Childbirth is a stressful event experienced by mothers. How to let mothers fully accept and adapt to this stress is of great significance to the healthy development of mothers and fetuses. Doing a good job of psychological care for pregnant women during pregnancy can promote pregnant women to form a correct cognition of pregnancy and childbirth events, which is conducive to building a good psychological state of pregnant women and avoiding the negative impact of bad states such as tension and anxiety during childbirth. This article summarizes the psychological nursing during pregnancy as follows, in order to arouse the awareness of the importance of psychological nursing during pregnancy, and then promote the use of clinical nursing work to improve the quality of obstetric nursing during pregnancy.
Pregnancy is an extremely complex and very coordinated physiological process, during which pregnant women experience physical, psychological and social roles and other aspects of change, while this process is the basis for a smooth delivery, so it is particularly important to do a good job of pregnancy care. In domestic literature, there are more reports on the nursing of pregnant women with bad mental state after delivery, but less attention is paid to the psychological nursing during relatively long pregnancy. According to our clinical observation, psychological intervention for pregnant women from the beginning of pregnancy will have sufficient time for pregnant women to gradually improve their awareness of childbirth and eliminate bad emotions, thus greatly improving the health level of pregnant women during childbirth and postpartum威而鋼邊度買.
1. Psychological characteristics of pregnant women
Pregnancy and childbirth are generally things that people are happy to look forward to, but if it is not a planned pregnancy, or even if it is a planned pregnancy but if the pregnant woman is pregnant for the first time, their psychological majority will soon turn from a brief surprise and happiness after pregnancy to a state of tension or even anxiety. This is mainly due to the lack of relevant medical knowledge of pregnant women, and even too worried about fetal abnormalities, fetal sex, the safety of the baby during delivery, labor pain and their own safety, doctors can not be around, postnatal posture changes and so on. For pregnant women with pregnancy complications and pregnancy complications威而鋼哪裡買, the anxiety level is higher due to worry about the impact of the disease on pregnancy, and even lead to nervous system dysfunction in severe cases. Studies have shown that appropriate anxiety can improve the ability of individuals to adapt to the environment, while excessive anxiety is not conducive to adapt to the environment, which can lead to a decrease in the secretion of norepinephrine, resulting in weak uterine contractions, resulting in dystocia.
Depression during pregnancy refers to a series of psychological disorders characterized by depression, timidity, emptiness, annoyance, anger, anxiety, inferiority, depression, sadness, despair and other symptoms during pregnancy. The correlation analysis found that there was a significant positive correlation between anxiety and depression, that is, the more serious anxiety, the more serious depression; Otherwise, it is lighter. And excessive anxiety or depression during pregnancy will lead to pregnant women do not accept the fact of pregnancy or prepare to take escape behavior, affect the development of the fetus, increase the degree of stress, prone to psychosomatic diseases. It can be seen that depression is a more serious psychological disorder developed from tension and anxiety, which can induce physical diseases.
Note more energy than usual, they no longer allow pregnant women to engage in things that can be normally completed, long-term development, pregnant women will form a strong sense of dependence on their families. Without family members to accompany them during childbirth, their nervousness is more obvious.
2. Effective psychological nursing countermeasures
To understand the factors of psychological disorders in pregnant women, to implement personalized health education in obstetric care, to do a good job in the education of pregnant women with psychological disorders. For example, to explain to pregnant women who are worried about the pain of childbirth is a normal physiological process, so that pregnant women understand this physiological phenomenon, so as to reduce or avoid the anxiety caused by the fear of labor pain; For pregnant women who are worried about the sex of the fetus, they should be educated to establish the correct idea of gender equality; For pregnant women who are worried about body shape changes, let them understand that pregnancy and childbirth are not the determining factors for changing body shape, and postpartum physical exercise can make them return to a good body shape. For pregnant women with pregnancy combined with other diseases or pregnancy complications, special attention should be paid to the full range of psychological care, that is, in addition to routine care, should also strengthen the education of related diseases. For example, for pregnant women with gestational diabetes, the implementation of special personnel tracking, giving active, continuous, integrated health education and psychological care in one of the health education model, during the patient's hospitalization can quickly establish a good nurse-patient relationship, eliminate the strangeness of patients. Nursing and patient communication, continuous and timely dietary control guidance, can also timely understand the psychological problems of patients, targeted psychological care, reduce the psychological pressure of patients.
2. Establish a harmonious and trusted nurse-patient relationship, strengthen communication with pregnant women, and communicate with pregnant women when they are admitted to hospital for examination or hospitalization, unfamiliar environmental factors will increase the instability of pregnant women. At this time, the nursing staff should actively introduce the department environment and medical skill level, care for their lives, eliminate strangeness, and let pregnant women express their psychological dynamics. Due to the enhancement of the sense of trust, patients are also easy to accept the psychological support and help given by nurses, so that psychological nursing can achieve the expected effect. At the same time, nurses should do a good job of basic nursing work, try to meet the physiological and psychological needs of patients, minimize the discomfort of pregnant women, and shorten the psychological distance between nurses and pregnant women.
2. Creating a good family and social support system After marriage pregnancy is the concrete embodiment of each couple's social responsibility. Special attention should be paid to pregnant women with poor health during pregnancy and pregnant women with high-risk pregnancies, and appropriate education should be given to the husband and other family members in view of their existing problems, so as to jointly help pregnant women remove their ideological concerns and establish self-confidence. Pregnant women can also be guided to attend pregnancy school training, arrange for pregnant women to talk with women who have given birth, exchange their feelings about childbirth, find confidence from their peers, and reduce anxiety by changing their cognition. According to the survey, social support is the main factor affecting the frequency of depression in pregnant women: the higher the social support score, the lower the frequency of depression. Most scholars believe that good social support is good for health, while the existence of poor social relationships is harmful to physical and mental health. Therefore, in the family and society should be as much as possible to create a warm, harmonious and comfortable environment威而鋼哪裡買.
3. The mother is the small environment for the growth of the fetus, and the physiological and psychological activities of the pregnant woman will affect the fetus. A large number of research data prove that pregnant women with emotional distress are prone to complications during pregnancy and childbirth. It can be seen that psychological factors are also the cause of disease. Therefore, in the care of pregnant women during pregnancy, psychological care should be put in the first place, and efforts should be made to do a good job of prenatal psychological care for pregnant women, so as to help the pregnant women successfully through the delivery period. Qiu Huilian and Bai Jingai et al have reported that through mental health care for pregnant women during pregnancy and childbirth, the confidence of pregnant women and their families in natural childbirth can be built up, so that women can maintain the best mental state and mental state during the whole childbirth process, which will minimize the impact of mental factors on the childbirth process, shorten the labor process and increase the natural childbirth rate. The quality of obstetric care was improved significantly by reducing the rate of birth section, neonatal asphyxia and postpartum hemorrhage.
Pregnancy is the initial stage experienced by pregnant women, and it is a longer process compared to childbirth and puerperal period. During this period, the nursing staff have sufficient time to implement psychological care for pregnant women, so that pregnant women gradually form a correct understanding and grasp of the pregnancy and childbirth process, so as to guide pregnant women to build a positive and healthy mental state, gradually improve the mental health level of pregnant women, so that pregnant women slowly accept and adapt to the stress of pregnancy, to avoid the negative impact of psychological disorders on pregnancy and childbirth威而鋼購買.
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