Obstetrics and gynecology nursing is a highly practical and professional science, so obstetrics and gynecology nursing has received great attention from everyone. Below is the obstetrics and gynecology graduation thesis that I compiled for your reference. Obstetrics and Gynecology Graduation Thesis Example 1: Prevention and Treatment of Obstetrics and Gynecology Nursing Risks
〔Abstract〕Purpose: To explore the factors of common nursing disputes in obstetrics and gynecology, and improve corresponding nursing preventive measures. Methods: 100 cases of postpartum women from January 2014 to June 2014 were selected as the research subjects. On the basis of routine care, risk prevention measures were adopted for care. Results: No medical accidents occurred during the hospitalization of 100 pregnant women, and all were discharged successfully after delivery. Conclusion: Improve the technical level of nursing staff, improve service attitude, improve management methods, and reduce nursing disputes in obstetrics and gynecology.
〔Keywords〕Obstetrics and gynecology nursing; risk factors; preventive measures
Nursing disputes are a type of doctor-patient disputes. With the gradual deepening of the reform of the medical system, in recent years, medical disputes have The incidence of disputes is increasing year by year, and the doctor-patient relationship is becoming increasingly tense [1]. Obstetrics and gynecology work has high risks, high intensity, high accident rate, and high incidence of nursing disputes. The causes of nursing disputes in the obstetrics and gynecology department of our hospital and their preventive measures are now discussed.
1 Clinical data and methods
1.1 General information
100 cases admitted to the Department of Obstetrics and Gynecology in our hospital from January 2014 to June 2014 Pregnant women served as research subjects. The age of the patients ranged from 22 to 38 years old, with an average age of 28.5 years.
1.2 Methods
Extract 100 maternal cases, review relevant records, and combine the clinical nursing experience of obstetrics and gynecology to conduct various nursing risks and treatment methods among the 100 maternal cases. Research to explore ways to prevent risks and provide effective care.
2 Analysis of the causes of common risks
2.1 Nursing staff factors
2.1.1 Medical staff have weak legal concepts and poor self-protection awareness. With the popularization of public education on legal knowledge about doctor-patient disputes, patients' awareness of rights protection has been improved. The legal awareness of some nursing staff cannot keep up with the needs of the development of the times, their legal knowledge is weak, and their awareness of self-protection is not strong. When encountering disputes between nurses and patients, they do not know how to use laws and regulations to protect their professional behavior. Nursing staff do not pay attention to the accuracy of their words when communicating with patients. Mainly, the handwriting is unclear, the content of nursing records is arbitrarily altered, and the content of the nursing records is inconsistent with the doctor's condition records. Some nursing staff talk about problems or mistakes in nursing work in public, making them a source of patient complaints and disputes.
2.1.2 The service attitude of nursing staff is poor. Obstetrics and gynecology is a department with high requirements for nursing technology and high risks. The work pressure of nursing staff is high, and the number of nursing staff is obviously insufficient. As a result, nursing staff are in a state of high tension for a long time, severely exhausted, and exhausted physically and mentally. Many caregivers are prone to emotions such as impatience, impatience, and excitement. Some nursing staff have a stiff service attitude, giving patients a feeling of indifference and unfamiliarity. In addition, pregnant women and their families have higher expectations of medical staff and are more sensitive to the attitude of nursing staff. If they use inappropriate words, they will inevitably feel dissatisfied. There will be nurse-patient disputes.
2.1.3 Nursing staff are not skilled in professional skills. Nursing technical errors are mainly manifested in lack of technical proficiency, failure to strictly follow rules and regulations, weak sense of work responsibility, and lack of detailed observation of the labor process. Some new nurses lack emergency experience and are at a loss when facing special situations such as postpartum hemorrhage, shock, and coma. Some nursing staff are not proficient in operating newly purchased instruments and equipment, which makes the patient's family members doubt the nursing staff's working ability and skills, laying the foundation for nurse-patient disputes.
2.2 Hospital management factors
The lax implementation of the obstetrics and gynecology management system will lead to a decrease in the work responsibility of nursing staff. There are many reports in the literature that patients' dissatisfaction with medical expenses is also an important reason for nurse-patient disputes.
2.3 Patient Factors
The competition for survival is intensifying, people are under increasing psychological pressure, and the medical risks of patients are also rising. Pregnancy-induced hypertension, premature birth, and massive pregnancy are very easy to occur. Children or combined with other diseases [2].
In addition, due to the one-child policy, some patients are overly nervous and prone to emotional upset and various accidents. Some family members of patients have misunderstandings about childbirth, know little about childbirth and maternal care, are not fully psychologically prepared, and are frightened by any abnormality.
