Orem's Self-care Theory Research Articles

The effect of educational interventions by nurses through Orem's self-care theory on the ability of self-care in myocardial Infarction patients in public sector hospital: A quasi-experimental study.

To assess the impact of educational intervention by nurses guided by Orem's theory to reinforce the self-care abilities of patients experiencing myocardial infarction. The prospective, quasi-experimental case-control study was conducted from September 2020 to April 2021 at Dr. Ruth K.M. Pfau Civil Hospital, Karachi, and comprised myocardial infarction and heart failure patients with comorbidities diabetes mellitus and hypertension. The patients were randomised into experiment group A and control group B. Group A received educational intervention one day before and one day after discharge in line with the American Heart Association guidelines. Two 30-45-minute sessions of seven modules were conducted. Group B received routine information from ward staff. Assessment was done at baseline and first month and second month post-intervention using the Heart Failure Self-Care Index version 6.2. Data was analysed using SPSS 21. Of the 80 patients, 40(50%) were in group A; 27(76.5%) males and 13(32.5%) females. The remaining 40(50%) patients were in group B; 20(50%) males and 20(50%) females. The overall age of the sample ranged 36-65 years and 48(60%) had a previous history of heart failure. The mean score of maintenance, management, confidence and overall self-care were significantly higher in group A compared to group B (p<0.05). Nursing self-care educational intervention based on Orem's theory was found to be highly effective among patients of myocardial infarction and heart failure with respect to their self-efficacy ability.

Exploring self-care practices and health beliefs among men in the context of emerging infectious diseases: Lessons from the Mpox pandemic in Brazil.

Our goal was to explore self-care practices among men who have sex with men in the context of Mpox in Brazil. This study used qualitative research methods, including interviews and thematic analysis, to collect and analyze data from male participants across the Brazilian territory. The narratives unveil men's perspectives on self-care, risk reduction, and health beliefs during the Mpox pandemic. Our findings highlight a multifaceted approach to self-care among men, encompassing hygiene, physical contact management, mask usage, skin lesion vigilance, and adherence to official guidelines. Men's attitudes toward sexual behaviors emphasize the importance of reducing sexual partners, practicing safe sex, and combating misinformation through accurate information dissemination. The development of these behaviors and self-care practices can be facilitated by nurses guided by Dorothea Orem's Self-Care Theory, supported by patient-centered care, with strategies to address and confront the stigma associated with the disease and provide emotional support. Thus, the study underscores the pivotal role of self-care in mitigating infection risks, especially in the context of emerging infectious diseases. It acknowledges the impact of socio-cultural factors and healthcare policies on men's preventive measures. However, it also recognizes limitations, such as potential bias due to stigma concerns and a nonrepresentative sample. Ultimately, the research advocates for tailored education, promotion of gender equity, and healthcare empowerment to effectively manage health risks in such contexts.

Effect of Nursing Intervention Based on Orem Self-care Theory on Peripheral Neuropathy in Patients with Breast Cancer Chemotherapy

Effect of Nursing Intervention Based on Orem Self-care Theory on Peripheral Neuropathy in Patients with Breast Cancer Chemotherapy

Impact of vaccination on society's quality of life: Reflection based on the Self-Care Theory

The aim is to reflect on the ongoing impact of vaccination on society's quality of life. In the light of the third central concept of Dorothea Orem's Self-Care Theory, which deals with the nursing system, the aim is to analyze the role of the nursing team in promoting self-care through vaccination, highlighting its significant influence in promoting public health. This is a reflective, descriptive and critical study, carried out after a search of current scientific literature using as a source scientific journals indexed in Google Scholar, PubMed and databases grouped and indexed in the Virtual Health Library. The nursing team plays a vital role in promoting vaccination-related self-care. This involves empowering individuals to make informed decisions about their health, including the decision to get vaccinated, understanding the vaccination schedule and keeping up-to-date vaccination records. The nursing team is therefore recognized as a key player in ensuring the effectiveness of vaccination campaigns, especially in a scenario of rapid dissemination of information and growing challenges in the acceptance of vaccines, directly impacting on society's quality of life in the context of the immunization process.

