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婦科綜合型整體護理與健康教育

熱度0票  瀏覽18次 時間:2019年3月26日 15:50
  摘要: 隨著醫學模式的轉變,護理的功能從單純的護理轉向護理、預防、康復和保健等一體的綜合型整體護理。護理的內涵在豐富,護士的職能在擴大,向住院患者進行健康教育,已成為整體護理的重要內容。
  關鍵詞: 婦科;綜合型整體護理;健康教育
  1 婦科綜合護理與健康教育的實施方式
  應具體化健康教育是一門研究傳播保健知識和技術,影響個體和群體的行為,消除危險因素,預防疾病,促進健康的科學,必須依托具體的實施方式才能發揮作用。本次調查顯示,患者不僅能認識到健康教育對自身疾病的康復有幫助,而且還希望陪護家屬也掌握這些衛生知識,既有利于護理患者,也能促進自身健康,這說明健康教育有良好的需求環境。
  為了使健康教育真正發揮在疾病控制及治療中的作用,筆者認為院內健康教育應形成制度化,教育時間上有安排,內容上有要求,宣傳教育后有登記,并有反饋及檢查控制措施,使健康教育收到實效。調查顯示,患者對健康教育的需求是多方面的。 Orem 自理理論認為,健康不佳時的自理需要包括尋求適當的健康服務,了解自己病情變化和預后,合理配合診療及護理方案,學習相應的技能及接受自己傷殘的事實,重新樹立自我形象及自我概念等需要。因此,護士對患者進行健康教育不僅僅限于疾病的防治,而應從病因、治療方法、識別疾病的危險信號、護理、飲食、并發癥的預防、合理用藥等方面進行系統的教育,提高患者自我監護、自我護理、自我控制疾病及并發癥的能力,使患者長期受益。
  2 婦科綜合護理與健康教育的形式應多樣化
  健康教育的形式應多樣化,這樣患者可以通過多種途徑接受健康教育,也有利于患者根據自身的病情和接受能力選擇健康教育的方式。本次調查也顯示患者對接受健康教育的方式具有多樣性的要求。大多數的患者認為在入院初期就開始進行健康教育,可以有效地配合醫生治療,以便她們全面地了解病情和可能出現的并發癥,幫助患者調節情緒,正確對待并發癥,提高患者接受治療的依從性和護理的順應性,使疾病的治療達到最好的效果。由于婦科腫瘤疾病如子宮肌瘤、卵巢腫瘤、子宮頸癌一般以手術為主,大多數患者對此產生緊張、恐懼、焦慮等情緒。因此,準確了解患者的心理狀態,有效運用心理護理的手段與患者交流,使患者自愿接受所患疾病的健康教育。通過健康教育工作,提高患者自身對疾病的認識程度,促使其按時隨訪,提高生活質量。
  3 婦科綜合護理與健康教育婦產科護理領域應用的重要性
  健康教育是整體護理中重要組成部分,通過健康教育可提高患者對疾病的認識,了解診療的目的,掌握有關藥物知識和必要的保健技能,發現及改變不良的生活方式,從而達到促進疾病康復,預防疾病復發,提高患者自身保健能力的目的。子宮頸癌是婦科常見的惡性腫瘤。據統計,世界范圍內每年大約有 50 萬左右的新發病例,嚴重威脅婦女健康。子宮頸癌的發生,發展有一個由量變到質變,漸變到突變的過程,這個過程可存在 3 到 10 年,這是早期發現子宮頸癌及前驅病變的絕好時機。如能在前驅病變階段被重視,及時確診并進行早期治療或鑒別,可降低子宮浸潤癌的發生率和死亡率。病毒感染是導致宮頸癌的另一原因,宮頸糜爛,宮頸炎癥,機體抵抗力低下都易導致病毒的感染,不潔的性生活史,多個性伴侶或性伴侶有多個性伴侶是導致宮頸癌的另一原因,而多數婦女缺乏自我保健意識,對此種感染途徑一無所知,甚至病情較重時才來就醫,因此,健康宣教工作顯得格外重要。對婦科門診就診患者采取發放宣傳資料,通過布置健康教育板報,開診講座向女性朋友進行婦科相關疾病的講解,介紹目前前沿的婦科疾病治療手段,倡導健康的生活方式,抑制不良社會風俗。對門診婦科手術患者在術中實施健康宣教,在提供護理同時對患者進行相關疾病的講解,讓患者了解發病原因,治療目的,預后情況,減少術中出血,減輕患者壓力,增進患者信心,促進傷口愈合。對門診術后患者講解術后注意事項,及營養知識,合理飲食,適當運動健身,樹立健康生活理念。
  由實施健康教育護士通過詢問、觀察、及教育后提問,術后回訪等形式,將實施健康教育患者與以往患者相比教,患者在配合治療,術中出血,術后愈合等方面都有很大優勢,健康教育是指導患者學習和掌握有關知識及技能,提高自我保健能力的有效易行的非藥物治療手段之一,下表為我院2009 年 500 例成功實施健康宣教患者與 2008 年 500 例患者術后比較。健康教育就是教育患者具有一定的知識,樹立健康的生活理念,從而改變以往不健康的生活方式,通過知識,態度和行為的改變提高對疾病預防,及積極配合治療的目的。知:讓患者知道所患疾病的知識,檢查治療目的及護理要點及疾病傳播途徑。信:以豐富的知識取得患者的信任,樹立治愈疾病的信心。行:利用護士的影響力指導患者,幫助患者樹立健康的生活理念,如對患有宮頸上皮輕中度病變的患者或性病患者,護士應向患者宣傳不良個體行為如工作過累,過度焦慮,不注意性生活衛生,性伴侶過多等與疾病的關系,通過健康教育,使患者自覺改變不利健康的行為,指導患者合理的工作和休息,參加體育運動,增強機體抵抗力,增進疾病康復,避免由不良習慣進一步加重病情。建立良好的護患關系是健康教育實施的基礎,護士對就診患者提供主動熱情的接待,妥善安置,耐心介紹有關疾病知識,使患者很快熟悉環境,消除緊張情緒,在手術過程中以談天的形式與患者交流,向患者講解疾病病因及治療經過,預后知識,增強戰勝疾病的信心。樹立積極向上的人生觀,合理飲食,全面營養,適當運動,注重提升內外修養自身素質的提高,都會讓女性朋友充滿自信,充滿活力,遠離疾病。
  4 結論
  健康教育不僅推進了日常診療工作,使患者良好的心態正確面對疾病,從而更好的配合治療,減少手術治療的并發癥,縮短治療時間,減少患者治療費用,提高治愈率,避免疾病復發,對未患病的女性朋友實行健康教育,建立健康生活理念,以更積極的方式和態度避免疾病發生,遠離疾病的困擾,提高健康水平,健康教育是十分有效的護理職能,值得推廣。
  參考文獻
  [1]曹偉新主編.外科護理學[M].北京:人民衛生出版社,2005: 41-42.
  [2]蔣玉瓊,王紅紅.氣管切開護理的新進展[J].護理研究,2006: 20.



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