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

Objective To explore the application of Orem's self-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,respeetively;P＜0.05),but there was no difference in the pain score of48 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 (x2 =7.40,P ＜ 0.05 ),but anus exhausting time of two groups was no different (x2 =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. Key words: Cesarean section;  Health education;  Self-care model, Orem;  Patient-controlled analgesia