The Influence of Smart Visual Education Based on Dorothea Orem's Self-Care Theory on Anxiety Levels

Anxiety is a feeling of discomfort, worry, fear, and tension. This response is a physiological response to external or internal stimuli that can cause behavioral, emotional, cognitive, and physical symptoms. Anxiety in patients starts from the moment the patient receives a surgery schedule. If the patient continues to feel anxious while the operation is in progress, this can disrupt the operation process because a tense patient can increase the heart rate which can affect the patient's blood pressure and breathing. This study aims to determine the effect of educational videos on anxiety in surgical patients. The research uses a quantitative research design with a quasi-experimental research design (pretest-posttest with control group design). There were 66 street children as respondents consisting of 33 control group respondents and 33 treatment group respondents. Respondents were determined using affordable population techniques. The independent variable is smart visual education based on Dorothea Orem's self-care theory and the dependent variable is anxiety level. Data was collected using a questionnaire and analyzed using the independent t-test with a significance level of p&lt;0.05. The instrument used was the Amsterdam Preoperative Anxiety and Information Scale (APAIS) Questionnaire. There is a significant relationship between respondents' anxiety levels in the pretest and posttest results (p=0.000) in both the control group and the treatment group. However, there was no significant difference in the delta of respondents' anxiety levels in both the control and treatment groups. Smart visual education based on Dorothea Orem's self-care theory influences reducing the anxiety level of patients who will undergo surgery with SAB regional anesthesia.

Enhancing daily living and cognitive functions in traumatic brain injury patients through Orem's self-care theory.

This research seeks to investigate how early rehabilitation nursing, guided by Orem's self-care theory, affects cognitive function, neurological function, and daily living skills in individuals who have suffered a traumatic brain injury (TBI). A study was conducted with 108 patients with traumatic brain injury who were hospitalized at our facility from January 2021 to March 2023. Based on their admission dates, the participants were separated into a control group (n = 56) and an observation group (n = 52). The control group received standard nursing care, while the observation group received a combination of conventional treatment and nursing interventions based on Orem's self-care model. The research assessed alterations in the ability to perform daily tasks (Activities of Daily Living, ADL), neurological health (National Institutes of Health Stroke Scale, NIHSS; Glasgow Coma Scale, GCS), and cognitive abilities (Montreal Cognitive Assessment Scale, MoCA; Mini-Mental State Examination, MMSE) in both sets of participants prior to and following 4 and 8 weeks of nursing assistance. Following the intervention, the group being observed showed notably increased ADL scores at 4 weeks (p < 0.001) and 8 weeks (p < 0.001) in comparison to the control group. At 4 weeks and 8 weeks after nursing, the observation group had significantly lower NIHSS scores compared to the control group (4 weeks after nursing, p = 0.03; 4 weeks after nursing, p < 0.001). GCS score comparison showed the similar results (4 weeks after nursing, p = 0.013; 4 weeks after nursing, p = 0.003). Moreover, the participants in the observation group had notably higher MoCA and MMSE scores in comparison with the control group 4 and 8 weeks after nursing (all p < 0.001). Orem's self-care theory improves patients' cognitive, neurological, and daily living functions of TBI patients during early rehabilitation nursing. This method helps enhance the level of care given by healthcare professionals, leading to more thorough and compassionate nursing care for patients.

Improvement of Pain-Free Walking Distance with Implementation of Treadmill Protocol

