Papers related to the application of obstetrics and gynecology nursing
Abstract
Purpose: To observe the impact of optimized nursing in the operating room on the prevention of incisional infection in laparotomy in obstetrics and gynecology.
Methods: 800 patients who underwent obstetrics and gynecology laparotomy in the author’s hospital from March 2014 to March 2015 were divided into control group and observation group according to different nursing methods
There were 400 cases in each observation group. The control group received routine care, and the observation group received optimized care based on it. The nursing effects of the two groups of patients were compared and analyzed.
Results: After nursing, the grade A healing rate of surgical incisions in the observation group was 89.50%, which was significantly higher than the 60.25% in the control group, and the difference was statistically significant (P<0.05).
The surgical incision infection rate in the observation group was 2.75%, which was significantly lower than the 8.00% in the control group, and the difference was statistically significant (P<0.05).
The nursing satisfaction of the observation group was 98.75%, which was significantly higher than the 81.25% of the control group, and the difference was statistically significant (P<0.05).
Conclusion: Optimized nursing care in the operating room has a significant effect on preventing incisional infection in obstetric and gynecological laparotomy surgeries, helps patients restore their health, and is worthy of promotion.
Keywords
Operating room.
Optimize care.
Obstetrics and Gynecology.
Laparotomy.
Incisional infection
A large number of studies have found that laparotomy is currently the main means of treating various gynecological diseases and plays a large clinical role. However, there are few questions on how to avoid postoperative incisions. The occurrence of infectious events remains a difficult clinical problem.
In recent years, with the continuous improvement of nursing levels, optimized nursing care in the operating room has achieved remarkable results in preventing postoperative incisional infection after laparotomy in obstetrics and gynecology [1].
This study adopted optimized nursing care in the operating room for 800 patients who underwent laparotomy in obstetrics and gynecology from March 2014 to March 2015, providing further evidence of the application value of this type of care. A strong reference basis. The specific research reports are as follows.
1 Materials and Methods
1.1 General Information
The selected research subjects underwent laparotomy in the author’s hospital from March 2014 to March 2015. 800 obstetrics and gynecology patients, excluding patients with serious systemic diseases such as heart, liver, kidney, etc. and coagulation disorders, were divided into control group and observation group according to different nursing methods.
There were 400 cases in the control group, aged 22 to 68 years old, with an average age of (31.02?0.25) years.
The types of surgeries included 350 cesarean sections, 16 cases of uterine fibroids, 21 cases of hysterectomies, 5 cases of ectopic pregnancy and 8 cases of ovarian cysts.
There are 400 cases in the observation group, ranging in age from 23 to 67 years old, with an average age of (31.11-0.19) years.
The types of surgeries included 352 cesarean sections, 18 cases of uterine fibroids, 16 cases of hysterectomies, 4 cases of laparotomy for ectopic pregnancy, and 10 cases of laparotomy for ovarian cysts.
There is no statistically significant difference in the general information of the two groups of patients (P>0.05), and they are comparable.
1.2 Nursing methods
The control group was given routine nursing methods in the operating room, including air disinfection in the operating room, checking of patient clinical data, sterilization, etc., while the observation group was given Optimizing nursing methods in the operating room, the specific operation content is as follows.
1.2.1 Preoperative communication
Since patients undergoing laparotomy surgery have varying degrees of anxiety, tension and other negative emotions, if they are not adjusted in time, not only will the effect of surgical treatment be reduced, , it will also affect the prognosis and recovery, and then have a negative impact on the patient's overall quality of life.
Therefore, nursing staff need to maintain good communication with patients, strengthen ward visits before surgery, and understand the patient's psychological state in detail through communication.
At the same time, targeted psychological intervention is implemented based on understanding the patient's psychological state. If the patient is worried about the pain of surgery, the attending doctor's clinical experience and anesthesia effects can be introduced to him.
On the other hand, we explain surgery-related knowledge to patients, including surgical methods and content, intraoperative precautions, and the importance of optimal care in the operating room, etc., in order to relieve the patient's nervousness and make them more comfortable. Actively cooperate with the work of medical staff.
1.2.2 Strict aseptic operation
First of all, enhance the sterility awareness of operating room personnel and strictly require preoperative handwashing methods and procedures.
Secondly, 30 minutes before the operation, the operating room will be disinfected by specialized nursing staff, and unused sterile items will be properly managed and stored.
In addition, nursing staff should prepare surgical instruments, items, etc. in advance, and assist the doctor in performing the surgery in an orderly manner during the operation.
1.2.3 Strengthen the nursing work in the operating room
First, before anesthesia, give the patient a certain amount of encouragement and support, and answer the patient’s inner doubts as much as possible to eliminate them. A sense of tension to ensure the success of the operation.
Second, closely monitor the patient’s vital signs during the operation, such as pupil changes, state of consciousness, electrocardiogram display, etc.
