Mode 1: Application of Humanized Nursing in Obstetrics and Gynecology Objective To explore the application effect of Humanized Nursing in Obstetrics and Gynecology. Methods 80 patients admitted to the Department of Obstetrics and Gynecology of our hospital from March to June in 2065 were selected as the research objects, and they were randomly divided into study group and control group, with 40 patients in each group. The control group was given routine care, while the research group was given humanized care on the basis of the control group. The anxiety and nursing satisfaction of the two groups were compared. Results After nursing, the anxiety level of patients in the control group was significantly higher than that in the study group, and the difference was statistically significant (x2=9.87, P < 0.05). The nursing satisfaction of the study group was 95%, while that of the control group was 77.5%, with statistical significance (x2= 12.57, P < 0.05). Conclusion The application effect of humanized nursing in obstetrics and gynecology clinical nursing is remarkable, which can effectively reduce patients' anxiety and improve nursing satisfaction, and is worthy of clinical application.
Humanized nursing; Obstetrics and gynecology; Routine nursing; Nursing satisfaction; anxious
With the continuous improvement of medical level, people also put forward higher requirements for nursing quality, and humanized nursing mode has gradually become an important way of clinical nursing [1]. In this regard, 80 cases of gynecological patients in our hospital were selected as the research object, and the effects of humanized nursing and routine nursing were compared to understand the application effect of humanized nursing in gynecological clinical nursing. The report is as follows.
1 data and methods
1. 1 general information
80 patients admitted to our hospital from June 20 13 to June 20 14 and 12 were selected as the research objects, and they were randomly divided into study group and control group, with 40 patients in each group. The average age of the study group (34.8? 8.2) years old; There were 6 cases of cervicitis, 9 cases of hysteromyoma, 5 cases of pregnancy complications and 9 cases of menstrual disorder. The average age of the control group (35.2? 9.6) years old; There were 9 cases of pelvic inflammatory disease, 6 cases of cervicitis, 7 cases of hysteromyoma, 8 cases of menstrual disorder and 6 cases of pregnancy complications. There was no significant difference in general data between the two groups (P & gt0.05).
1.2 nursing methods
The control group was given routine nursing, and the nursing staff carried out daily nursing work, reporting and handling the patient's condition in time. The study group was given humanized nursing on the basis of the control group, as follows: (1) humanized nursing scheme: different nursing schemes were formulated according to the different conditions of patients, and targeted nursing was carried out to improve the nursing effect; (2) Psychological nursing: Nurses should communicate with patients more, understand their psychological state, give more encouragement and comfort, and relieve patients' tension and anxiety. Patiently explain the disease-related knowledge and precautions to patients, increase their understanding of the disease, and establish confidence in treatment; (3) Diet care: plan the daily diet of patients and guide them to reasonable diet and nutrition. (4) Patient-centered: understand and respect the needs of patients, give all-round care, so that patients can be satisfied both physically and psychologically.
1.3 effect evaluation criteria
The patients were scored with Hamilton Anxiety Scale, which was divided into obvious anxiety, potential anxiety and no anxiety. A score of > 14 indicates obvious anxiety, and a score of 7 ~ 14 indicates potential anxiety.
Two results
2. 1 Comparison of anxiety between two groups
There were 3 cases of obvious anxiety, 7 cases of potential anxiety and 30 cases of no anxiety in the research group. In the control group, there were 10 cases with obvious anxiety, 14 cases with potential anxiety and 16 cases without anxiety. The anxiety level of the control group was significantly higher than that of the research group, with statistical significance (x2=9.87, P < 0.05).
2.2 Comparison of nursing satisfaction between the two groups
In the study group, 24 cases were satisfied with nursing work, 4 cases were basically satisfied/kloc-0, and 2 cases were dissatisfied, with a total nursing satisfaction of 95%. In the control group, 9 cases were satisfied with nursing 19, 2 cases were basically satisfied with nursing 12, and 9 cases were dissatisfied with nursing. The total nursing satisfaction rate was 77.5%. The nursing satisfaction of the control group was significantly lower than that of the research group (x2= 12.57, P < 0.05).
3 discussion
In recent years, the incidence of gynecological tumors, gynecological inflammation and irregular menstruation is increasing year by year [5], which not only has a great impact on patients' physical health, but also brings heavy psychological and economic burdens and affects their quality of life [7]. Therefore, it is very necessary to carry out effective nursing for gynecological patients when they receive treatment. Humanized nursing is a patient-centered nursing model, which aims to give patients a comfortable physiological state and meet their psychological needs. It is a personalized and creative nursing method [8]. If humanized nursing is applied to clinical nursing in obstetrics and gynecology, it can not only effectively relieve patients' anxiety, relieve patients' discomfort and pain, but also increase patients' confidence in treatment. Therefore, this nursing mode is more and more widely used in clinical nursing in obstetrics and gynecology [9]. In this study, the study group adopted humanized nursing mode, and the patients' anxiety was obviously lighter than that of the control group, and the nursing satisfaction was obviously higher than that of the control group, which indicated that it was feasible to adopt humanized nursing in the clinical nursing of obstetrics and gynecology. To sum up, the application of humanized nursing in clinical nursing of obstetrics and gynecology can effectively alleviate the pain of patients, relieve their anxiety and depression, promote their rapid recovery [10], effectively improve their nursing satisfaction and ease the relationship between doctors and patients, which is worthy of clinical promotion.
refer to
[1] gold. Clinical effect analysis of humanized nursing on patients undergoing gynecological surgery [J]. Continuing medical education in China, 20 15, (06): 127- 128.