Peripheral arterial disease (PAD) may cause lower extremity pain that can impair activities of daily living. At a vascular clinic in rural New Mexico, peripheral arterial disease patients are managed but their symptoms continue to worsen so an evidence- based solution was sought. The purpose of this quantitative, quasi-experimental project was to determine if or to what degree the translation of McDermott et al.’s published research on the Gardner-Skinner Protocol will impact the pain-free walking distance when compared to current practice among peripheral arterial disease patients with intermittent claudication in a university activity center in rural New Mexico over four weeks. Dorothea Orem's self-care theory and Kurt Lewin's change theory provided the project's theoretical foundations. Data on walking distance was measured using the Six-Minute Walk Test in PAD patients (n = 12) and were compared at baseline and four weeks post-implementation of the intervention. A paired t-test showed no statistically significant difference in pain-free walking distance from baseline (M = 267.85, SD = 244.05) to post-intervention (M= 339.58, SD= 191.42), t (11) = -1.27, p= .23. Despite the lack of statistical significance, there was clinical significance in that the mean increase in pain-free walking distance increased by 70.83 feet. Therefore, the implementation of the Gardner-Skinner Protocol may improve walking distance in this population of patients. Recommendations are to continue the implementation and continue to analyze data for six months prior to dissemination.

Predictive influence of disease knowledge and hope on self-care behavior among adults with heart failure.

Self-care, disease knowledge, and hope are critical concepts in health-related studies. Therefore, all three are considered solutions for controlling heart failure (HF) and reducing its complications. This study aimed to identify the predictive influence of disease knowledge and hope on self-care behavior among adults with HF. This descriptive-analytical and cross-sectional study examined the data of 113 HF patients referred to the Imam Reza Clinic in Shiraz, Iran, in 2021. This study used HF patients' self-care instruments based on Orem's self-care theory, the HF Knowledge Scale-Persian version, and the Heart Hope Index-Persian version. The data were analyzed using the general linear model (GLM) and Pearson's correlation coefficients. Of the 113 HF patients, 54.90% (n = 62) were male, and 45.10% (n = 51) were female. The analysis of the Pearson correlation coefficient indicated the presence of a positive and significant correlation between "self-care and hope" (r = 0.532, P = 0.0001), "HF knowledge and hope" (r = 0.432, P = 0.0001), and "self-care and HF knowledge" (r = 0.410, P = 0.0001). GLM showed that HF knowledge symptoms (P = 0.0001), hope (P = 0.0001), unemployed patients (P = 0.042), and housewife patients (P = 0.0001) predicted self-care behavior of HF patients. Considering the positive and significant correlation between "self-care and HF knowledge," "self-care and hope," and "HF knowledge and hope," it seems necessary for doctors and nurses should pay attention to providing educational programs to increase HF knowledge to improve self-care and hope in HF patients.

Oral hygiene self-care: Concept analysis for the development of a new nursing diagnosis.

This study aims to analyze the concept of oral hygiene self-care and develop a new problem-focused nursing diagnosis (ND) based on the NANDA-I terminology. A concept analysis was performed based on the Walker and Avant framework, including a scoping review phase according to the Joanna Briggs Institute guidelines. Searches were performed in PubMed, Cumulative Index to Nursing and Allied Health Literature, Scopus, Web of Science, Virtual Health Library, and specific gray literature databases. The development of the diagnostic structure followed the NANDA-I guidelines with a focus on Orem's self-care theory. Including 51 studies, the analysis facilitated the formulation of attributes, antecedents, and consequences of oral hygiene self-care. The ND "Oral hygiene self-care deficit" was created and included 17 defining characteristics, 9 related factors, 5 associated conditions, and 5 high-risk populations. Two cases were constructed to illustrate the use of key terms. The conceptual analysis provided insight into the concept of oral hygiene self-care and supported the structure of a new ND. This study contributes to the implementation of the nursing process by focusing on the identification of individuals with oral hygiene self-care deficit. It will facilitate the promotion of oral health, thereby impacting the individual's quality of life. In addition, it will aid in the development of public policy for the prevention of oral diseases.

