Orem自理模式在剖宫产术后产妇自控镇痛健康教育中的应用  

Application of Orem＇ s self-care theory in healthy education of patient-controlled analgesia for parturient undergoing cesarean delivery

作　　者：方渝[1] 沈润华[1] 冯智慧[1] 方芳[1] 黄小婷[1] 李霞[1] 

机构地区：[1]广州医学院附属深圳沙井医院产科,518104

出　　处：《中华现代护理杂志》2012年第13期1531-1534,共4页Chinese Journal of Modern Nursing

基　　金：广东省深圳市宝安区科技局科技计划项目（20110527）

摘　　要：目的探讨Orem自理模式在剖宫产术后产妇自控镇痛健康教育中的应用。方法根据随机数字表法将80例研究对象分为干预组和对照组各40例，对照组采用常规指导，干预组在常规指导基础上运用Orem自理模式的支持一教育系统理论实施健康教育。观察和记录两组患者术后疼痛强度、术后回叫次数、肛门排气时间和首次下床活动时间进行统计比较。结果干预组患者在术后6，12，24，36，48h的疼痛评分为（4．43±1．22），（3．26±1．06），（2．45±0．97），（1．74±0．78），（0．86±0．62）分，对照组分别为（5．26±1．31），（4．12±1．14），（3．42±1．09），（2．44±0．91），（1．09±0．74）分，两组比较干预组疼痛评分较对照组明显降低，差异均有统计学意义（t值分别为3．186，2．809，2．842，2．587；P〈0．05），而48h两组疼痛评分比较差异无统计学意义（P〉0．05）；干预组的术后回叫次数（1．25±0．78）次较对照组（2．45±1．65）次减少（t=2．748，P〈0．05）；干预组的术后首次下床活动时间较对照组提前（χ2=7．40，P〈0．05）；两组的肛门排气时间差异无统计学意义（χ2=2．05，P〉0．05）。结论将Orem自理模式应用在剖宫产术后产妇的自控镇痛健康教育中，可降低术后疼痛，促进产妇早期下床活动，有利于产后康复。Objective To explore the application of Orem＇ s sell-care theory in healthy education of patient-controlled analgesia for parturient undergoing cesarean delivery. Methods Totals of 80 cases randomly divided into control group and intervention group, with 40 cases in each group. Traditional guidance was adopted in control group, while Orem＇ s self-care support-education theory was adopted in intervention group. The postoperative pain intensity, postoperative callback frequency, anus exhausting time, first ambulation time were observed and compared. Results Six, twelve, twenty-four and thirty-six hours after the operation, the pain average score of the patients in intervention group was lower than those in the control group [ （4.43 ± 1.22 ） vs （5.26±1.31）,（3.26±1.06） vs （4. 12 ±1.14）, （2.45 ±0.97） vs （3.42 ± 1.09）,（1.74 ±0.78） vs （ 2.44 ± 0.91 ）, respectively ], and the difference was statistically significant （ t = 3.186,2. 809,2. 842,2. 587, respectively ;P 〈 0.05 ） , but there was no difference in the pain score of 48 h （ P 〉 0.05 ）. The average postoperative callback of intervention group was significantly lower than that of control group ± （ 1.25 ± 0.78 ） vs （ 2.45 ± 1.65 ） ,t = 2. 748, P 〈 0.05 ]. The first ambulation time of intervention group was significantly earlier than that of control group （ χ2 = 7.40, P 〈 0.05 ）, but anus exhausting time of two groups was no different （ χ2 = 2.05 ,P 〉 0.05 ）. Conclusions The application of Orem＇ s self-care theory in patient-controlled analgesia healthy education for parturient undergoing cesarean delivery can relief postoperative pain and promote ambulation and rehabilitation at early stage.

关 键 词：剖宫产术 健康教育 OREM自理模式 自控镇痛 

分 类 号：R473.71[医药卫生—护理学]