Orem自理理论应用于产后护理中的效果分析

目的观察Orem自理理论应用于产后护理中对产妇产后泌乳、伤口疼痛、伤口愈合情况的改善程度。方法选择400例正常经阴分娩的产妇,随机分为应用Orem自理理论指导的观察组和常规产科产后护理的对照组,每组各200例。观察两组产妇产后泌乳、伤口疼痛、愈合情况。结果产后泌乳率:观察组24h泌乳率52%(104例),产后48h为69%(138例),产后72h为97%(194例);对照组产后24h为35%(70例),产后48h为41%(82例),产后72h为68%1(36例);观察组泌乳率较对照组高(P<0.05)。产后伤口疼痛程度:观察组无痛-轻度疼痛184例(92%),中度-重度疼痛16例(8.0%);对照组无痛-轻度疼痛156例(73%),中度-重度疼痛54例(27%),观察组伤口疼痛程度较对照组轻(P<0.05);伤口愈合情况:观察组Ⅰ-Ⅱ期愈合196例(98%),感染切口4例(2%);对照组Ⅰ～Ⅱ期愈合182例(91%),感染切口18例(9%),(P<0.05)。结论产后指导产妇应用Orem自理理论进行自我护理,能加快产后乳汁分泌,提高纯母乳喂养率,减轻产后会阴伤口疼痛,提高会阴伤口愈合率。

Effect Analysis on Orem Self-care Theory for the Postnatal Care

Objective To observe the improvement degree of the postpartum lactating,wound pain and wound healing of parturient with postpartum nursing applying Orem self-care theory.Methods 400 cases of natural delivery women were randomly divided into two groups： 200 cases as the observation group apllying Orem self-care theory and the other cases as the control group with conventional postpartum nursing,to compare them in the postpartum lactation,wound pain and wound healing.Results Different groups had different situation of the postpartum lactation,wound healing,and pain.Results The rate of laclating within 24 hours after delivery was 52%（104 cases）in the the observation group,and 35%（70 cases） in the control group;those within 48 hours after delivery was 69%（138 cases） in the the observation group and 41%（82 cases） in the control group,those within 72 hours after delivery was 97%（194cases）today,and and 48%（136 cases）.The lactation rate in the observation group were significantly higher than those in the control group（P〈0.05）.In the the observation group,184 cases（92%） were no pain mild pain,16cases（8%） were moderate pain severe pain;in the the control group,156（73%） cases were no pain mild pain,54 cases（27%） were moderate pain severe pain.the pain degree of wound was milder in the observation group than that in the control group（P〈0.05）.In the observation group,Primary wound healing rate was 98%（196cases）,wound infection rate was 2%（4 cases）;that was 91%（182cases）and 9%（18 cases） in the control group.The wound healing rate was higher in the observation group than that of control group（P〈0.05）.Conclusion Orem self-care theory can accelerate the postpartum lactation,improve the breastfeeding rate,reduce postpartum perineal wound pain,improve the perineal wound healing rate.