Case Study: Application of Orem's Self-Care Theory in Patients with Post Mitral Valve Surgery

Background: After surgery, patients are often immobile due to possible postoperative complications and activity restrictions, so that the patient's physical capacity is at risk of decreasing. To maintain conditions that remain optimal even within limitations,patients are required to continue to be able to independently perform self-care. So that this can be realized with the nursing theory developed by Dorothea E. Orem about self-care Purpose: The aim of this study was to find out the application of Orem's self-care theory to patients after mitral valve surgery. Method: The design in this study uses the case study method. This study focuses on nursing care which emphasizes the use of Orem's self-care theory in practice. The subject in this study was one postoperative mitral valve patient who was treated in the postoperative unit with an implementation time of seven days. Results: In the results of applying Orem's self-care theory, five main nursing diagnoses were found. Most of the nursing problems are rooted in problems with decreased cardiac output due to post-surgical complications, but the complications are gradually improving. The application of Orem's self-care theory provides a systematic pattern of thinking in determining diagnoses and nursing interventions that must be carried out by nurses. Conclusion: The application of Orem's self-care model appears to have an effect on the nursing process, specifically in postoperative mitral valve cases in identifying problems in fulfilling self-care. The application of this model can provide benefits in encouraging patients to carry out activities that are in accordance with the patient's abilities and tolerance.

Effect of Educational Intervention Based on Orem's Self-Care Theory on Health Literacy in Patients with Prostate Cancer under Chemotherapy: A Quasi-Experimental Study

Background and Objective: Prostate cancer is one of the most common cancers and the cause of death among men. Health literacy helps the maintenance and promotion of people's health through improving self-care behaviors. Therefore, this study was conducted to determine the effect of educational intervention based on Orem's self-care theory on the health literacy of patients with prostate cancer undergoing chemotherapy in Shiraz, 2019-2020. Materials and Methods: In this quasi-experimental study, 134 patients with prostate cancer and under chemotherapy were randomly divided into two control and experimental groups (n=67 each). The control group received routine training, while the experimental group received educational intervention based on Orem's self-care theory. Data was collected via the Health Literacy Questionnaire and analyzed using SPSS software (version 21). Results: The mean health literacy scores in the experimental and control groups were obtained at 97.14±13.02 and 98.41±14.99 before the intervention and 100.22±14.14 and 146.02±9.09 after the intervention, respectively. There was a significant difference between the two groups only after the intervention (P&lt;0.05). A significant improvement was also observed in the mean health literacy score of the experimental group, compared to before the intervention (P&lt;0.05). The results indicated a significant relationship between mean health literacy scores and education and resource access methods (P&lt;0.05). Conclusion: The self-care education based on Orem's theory increased health literacy in patients with prostate cancer undergoing chemotherapy. Therefore, educational intervention based on Orem's self-care theory is suggested to promote health literacy in these patients.

Retracted: Effects of Comprehensive Nursing Based on Orem's Self-Care Theory on Symptom Improvement and Pregnancy Outcome in Patients with Antiphospholipid Syndrome: A Retrospective Cohort Study.

[This retracts the article DOI: 10.1155/2022/4133812.].

Effect of Early Rehabilitation Nursing on Motor Function and Living Ability of Patients with Traumatic Brain Injury Based on Orem's Self-Care Theory.

Objective To explore the effect of early rehabilitation nursing on motor function and living ability of patients with traumatic brain injury (TBI) based on Orem's self-care theory. Methods A total of 60 patients with TBI treated in our hospital from February 2019 to June 2021 were enrolled. The patients were randomly divided into a control group and a research group. The control group adopted the early rehabilitation nursing model, while the research group adopted the early rehabilitation nursing model based on Orem's self-nursing theory. Nursing satisfaction, Fugl-Meyer score, NIH-SS score, Barthel index, quality of life score, and compliance were in the comparison of the two groups. Results The nursing satisfaction of the research group was higher than that of the control group (P < 0.05). Compared with the control group, the Fugl-Meyer scores of the research group were higher at 1 month, 2 months, and 3 months after nursing (P < 0.05). After nursing, the NIH-SS score of the two groups decreased. In the comparison of the two groups, the NIH-SS score of the research group at 1 month, 2 months, and 3 months after nursing was lower (P < 0.05). After nursing, the Barthel index of the two groups increased. In the comparison of the two groups, the Barthel index of the research group was higher compared to the control group at 1 month, 2 months, and 3 months after nursing (P < 0.05). The scores of physiological function, psychological function, social function, and health self-cognition in the research group were lower (P < 0.05). The compliance rate of the research group was higher than that of the control group (P < 0.05). Conclusion Patients with TBI receive early rehabilitation nursing based on Orem's self-care theory, which can effectively improve patient satisfaction and compliance and achieve the purpose of improving motor function and living ability. This nursing program is worth popularizing in the clinic.

