Topic: analysis and nursing of pregnant women's psychological problems
The significance and research status of this topic;
1. Research purpose and significance:
With the development of perinatal medicine, mental health care of pregnant women has become an indispensable part of perinatal health care. Although pregnancy is a normal and natural physiological phenomenon for developing women, it is a huge physiological change and psychological stress process for pregnant women after all. They will have various psychological and physiological changes in a series of physiological processes such as pregnancy, childbirth, postpartum recovery and breastfeeding. Positive psychological reaction of pregnant women is beneficial to fetal development and delivery process, while negative psychological reaction will make psychological activities unbalanced, leading to neurological activities and endocrine disorders, thus affecting the pregnancy outcome and the safety of mother and baby to varying degrees. Therefore, it is an important work to correctly grasp the psychology of expectant mothers and do a good job of psychological care in a targeted manner to ensure the smooth delivery and postpartum recovery of expectant mothers.
2. Research status of this topic (literature review)
In recent years, with the in-depth study of mental health during childbirth, people have realized psychological problems such as anxiety throughout the perinatal period from simple postpartum depression, and put forward early detection and early intervention. Current research shows that the main psychological problems in perinatal period are anxiety and fear; Strange and lonely; Heavy depression; Interpersonal sensitivity, somatization symptoms and sleep disorders.
The causes of these psychological problems generally include the following: (1) labor pain; Contradiction and pain; The character of pregnant women; Most pregnant women lack knowledge of pregnancy physiology; Family and social support system and other factors.
At present, the adopted nursing intervention models include the health education model of IKAP (namely, information)-knowledge-attitude)-practice model and the self-efficacy theory (CBSEI) model. Different intervention methods are adopted according to different intervention modes, including prenatal intervention (health education) and intrapartum intervention.
3. Research content (content, structural framework and difficulties to be overcome):
Research content:
(1) Analyze the causes of psychological problems of pregnant women.
(2) Carry out corresponding nursing intervention for pregnant women's psychological problems.
Key technical problems: through observation, communication and communication with family members, understand the psychological state of pregnant women, analyze the main causes of problems, and formulate corresponding nursing intervention measures.
4. Research methods and means:
Research methods: Using the means of nursing psychology, in the process of nursing, through cordial conversation. To understand their mental state and their understanding of pregnancy and delivery physiology, so as to carry out targeted nursing during delivery.
Subjects: * * Pregnant women in obstetrics department of a hospital.
5. Research plan:
(1) Understand the psychological status of pregnant women through observation, communication and communication with family members, and analyze the main causes of problems;
(2) Applying nursing knowledge to implement corresponding nursing intervention, and investigating the intervention effect;
(3) Analyze the effectiveness of the intervention effect;
(4) Processing data and writing papers.
(For reference only)