect of the two groups of patients. The results of the study group maternal hospitalization time, hospitalization costs were significantly lower than the control group (P<0.05), the study group's nursing satisfaction was significantly higher than the control group (P<0.05). The nursing standardization, communication ability, and service standardization scores of the research group were significantly better than those of the control group (P<0.05). Conclusion The application of health education in obstetrics and gynecology nursing can shorten the hospitalization time, reduce hospitalization costs and improve nursing satisfaction, which is worth further promotion and application.

Keywords: health education; obstetrics and gynecology; efficacy research

In recent years, with the continuous improvement of people's living standards and the emergence of new models of care, people pay more attention to obstetrics and gynecology nursing services, and put forward higher requirements and expectations for the quality of obstetrics and gynecology care [1]. Health education is a major unit in the implementation of humanized, high-quality and efficient, holistic care [2]. Carrying out health education in obstetrics and gynecology can protect the health of mothers and infants, promote better maternal delivery and recovery as soon as possible, and improve the quality of overall care in obstetrics and gynecology.From February to October 2014, we carried out health education on 80 cases of mothers admitted to our hospital, and achieved good results, which are summarized as follows.

1 Data and Methods

1.1 General Data

160 cases of maternity admitted to our hospital from February to October 2014 were selected, with ages ranging from 22 to 36 years old, with an average age of (28.4?2.5) years old; 108 cases of primigravida, 52 cases of menstruation; pregnancy weeks ranging from 29 to 42 weeks, with an average gestation week of (38.4?2.5) weeks; 86 cases of normal delivery, 74 cases of cesarean section. There were 86 cases of normal delivery and 74 cases of cesarean section. The enrolled subjects were randomly divided into the study group and the control group, 80 cases in each group. The difference between the two groups in terms of maternal age, gestational week and other general information was not statistically significant (P>0.05) and is comparable.

1.2 Methods

The control group utilized conventional nursing measures, while the research group implemented health education on the basis of conventional nursing in the control group.

1.2.1 Pregnancy health education to pregnant women carefully opened a classroom for pregnant women, using illustrated lectures and individual interviews, distribution of health education materials, telephone guidance and other forms of maternal health knowledge, and attention to the physiological and psychological changes of pregnant women during pregnancy, and carefully guide them to carry out nutritional and health care education, and to let them know about the precautions for normal delivery and cesarean section, as well as the various complications that may occur after the operation. They are also made aware of the precautions to be taken in normal delivery and cesarean section, as well as the various complications that may arise in the postoperative period, and are then guided to learn how to scientifically choose the correct mode of delivery. Mothers are introduced to the value of fetal education, and are informed of indirect and direct methods of fetal education, so that they can carry out such education in a planned, step-by-step and purposeful manner, thus promoting better growth and development of the fetus. Introducing to pregnant women the significance of moderate exercise during pregnancy, the methods of exercise and other precautions, so that they can master the correct methods of exercise, thus promoting the health of mothers and infants [3]. Inform pregnant women of the clinical significance of prenatal checkups, checkup times, checkup contents, checkup frequency, etc. The mother is instructed to learn the method of counting the fetal movement, so that she can pay close attention to the growth of the fetus, and guide her to the hospital to receive regular checkups of the function and maturity of the placenta.

1.2.2 Health education during labor and delivery Nursing staff should carefully introduce the physiological process of labor and delivery, the possible discomfort of labor and delivery, and teach the corresponding skills and methods. If necessary, they can guide the women in labor and those who have already given birth to communicate with each other, and help the women to be in labor to increase their confidence and sense of self-control. Familiarize the mother with the environment, rules and regulations as soon as possible. Strengthen prenatal health education, seriously guide pregnant women to learn to master the method of self-supervision of the mother and the fetus [4]; Strengthen the prenatal psychological care of the mother, psychological comfort, eliminate the sense of fear. After the mother enters the waiting room, the responsible nurse can be arranged to accompany her and implement ? One to one? The nurse can arrange responsible nurses to accompany the women when they enter the waiting room, and implement one-on-one health guidance education during labor and delivery, instructing them to learn how to reduce the pain caused by contractions. Nursing staff in good life care at the same time to timely communicate to the mother of the progress of the labor process, to help enhance the confidence of the delivery, to promote the smooth delivery of the mother.

