Article 1
Discussion on nursing and health education of chronic bronchitis
1 method
1. 1 control group method
Patients in the control group mainly received general care in outpatient department, and the contents are as follows:
*** 1*** Oral care. Oral cavity is a way of pathogen invasion, so it is necessary to carry out oral care for patients in clinic. Nurses need to inform patients of the role and importance of oral care and keep their oral cavity clean and moist. Conscious patients need to clean their mouths with sodium bicarbonate and normal saline. For coma patients with serious illness, it is necessary to rinse the mouth with normal saline.
***2*** Diet care. The diet is high in calories, vitamins, protein and digestibility, so patients are advised to drink plenty of water to help dilute and discharge sputum. Patients with edema and heart failure need to limit the intake of sodium salt. Patients with excessive phlegm are forbidden to drink milk drinks to prevent the viscosity of sputum from increasing. Patients with more carbon dioxide need to limit the intake of sugar to prevent carbon dioxide retention, which leads to aggravation of the disease.
***3*** Drug care. For patients with acute attack, reasonable drug treatment is needed, including anti-infection, expectorant and cough relieving. In the process of drug treatment, it is necessary to analyze and observe the effects and adverse reactions of drugs. Patients who need infusion therapy need to control the infusion speed to prevent the heart burden from increasing and lead to heart failure. For patients in remission, drug therapy mainly focuses on enhancing immunity and physique.
***4*** oxygen therapy nursing. Oxygen therapy can effectively control the arterial oxygen partial pressure of patients, improve the organ function of hypoxic tissues and inhibit the development of diseases. For patients with cor pulmonale, there are usually carbon dioxide retention and hypoxemia, and oxygen is needed. The oxygen flow should be controlled at 65438 0 liters to 2 liters per minute, and the oxygen concentration should be controlled at 25% to 30%. For patients with acute pulmonary edema, the humidification bottle is adjusted to 20% to 30% alcohol. Thereby reducing the surface tension of alveoli and improving the breathing of patients.
1.2 experimental group method
The experimental group added health education on the basis of the control group, and the contents were as follows:
*** 1*** preventive education. Climate and environment are closely related to chronic bronchitis. Nurses need to inform patients of the influence of climate and environment on chronic bronchitis, provide patients with appropriate temperature and humidity, keep indoor air circulation, keep indoor environment clean and prevent allergens. In the nursing process, nurses also need to explain the pathogenesis of chronic bronchitis, so that patients can learn to protect themselves and reduce the recurrence of the disease.
* * * 2 * * Quit smoking. Smoking is also an important factor leading to chronic bronchitis. Tar and nicotine in cigarettes can inhibit the ciliary activity of patients' airway, weaken the function of alveolar macrophages and promote the occurrence of bronchospasm. Therefore, nurses need to inform patients of the dangers of smoking and help them quit smoking.
***3*** Climate education. There are more cold and warm air exchanges and frequent weather changes in spring and autumn, which are the frequent seasons for chronic bronchitis. In winter, cold air has a * * * effect on bronchial mucosa, leading to a large number of secretion of mucus glands, causing bronchospasm and increasing airway resistance. Therefore, nurses need to tell patients to keep warm in autumn and winter to prevent the illness from getting worse.
***4*** Strengthen exercise. Inform patients to strengthen exercise, breathe fresh air outside, and choose appropriate sports according to their physical conditions to enhance their physical fitness and improve their immunity and disease resistance.
1.3 statistical method
SPSS 12.0 software was used for statistics and processing. Chi-square test was used for counting data and t test was used for measuring data, P
Two results
As shown in table 1:
It can be seen that the clinical efficacy of the experimental group is obviously better than that of the control group, and the difference is statistically significant (P
3 discussion
Health education is a technology promoted through research and analysis. Through the understanding of health education knowledge, people's daily behavior can be restrained, and the possibility of danger can be reduced, which has a certain role in preventing diseases [1].
The concept of chronic bronchitis nursing is people-oriented, and nurses should recognize the patient's dominant position in nursing work and provide effective services humanely [2]. In the process of implementing health education, nurses' own awareness of health education determines the quality of health education [3-4]. Therefore, nurses should be more strict with themselves in health education, improve health education awareness and communication level, enhance moral quality and temperament charm, so that the operation can be carried out smoothly and patients can recover faster.
In this study, the experimental group added health education on the basis of general nursing, and the effect was remarkable. It can be seen that the introduction of health education into the intervention and nursing of patients with chronic bronchitis is beneficial to the improvement of prognosis and worth popularizing.
the second
Talking about the role of nursing intervention in reducing the incidence of obstetric adverse events
Objective: To observe the application of nursing intervention in pregnancy and delivery of elderly women. Methods: 86 elderly women were selected as the research object and divided into control group and observation group according to different nursing methods, with 43 cases in each group. The control group received routine nursing, while the observation group received nursing intervention on the basis of routine nursing. Results: The probability of maternal complications in the observation group was lower than that in the control group, and the neonatal weight and Apgar score were higher than those in the control group. The difference between the two groups was statistically significant * * * P < 0.05***. Conclusion: Nursing intervention has played a positive role in the pregnancy and delivery of elderly women, which is obviously superior to routine nursing and worthy of clinical reference.
I. Introduction
This year, the country fully opened the second child policy, and the number of elderly women increased. Their characteristics are older, more multiparas, possibly accompanied by hysteromyoma, hyperplasia of mammary glands, great psychological pressure and slow recovery after delivery. The research of this topic will better strengthen the analysis and control of nursing intervention, so as to further reduce the incidence of adverse events in obstetrics and gynecology through reasonable measures.
