[여성,모성간호학실습] 제왕절개, c-sec 케이스 스터디, 간호진단 5개, 간호과정 2개

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목차

Ⅰ 서론····························································································································1

Ⅱ 본론····························································································································1
1. 문헌고찰·······································································································································1
1) 여성의 생식기관의 구조와 기능···························································································1
2) C/sec의 정의······················································································································2
3) C/sec의 병태생리················································································································2
4) C/sec의 수술방법················································································································3
5) C/sec의 간호······················································································································3
2. 간호사정·······································································································································6
1) 신체검진·····························································································································7
2) 치료과정·····························································································································7
3) 수술 후 경과·······················································································································10
3. 간호진단, 계획, 수행, 평가··········································································································13

Ⅲ. 참고문헌··················································································································24

 

본문내용일부

Ⅰ 서론
산모나 태아가 위험하여 자연분만이 곤란한 경우 실시하게 되는 제왕절개분만이 점점 증가하고 있다<그림 1>. 가장 큰 증가 원인은 2016년 기준 초혼 평균 연령 30세를 넘어가면서 초산부와 산부 평균 연령 증가라고 생각한다. 2017년 기준 연령별 제왕절개 분만율은 45세 이상이 가장 높고, 19세 이하가 가장 낮았다.
본원의 제왕절개분만 총 분만건수는 2012년 기준 776건이었다. 상당히 많은 산모들이 제왕절개를 통해 분만을 하고 있었다. 실습을 하면서 본원의 제왕절개분만을 하는 산모들을 조사하였을 때 연령은 대부분 35세 이상이었고, 제왕절개분만이 처음이라고 응답하는 산모들이 많았고 그래서 걱정된다고 말하는 산모들이 많았다. 또한 수술 후 회복과정에 대해 정확히 아는 산모들이 없었다.
따라서 제왕절개분만 건수는 늘지만 산모들의 대부분은 처음 경험하는 것이기 때문에 수술에 대한 지식이 부족하여 불안이 발생할 수 있다고 생각하므로 수술 전에 수술 후 회복과정에 대한 정보를 제공하여 산모들의 불안감을 줄이고, 산모가 수술 후 회복과정을 인식하고, 수행하여 빠르게 회복 할 수 있도록 하고자 이 연구를 시작하게 되었다.
(건강보험심사평가원)
그림 1. 총 제왕절개 분만율

Ⅱ 본론

1. 문헌고찰

1) 여성의 생식기관의 구조와 기능 : 여성의 생식기는 골반강에 위치한 내생식기와 치골에서 회음까지의 외생식기, 유방, 그리고 골반과 골반에 관련된 구조들로 구성된다. 여성생식기관의 3가지 주요 기능은 첫째, 임신과 출산이며, 둘째, 생식기능 및 여성의 특성을 나타내는 호르몬 생산이며, 셋째, 여성의 성적 만족감을 주는 기능이다.
(1) 외생식기 : 치구에서 회음까지의 외부에서 볼 수 있는 모든 구조를 말한다.
그림 2. 여성의 외부 생식기
(2) 내생식기 : 처녀막을 기준으로 외생식기가 구분되며, 골반 내에 위치한다.

 

참고문헌

김명숙 & 박광희. (2012). 교육 요구에 근거한 수술 전 간호정보제공의 효과–전신마취를 중심으로. Journal of the Korean Data Analysis Society, 14(4), 1975-1986.
서울대학교간호본부(2017). 간호과정 실무지침. 서울대학교출판문화원 : 서울
여겅건강간호교과연구회(2016). 여성건강간호학Ⅰ,Ⅱ. 수문사 : 경기도 파주
하영수 외(2016). 여성모성간호학Ⅰ,Ⅱ. 신광출판사 : 서울
www.hira.or.kr 건강보험심사평가원
http://health.mw.go.kr/Main.do 질병관리본부 국가정보포털

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