Obstetrics Case Nursing Paper 1: "Obstetrics Privacy Nursing"
Abstract: With the progress of society, the general improvement of national cultural level, the popularization of medical knowledge and the enhancement of the concept of legal system, people's self-protection awareness and awareness of the rights of the people are also improving, the incidence of nursing disputes has also shown a rising trend year by year. Therefore, how to adapt to the needs of the times, reduce the occurrence of nursing disputes, to achieve patient satisfaction with high-quality care, is the current nursing workers are worth exploring the problem, this paper through the exploration of common obstetric nursing disputes factors, put forward effective preventive measures, so as to enhance the obstetric nursing staff's sense of service, to reduce the nursing disputes, and to improve the quality of obstetric care.
Keywords: maternity ward privacy, nursing care, corresponding measures
1 maternity ward privacy connotation
Privacy is usually understood as a hidden part of the body, and according to the information recorded in the standard definition of privacy first by the American jurist Warren (Smtiel D. Warren) and Brandeis (Louis D. Brandeis) in 1890, and then gradually gained the world's attention. Proposed in 1890 by Smtiel D. Warren and Louis D. Brandeis, and gradually recognized by the world's countries, privacy refers to the patient does not interfere with the interests of others and the community in the hearts of individuals do not want to tell others about the secret, which mainly includes personal physical secrets, birth and history of the secret, the secret of the family life, the secret of the property, and so on. Obstetrics and gynecology is a special environment, medical staff in the patient's history collection, physical examination and nursing operations, often involves the patient's privacy issues, such as exposure of reproductive organs, unmarried pregnancy, sexually transmitted diseases, abnormal marital and childbearing history, extramarital sexual partners, genital deformities, infertility, etc., and many patients have different emotional reactions and psychological changes. Therefore, it is particularly important to pay attention to the protection of personal privacy in the maternity ward.
2 Analysis of the reasons for privacy being exposed in the delivery room
Before analyzing the reasons for privacy being exposed, it is very necessary to study the patient's understanding of privacy.
During the gynecological examination, the private parts need to be exposed, and many female patients, especially young unmarried women, are afraid of being seen by men, afraid of being examined by a male doctor, unwilling to have a male intern present, and feel embarrassed about exposing their genitals in front of a man, as well as having the concern of not being understood by their families. There are certain private female patients, such as: genital deformities, sexually transmitted diseases, unmarried first pregnancy, etc., in the acceptance of gynecological physical examination and questioning the medical history, is to hold the mood of apprehension, afraid of privacy is exposed to be discriminated against or affect the couple's relationship and normal life, resulting in the couple's family disharmony, the heart is full of contradictions and uneasiness.
2.1 Layout factors of wards and gynecological examination rooms
Improper layout of wards and gynecological examination rooms can lead to exposure of patients' privacy. If the ward is large, the facilities are not complete, the environment of the room is poor, a room to live 7 to 9 patients or even more, there is no curtain in the middle; some commonly used sterile items placed in the gynecological examination room, so that when the patient is doing gynecological examination, there are often health care workers to break into the examination room to get things.
2.2 The quality of health care personnel factors
Health care personnel directly face, contact with the patient's privacy, health care personnel to recognize the privacy of the awareness of weak, incorrect concepts, low quality, etc. will also directly lead to the patient's privacy is exposed. Specifically can be summarized in the following aspects:
(1) weak legal awareness. There is no real understanding of the meaning of privacy and privacy, as well as the protection of patient privacy is one of the main obligations of medical staff, etc., and can not fundamentally value the protection of patient privacy, and reflected in words and behavior.
(2) Influenced by traditional concepts. Although the medical model has also been changed from the disease-centered stage to the biological, psychological and social medical model as the center of the stage, but in practice, there is still a you are a patient, I am a doctor, I only need to heal your disease, and you only need to cooperate with my examination and treatment on the line of thinking, thus ignoring the psychological feelings of patients.
(3) poor service consciousness, the patient's personalized service needs do not understand, or can not quickly adapt. Can not take the initiative to serve the patient, but in accordance with the operating procedures mechanically for each operation, simply with the hands and brain to do things, but not with the heart.
(4) do not respect patients. Such as letting advanced training, internship doctors, nurses to view the patient, do not do a good job of explaining the work in advance, or without the consent of the patient to carry out the operation, or the inspection of the time and place.