3 Prepayment and processing strategies
To improve the comprehensive quality of nursing staff and enhance legal awareness, nursing staff should use legal means to protect the legitimate rights and interests of both nurses and patients in nursing work as soon as possible, relying on The law protects legitimate rights. To enhance service awareness, nursing staff should change their service concepts, improve their service attitudes, and establish a "patient-centered" service concept. Be caring, sincere and patient towards patients, understand them from their perspective, and care about patients and mothers. Strengthen professional knowledge training and improve the overall quality and skills of nursing staff. Enhance the communication skills between nursing staff and patients and eliminate communication hazards. In nursing work, every nurse should be proficient in communication skills, give more care to patients through effective communication, and understand their psychological activities, so that they can take effective treatment and nursing measures in a timely manner, so that patients can feel comfortable and actively cooperate with treatment. and care.
[References]
[1] He Lizhen, Kong Bihua, Liang Huantang, et al. Analysis and prevention of nursing safety hazards in obstetrics and gynecology outpatient operating rooms [J]. Modern Hospital, 2011, 11(7): 117-118.
[2] Ju Jinmei, Liu Huali, Tang Huimei, et al. Discussing the risks in obstetrics and gynecology nursing and the practical value of humanized management [J]. Medical Information (First issue), 2011, 24(1): 409-410. Obstetrics and Gynecology Graduation Thesis Example 2: Observation of the Effect of Health Education in Obstetrics and Gynecology Nursing Work
Abstract: Purpose: To explore the effect of health education on obstetrics and gynecology nursing work Impact of obstetric and gynecological nursing work. Methods: 160 cases of parturient women admitted to our hospital from February to October 2014 were selected and randomly divided into the research group (n=80) and the control group (n=80). The control group adopted routine nursing methods, while the research group adopted the control group. Health education measures were added to compare and analyze the nursing effects of the two groups of patients. Results The hospitalization time and hospitalization expenses of pregnant women in the study group were significantly lower than those in the control group (P<0.05), and the nursing satisfaction of the study group was significantly higher than that of the control group (P<0.05). The nursing standards, communication skills, and service standard scores of the research group were significantly better than those of the control group (P<0.05). Conclusion The application of health education in obstetrics and gynecology nursing can shorten hospitalization time, reduce hospitalization costs and improve nursing satisfaction, and is worthy of further promotion and application.
Keywords: health education; obstetrics and gynecology; efficacy research
In recent years, with the continuous improvement of people’s living standards and the emergence of new nursing models, people have paid more attention to obstetrics and gynecology. More attention has been paid to obstetrics and gynecology care services, and higher requirements and expectations have been put forward for the quality of obstetrics and gynecology care [1]. Health education is a major unit for implementing humane, high-quality, efficient, and holistic care [2]. Carrying out health education in obstetrics and gynecology can protect the health of mothers and infants, promote better delivery and faster recovery of mothers, and improve the overall quality of obstetrics and gynecology care. From February to October 2014, we carried out health education for 80 pregnant women admitted to our hospital and achieved good results. The summary report is as follows.
1 Materials and Methods
1.1 General Information
Select 160 maternal cases admitted to our hospital from February to October 2014, aged 22 to 36 years old , the average age was (28.4-2.5) years; there were 108 primiparous women and 52 multiparous women; the gestational age was 29 to 42 weeks, with an average gestational age of (38.4-2.5) weeks; 86 cases were vaginal delivery and 74 cases were cesarean section. The selected research subjects were randomly divided into the research group and the control group, with 80 cases in each group. There was no statistically significant difference in general information such as maternal age and gestational age between the two groups (P>0.05), and they were comparable.
1.2 Methods
The control group used routine nursing measures, while the research group implemented health education based on the routine nursing of the control group.
1.2.1 Pregnancy health education: Carefully develop pregnancy classes for pregnant women, use illustrated lectures and individual interviews, distribute health education materials, telephone guidance, etc. to teach pregnant women knowledge about health care during pregnancy, and pay attention to The physiological and psychological changes of pregnant women during pregnancy should be carefully guided to carry out nutrition and health education, and they should be informed of the precautions for normal delivery and cesarean section, as well as various complications that may occur after surgery, and then guide them to learn to make scientific choices. The right way to give birth. Introduce the value of prenatal education to pregnant women and inform them of indirect and direct prenatal education methods, so that pregnant women can carry out prenatal education in a planned, step-by-step and purposeful manner, thereby promoting better fetal growth and development. Introduce pregnant women to the meaning of moderate exercise during pregnancy, methods of exercise, and other precautions, so that they can master the correct exercise methods to promote the health of mothers and babies [3]. Inform pregnant women of the clinical significance, examination time, examination content, examination frequency, etc. of prenatal examination. Guide pregnant women to learn how to count fetal movements, so that they can pay close attention to the growth of the fetus, and guide them to go to the hospital regularly to receive placental function and maturity checks.
