Obstetrics and gynecology nursing is a practical and professional subject. With the deepening of the concept of prenatal and postnatal care in obstetrics and gynecology, patients' requirements for the quality of nursing service are gradually improving. The following is my graduation thesis on obstetrics and gynecology nursing for your reference.

Model essay 1: Nursing care of patients with hemorrhagic shock in obstetrics and gynecology Objective To analyze various emergency nursing measures for patients with hemorrhagic shock in obstetrics and gynecology. Methods 30 cases of hemorrhagic shock in our hospital from 2065438 to 2004 were analyzed and summarized. Results All the 30 patients with hemorrhagic shock actively took emergency nursing measures, and all of them recovered and were discharged. Conclusion Emergency nursing measures for patients with hemorrhagic shock can improve patients' satisfaction with nursing and treatment, which is worthy of clinical promotion.

Obstetrics and gynecology; Hemorrhagic shock; First aid; nurse

With the progress of the times, the level of medical technology in China is constantly improving. Obstetrics and gynecology, in particular, have brought good news to women. There are also many problems. For example, postpartum hemorrhagic shock in obstetrics and gynecology, if not handled properly and measures are not taken in time for first aid, will bring life threats to patients. At present, in clinical medicine, patients with hemorrhagic shock in obstetrics and gynecology are treated with routine nursing emergency measures, and the effect is remarkable. The details are as follows.

1 data and methods

1. 1 General information:

30 cases of hemorrhagic shock in our hospital from 2065438 to 2004 were analyzed and summarized, including cesarean section 10 and natural vaginal delivery in 20 cases. The age is 20~35 years old. There were 5 cases of uterine inertia 10 in vaginal delivery, 5 cases of vaginal dehiscence and 0 cases of placental adhesion10. There were 65438 03 cases of uterine inertia in cesarean section and 6 cases of placenta implantation.

1.2 nursing emergency measures

1.2. 1 When the patient is admitted to the hospital, the medical staff must be calm and don't panic during the reception. We need to know the characteristics of the patient's condition from the emergency personnel who sent the patient in time. You must have a general understanding in your heart. Then make a clear treatment plan [1]. First aid measures should be taken immediately to help patients measure blood pressure, breathing, body temperature, heart rate jump and other physical indicators. At the same time, we should inform the doctors in the inpatient department as soon as possible, communicate with them and help patients arrange emergency surgery as soon as possible. It should be noted that the patient should lie on his back and raise his head and lower limbs to 20? ~30? .

1.2.2 In the rescue process, medical staff should immediately help patients with hemorrhagic shock to establish two venous passages. The function of one vein is to help patients stop bleeding as soon as possible, and the function of the other vein is to help patients expand their blood volume through various measures [2]. Avoid excessive blood loss, inject antibiotics into patients at the same time, improve the acidosis in the body, and try to avoid various complications. At the same time, medical staff should pay attention to the patient's urine volume in time. Hemorrhagic shock will cause the patient's blood volume to decrease rapidly and the renal blood will be abnormal. When the situation of hemorrhagic shock improves, the urine volume in the patient will gradually return to normal. When the patient's urine volume is >: 30mL/h, it shows that the patient's urine condition tends to be good. If the patient's skin is wet and cold, his face is pale and his pulse pressure drops, he is likely to have serious shock problems. At this time, medical staff should diagnose the patient in time and consider whether the patient has serious complications. If severe shock is diagnosed, heparin, low molecular dextran and related first aid equipment should be used immediately to give first aid to the patient [3]. Finally, medical staff should observe and analyze the effect of patients' emergency treatment to see if there are any complications. First of all, we should help patients do a good job in oral care and cleaning to avoid infection caused by unclean mouth. The second is to help patients clean the superficial skin, turn over regularly and massage to avoid bedsores.

Two results

After taking emergency nursing measures in time for 30 patients, the satisfaction rate of treatment and nursing was 100%.

3 discussion

3. 1 When patients with hemorrhagic shock go into shock, the whole body blood volume will decrease rapidly. If emergency nursing measures are not taken in time, patients will lose too much blood, which will seriously threaten their lives. Therefore, in this case, medical staff must be calm, with years of treatment experience, help patients diagnose and take corresponding emergency care measures.

3.2 In the process of helping patients, medical staff must choose drugs very carefully, and they should prescribe the right medicine. The drugs used should be both effective and safe [4]. At the same time, it is necessary to establish a set of reasonable emergency nursing measures, so that such patients can be rescued at the first time whenever they are sent to the hospital, and the speed and quality of treatment can be improved.

3.3 In the course of treatment, it is necessary to observe the patient's signs, improve the electrolyte disorder of the patient, and help the patient balance the pH value in the body. Observe whether the patient's skin changes and so on. And make detailed records, in the process of rescue, medical staff must be very careful to avoid hurting other organs.