1.2.3 Health education in the puerperium After the delivery of the mother, the nurses should make a scientific assessment of the physical and psychological condition of the mother after delivery and formulate a personalized health education plan. In the better physical and mental condition of the mother and within 24h after delivery, the nurse will guide the arrangement of scientific and reasonable diet to promote the physical strength of the mother to recover as soon as possible, help the mother to promote breast milk secretion, and ensure that breastfeeding can be carried out smoothly. Strengthen the knowledge of breastfeeding: introduce the significance and role of breastfeeding to the mothers, and instruct the mothers to accurately grasp the breastfeeding posture, so as to achieve the goal of "early sucking, early contact, early breastfeeding". Early sucking, early contact, early milk? [5], and guide mothers to grasp the characteristics and significance of effective sucking, thereby improving the success rate of breastfeeding [6]. Enhance the health care of newborns: Nursing staff should seriously guide mothers and their families to learn to pay close attention to and observe the newborn's crying and urination and defecation, and make mothers learn the umbilical cord care measures for newborns, and explain the importance of newborn immunization and precautions. Mothers can also be introduced to baby touch, baby swimming and other scientific and beneficial child-rearing methods. The company also provides guidance on sex life and family planning, and tells mothers to choose the right time to place the birth control ring.

1.3 Observational indicators

Comparison of the two groups of maternal hospitalization time, hospitalization costs, quality of obstetrics and gynecology nursing care; the use of the hospital's nursing satisfaction questionnaire for patient satisfaction surveys; the nursing standards of the two groups of caregivers, communication skills and service norms for scoring.

1.4 Statistical processing

The data were statistically analyzed with SPSS18.0, using the t-test or ?2 test, P<0.05 for statistically significant differences.

2 Results

2.1 Comparison of hospitalization time, hospitalization cost and nursing satisfaction between the two groups

The hospitalization time and hospitalization cost of pregnant women in the study group were significantly lower than those in the control group (P<0.05), and the nursing satisfaction of the study group was significantly higher than that of the control group (P<0.05).

2.2 Comparison of the scores of nursing indicators between the two groups

The scores of nursing standardization, communication ability and service standardization of the research group were significantly better than those of the control group (P<0.05).

3 Discussion

Obstetrics and gynecology nursing is to promote maternal physical and mental health through a series of nursing measures, so that pregnant women can get more support at the level of physiology, psychology and social adaptation, and then allow pregnant women to give birth in an optimal state [7-9]. For this reason, nursing staff should continuously improve their nursing literacy and health education ability, and try 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, and on the other hand, it can enable pregnant women to face the whole process of pregnancy and childbirth with the best physical and mental state. Health education can not only effectively improve the health status of mothers and infants, reduce the incidence of complications, but also improve the awareness of maternal self-protection. This study shows that the implementation of health education can improve maternal cognitive level, improve the quality of perinatal health care, promote maternal mental health, reduce the length of hospitalization and hospitalization costs, standardize clinical care practices, and improve the ability of nurse-patient communication, etc. [10-12]. In summary, the implementation of health education to pregnant women, introduce the value of health education, so that mothers realize the importance of health education, and so that pregnant women in pregnancy, childbirth and puerperium to get a better health guidance, the correct dietary guidance, psychological support interventions, can ensure the health of mothers and babies, and to promote the obstetrics and gynecology nursing care work level steadily improved.

References

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[2]Yan JH. Application of health education in nursing care in nursing homes[J]. Chinese Convalescent Medicine, 2010, 11(4):67-69.

[3]Gu Chunyi, Zhang Zheng, Zhu Xinli, et al. Effects of late pregnancy intervention support on maternal cognitive behavior during labor and birth outcomes[J]. Chinese Journal of Nursing, 2011, 46(6):569-571.

[4]Li Gaping, Gao Xi, Shen Fang, et al. Application of health education in preventing lower extremity deep vein thrombosis after gynecologic pelvic surgery[J]. General Practice Nursing, 2014, 12(28):2680-2681.

[5]Li Min. Application effect of quality nursing in improving the quality of obstetric care[J]. International Journal of Nursing, 2014, 33(1):192-193.

[6]Xia Qing, Sun Juan. The application of professional skills guidance form in health education for cesarean delivery patients[J]. Nursing Research, 2013, 27(10):921-922.

[7]Qi Zhaohui." Effect of family-style" health education on pregnant women[J]. Journal of Qiqihar Medical College, 2013, 34(7):1081.

[8]Sun Minghe. Effect of nursing intervention on postpartum hemorrhage in cesarean delivery[J]. General Practice Nursing, 2014, 12(33):3108-3109.

[9]Lei Chunmei, Li Xuelan, Wei Bin. Evaluation of the effect of implementing health education for HDP mothers and their families[J]. China Maternal and Child Health Research, 2013, 24(4):588-590.

[10]Song Xiaoyue, Wang Zhiyang, Yu Xiaomei, et al. Survey on subhealth status of perimenopausal women in urban and rural areas of Henan Province and health education countermeasures[J]. General Practice Nursing, 2014, 12(30):2865-2866.

[11]Yang Yufen. Research on the application of health education in obstetric nursing [J]. Jilin Medical Science, 2013, 34(33):7037.