(5) Lower professional quality. Such as in the office, corridors and other places, casually talk about the patient's condition, privacy, in and out of the hospital room does not close the door with the hand, in the conduct of the operation to pick up the operation before the assessment of the environment, in line with the protection of the patient's privacy requirements, but in fact, in order to save time or fear of trouble or think that there is no need and so on and be neglected to listen to the phone, reception of colleagues or visitors, and so on.
(6) do not strictly comply with the operating procedures. Now many diagnostic and treatment operations are clearly stipulated before the operation to assess the environment, in line with the requirements of the protection of patient privacy, but in fact, in order to save time or fear of trouble or self-considered unnecessary, etc. and was ignored.
2.3 Hospital management factors
Hospital management is also one of the reasons for the exposure of patient privacy. For example, the order of the clinic is chaotic, manifesting itself in a large number of patients, companions, and even obstetrics and gynecology clinics with male companions. Visiting system is not strict, the number of visitors and visiting time is long, some beds are accompanied 24 hours, and sometimes even the phenomenon of multiple companions. The diagnosis of the disease is written on the checklist, so that visitors can find out what disease the patient has by searching for it. The medical record data management is not good, sick, accompanying people to take advantage of the opportunity to read privately.
3 Objects and Methods
3.1 Survey Objects
Randomly selected 116 obstetric patients from 2009 to 58 months (including 15 people induced labor in large months), 116 questionnaires were issued, 110 valid questionnaires were recovered, with an effective recovery rate of 94.8%. 110 patients were aged 18 to 36 years old; 97 were married, 13 unmarried; cultural level, 22 cases of primary school, 38 cases of junior high school. Degree, 22 cases of elementary school, 38 cases of middle school, 29 cases of high school, 21 cases of college and above.
3.2 Methods
The questionnaire survey method was used, and the questionnaire was designed by the patients themselves, including general information: age, cultural level, marital status: privacy awareness, whether personal privacy has been leaked, by which means it was leaked, and the psychological condition after the leakage. The answers can be multiple, filled out by the patient himself or dictated.
4 Results
Patient's perception of privacy: 56 cases (50.9%) believed that the condition belonged to personal privacy; 69 cases (62.7%) believed that certain parts of the body belonged to personal privacy; 32 cases (29.1%) believed that the marital and childbearing histories belonged to personal privacy; and 27 cases (24.5%) believed that other things, such as psychological activities, belonged to personal privacy.
5 Corresponding measures to improve privacy care in the maternity ward
3.1 Strengthening the awareness of privacy protection of medical and nursing staff
As obstetric patients are different from other departments, admitted to the obstetrics department, are unavoidably have to face the medical and nursing staff on the questioning of marital and childbearing history, pregnancy and childbirth history, as well as the exposure of the private parts of the body, such as perineal preparation, abdominal monitoring of the fetal heartbeat, and the amputation of the lithotomy during delivery, The indispensable anal examination and pubic examination, breast exposure during breastfeeding, etc. In view of the special situation of obstetrics patients, hospitals should strengthen the privacy education of health care personnel, enhance their legal awareness, and pay attention to the protection of patient privacy.
3.2 Improvement of the medical environment
The outpatient clinic has a triage desk, and the treatment room is transformed into a "one doctor, one patient, one room". The first is to make sure that you have a good understanding of the situation, and that you have a good understanding of what is happening. and ask family members or relatives to wait outside the clinic, avoiding the embarrassment of patients to lift psychological scruples, so that they can detail their condition. The ward was converted into a single or double room.
3.3 Improve the service consciousness and level of health care personnel
(1) Emergency admissions, the first maternal placement of people in the consultation room, check the prenatal examination. Avoid inquiring about medical and past history, especially maternal history, in front of family members or relatives and friends, in order to prevent revealing the privacy of the pregnant woman and causing family and social problems. If it is unmarried first pregnancy or other causes of vaginal bleeding, vulvar laceration or sexually transmitted diseases caused by inflammation of the reproductive organs of the patient nurses should do the same, not indifferent and belittling.
(2) When checking, treating and nursing operations, especially when doing anal examination, cunnilingus and perineal douching, the door of the room should be closed or covered with a screen. Avoid facing the patient as much as possible during the operation, and the side-lying catheterization method can be used. For surgical patients, should do a good job of covering the private parts to avoid unnecessary exposure, do not talk about the patient's privacy during the operation, after the operation should help wipe the blood, wear good clothes, appropriate cover and send back to the hospital area to rest.
