1.Postpartum family visits to parturients in communities
Meiling HUANG ; Jingguo ZHAI ; Taizhen LUO ; Yun CHEN
Modern Clinical Nursing 2013;(8):19-21
Objective To investigate postpartum family visits to the parturients in communities.Method Eighty six post-natal parturient women took part in the investigation by using a self-designed questionnaire.Results 57.0%of them received one postpartum visit and the visit time ranged between 15~30 min.72.1%of visits were about check of the wounds and lochia;23.3%of visitors were from milk companies.74.4%of mothers thought that the visitors lacked of professional knowledge.47.7%of them thought the visits lacked of professional content.24.4%of them thought that the visits were not in time.Conclusion Enriching the knowledge of postpartum care,updating visitors' knowledge,enriching the contents of health care and standardizing visit management are of importance for the increase of visits.
2.A qualitative study on symptom experience of pregnant women with stress urinary incontinence
Jinguo ZHAI ; Jie WU ; Li ZHANG ; Xiaoqi HU ; Taizhen LUO
Chinese Journal of Modern Nursing 2021;27(8):1012-1017
Objective:To explore the symptom experience of stress urinary incontinence (SUI) in pregnant women, so as to provide a basis for strengthening the prevention and control of SUI and formulating standardized symptom management strategies.Methods:From July 2018 to November 2019, purpose sampling was used to select 11 pregnant women with SUI undergoing routine prenatal examination in the Obstetric Clinic of Nanfang Hospital, Southern Medical University as the research objects. The semi-structured interview was conducted with pregnant women, and the data were analyzed using grounded theory in qualitative research.Results:A total of four themes were extracted, namely, lack of cognition, different coping attitudes, poor symptom experience, and urgent need for symptom management knowledge.Conclusions:SUI pregnant women generally have insufficient knowledge of the disease, poor symptom experience, different response attitudes, and urgent need for symptom management knowledge. Therefore, for SUI pregnant women, all aspects of personal-family-society support should be provided, social publicity of SUI symptom management knowledge should be strengthened, positive guidance and encouragement should be given, family members should be encouraged to participate, and an internet digital information platform should be actively constructed to ultimately reduce the incidence of SUI in pregnant women.
3.Phenomenological study of the effects of traumatic birth events on compassion fatigue among midwives
Yao YANG ; Meiling HUANG ; Yun CHEN ; Jiamei LI ; Aobuli RUKIYAM ; Yulan REN ; Taizhen LUO ; Donglan LING ; Xi SU
Chinese Journal of Practical Nursing 2022;38(33):2587-2593
Objective:To provide theoretical reference for the construction of effective prevention and control strategies. The study deeply investigates the impact of traumatic birth events on compassion fatigue and inner feelings of midwives.Methods:Fifteen midwives from five tertiary hospitals in Guangzhou were interviewed in depth by semi-structured interview method from April to June 2021. Colaizzi analysis and Nvivo12 plus software were used to analyze and integrate the data and extract themes.Results:Three main themes were extracted, including the characteristics of traumatic birth events (high incidence, sudden and dangerous, preventable and controllable); exacerbating compassion fatigue (reducing compassion satisfaction levels; exacerbating burnout; and aggravating traumatic stress responses); and exploring effective coping strategies (time required for adjustment, seeking stress release).Conclusions:As a strong stressor, traumatic birth events aggravate the symptoms of compassion fatigue in midwives. Managers should pay attention to the occupational exposure of traumatic childbirth events, actively guide midwives to make psychological adjustments. In addition, managers can increase social support and strengthen the ideological and political education of midwives, so that they have good stress tolerance and excellent professional psychological quality.
4.Investigation on current situation of core competency of midwives in Guangzhou and its influencing factors
Meilian DENG ; Xin WANG ; Hua'an XIA ; Taizhen LUO ; Guiyou LI ; Anyun LIN ; Huixing DENG
Chinese Journal of Modern Nursing 2017;23(1):25-28
Objective To know the current situation of core competency of midwives in Guangzhou, and analyze the influencing factors.Methods A cross sectional survey was conducted among 256 midwives from 13 hospitals in Guangzhou to investigate their core competency.Results The total average score of core competency of midwives was (4.09±0.49). The scores of intrapartum care and antenatal care were higher,while the scores of progestational care and public health care were lower. Multivariate regression analysis showed that the core competency of midwives was influenced by several aspects,and they were work experience,work experience in midwifery,age,title,job and marital status (β′=0.771, 0.549,0.409,0.390,0.250,0.137;P<0.05).Conclusions The overall level of midwifery competency of midwives in Guangzhou is good,but their professional scope and role function need to be deepen and expanded,so as to satisfy the growing health care demand from pregnant women and their families. Managers should develop individualized and specific training and management strategies to improve midwives′ competency based on the condition of hospitals.
5.Development and application of a turntable for quick estimation in obstetric hemorrhage and volume resuscitation
Yun CHEN ; Ya HE ; Dunjin CHEN ; Yingtao LI ; Taizhen LUO
Chinese Journal of Modern Nursing 2017;23(16):2138-2140
To ensure that medical staff can accurately estimate the blood loss and its severity in limited time, quickly implement reasonable fluid treatment plan and provide dynamic assessment for corresponding monitoring indexes, the department which the author was in developed a turntable for quick estimation in hemorrhage and volume resuscitation by itself. And then, it was used to quickly estimate the amount of bleeding in an acute stage of obstetric hemorrhage and used in volume resuscitation. It effectively improved the accuracy rate of assessment and the qualified rate of fluid resuscitation in medical staff.