Article 1
Talking about the role of emotional nursing in clinical nursing of obstetrics and gynecology
Objective To analyze and discuss the role of emotional nursing in clinical nursing of obstetrics and gynecology. Methods 65,438+000 gynecological patients admitted to our hospital from April 38, 1965 to April 5, 1965 were taken as research data, and the patients were randomly divided into observation group and control group, with 50 cases in each group. The patients in the observation group were treated with emotional nursing method, while the patients in the control group were treated with routine nursing method. The nursing effects of the two groups were compared. Results After the implementation of nursing, the nursing satisfaction of patients in the observation group was significantly higher than that of patients in the control group, and the difference was statistically significant * * * P < 0.05***. Conclusion The application of emotional nursing method in clinical nursing of obstetrics and gynecology can achieve satisfactory results, which is worthy of clinical application.
Key words: obstetrics and gynecology; Clinical nursing; Emotional nursing; affect
Introduction to 0
Obstetrics and Gynecology is an important department in clinic, and there are many patients who usually see a doctor. We have observed that most patients in obstetrics and gynecology will have bad psychological conditions, such as anxiety, tension and fear. These negative emotions will seriously affect the rehabilitation effect of patients and the quality of life of patients. Generally speaking, diseases are closely related to patients' emotions. If the patient's negative emotional activity lasts for a long time, it will affect the patient's physical and mental health, which is very unfavorable to the patient's rehabilitation. Emotional nursing is a more scientific nursing mode, which is to formulate targeted and personalized nursing measures for patients' psychological problems, so as to implement better psychological nursing for patients and achieve better nursing effects. The relevant information is hereby notified as follows.
1 data and methods
1. 1 general information
Taking 65,438+000 gynecological patients in our hospital from April 2065 to May 2065,438+05 as research data, the patients were randomly divided into observation group and control group, with 50 patients in each group. The patients in the observation group were 24 ~ 67 years old, and the course of disease was 4 months ~ 6 years. The patients in the control group were 25-68 years old, and the course of disease was 5 months -7 years. There was no significant difference in general data between the two groups * * * P & gt0.05***, which was comparable.
1.2 method
Patients in the control group were given routine nursing methods, while patients in the observation group were given emotional nursing methods. The specific methods are as follows: 1.2. 1 Pay attention to environmental factors. In the practical nursing of obstetrics and gynecology, patients will be upset by various noises, and some patients will even feel very uncomfortable about the surrounding colors, thus causing qi disorder. At the same time, climate change and other factors will also affect the mood of patients. If the light in the ward is too strong, the patient's optimism will be affected. Therefore, in practical clinical nursing, nurses should establish a good rest environment for patients and keep the ward ventilated and quiet, which can increase the comfort of patients and is conducive to the recovery of diseases. 1.2.2 Nursing should be targeted. Every patient's situation is different. They have certain differences in cultural background, living habits and family conditions. So their reactions to diseases are also different. Generally speaking, if the patient's mood is unstable, the patient's qi will be disordered, thus affecting the patient's rehabilitation effect. Especially some middle-aged and elderly women are more prone to pessimism. In the process of nursing, they often have clinical symptoms such as arrhythmia and unstable blood pressure, which will increase the complications of the disease. Therefore, in clinical nursing, nurses should make targeted nursing plans according to the different conditions of patients, and constantly improve the quality of nursing. 1.2.3 adhere to the people-oriented principle. The emotional changes of patients in obstetrics and gynecology are closely related to the recovery effect of their illness. Because patients' psychological endurance is different, their emotional changes in the face of surgery are also different. Therefore, nurses should adhere to the people-oriented nursing principle, fully communicate with patients at ordinary times, closely observe the emotional changes of patients, and constantly adjust the nursing plan according to the actual situation of patients. 1.2.4 preoperative, intraoperative and postoperative care During the whole treatment process, nurses should adjust patients' emotions through picture books, acupuncture, massage and other methods, telling patients that maintaining good emotions is helpful for the smooth implementation of the operation, so as to enhance patients' cooperation. In addition, nurses should also pay attention to full communication with patients' families, let them give patients physical and psychological support, and constantly improve patients' satisfaction with nursing [1].
1.3 standard
Self-rating anxiety scale and self-rating depression scale should be used to evaluate patients' bad emotions. The higher the score, the higher the anxiety and depression of patients. Nursing satisfaction mainly includes: satisfaction, basic satisfaction and dissatisfaction, which are evaluated by questionnaire.
Statistical analysis of 1.4
SPSS 18.0 statistical software was used to process and analyze the corresponding data. T test was used to compare the measurement data between groups, and mean standard deviation was used to express the counting data between groups. Using c2 test, P
Two results
2. 1 Compare the scores of self-rating anxiety scale and self-rating depression scale between the two groups before and after nursing.
There was no significant difference in anxiety score and depression score between the two groups before emotional nursing * * * P & gt0.05***. After the implementation of nursing, the anxiety score and depression score of patients in the observation group were significantly better than those in the control group, and the difference was statistically significant * * * P < 0.05***.
2.2 Compare the nursing satisfaction between the two groups.
In the observation group, 45 patients were satisfied with nursing work, 3 were basically satisfied and 2 were dissatisfied, with a total satisfaction rate of 96.00%. The control group was satisfied with 30 cases, basically satisfied with 10 cases, and dissatisfied with 10 cases, with a total satisfaction rate of 80.00%. Therefore, after the implementation of nursing, the nursing satisfaction of patients in the observation group was significantly higher than that of patients in the control group, and the difference was statistically significant * * * P < 0.05***.