Effect of the Orem Self-care Theory in the Care of Patients with Multiple Myeloma

Effect of the Orem Self-care Theory in the Care of Patients with Multiple Myeloma

Effects of Comprehensive Nursing Based on Orem's Self-Care Theory on Symptom Improvement and Pregnancy Outcome in Patients with Antiphospholipid Syndrome: A Retrospective Cohort Study.

Objective A retrospective cohort study was conducted to explore the effects of comprehensive nursing based on Orem's self-care theory on symptom improvement and pregnancy outcomes in patients with antiphospholipid syndrome (APS). Methods Sixty patients with antiphospholipid antibody syndrome treated in our hospital from February 2019 to April 2021 were enrolled. The control group received comprehensive nursing, while the study group received comprehensive nursing based on Orem's self-care theory. Nursing satisfaction, self-nursing ability, anxiety score, social support status, pregnancy outcome, and the score of life quality were compared between the two groups. Results First of all, we compared the nursing satisfaction, the study group was very satisfied in 23 cases, satisfactory in 5 cases, general in 2 cases, the satisfaction rate was 100.00%. While in the control group, 11 cases were very satisfied, 10 cases were satisfied, 4 cases were general, and 5 cases were dissatisfied, the satisfaction rate was 83.33%. The nursing satisfaction in the study group was higher compared to the control group (P < 0.05). Secondly, the self-concept, sense of self-care responsibility, self-nursing skills, health knowledge, and total score of the study group were higher compared to the control group (P < 0.05). After intervention, the anxiety scores of the two groups decreased. Compared between the two groups, the anxiety scores of the study group before intervention and 1 week, 2 weeks, 3 weeks, and 4 weeks after intervention were lower compared to the control group (P < 0.05). The comparison of social support showed that the scores of objective support, subjective support, utilization of support, and total score of social support in the study group were higher compared to the control group (P < 0.05). The number of abortions in the control group was lower compared to the control group, and the number of full-term deliveries was higher compared to the control group (P < 0.05). Finally, we compared the scores of life quality. After nursing, the scores of life quality of the two groups increased. Of note, the scores of physiological function, psychological function, social function, and health self-cognition in the study group were lower compared to the control group (P < 0.05). Conclusion Comprehensive nursing for patients with APS based on Orem's self-care theory can effectively improve clinical symptoms and pregnancy outcome and play a positive role in facilitating patients' nursing satisfaction and self-nursing ability, which can also effectively strengthen mental health and social support, this nursing model is worth popularizing in clinic.

Effect of Orem's Self-Care Theory Combined with Active Pain Assessment on Pain, Stress and Psychological State of Children with Nephroblastoma Surgery.