(3) Due to the current changes in the mode of service during labor and delivery, mentioning the joy of childbirth and family-style delivery, most pregnant women are accompanied by their families or husbands during labor and delivery, so special attention should be paid to the tone of voice and skills when doing the examination and informing the family not to wander into the delivery room, so as not to disclose and invade the privacy of other pregnant women and mothers. When a pregnant woman is waiting for labor and examination, she should cover her abdomen and perineum appropriately, and pay special attention to prevent inadvertent disclosure of maternal privacy in the process of receiving labor.
(4) For patients with combined sexually transmitted diseases or other infectious diseases in pregnancy, they are directly arranged to live in a single room, and the confidentiality and disinfection of isolation is done well. The list and bedside card only write the name and bed number, not the diagnosis. Nowadays, the nurses' stations in many hospitals are open, where the entry and transcription of medical advice and the improvement of medical records are completed. Therefore, the management of medical record information becomes more important, should prevent unrelated personnel from casually flipping through the medical record and treatment book, so as to avoid leaking privacy, electronic medical book writing at any time after the exit interface or be encrypted. But the nursing staff of the patient's privacy protection is not unconditionally overriding everything, when the patient's privacy and confidentiality of diagnostic and treatment information will damage the third party's life and health interests and the interests of the social public **** security, this time the confidentiality must give way.
4 Conclusion
The nature of nursing work determines the special relationship between nurses and patients in their work. And the special nature of obstetrics patient diagnosis and treatment and nursing care is more likely to lead to inadvertent leakage of patient privacy. Therefore, how to improve the service skills and level, strengthen the legal awareness, do a good job of maternal privacy protection is the legal obligations and responsibilities of each obstetric nursing staff, we should hold a prudent attitude, consciously safeguard the patient's privacy, to avoid unintentional infringement of rights, to reduce unnecessary medical disputes.
References:
[1]Xiang Wang, Ruijiao Deng, Problems and Countermeasures of Protecting Patient's Privacy in Nursing Practice, Chinese Medical Ethics, 2005, 18(61: 88-89.
[2]Huiping Dai, Survey and Analysis of Privacy Protection of Obstetrics and Gynecology Patients Chonghua Journal of Modern Nursing,2007A(20): 1846.
[3]Pan Mengzhao, Introduction to Nursing, Beijing: People's Health Publishing House, 1999, 138.
[4]Qin Meizhen, Chinese Journal of Modern Nursing,2007,4(18):1693.
[5]Zhang Xinbao, edited by Zhang Xinbao, Legal Protection of the Right to Privacy, 1st ed. Beijing: Mass Publishing House, 2004, 610.
[6]Jiang Jian, Pan Weimin, Ding Shujun, et al, Observations on prone catheterization in female patients, Journal of Practical Nursing,2003,19-48.
[7]Shi Satellite, Yang Tingzhong, How nurses should view patients' right to privacy, Chinese Journal of Nursing,2004,36:312-314.
Obstetrics Case Nursing Essay #2: Nursing Management in the Obstetrics and Gynecology Department < /p>
Abstract With the development of China's social economy, the reform of the medical system and the improvement of people's legal awareness, clinical nursing workers are facing great challenges and impact. As people put forward higher and higher requirements for the quality of medical technology and medical services, it is imperative to improve the quality of nursing care, and we must implement a comprehensive and standardized modern nursing management model, actively mobilize the potential of nurses, and provide patients with more comprehensive and better quality services.
Keywords Obstetrics and gynecology; nursing management; discussion
Nursing management is crucial to obstetrics and gynecology, and high-quality nursing management can bring the gospel to obstetrics and gynecology patients. In particular, the work of obstetrics and gynecology is complex, cumbersome, critical, difficult cases increase, which requires us to carry out effective reform of the current obstetrics and gynecology management model, so this paper first analyzes the characteristics of the obstetrics and gynecology nursing management of its own, and finally for the obstetrics and gynecology nursing management model currently encountered some problems put forward a number of recommendations in order to better guide the future of the practice of obstetrics and gynecology nursing work.
