Faculty of Health Sciences, Halic University, Istanbul, Turkey.
Graduate School of Health Sciences, Koc University, Istanbul, Turkey.
Int J Nurs Pract. 2024 Dec;30(6):e13300. doi: 10.1111/ijn.13300. Epub 2024 Aug 29.
To examine the effect of the provision of care on health outcomes when provided based on Orem's Self-Care Deficit Theory during perinatal period.
The perinatal period is a process with multidimensional care needs for the mother, baby and family. Care based on nursing theories can improve the quality of perinatal care.
A systematic review and meta-analysis.
Studies on this topic from 2006 to 2020 have been accessed by nine database searches. The methodological quality of the studies was assessed using the Critical Appraisal Checklists for experimental and quasi-experimental studies, developed by the Joanna Briggs Institute. This study was conducted by following the Preferred Reporting System for Systematic Reviews and Meta-Analyses.
This systematic review included nine studies with a total sample size of 839 women. These studies showed that care based on Orem's theory significantly helped prolong the mean duration of pregnancy, reduced the incidence of preterm labor, improved hygiene behaviour and increased empowerment. Concerning the perinatal period, this intervention significantly improved self-care and readiness for hospital discharge, adaptation and breastfeeding self-efficacy and reduced nipple pain and pain due to abdominal distension.
The implementation of this theory into care during the perinatal period can contribute to improved health outcomes.
What is already known about this topic? The quality of pregnancy and postpartum care is important for the maternal health. The use of nursing theories-which nursing knowledge is produced-improves care quality and ensures that care is organized systematically. What this paper adds? There is insufficient research that supports Orem's theory of self-care deficit in pregnancy and postpartum care and also no systematic review about this topic, but the current meta-analysis showed that postnatal and prenatal treatments based on Orem's theory have a positive impact on the self-care agency. The implications of this paper: The use of Orem's theory helps nurses understand women and their needs during pregnancy and postpartum periods. Integrating Orem's theory of self-care deficit into pregnancy and postpartum nursing care services can help increase women's self-care power.
探讨基于奥瑞姆自我护理缺陷理论在围生期提供护理对健康结果的影响。
围生期是母亲、婴儿和家庭需要多维度护理的过程。基于护理理论的护理可以提高围生期护理质量。
系统评价和荟萃分析。
通过 9 个数据库检索 2006 年至 2020 年的相关研究。使用 Joanna Briggs 研究所制定的针对实验和准实验研究的批判性评价清单评估研究的方法学质量。本研究遵循系统评价和荟萃分析的 Preferred Reporting System 进行。
本系统评价纳入 9 项研究，总样本量为 839 名女性。这些研究表明，基于奥瑞姆理论的护理显著有助于延长平均妊娠时间，降低早产发生率，改善卫生行为，增强能力。在围生期，这种干预显著改善了自我护理和出院准备、适应和母乳喂养自我效能，并减轻了乳头疼痛和腹胀引起的疼痛。
在围生期护理中实施该理论可改善健康结果。
该主题的已知内容是什么？妊娠和产后护理质量对产妇健康很重要。使用护理理论（即护理知识的产生）可提高护理质量，并确保护理系统有序组织。本文增加了什么新内容？支持奥瑞姆自我护理缺陷理论在妊娠和产后护理中的应用的研究不足，也没有关于该主题的系统评价，但目前的荟萃分析表明，基于奥瑞姆理论的产后和产前治疗对自我护理能力有积极影响。本文的意义是什么？使用奥瑞姆理论有助于护士了解孕妇在妊娠和产后期间的需求。将奥瑞姆自我护理缺陷理论整合到妊娠和产后护理服务中，可以帮助提高妇女的自我护理能力。
