[摘要]目的 探讨产程中实施自我护理模式对初产妇分娩的影响。 方法 选取2014年6～12月在我院产科住院分娩的初产妇300例，随机分为自我护理组和对照组，其中自我护理组在常规护理的基础上采用orem自护理论模式，要求产妇在产程中主动参与实现自我护理，对照组给予常规产程观察护理。 结果 自我护理组分娩时间短于对照组(P<0.05)，自然分娩率、分娩方式及产后出血、新生儿窒息、产后尿潴留的发生与对照组比较差异显著(P<0.05)，对疼痛的耐受明显提高(P<0.05)。家属及产妇满意度明显高于对照组且差异有统计学意义(P<0.05)。 结论 产程中实施自我护理模式可以加速产程进展，减轻产妇分娩痛苦，促进自然分娩，有效减少并发症，保证母婴安全，有利于提高产科质量，值得推广。

    [关键词] 自我护理；产程；分娩

    [中图分类号] R473.71 [文献标识码] B [文章编号] 2095-0616(2015)19-147-03

    [Abstract] Objective To evaluate the effect of self-nursing mode on primiparas’ labor process. Methods Three hundred primiparas hospitalized for labor between June and December in 2014 were selected in this study. They were randomly divided into two groups： self-nursing group and control group. Additional orem self-nursing mode was provided to the self-nursing group and primiparas in this group were required to initiatively participate and realize self-nursing ......