1, there are problems:
1.1 Nursing staff concepts and professional level of the problem
Nowadays, in the obstetrics and gynecology labor and delivery room, there are many basic medical services are not in place the level of professionalism of the nurse practitioner is relatively backward. This essentially affects the quality of our overall work. And may cause the patient's family to distrust of the hospital. Secondly, this can also have a negative impact on newborn babies. And now many health care workers in the diagnosis and treatment and service to the patient's patience is not enough, there is not enough heat please go to serve the patient; in the current health care management, some of the examination is too process-oriented, can not be put into practice, so some medical workers casually cope with the matter, and some personnel is even sketchy. Treating some of the evaluation is also at that time seriously, after not take seriously.
1.2 Patient communication problems
From the hospital's point of view, there are now many hospitals set up by the nursing evaluation mechanism and the patient's needs are very inconsistent, so that the patient's claims are very difficult to disseminate, but also is not conducive to the improvement of the hospital itself and the requirements of health care personnel. At the same time, this also creates a very big gap with the patient's family. The result of this will eventually lead to the pregnant women in labor, due to the distrust of physicians and nurses and the tension. This can have an impact on the fetal heart and ultimately affect the fetus. If this continues, the gap between our doctors and patients will deepen. If this happens, it will trigger very serious implications.
1.3 System defects
From a complete degree of thinking, want to investigate the root of the problem should not simply exist only on the surface, but should be in the essence of the root of the problem, is not in the system there are defects. Now the midwifery room in the establishment of the staff in the minority, which also makes some midwifery staff to treat the work attitude is not positive enough enthusiasm, especially the obstetrics and gynecology nurses, the workload is obviously overloaded, every day, night shift work is heavy, which is also, to a certain extent, affecting the treatment of the work of the enthusiasm. If this is always the case, the nurse's own health is also very unfavorable.
1.4 Lack of practical experience
In recent years, a large number of domestic high-level nursing talent into the clinical, this group of new forces have a rich and solid theoretical foundation, but lack of practical experience. Obstetrics and gynecology as a basic department, the workload is too heavy, patients come in and out frequently, and a single process and heavy work make nurses easy to produce burnout.
2, recommendations and countermeasures
2.1 Nursing managers should pay attention to self-management, improve team cohesion
Nursing managers are the most basic level of hospital nursing management, nursing management is an important role in nursing management, is the specific leader and organizer of the work of the wards, in the completion of the management of the wards and the management of the basic nursing technology plays a dominant role, especially in the Obstetrics and gynecology department of primary hospitals, nursing managers not only undertake the continuous improvement of midwifery technology, but also undertake the continuous improvement of the quality of nursing care in the wards, and moreover, they are the coordinators of solving medical disputes. To improve the overall quality of the nursing team, the nurse manager should pay attention to self-management, and focus on improving the cohesion of the entire nursing team, training and use of professional nurses.
2.2 Nursing staff should establish a people-oriented service concept
Can use their own professional knowledge, take the initiative to observe the patient, to give maternal heart comfort and encouragement, so that the patient feels comfortable and comfortable, rather than passive simple checkups. To establish a good nurse-patient relationship, with moral treatment. Nursing staff should establish a good communication system with patients, and timely understanding of the patient's needs. Doing a good job in the management of nursing staff is of great practical significance to the improvement of nursing services, the stability of the nursing team, the improvement of the quality of nurses, and the development of the nursing profession. Nursing managers should adhere to the scientific nursing management, through continuous learning, continuous improvement, flexible use, the effectiveness of personnel management to play to the best.
2.3 Strengthen the supervision and management
Great efforts to carry out the inspection of medical and nursing work, to do a small weekly check, a monthly check, a thorough check every quarter. In the process of checking, we should put ourselves in the shoes of the patients, from the patients' point of view so that we can effectively improve the quality of service of the medical staff. If there are conditions can set up an open day, so that every patient is involved in the construction of the hospital. At the same time, every health care worker is required to find their own shortcomings in the hospital inspection to improve themselves, and wholeheartedly improve their business level to a new height. Treat every patient as their own family. At the same time, it should also be noted that we should be from the source, the quality of health care personnel to do an effective and strict screening. Through a rigorous written examination, to select the best candidates. As the most special and sensitive place of the whole hospital, obstetrics and gynecology should be equipped with the most advanced medical and nursing staff and should also be the most learning, the obstetrics and gynecology medical and nursing staff to send out more to study, to learn new ideas and new knowledge. At the same time, should also understand and learn more about the postnatal care knowledge, such as: breastfeeding and newborn care.