At the same time, the patient’s exposed skin should be fully protected to avoid infection.
Third, control the number of people in the operating room to a minimum and minimize the number of people moving around and entering and exiting the operating room, so as to maximize the surgical effect.
1.2.4 Postoperative ward follow-up
Postoperative follow-up work is carried out by specialized nursing staff, who mainly understand the patient's dietary status, wound healing and other contents.
During this period, the results of each follow-up visit will be recorded in detail to provide a strong reference for the next step of nursing work.
1.3 Observation indicators
(1) Incision healing and infection indicators: After the operation is completed, the patient’s incision heals well and no other adverse reactions occur, which is considered Grade A healing.
The patient’s incision healing effect was average and no suppuration occurred, but the presence of adverse reactions such as hematoma was classified as Grade B healing.
Patients whose incisions fail to heal, develop suppuration, and even require incisional drainage are classified as Grade C healing.
(2) Use a self-made questionnaire to learn more about the satisfaction of the two groups of patients with nursing work, which is divided into three levels: very satisfied, satisfied, and dissatisfied. Satisfaction = (number of very satisfied cases + Number of satisfied cases)/total number of cases? 100%.
1.4 Statistical processing
The statistical software SPSS19.0 is used to process the data. The measurement data is expressed in (x-?s), the comparison is done by t test, and the counting data is expressed as rate. (%) indicates that the comparison uses the word 2 test, and P<0.05 is considered a statistically significant difference.
2 Results
2.1 Comparison of incision healing and infection conditions between the two groups of patients
After nursing, the grade A healing rate of the observation group was higher than that of the control group, and the difference was statistically significant scientific significance (P<0.05).
2.2 Comparison of nursing satisfaction between the two groups of patients
In the observation group, 352 cases were very satisfied, 43 cases were satisfied, and 5 cases were dissatisfied, accounting for 88.00%, 10.75%, and 1.25% respectively. , nursing satisfaction is 98.75%.
In the control group, 269 cases were very satisfied, 56 cases were satisfied, and 75 cases were dissatisfied, accounting for 67.25%, 14.00%, and 18.75% respectively. The nursing satisfaction rate was 81.25%.
It can be seen that the nursing satisfaction of the observation group was significantly higher than that of the control group, and the difference was statistically significant (word 2=68.06, P<0.05).
2.3 Comparison of the surgical incision infection rate between the two groups of patients
In the observation group, 11 patients suffered from surgical incision infection, and the infection rate was 2.75%.
In the control group, 32 patients suffered from surgical incision infection, with an infection rate of 8.00%.
The surgical incision infection in the observation group was higher than that in the control group, and the difference was statistically significant (word 2=10.84, P<0.05).
3 Discussion
Laparotomy is the most commonly used treatment method in the treatment of obstetric and gynecological diseases, and it has a certain therapeutic effect, but it can also induce incision infection. Complications, which in turn affect the quality of surgical treatment, are extremely detrimental to the patient's physical and mental health [2-3].
Practice has proven that the occurrence of postoperative incisional infection is closely related to a variety of factors, including: laparotomy is highly invasive, and invasive procedures can reduce the patient’s resistance, which in turn can lead to incisional infection. This is also the main factor leading to the occurrence of this complication.
Whether surgical instruments are properly sterilized.
Whether the air in the operating room is circulated, etc.
Therefore, how to prevent incision infection is the key to improving clinical efficacy.
Research has found that good nursing methods can not only ensure clinical treatment effects, but also provide strong support for improving patient prognosis.
In recent years, with the development and progress of nursing levels, optimized nursing care in the operating room has been widely used in obstetrics and gynecology laparotomy nursing work, and has achieved good nursing effects.
Optimal nursing in the operating room is a new nursing model, which mainly carries out nursing work with the patient as the center, and has high pertinence and purpose.
The main focus in this study Nursing content is implemented through preoperative communication, strict aseptic operation, intensive operating room care, and postoperative ward follow-up.
On the one hand, the patient's mental state can be accurately grasped, and certain psychological counseling measures can be implemented to effectively improve the patient's mental state and reduce negative emotional components.
On the other hand, it can enhance the sterility awareness of operating room personnel and continuously improve and standardize operating room operating procedures and processes.
Under this nursing model, in addition to avoiding bacterial infection of the incision to the greatest extent, it can also ensure the smooth progress of the operation, thereby achieving the purpose of surgical treatment.
Based on the results of this study, the grade A healing rate of the observation group after optimal nursing in the operating room was 89.50%, and the nursing satisfaction was 98.75%, both of which were higher than those of the control group.
60.25%, 81.25%, while the incision infection rate was 2.75%, significantly lower than the 8.00% in the control group, which is consistent with the results of domestic literature [4-5].
In short, optimized nursing in the operating room has a high nursing effect in obstetrics and gynecology laparotomy nursing work, which can not only reduce the incision infection rate, but also effectively improve nursing satisfaction.