3.4 After the first aid is completed, medical staff should also observe and pay attention to the patient's physical indicators in time to see if there are any complications. Once the problem is found, it should be reported to the patient's attending physician and corresponding measures should be taken to solve it [5]. In the later nursing process, nurses should be patient with patients, leave an approachable impression on patients, communicate with patients, understand their inner needs, and give them correct guidance in the later nursing. We can know from the above. Hemorrhagic shock is one of the common phenomena in obstetrics and gynecology. This is also the main cause of maternal death. Therefore, medical staff in obstetrics and gynecology should pay full attention to it, and once this happens, they should immediately take nursing first aid measures to help patients with first aid. Practice has proved that this first-aid measure is effective and worthy of being widely used in clinic.

refer to

[1] Liang Ping. Nursing experience of postpartum hemorrhagic shock [J]. China Practical Medicine, 20 10, 5 (27): 2 16-2 17.

[2] Bian Chaohua, You Yan, Li. Experience in rescue of hemorrhagic shock in obstetrics and gynecology [J]. Guide to Traditional Chinese Medicine, 2009,5 (8):160.

[3] Gong Junfen. First aid and nursing experience of hemorrhagic shock [J]. Chinese medicine modern distance education of china, 2009, 7(5): 148- 149.

[4] Tang. Observation and nursing experience of 82 patients with hemorrhagic shock [J]. International Journal of Medicine and Health, 2006,12 (6):109-10.

Gao xiuzhen. Emergency treatment and nursing care of 40 cases of hemorrhagic shock [J]. Qilu Nursing Journal, 2006, 12(6):545-546.

Analysis of Psychological Nursing of Obstetrics and Gynecology Patients At present, more and more clinical medical researches have found that psychotherapy can not only reduce patients' psychological adverse reactions to a great extent, but also improve patients' immune function and produce direct therapeutic effects, thus enhancing the curative effect. Therefore, psychological nursing should be strengthened in obstetrics and gynecology, so as to promote the steady improvement of nursing quality.

1 analysis of psychological characteristics of gynecological patients

Fear and nervousness

Fear and nervousness are common psychological states of patients in obstetrics and gynecology. After patients enter the hospital, they will have serious anxiety because of excessive worry. Many patients will repeatedly ask about their illness. Because some patients in obstetrics and gynecology suffer from complications such as pregnancy-induced hypertension syndrome, they will inevitably be in a state of extreme fear if they are not actively and properly prepared psychologically.

1.2 Inferiority

Some patients in obstetrics and gynecology often feel inferior and timid. The main reason for the above problems is that patients lack a basic understanding of their own situation, which in turn leads to psychological states such as inferiority and self-blame. At the same time, it should be noted that many patients' sense of shyness and inferiority will be further aggravated when facing male doctors.

1.3 excessive mental disorder

Excessive mental disorder refers to the fact that there are no related problems in treatment and nursing, but patients have quite severe psychological reactions. The main manifestations are suspicious, withdrawn, irrelevant, excitable, irritable and disoriented.

2 Obstetrics and Gynecology Psychological Nursing Countermeasures

2. 1 Nursing measures for nervousness and fear

Nurses should be generous, neat and kind, take the initiative to introduce patients to the basic situation of hospitals and departments, to introduce patients to the disease situation, as well as the ability and methods of doctors in charge of surgery, to inform patients of the hidden dangers of not doing surgery and the necessity and importance of surgery, to eliminate patients' fears, to encourage patients to cooperate with medical treatment, and to enhance patients' confidence and courage in overcoming diseases. Patiently explain the problems raised by patients and try to let patients receive treatment in the best mental health.

2.2 Psychological nursing measures for inferiority and shyness

The psychological characteristics of these patients are negative, but they have a very high positive attitude, because their motivation for admission is to seek medical treatment actively. For this kind of patients, medical staff should change their roles and effectively reduce the psychological burden of patients by hinting, distracting and diverting attention. Nurses should learn to understand patients' difficulties and concerns, and be considerate, sympathetic and respectful to patients like their sisters of the same age. In the process of nursing, actively explain female physiological knowledge to patients. When dressing change, injection, vaginal irrigation and catheterization, the opposite sex should be avoided as much as possible. Be careful not to expose the patient too much, operate gently, and be accompanied by a male doctor during physical examination.

2.3 Psychological nursing measures for loss and paranoia

Nurses should actively and patiently communicate with patients and their families, understand their thoughts and get support as much as possible. Take good care of patients with a sense of responsibility and a positive attitude, reduce their mental burden, and eliminate their loneliness and sense of loss with love. In addition, nurses should guide patients to communicate with their families and let them think and solve problems in the same way. Finally, patients can also maintain the basic characteristics of women by taking estrogen orally.

3 Conclusion