2.4 Strengthen the practice of nursing management in obstetrics and gynecology
First of all, the management of obstetrics and gynecology wards should be strengthened to increase the strength of morning care, to achieve the tidiness of the nursing unit, and to strive to create a clean, tidy and comfortable inpatient environment for obstetrics and gynecology patients. Secondly, it is necessary to carry out in-depth holistic nursing, actively exert the subjective initiative of obstetrics and gynecology nurses in charge, seriously organize holistic nursing checkups, health education guidance, and especially strengthen the health education work such as admission introduction, rehabilitation guidance, and discharge guidance, so as to make the patients have a high degree of knowledge about health education, thus increasing the satisfaction degree of the obstetrics and gynecology patients. Once again, strengthen the safety management of obstetrics and gynecology nursing, formulate practical nursing safety measures and nursing safety management system. We will analyze, summarize and improve the shortcomings and errors in nursing work in a timely and serious manner. Enhance the legal knowledge of nursing staff and related safety protection awareness; at the same time, strengthen the safety management of obstetrics and gynecology inpatients, to prevent the occurrence of unexpected accidental injuries. Finally, to strengthen the management of critical patients in obstetrics and gynecology, and to train the young and inexperienced nursing staff in resuscitation techniques, so as to improve the success rate of resuscitation of critical patients. In addition to the strict implementation of the checking system and nursing operating procedures, medical advice to do shift checking, and effectively eliminate serious errors and computer information and medical advice does not match the phenomenon, to strengthen the obstetrics and gynecology nurses to the patient's accumulation of knowledge of basic nursing care, to improve the obstetrics and gynecology nursing staff of the basic care of the qualified rate.
3, summary
Through the analysis of this paper can be learned, because of the obstetrics and gynecology nursing work has its own particularity, so the nursing staff is required to be superb specialized skills, a high degree of responsibility and excellent moral character, serious work attitude, keen observation throughout each link in the nursing work, and only in this way can we overcome the problems that exist in the nursing work, and thus better to serve the majority of patients.
References:
[1] Li Minghui. Analysis of the causes of disputes in obstetric nursing and measures to deal with them [J]. China TCM Consulting, 2012, 4(4):55.
[2]Tong Lifang, Lin Chunmin, Shi Li. The management role of nurse leaders in nursing safety[J]. Jilin Medicine, 2005, 48(9):934-935.
[3]Qiong Huang. On nursing management in obstetrics and gynecology[J]. China Medical Guide, 2011, 99(13):149.
[4]Wu Huiqun, Hu J, Zhang Mingying. Obstetrics and gynecology nursing safety hidden dangers and countermeasures[J]. China Medicine Herald, 2008, 5(10):25.
[5]Liu Lanzhen. The use of people-oriented concept in obstetrics and gynecology nursing management[J]. Medical Information, 2011, 24(5):2101.
[6]Tan Youmiao. Application of nursing checkups in improving the quality of obstetrics and gynecology care[J]. China Medicine Herald, 2008, 5(20):48.
Obstetrics Case Nursing Essay 3: A Study of Obstetric Psychological Nursing
Abstract With the continuous development of our country's economy, the people's living standard has been improved, and began to improve the spiritual requirements. The medical model of change, nursing also began to develop from the physical care of patients, to take into account psychological care, clinical care more humanized. This paper focuses on the study of obstetric psychological care.
Keywords Nursing; Obstetrics; Psychological Nursing
In the physiological process of labor and delivery, the mother's psychological and physiological changes will occur, obstetric psychological care is very important. If the contractions are inhibited under the stimulation of adverse emotions and weak contractions occur, the labor process will be prolonged. Adrenaline in the body will also increase secretion due to nervousness, and elevated blood pressure leads to eclampsia. It can be seen that the psychological care of the mother is very important.