This shows that optimized nursing in the operating room is an efficient and correct nursing model with high clinical application value and worthy of widespread application and promotion.
Author: Chen Liqin Unit: Longyan Maternal and Child Health Hospital
References
[1] Liu Ying. Operating room nursing on obstetric and gynecological laparotomy incisions Research on the effectiveness of infection prevention [J]. China Continuing Medical Education, 2015, 7(30): 200-201.
[2] Zhou Saiya, Zhang Xuelian, Zhang Caihong. Gynecological laparotomy incision infection Controlled PDCA management [J]. Nursing and Rehabilitation, 2013, 12(5): 491-492.
[3] Yang Jilan, Wang Fengyun. The effect of high-quality nursing service model in the operating room on preventing abdominal surgical incision infection Analysis [J]. Jilin Medicine, 2015, 36(15): 3381-3382.
[4] Wu Wenyuan. Observation and nursing of abdominal incisions in obstetric and gynecological surgery patients [J]. Chinese and Foreign Medical , 2013, 32(6): 163-164.
[5] Zhang Jing. Research on the clinical effect of humanized nursing for obstetric and gynecological surgery patients [J]. Contemporary Medicine Series, 2014, 12(18): 130-131.
Papers related to the application of obstetrics and gynecology nursing
Abstract:
Purpose Application of refractory obstetrics and gynecology hemorrhage Explore the effectiveness of holistic nursing intervention.
Methods: 54 patients with refractory obstetric and gynecological hemorrhage who were treated in our hospital were selected as the research subjects. The treatment period was from January 2014 to 2015.
January, through random The digital table method was used to divide the patients into two groups, namely the control group and the research group, each with 27 cases. Routine nursing intervention and overall nursing intervention were adopted respectively, and the nursing effects of the two groups were compared and analyzed.
Results After nursing, there were significant differences in the operation time, hemostasis time, hospitalization days and other indicators between the intervention group and the control group (P<0.05).
Conclusion The application of holistic nursing intervention in patients with refractory obstetric and gynecological hemorrhage has significant effect. It is an ideal nursing model and can be used as a reference and promotion.
Keywords:
Holistic nursing intervention.
Refractory obstetric and gynecological hemorrhage.
Time to stop bleeding.
Satisfaction
Holistic nursing intervention is a new nursing model, which is currently widely used in clinical nursing work and has a high application effect[1][2 ][3].
Between January 2014 and January 2015, our hospital applied holistic nursing intervention to patients with refractory obstetric and gynecological hemorrhage and achieved good results. The specific report is as follows.
1 Materials and methods
1.1 Basic information
Fifty-four patients with refractory obstetric and gynecological hemorrhage treated in our hospital were included in the study. The treatment time was From January 2014 to January 2015, they were divided into 2 groups according to the random number table method.
One group is the control group (n=27), the youngest is 23 years old, the oldest is 38 years old, with an average of 26.12 to 1.20 years old.
Seventeen patients were primiparous women and 10 patients were multiparous women.
The other group is the intervention group (n=27). The youngest is 22 years old and the oldest is 39 years old. The average age is 26.24-1.15 years old.
Eighteen patients were primiparous women and 9 patients were multiparous women.
There is no significant difference in the basic information between the two groups, P>0.05, and comparative research can be done.
1.2 Nursing methods
In this study, the control group was given routine nursing intervention, such as keeping the ward environment clean and recording the condition in detail, and the intervention group implemented overall nursing intervention on this basis. Specifically, Such as: ① Preoperative care.
Evaluate the patient’s mental state, formulate personalized intervention measures according to the mental state of different patients, and guide patients to maintain a positive and optimistic attitude by listening to music, communicating in pairs, etc.
In addition, we introduce disease knowledge to patients through the distribution of manuals, knowledge lectures and other measures, and use cases of successful treatment in the past to help patients build confidence in treatment.
②Intraoperative care.
Closely observe changes in the patient's condition, such as facial expressions, breathing, etc., strengthen intravenous access care, ensure its normal use, and properly perform blood transfusions and other tasks.
③ Postoperative care.
Design a scientific and reasonable diet plan for patients, which should focus on protein-rich and high-calorie foods. Patients should also be reminded to pay attention to rest and avoid excessive exercise.
At the same time, we strengthen the health education for patients after discharge, once again instruct the patients to pay attention to diet and rest, and strengthen the observation of vaginal bleeding. If the bleeding exceeds the menstrual volume, they need to be admitted to the hospital immediately.
1.3 Observation indicators
Comparative analysis was conducted on the operation time, hemostasis time, and hospitalization days of the two groups of patients after care.
1.4 Statistical analysis
The statistical analysis of the data in this study all used SPSSS15.0 software, using x?s to represent measurement data, and using t test, using x2 to test count data, using P<0.05 indicates that the difference is statistically significant.