1.2.2 Health education during childbirth. Nursing staff should carefully introduce the physiological process of childbirth to pregnant women, the uncomfortable symptoms that may occur during childbirth, and teach corresponding skills and methods. When necessary, we can guide expectant mothers to communicate with those who have given birth to help expectant mothers increase their confidence and sense of control during childbirth. Let the mother become familiar with the environment, rules and regulations as soon as possible. Strengthen prenatal health education and carefully guide pregnant women to learn how to self-monitor their mothers and fetuses [4]; strengthen prenatal psychological care for mothers to provide psychological comfort and eliminate fear. After the mother enters the delivery room, a responsible nurse can be arranged to accompany her and provide one-on-one intrapartum health guidance and education to guide them on how to reduce the pain caused by uterine contractions. While providing daily care, nursing staff should communicate with the mother in a timely manner about the progress of labor to help enhance her confidence in childbirth and promote smooth delivery.
1.2.3 Health education in the puerperium After the mother gives birth, the nurse should scientifically assess the physical and psychological conditions of the mother after delivery, and formulate a personalized health education plan. When the mother is in good physical and mental condition and within 24 hours after delivery, we provide guidance on a scientific and reasonable diet to promote the mother's physical strength to recover as soon as possible, help the mother to promote milk secretion, and ensure that breastfeeding can proceed smoothly. Strengthen the education of breastfeeding knowledge: introduce the meaning and function of breastfeeding to mothers, and guide mothers to accurately master breastfeeding postures to achieve "early sucking, early contact, and early breastfeeding" [5], and guide mothers to master the characteristics of effective sucking and meaning, thereby improving the success rate of breastfeeding [6]. Strengthen the health care of newborns: Nursing staff should carefully guide mothers and their families to learn to pay close attention to and observe the crying and defecation of newborns, and enable mothers to learn how to care for the newborn's umbilicus, and explain the importance and precautions of newborn vaccinations. matter. You can also introduce scientific and beneficial parenting methods such as baby touching and baby swimming to mothers. Provide necessary guidance on sexual life and family planning, and inform mothers to choose the appropriate time to insert the IUD.
1.3 Observation indicators
Comparatively analyze the hospitalization time, hospitalization expenses, and obstetrics and gynecology nursing quality of the two groups of pregnant women; use the nursing work satisfaction questionnaire developed by our hospital to evaluate Conduct a patient satisfaction survey; rate the nursing standards, communication skills and service standards of the two groups of nursing staff.
1.4 Statistical processing
Data were statistically analyzed using SPSS18.0, using t test or ?2 test. P<0.05 was considered a statistically significant difference.
2 Results
2.1 Comparison of hospitalization time, hospitalization expenses and nursing satisfaction between the two groups
The hospitalization time and hospitalization expenses of pregnant women in the study group were significantly lower Compared with the control group (P<0.05), the nursing satisfaction of the research group was significantly higher than that of the control group (P<0.05).
2.2 Comparison of nursing index scores between the two groups
The nursing standards, communication skills, and service standard scores of the research group were significantly better than those of the control group (P<0.05).
3 Discussion
Obstetrics and gynecology nursing work is to promote the physical and mental health of pregnant women through a series of nursing measures, so that pregnant women can gain more physical, psychological and social adaptation. support, thereby allowing pregnant women to give birth smoothly in optimal conditions [7-9]. To this end, nursing staff must continuously improve their nursing literacy and health education capabilities, and try to master more nursing professional knowledge and skills. On the one hand, health education can improve the level of obstetrics and gynecology diagnosis and treatment, and on the other hand, it can enable pregnant women to face the entire process of pregnancy and childbirth in the best physical and mental state. Health education can not only effectively improve the health status of mothers and infants, reduce the incidence of complications, but also improve maternal self-protection awareness. This study shows that the implementation of health education can improve the cognitive level of pregnant women, improve the quality of perinatal health care, promote the mental health of pregnant women, reduce the length of stay and hospitalization costs, standardize clinical nursing operations, and improve the communication skills of nurses and patients, etc.[ 10-12]. In summary, health education should be implemented to pregnant women, introduce the value of health education, make pregnant women aware of the importance of health education, and allow pregnant women to receive better health guidance and correct dietary guidance during pregnancy, delivery and puerperium. , psychological support intervention can ensure the health of mothers and infants and promote the steady improvement of obstetrics and gynecology nursing work.
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