Zou Chunlan, Peng Dongmei, Wang Chunlian. Application of humanized nursing in nursing care of patients undergoing tubal anastomosis [J]. Modern Diagnosis and Treatment, 20 14, (15): 3587-3588.
[3] Qian Bingtian. Analysis of the influence of high-quality nursing mode on the quality of life and satisfaction of gynecological patients [J]. Primary care forum, 20 14, (32): 4430-443 1.
[4] Zheng. Analysis of the application effect of humanized nursing in operating room nursing [J]. Modern Diagnosis and Treatment, 20 14, (15): 3597-3598.
[5] Roddy. Analysis of the effect of humanistic care for lying-in women [J]. On Contemporary Medicine, 20 15, (05):66-67.
[6] Zhu Lanfang. Observation on the application effect of humanized nursing intervention in natural delivery of primipara [J]. Chinese and foreign medical research, 20 15, (09): 108- 109.
[7] Liu Yuhua. Talking about the intraoperative nursing and humanized nursing of patients with modified radical mastectomy [J]. Chinese medicine guides, 20 15, (09):4-5.
[8] Xu Yingfen, Yang Ruoya. Application effect of humanized nursing in delivery room [J]. Guide to Traditional Chinese Medicine, 20 15, (09): 106- 109.
[9] Gu. Analysis of the effect of humanistic nursing intervention in obstetric nursing [J]. chinese medicine guides, 20 13, (24):696-697.
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In recent years, with the development of medical technology, gynecological surgery has become the most common and important clinical method to treat gynecological diseases. However, while solving the pain of patients, it often leads to adverse reactions such as incision pain, which is a main reason for patients to feel pain and fear. At the same time, it is also an important problem faced by medical staff in obstetrics and gynecology, and it is one of the common symptoms in obstetrics and gynecology operations [1]. Clinically, postoperative pain not only causes certain physiological pain to patients, but also has a certain degree of adverse effects on patients' mental and psychological aspects, seriously affecting patients' quality of life and surgical satisfaction. Based on this, the author observed and studied the patients undergoing gynecological surgery in this hospital, and found that high-quality comprehensive postoperative nursing in obstetrics and gynecology can alleviate the postoperative pain of patients, shorten the hospitalization rehabilitation time of patients and achieve satisfactory results. The report is as follows.
1 data and methods
1. 1 general information
From May 2065438 to May 2065438, 230 surgical patients were selected from the Department of Obstetrics and Gynecology of the hospital where the author worked. Among them, appendectomy was performed in 29 cases, subtotal hysterectomy 19 cases, total hysterectomy 12 cases and cesarean section 170 cases. All patients were treated with continuous epidural anesthesia and their liver function was normal. They were randomly divided into observation group (n= 1 15) and control group (n= 1 15). There was no significant difference in basic data between the two groups (P > 0.05). 0.05), which is comparable.
1.2 method
The control group used ordinary routine postoperative pain nursing methods, and the observation group used comprehensive high-quality postoperative pain nursing methods:
(1) Improve nurses' understanding of pain control. At present, pain has become the fifth life feature after the four vital signs of body temperature, pulse, respiration and blood pressure. Strengthening the training of nurses' knowledge of postoperative pain and paying more attention to postoperative pain can actively evaluate postoperative pain and give patients correct and reasonable postoperative pain care. (2) Positive psychological counseling and appeasement. Patients are often accompanied by negative emotions such as nervousness, anxiety and depression, which aggravate the degree of postoperative pain and prolong the postoperative pain time. According to the actual situation of different patients, make a reasonable nursing psychological counseling plan, and use medical knowledge to patiently explain the purpose, significance, process, time and general situation of surgery to patients. Through communication, we can dispel patients' worries and nervousness, enhance patients' sense of security, and successfully pass the perioperative period. Respect patients' reaction to pain, nurses encourage patients to express their pain feelings and their efforts to adapt to pain, comfort patients and try their best to reduce their psychological pressure.
(3) Correct professional postoperative care and comfortable posture placement. After the operation, keep the patient in a very comfortable position and try to avoid contact with the surgical wound. One is to reduce the chance of wound infection, and the other is to avoid stimulating the wound and causing wound pain. Using professional knowledge, through easy-to-understand words and tone, guide patients to relax limbs, body and nervous system in an all-round way, so as to relieve muscle tension of wounds and relieve postoperative pain.
(4) Create a comfortable environment. In view of the excitability of patients after operation, keeping the environment around the ward quiet, observing patients' emotional changes, understanding patients' preferences, and relieving patients' impetuous emotions by playing music, so that patients' nerves and spirits can be fully relaxed, which is conducive to alleviating postoperative pain.
1.3 pain standard
The main complaint pain grading method was used: 0 grade: no pain; 1 grade: mild pain, tolerable pain and normal sleep; Grade 2: moderate pain, obvious pain, unbearable, need to take sleep drugs, sleep is affected; Grade 3: severe pain, severe pain, unbearable pain, need to take painkillers, sleep is seriously affected, accompanied by autonomic nervous disorder or passive posture [2].
1.4 statistical processing
The data obtained were statistically analyzed by SPSS 17.0 software, and the measurement data were measured by mean? Standard deviation (x-? S) means comparison by t test; The counting data is expressed by ratio (%), and the word 2 test is used for comparison. P & lt0.05 was statistically significant.
Two results
Comparing the postoperative pain between the two groups, only 265,438 0.8% patients in the observation group had moderate or above pain, and 78.2% patients had no pain or mild pain. In the control group, 43.5% of postoperative patients had moderate or above pain, and 56.5% of postoperative patients had no headache or mild pain. The difference between the two groups was statistically significant (P
3 discussion