A new type of ? Biopsychosocial? The establishment of the medical model, so that psychological care is more recognized. Psychological factors have a direct impact on human physiological activities, affecting the length of the disease, affecting the patient's degree of recovery. It is imperative to study the psychology of patients, do a good job of psychological care, and improve the quality of care. Obstetrics patients are mostly female patients who are pregnant and giving birth, and the change in the patient's state will add a great deal of pressure to their spirit. This change will put obstetric patients in a state of intense stress and inevitably lead to tension, anxiety and fear or depression. If not properly guided, so that the mother's mind is fully prepared to adjust the mindset and the confidence of victory, it will bring difficulties in delivering babies. Engaged in obstetric nursing work for many years, is now our hospital from October 2012 to March 2013 31 cases of obstetric patients psychological care to do in-depth study.
31 cases of obstetric patients in our hospital from October 2012 to April 2013, age 22-37 years old, average age 29 years old, gestational week (35?3) weeks.
1 Maternal human patients unique psychological characteristics
Obstetrics patients are mostly patients with pregnancy, labor and delivery, delivery is the most important moment for pregnant women and mothers, both the joy of looking forward to the birth of the child, but also the fear of the fear of the newborn baby in the event of an adverse situation. Pregnancy will increase the maternal body burden, resulting in a series of physiological changes, manifested as emotional instability, impatience, mental fragility, crying and screaming. These impatient mood changes can aggravate the patient's pain, and the nursing attitude and quality of medical service of the health care personnel at this time are important to them. The rusty environment, coupled with the continuous contractions, make the patient's physical exertion is very large, will inevitably cause cerebral cortex dysfunction, will cause the maternal patient's uterine dilatation has become slow, invariably prolonged the process of labor, the prolongation of the process of labor will jeopardize the maternal even more will jeopardize the health of the fetus and the newborn.
2 According to the characteristics of obstetric patients, the implementation of clinical psychological care
Nursing staff in the nursing process, according to psychological theory, according to the characteristics of obstetric patients, take the initiative to influence and change the patient's psychological state through action, to promote the recovery of patients, the main measures are as follows.
21 quality ward environment to facilitate the patient's psychological adjustment to the best state Obstetrics wards are set in a quiet zone, good ventilation and lighting, indoor humidity is appropriate, the environment is clean and tidy. There are standard rooms and single rooms in the wards with complete sanitary facilities, which are conducive to the comfort and calmness of pregnant women and mothers. Each floor of the maternity ward is equipped with responsible nurses, which facilitates the psychological care of pregnant women in the ward.
22 The establishment of a good nurse-patient relationship to facilitate the elimination of maternal fear The famous medical historian Sigris once said: ? The purpose of medicine is social, its purpose is not only to treat disease and rehabilitate a particular organism, its purpose is to enable people to adjust to a new environment, as a useful member of society, every medical action always involves two groups of parties, physicians, nurses and patients, or more broadly speaking, the medical community and society. Medicine is nothing but a multifaceted relationship between these two groups of people.? This shows the important role of the nurse-patient relationship. The nurse-patient relationship is also a type of interpersonal relationship, where sincerity and warmth facilitate the establishment of a relationship, understanding and acceptance facilitate the promotion of a deeper relationship, and frequent meetings help to promote the relationship. Nurse-patient relationship runs through the whole process of medical and nursing activities. When pregnant women are admitted to the hospital, the nurse arranges beds, stabilizes the mood of the pregnant women, eliminates the sense of unfamiliarity and fear of the mothers, and creates a relaxing and comfortable environment. The establishment of a good nurse-patient relationship can shorten the distance between the nurse and the patient, and facilitate the patient to cooperate with the completion of a variety of treatments, early recovery.
23 Prenatal psychological care for women in pregnancy Women in pregnancy, both psychologically and physiologically, will undergo obvious changes, but in the case of all the indicators are normal, belonging to the special physiological stage of women. For this stage of obstetric delivery patients in the psychological care, the key is to provide clinical delivery knowledge education and consulting and answering questions, the prenatal protection of the fetus and maternal self-monitoring methods, breastfeeding knowledge in advance of the work of publicity. For individual pregnant women with hyperemesis gravidarum, oxygen inhalation, lowering blood pressure and regular monitoring of fetal movement are necessary. Premature rupture of membranes pregnant women, to help the bed to elevate the hips, observe the amniotic fluid properties, pregnant women do not panic when paroxysmal pain, which is a sign of labor, to help the patient to explain the contraction of the paroxysmal pain, to the patient to increase the confidence of the natural childbirth, and be ready to meet the baby's birth of the psychological preparations.
