标题：Orem自理模式对自然分娩产妇自我护理能力、心理状态及护理满意度的影响

      作者：李奕莲，杨烜    安康市妇幼保健院妇产科，陕西 安康 725000

      卷次： 2019年30卷2期

      【摘要】 目的 探究Orem自理模式对自然分娩产妇自我护理能力、心理状态及护理满意度的影响。方法 前瞻性选取2016年2月至2017年5月安康市妇幼保健院妇产科收治的自然分娩产妇405例作为研究对象，按随机数表法分成两组，对照组202例行常规护理模式，观察组203例行Orem自理模式。观察两组产妇产后24 h内床上活动、24~48 h床下活动及完全自理能力，于干预前和产后3 d行汉密顿焦虑量表(HAMA)和汉密顿抑郁量表(HAMD)评分，以比较其心理状态，并采用满意度调查表行满意度调查。结果 观察组产妇24 h内床上活动、24~48 h床下活动及完全自理的比例分别为87.68%、79.80%、100.00%，明显高于对照组的45.05%、41.09%、58.91%，差异均有统计学意义(P<0.05)；在抑郁和焦虑评分上，两组产妇干预后HAMA、HAMD均显著下降，差异均有统计学意义(P<0.05)；观察组产妇干预后的HAMA和HAMD评分分别为(5.31±4.00)分、(7.96±4.59)分，明显低于对照组的(10.26±3.28)分、(13.11±4.25)分，差异均有统计学意义(P<0.05)；观察组产妇的总满意度为 98.03%，明显高于对照组的82.18%，差异有统计学意义(P<0.05)。结论 Orem自理模式能够提高自然分娩产妇的自理能力，对于维护产妇良好心理具有一定的积极意义，且能够显著提高产妇满意度。
      【关键词】 Orem自理模式；产妇；自理；心理状态；满意度；干预
      【中图分类号】 R473.71 【文献标识码】 A 【文章编号】 1003—6350（2019）02—267—03E

ffect of Orem self-nursing theory on self-care ability, psychological state, and nursing satisfaction inparturients undergoing spontaneous delivery.
LI Yi-lian, YANG Xuan. Department of Obstetrics and Gynecology,Ankang Maternal and Child Health Hospital, Ankang 725000, Shaanxi, CHINA
【Abstract】 Objective To explore Orem self-nursing theory on self-care ability, psychological state, and nurs-ing satisfaction in the parturients having spontaneous delivery. Methods From February 2016 to May 2017, 405 partu-rients having spontaneous delivery in Department of Obstetrics and Gynecology of Ankang Maternal and Child HealthCare Hospital were prospectively selected as the research subjects. According to random number table, the patients wereassigned to receive routine nursing mode (202 cases, the control group) and Orem self-care mode (203 cases, the observa-tion group). The two groups of patients were observed on maternal bed activities within 24 h postpartum, ambulation in24 h to 48 h postpartum, and complete self-care ability. Before intervention and 3 d postpartum, Hamilton Anxiety Scale(HAMA) and Hamilton Depression Scale (HAMD) score were evaluated, and the psychological state and satisfaction ratewere compared. Results The proportion of active maternal bed activities within 24 h postpartum, ambulation in 24 h to48 h postpartum, and complete self-care ability were 87.68% , 79.80% , 100.00% , significantly higher than 45.05% ,41.09%, 58.91% in the control group (P<0.05). The HAMA and HAMD scores decreased significantly after intervention(P<0.05): HAMA (5.31±4.00) vs (10.26±3.28), HAMD (7.96±4.59) vs (13.11±4.25). The maternal satisfaction rate in theobservation group was 98.03% , significantly higher than 82.18% in the control group (P<0.05). Conclusion Oremself-nursing theory can improve the self-care ability of parturients with natural labor, which has certain positive signifi-cance for maintaining maternal good psychology and can significantly improve maternal satisfaction.
      【Key words】 Orem self-nursing theory; Parturients; Self-care; Mental state; Satisfaction; Intervention·护理·doi:10.3969/j.issn.1003-6350.2019.02.037基金项目：陕西省安康市科学技术局项目(编号：2016AK-03-09)