Orem自理模式对初产妇心理状态及分娩结局的影响

Effect of Orem Self-care Model on Psychological Status and Delivery Outcome of Primipara

目的探讨Orem自理模式对初产妇心理状态及分娩结局的影响。方法回顾分析我院产科2017年1月-2018年1月收治的初产妇200例资料,其中100例自愿接受常规护理模式干预(对照组);另100例初产妇自愿接受Orem自理模式干预(干预组)。比较两组自我护理能力、分娩结局及分娩方式、心理状态、护理感受。结果干预组会阴部护理正确、乳房护理正确、母乳喂养正确、饮食结构合理比高于对照组(P<0.05)。干预组新生儿窒息、产后出血量(>200 ml)、剖宫产比低于对照组(P<0.05),阴道分娩比高于对照组(P<0.05)。干预组初产妇HAMA、HAMD分低于对照组(P<0.05)。干预组初产妇被关爱、被尊重、被认可得分高于对照组(P<0.05)。结论 Orem自理模式可明显改善初产妇心理状态,提高分娩结局,促进阴道分娩普及,提高产妇自我护理能力,建议使用。

Objective To investigatethe effect of orem self-care model on psychological status and delivery outcome of primipara.Methods 200 primiparas in our hospital between January 2017 and January 2018 were selected,and divided into two groups for different intervention methods.Then various indexes were compared.Results The self-care ability of intervention group was higher than that of control group(P<0.05).The neonatal asphyxia,postpartum hemorrhage(>200 ml),cesarean section ratio in intervention group were lower than those in control group(P<0.05),and vaginal delivery ratio was higher than that in control group(P<0.05).The HAMA and HAMD scores in intervention group were significantly lower than those in control group(P<0.05).The score of nursing feeling in intervention group was significantly higher than that in control group(P<0.05).Conclusion Orem self-care model is recommended for primiparas.