3 discussion
Because gynecological diseases are characterized by rapid changes in the condition, patients are prone to various negative emotions. Therefore, nurses should make nursing plans according to patients' actual conditions, so as to alleviate patients' bad psychology and make patients actively cooperate with treatment and nursing. In practical nursing, nurses should communicate with patients more and establish a harmonious nurse-patient relationship. At the same time, we should strictly follow the specific workflow of the hospital and attach importance to emotional care in nursing, so as to effectively improve the quality of clinical nursing in obstetrics and gynecology wards [2]. References [1] Chen Minlian, Teng Meijun, Ma. Observation on the effect of emotional care in pregnant women's psychological care [J]. China Modern Doctor, 2014,52 * *1* *: 85-88. [
the second
Application of nursing risk management in cardiovascular internal medicine nursing
Objective To explore the role of nursing risk management in cardiovascular medicine. Methods 240 patients admitted to our hospital from June 38, 1965 to June 38, 1965 were randomly divided into observation group and control group. Patients in the control group were given routine care, while patients in the observation group were given risk care. Results The difference between the two groups was statistically significant * * * P
Nursing risk management; Cardiovascular medicine; affect
Nursing risk means that there are many uncertain factors in the nursing process, which will cause unexpected harm to patients and even lead to their death. There are high risks and various uncertain factors in nursing. Cardiovascular patients are seriously ill and their condition changes rapidly, which often leads to cardiac insufficiency, even myocardial infarction and heart failure, threatening their lives.
1 data and methods
1. 1 general information
240 patients admitted to our hospital from May 2065438 to June 2065438 were selected as research objects, and randomly divided into observation group and control group, each group 120 patients. There was no significant difference in clinical data between the two groups * * * P & gt0.05***.
1.2 Risk factors
1.2. 1 Unexpected factors During the treatment, patients may have organ failure, falls and other accidental injuries, and patients in cardiovascular medicine have poor blood circulation ability. They stay in bed for a long time and will have pressure ulcers.
1.2.2 drug factors Patients with cardiovascular diseases usually take different drugs, so there will be drug abuse or misuse in drug control.
1.2.3 management factors Many nurses lack relevant nursing experience and are not particularly skilled in various nursing skills, which will lead to various disputes.
1.2.4 human factors in the nursing process, some nurses did not establish a high sense of responsibility, and in the process of rescuing patients, they could not fully prepare medicines, resulting in patients missing the best time limit for rescue [1].
1.3 nursing management methods
Patients in the control group only used routine nursing methods, while patients in the observation group received nursing risk management on the basis of routine nursing.
1.3. 1 Perfect management system In the process of risk management, basic work should be done to prevent medical accidents in the nursing process. According to the characteristics of the ward, establish a rescue mechanism, standardize and guide the nursing work, and summarize all kinds of risk events. Evaluate the risk factors in the nursing process, carry out health education for patients, improve their self-care ability and help patients master some basic self-help measures. If adverse events occur in nursing work, a report form should be filled in to analyze the consequences to patients and put forward corresponding improvement measures [2].
1.3.2 to establish a cardiovascular department management team, we should establish and improve a nursing quality management team, which is fully responsible by the head nurse of the department, regularly evaluate the nursing quality of the department, find problems, give timely feedback, regularly synthesize the nursing situation of the department, and improve the nursing quality. Relevant nursing staff should learn the knowledge of risk management, understand the role and strengthen the awareness of risk prevention.
1.3.3 drug care in the use of drugs, nurses should clearly explain the mechanism of action of drugs to patients and their families, and inform patients of possible adverse reactions after taking drugs. For example, in intravenous injection, the dripping speed of * * * should be strictly controlled.
1.3.4 Improve safety management. Guardrails should be designed around the patient's sickbed to prevent the patient from falling, to ensure that the ground in the ward is clean and dry, and to prevent the patient from slipping. Nurses should always communicate with patients' families and accompany patients when they go to the toilet.
1.3.5 improving professional quality through the analysis of the actual ability of nursing staff, we should strengthen the training of nursing staff in departments, especially some young and inexperienced nursing staff, and strengthen relevant training so that nursing staff can master the use of drugs and medical devices skillfully. After an emergency, emergency measures can be taken in time, and the work of nursing staff can be assessed regularly to improve the standardized operation technology.
1.4 statistical method
SPSS 15.0 statistical software was used for data analysis, P
2 discussion
With the continuous improvement of China's medical system, people's living standards have been greatly improved, and people have put forward higher requirements for nursing. Risk management can play a very good role in preventing all kinds of risks, improve nurses' awareness of risk prevention and try to prevent all kinds of safety problems. In cardiovascular medicine, perfect nursing risk management can effectively intervene patients. Through this study, we can find that the scores of patients in the observation group are significantly higher than those in the control group. Therefore, after nursing risk management in the Department of Cardiology, nurses can master the risks existing in nursing and avoid the risks at work, which has a very good effect and prevents various accidents in the treatment of patients.
refer to
[1] Xu,,,, Jiang. Application and effect evaluation of nursing risk management in cardiovascular and respiratory medicine [J]. sichuan medical journal Journal, 2012,05: 906-908.
[2] Han ying Application value of nursing risk management in the care of critical patients in cardiovascular medicine [J]. Journal of Practical Cardiopulmonary Vascular Diseases, 20 15, 01:148-149.
[3] Guan Wei. Application analysis of nursing risk management in cardiovascular and respiratory medicine [J]. Electronic Journal of Clinical Medical Literature, 2016,04: 707-708.