Second, data and methods
The so-called elderly women refer to women over 35 who are pregnant for the first time. When women are over 35 years old, their physical function tends to decline, so the growth and development of the fetus in the mother is slow, and the probability of fetal malformation is greater. At the same time, older women are more likely to have complications during pregnancy and childbirth, such as hypertension and hyperemesis gravidarum. In the process of pregnancy and delivery, the risks of fetus and parturient are very great. Once complications occur, it will directly threaten the life safety of fetus and parturient. The common complications of lying-in women include postpartum hemorrhage and amniotic fluid embolism. Prevention and treatment of complications is of great significance to elderly women. Through the observation of 86 elderly women, this paper discusses the role and effect of nursing intervention on pregnancy and delivery of elderly women. The report is as follows.
1. General description
Eighty-six elderly parturients in our hospital from 2014 to 2015 were selected as the research objects, and were divided into observation group and control group according to different nursing methods, with 43 cases in each group. The maternal age is 35 ~ 4 1 year, with an average age of * * 36.3 2.6 * * years; The gestational age was 2 1 ~ 43 weeks, with an average gestational age of * * 30.8 2.9 * * *; All parturients receive routine examinations, such as B-ultrasound, fetal heart monitoring and thrombus examination. There is no other medical history. There is no significant difference in age, gestational age and past medical history between the two groups * * * P & gt0.05***, which is comparable.
2. Nursing methods
The control group received routine prenatal and postnatal care, including helping the patients with routine prenatal examination, providing physical conditioning for the puerpera after delivery, and guiding the puerpera to carry out appropriate physical activities, such as walking.
The observation group was given nursing intervention on the basis of routine nursing, and the specific nursing measures mainly included the following aspects: ① Psychological intervention during pregnancy: Nurses should make targeted nursing plans according to patients' personality characteristics and give psychological guidance to each patient. For the elderly women who are under too much pressure, they can relax by listening to music, and the nursing staff can explain the relevant knowledge of the elderly women, so that patients can maintain an optimistic attitude towards delivery. For some patients with fear of childbirth, psychological counseling can be given to them, explaining the knowledge and precautions related to childbirth, helping patients adjust their mentality and make them fully prepared for childbirth. ② Health education: including perinatal and postpartum related knowledge and clinical manifestations. ③ Life guidance during pregnancy: instruct the parturient to supplement protein, vitamins, calcium and other nutrients, and develop good living habits. (4) Postpartum care: closely observe the maternal body temperature, blood pressure, pulse, breathing and other vital signs, and make records. Breast-feeding and dietary guidance were given to the patients, and regular follow-up was conducted.
3. Observation indicators
Observe and compare the obstetric complications and fetal situation between the two groups. Apgar score method was used to score newborns. Scoring criteria are: panel color: newborn's panel color is pink, hands, feet and limbs are blue-purple, and the whole body is blue-purple, with 2 points, 1 point and 0 point respectively. Heart rate: heart rate >; 100 times/minute,
Third, the result
1. Comparison of the incidence of complications between two groups
The incidence of complications in the observation group was significantly lower than that in the control group, and the difference between the two groups was statistically significant * * * P < 0.05***.
2. Comparison of neonatal conditions between the two groups
The neonatal weight and neonatal score in the observation group were significantly higher than those in the control group, and the difference between the two groups was statistically significant * * * P < 0.05***.
Four. discuss
With the implementation of the policy of late marriage and late childbearing in China, the social environment has changed, and the reproductive age of women has increased year by year, which has led to a corresponding increase in the probability of elderly women. The nursing of elderly women should control and prevent pregnancy-induced hypertension, analyze and judge the results of prenatal physical examination of women, and implement scientific and reasonable nursing measures. Postpartum hemorrhage refers to massive hemorrhage in a short time after the delivery of the fetus. Postpartum hemorrhage can lead to maternal shock. Once postpartum hemorrhage occurs, it should be rescued and treated in time. Postpartum nursing intervention should attach great importance to the occurrence of postpartum complications, including diet guidance, delivery knowledge guidance and breastfeeding. Because the probability of pathological pregnancy of elderly women is higher than that of school-age women, the psychological pressure of elderly women is very great, and the most important point of nursing intervention is psychological intervention for women. Medical staff should strengthen their study, master professional skills and improve their comprehensive quality.
Most elderly women will have negative emotions such as anxiety and panic during pregnancy, which will have adverse effects on the mother and fetus. Nurses should help pregnant women to eliminate negative psychology and reduce their psychological pressure through psychological consultation. The diet of lying-in women should be high in calories and high in protein, so as to ensure the intake of calcium, iron, vitamins and various amino acids and ensure that lying-in women get enough rest. Perinatal nursing intervention includes: introducing the related knowledge of delivery room environment and delivery to the parturient, so that the parturient can have a certain understanding of various signs, contractions and abnormalities in the labor process and make psychological preparations in advance. Give encouragement to the parturient during delivery, pay close attention to the patient's psychological state, and help the patient to relieve the tension.
The results of this study show that the probability of pregnancy-induced hypertension syndrome, premature delivery, premature rupture of placenta and postpartum hemorrhage in the observation group is significantly lower than that in the control group. The neonatal weight and Apgar score in the observation group were higher than those in the control group. According to the research results, it is helpful to reduce the incidence of pregnancy and childbirth complications and improve the delivery rate of healthy fetuses by carrying out nursing intervention on elderly women during pregnancy and childbirth. In a word, nursing intervention has played a positive role in the pregnancy and delivery of elderly women, which is obviously superior to routine nursing and worthy of clinical promotion.
Verb (abbreviation of verb) conclusion
To sum up, strengthening the research and analysis of nursing intervention is of great significance to reduce the occurrence of obstetric adverse events, so we should pay more attention to nursing intervention and pay attention to the rigor of its specific implementation process in future practice.