Effect of Care Provided Using “Orem Self-Care Model” on Postpartum Dependent Care among Primiparous Mothers

Document Type : Original Article

Authors

1 Lecturer of Maternity &newborn health Nursing, Faculty of Nursing, Fayoum University, Egypt.

2 Asst. prof of Maternity, Obstetrics and Gynecology Nursing, Faculty of Nursing, Port Said University, Egypt.

3 Asst. prof of Community Health Nursing, Faculty of Nursing, Zagazig University, Egypt.

4 Asst. prof of Maternity, Obstetrics, and Gynecology Nursing, Faculty of Nursing - Port said University, Egypt.

Abstract

Background: Encouraging self-care among women through education can improve postpartum women's knowledge and self-confidence, which will ultimately result in improved self-care and better childcare. Aim: To evaluate the effect of care provided using “Orem Self-Care Model” on postpartum dependent care among primiparous mothers. Methodology: A quasi-experimental design was conducted in this study at postpartum unit of obstetrics and gynecology department in Port Said city at Women's Health House Hospital (previously named Specialized Women and Obstetrics Hospital (affiliated to Egypt health care authority hospitals in Port Said). A purposive sample of 200 pregnant women was utilized. Three tools were utilized for data collection, a structured interviewing questionnaire, knowledge questionnaire form and Orem`s Self-Care Guidelines Checklist. Results: At the post-intervention phase, the women in the study group had more adequate knowledge in comparison with those in the control group. Also, a statistically significant difference the women in the study group had more satisfactory self-care practices in comparison with those in the control group. This was evident in all areas about self-care practices (p=<0.001*). Conclusion: The results of the study showed how well the early self-care education program worked and how it helped the women become better at adjusting to motherhood regarding self-care practices. The findings also showed that, following the educational program, there was a statistically significant difference between the study and control groups' mean self-evaluation scores of self-care practices regarding universal self-care requirements, developmental self-care requests, and health deviation self-care (P-value < 0.001). Recommendations: Training courses on Orem self-care for primiparous mothers should be conducted to enhance their ability to care for their newborns on their own. Also, teaching program for maternity nurses to implement Orem self-care for new mothers

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