24 Psychological care in the three stages of the labor process Pregnant women with the approach of the birth process, the body will appear more changes, such as contraction paroxysm frequency enhancement, physical exertion increasing, invariably to the mother in the psychological increase in a great burden, it is inevitable that there will be a never-before-seen fear and emotional upset. Nursing staff need to make timely and accurate predictions about the physiology and psychology of the mother during labor, and target their care.
First-time mothers in the first stage of labor for a long time, lack of knowledge of childbirth, contraction pain will produce anxiety, fear of psychology, easy to cause contraction weakness, prolongation of labor, cervical dilatation is slow or edema, should be explained to the mother of the knowledge of childbirth, stabilize emotions, the use of contraction rest, learn to relaxation and breathing skills, such as touching the forehead of the mother of the mother of the physiological knowledge of the obedience to the mother of the mother of the hand, give maternal psychological strength, and hold the mother's hand, the mother's hand. hand, and holding the mother's hand to give her psychological strength. Change the topic of conversation to the upcoming birth of the baby to distract the maternal patient from the pain of the paroxysm. For women who have been in labor for a long time, the nursing staff needs to be with them because of the patient's great physical exertion. In between contractions, let the mother actively rest to ensure physical strength, and if she can eat, she should supplement her nutrition in time to meet the arrival of labor. Patiently explain, comfort and encourage the mother, massage the lumbar and bone parts, divert attention, relieve their helplessness, and relax the mind to complete the labor smoothly, fully enjoy the unforgettable moments of labor. For the extremely nervous patients need to play soothing soft music, soothe the patient's nervousness, let the closest people usually come to the side of the accompaniment, to enhance the patient's confidence to meet the labor.
In the second stage of labor, the patient's reaction will increase in intensity and the intervals between paroxysms will be shortened. In this stage, nursing staff need to encourage the mother to eat some easily digestible food. Help the patient to reduce the worries caused by labor pains, trust the medical staff, and try to cooperate with the correct use of abdominal pressure to deliver the fetus.
In the third stage of labor, after the delivery of the fetus, the first-time mother is extremely tired. At this time, we should inform the mother that the baby is healthy and free of deformities, and ensure that the mother's mind is relaxed and fully rested. The patient's family members should not be introduced to the maternal pregnancy and emotions, to give the mother the greatest psychological support, to relieve anxiety, to avoid postpartum depression.
25 on the care of postpartum maternal psychological disorders Part of the mother in the postpartum period will occur psychological disorders, the main postpartum frustration that postpartum bad mood, is a transient depression; postpartum depression that is non-psychotic depressive symptom group; postpartum psychosis, that is, a serious state of mental disorganization. The prevalence of postpartum depression is around 60%. Mothers who experience emotional agitation, such as easy to cry, aggression due to loneliness, fatigue, insomnia and other states, will continue for 3-14 days after the birth of a higher rate of occurrence. Maternal patients with postpartum depression typically present with behaviors such as lethargy and fatigue, insomnia, self-blame, and fear of harm to themselves or their babies. Postpartum psychosis, the onset of the disease is rapid, the symptoms show diversity such as babbling, hallucinations, excitement and restlessness, reticence, and in severe cases, there will be impaired consciousness and suicidal tendencies.
Postpartum psychiatric disorders treatment care, mainly for maternal patients, to lift the maternal adverse social and psychological factors, reduce the psychological burden and physical symptoms. Quiet recuperation to avoid adverse mental stimuli, reduce the stress pressure in life. Listening to maternal complaints about psychological problems, do a good job of maternal psychological relief work, postpartum depression does not require special treatment, give psychological care, promote and help mothers to adapt to the role of motherhood; severe postpartum depression or psychiatric patients need to be hospitalized to give antidepressant, antidisintegration and other treatments. For the existence of high risk factors for depression should be given sufficient attention, high vigilance maternal injurious behavior, if necessary, psychologists or psychiatrists to give treatment.
In summary, through the nurse's psychological care, mobilize the patient's active self-care health care ability, early recovery and enhance health. To meet people's health knowledge needs, improve maternal self-care ability, and reduce the incidence of obstetric complications.
References
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[2] Zhang Weihong 52 cases of perinatal psychological care of elderly primiparous women [J] China Primary Health Care, 2009, (11)
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[6] Yu Yu Hua, Gao Shenxia delivery of maternal psychological care [J] Taishan Health, 2004, (02)Guess what you like:
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