BackgroundWith the development of medical technology and the innovation of various surgical options, the survival time of children with nephroblastoma is significantly prolonged. However, postoperative pain and stress response have been plagued by children with nephroblastoma during the postoperative treatment. At present, there is still a lack of effective care programs.MethodsWe accessed our institutional database to retrospectively screen clinical data from all children with nephroblastoma who were surgically treated in our hospital between July 2020 and July 2021. Some children received routine care, while others received Orem-based self-care theory and active pain assessment.ResultsAccording to the inclusion and exclusion criteria, 150 children with nephroblastoma who underwent surgical treatment were included in this study. On the third day after surgery, the scores of pain control effect and satisfaction degree of pain education in the study group were higher than those in the control group, and the physical and daily life influence, emotion influence, and pain experienced in the study group were lower than those in the control group. The differences were statistically significant (p < 0.001). There was no significant difference in C-SUPPH and ESCA scores between the two groups before nursing (p > 0.05). After nursing, the C-SUPPH and ESCA scores of the two groups were higher than those before nursing, and the C-SUPPH and ESCA scores of the study group were higher than those of the control group (p < 0.05). Before nursing, the levels of ACTH, Cor, and ANP between the two groups were not statistically significant (p > 0.05). The levels of ACTH, Cor, and ANP in the two groups were lower than those before nursing and 3 d and 7 d after nursing, and the index levels after 7 d of nursing were lower than those after 3 d of nursing. After nursing, the levels of ACTH, Cor, and ANP in the study group at each time point were lower than those in the control group (p < 0.05). There was no significant difference in SAS and SDS scores between the two groups before nursing (p > 0.05). After nursing, the SAS and SDS scores of both groups were lower than those before nursing, and the SAS and SDS scores of the study group were lower than those of the control group (p < 0.05). There was no significant difference in PSQI scores between the two groups before nursing (p > 0.05). After nursing, the PSQI scores of the two groups were lower than those before nursing, and the PSQI scores of the study were lower than those of the control group (p < 0.05). The average daily crying time, the average hospitalization time, and postoperative off-bed time in the study group were shorter than those in the control group (p < 0.05).ConclusionOrem’s self-care theory combined with active pain assessment can reduce pain in children undergoing nephroblastoma surgery, improve their stress response and psychological state, and improve their sleep quality, which is conducive to postoperative recovery and worthy of promotion.

CONVIVENDO COM ESTOMIA INTESTINAL E A INCONTINÊNCIA URINÁRIA

ABSTRACT Objective: to understand how aged people with intestinal ostomies experience this situation together with urinary incontinence. Method: a qualitative, descriptive and exploratory research study, developed with 77 aged individuals with intestinal ostomies assisted by the Unified Health System, in four municipalities from the Metropolitan Region of Florianópolis. Data collection was conducted using semi-structured interviews from October 2019 to February 2020. The theoretical framework used was Dorothéa Orem's Self-Care Theory and the data were submitted to content analysis, in its thematic modality. Results: the analysis allowed generating three thematic categories: 1) Feelings generated by the intestinal ostomy and urinary incontinence: acceptance, denial, fear, insecurity, constraints experienced due to the ostomy and to the urinary incontinence symptoms; 2) Lifestyle changes; and 3) Deficit in self-image. Conclusion: it was evidenced that, for most of the research participants, it is difficult to accept the experience of living with an intestinal ostomy and urinary incontinence, which generally produce negative feelings. However, the participants proved to be resilient and able to adapt to the changes in lifestyle. Many of these behaviors are due to the health professionals' important contribution in providing them the necessary attention, encouraging self-care strategies in both situations.

Comparison of two nursing theories orem's theory of self-care deficit &amp; kolcaba's comfort theory

This article is focused on the major features of Orem's self-care theory, grand theory, and Katharine Kolcaba's comfort theory, a middle-range theory Kolcaba developed in the 1990s. It is a middle-range nursing theory designed for nursing practice, research, and education. According to her theory, patient comfort exists in three forms, relief, ease, and transcendence. These comforts can occur in four contexts: physical, psycho-spiritual, environmental, and sociocultural. Dorothea Orem established the Self-Care Nursing Theory, often known as the Orem Model of Nursing, between 1959 and 2001. Orem's theory comprises three theories, the theory of self-care, the theory of self-care deficit, and the theory of the nursing process. The article is based on a real-life scenario. The aim of this paper is to compare the mentioned theorists, their impacts on the outcomes, and their relationships with the clinical scenario in their own approaches.

A nurse-led occupational health promotion program for farmers

Agrarian occupational health is a neglected primary health-care service in India. A nurse-led health promotion program is planned based on a Conceptual Model for the Occupational Health Nurse Specialist prepared by Ms. Janice Dees (1984) inspired from Orem's self-care theory. The interventions included are range of motion exercise, progressive muscle relaxation technique, foot and palm massage, and literacy on safety practices. The wellness of field farmers is expected by following this program plan.

Application Effect of Orem Self-care Theory in the Nursing Process of Multiple Myeloma Patients

Application Effect of Orem Self-care Theory in the Nursing Process of Multiple Myeloma Patients