The effect of educational intervention based on Orem's theory on self-care behaviors of pregnant women at risk of preterm delivery: A clinical trial

Introduction: Preterm birth has increased from 6.7% in 1375 to 16.4% in 1382 in Iran. Based on various investigations, self-care influences on preterm delivery. One of the most complete theories in the field of self-care is the Orem's self-care. According to this theory, nursing systems support the power of patient's self-care in order to prepare them for decision making, choosing method and using knowledge and skills. This study was designed to determine the effect of educational intervention based on Orem's theory on self-care behaviors of pregnant women at risk of preterm delivery. Materials and methods: 150 women at risk of preterm delivery between 24-26 weeks were selected based on a questionnaire of screening of preterm labor. Then, they were randomly allocated into two groups. Researcher educated the intervention group individually and face-to-face in three 45-60 minutes sessions in three consecutive weeks. The instruments that used in this study consist of Holbrook screening of preterm labor, demographic and obstetric and prenatal care measures Hart (retrieve from Orem's self-care). Data were analyzed using the spss 16, chi-square and independent T-test. Results: The results indicated no significant difference between scores of prenatal self-care in groups before educational intervention (P=0.553). But after educational intervention, significant difference was between groups (P=0.000). Conclusion: Based on the results of educational interventions in increasing the prenatal self-care, it is recommended that women at risk of preterm birth will be identified in health-care centers and they will be educated prenatal self-care based on Orem's theory.

کلیدواژه ها:

Orem's theory ، Self-care behaviors ، Preterm delivery