Abstract
Objective: To characterize the scientific production on the application of Orem’s self-care theory in the scope of wounds. Method: Integrative literature review with the available articles that highlight the theme. The following informational resources were used: VHL, CINAHL, Scopus, Cochrane, PubMed and SciELO. The following descriptors were listed: Self Care, Nursing Theory, Wound and Ulcer, in their English and Portuguese versions. The final sample consisted of 10 publications. Data were collected using a validated tool. Evaluation and data synthesis were produced through description and simple statistical evaluations. Results: The analyzed researches were developed in four countries; English language was predominant; publications began in 2004. The theory was applied in nursing care systematization, as a teaching strategy for self-care and as a theoretical framework. The articles linked the theory to diabetic foot, venous ulcer, leg/lower limb ulcers (no specification of type), burns and pressure injury. Conclusion: Orem’s theory was applied to a variety of individuals and contexts, its applicability within the scope of wounds is something concrete, regardless of the type of injury.
Highlights
Wounds are considered to be a serious public health problem because of the increased number of people with this condition
This review included a sample of 10 publications for interpretative analysis
Other 3 (30%) publications related the theory with diabetic foot, 1 (10%) with venous ulcer, 1 (10%) with burns, 1 (10%) with pressure injury and 1 (10%) with operative wound
Summary
Wounds are considered to be a serious public health problem because of the increased number of people with this condition. As a result of the many consequences caused by wounds, these patients demand high costs from the health services, as they involve long-term and complex care[2]. As a profession directly related to care, nursing acts in the teaching of self-care, which is a relevant strategy for dealing with problems related to the rehabilitation process[3]. Educational interventions that stimulate the practice of self-care are necessary, making the subject the protagonist of his health promotion[4]. The Orem’s general theory of nursing is composed of three interrelated theoretical constructs: the self-care theory, the self-care deficit theory and the theory of nursing systems, evidencing the importance of patient involvement for self-care[5]
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