Orem's Self-Care Research Articles

The Effect of Deep Breathing Exercise Therapy Combination of Aromatherapy Based on Orem's Self Care Theory on Fatigue and Sleep Quality in Chronic Kidney Disease Patients Hemodialysis

Patients hemodialysis with experience complaints of anemia, fatigue, sleep disturbances, and increased urea levels. Fatigue and sleep disorders are still a high problem in Indonesia. Increased urea levels can cause decreased appetite, poor nutritional intake and complaints of fatigue. The aim of the research was to analyze the effect of deep breathing exercise therapy combined with Orem self-care based aromatherapy on fatigue levels and sleep quality. The design in this research is quasi-experimental. Population of all hemodialysis patients at RSI Jemursari Surabaya. The sample size was 40 people, divided into 2 groups, namely the intervention group and the control group. The sampling technique was taken using a total sampling technique. Data were analyzed using the independent t-test a < 0.05 and looking at the difference in values using the delta test. The results of research conducted at RSI Jemursari Surabaya, showed that the average fatigue score in the intervention group before giving deep breathing exercise therapy, a combination of aromatherapy based on self-care Orem, was 36.90 and after being given the intervention, it was found to decrease by 15.90, while the control group did not. given any therapy, according to hospital standards of 34.65 and experienced a decrease of 19.65. Based on the independent t - test, it shows p = 0.003 and sleep quality shows p = 0.001, which means that deep breathing exercise therapy combined with aromatherapy based on Orem self-care has an effect on fatigue and sleep quality. Deep breathing exercise therapy a combination of aromatherapy based on Self-Care Orem according to standards, can reduce fatigue levels and improve sleep quality.

The effect of Orem's Self-Care Deficit Theory-based care during pregnancy and postpartum period on health outcomes: A systematic review and meta-analysis.

To examine the effect of the provision of care on health outcomes when provided based on Orem's Self-Care Deficit Theory during perinatal period. The perinatal period is a process with multidimensional care needs for the mother, baby and family. Care based on nursing theories can improve the quality of perinatal care. A systematic review and meta-analysis. Studies on this topic from 2006 to 2020 have been accessed by nine database searches. The methodological quality of the studies was assessed using the Critical Appraisal Checklists for experimental and quasi-experimental studies, developed by the Joanna Briggs Institute. This study was conducted by following the Preferred Reporting System for Systematic Reviews and Meta-Analyses. This systematic review included nine studies with a total sample size of 839 women. These studies showed that care based on Orem's theory significantly helped prolong the mean duration of pregnancy, reduced the incidence of preterm labor, improved hygiene behaviour and increased empowerment. Concerning the perinatal period, this intervention significantly improved self-care and readiness for hospital discharge, adaptation and breastfeeding self-efficacy and reduced nipple pain and pain due to abdominal distension. The implementation of this theory into care during the perinatal period can contribute to improved health outcomes. What is already known about this topic? The quality of pregnancy and postpartum care is important for the maternal health. The use of nursing theories-which nursing knowledge is produced-improves care quality and ensures that care is organized systematically. What this paper adds? There is insufficient research that supports Orem's theory of self-care deficit in pregnancy and postpartum care and also no systematic review about this topic, but the current meta-analysis showed that postnatal and prenatal treatments based on Orem's theory have a positive impact on the self-care agency. The implications of this paper: The use of Orem's theory helps nurses understand women and their needs during pregnancy and postpartum periods. Integrating Orem's theory of self-care deficit into pregnancy and postpartum nursing care services can help increase women's self-care power.

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

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

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

Kaposi Sarkomu Nedeniyle Hematoloji Kliniğinde Yatan HIV (+) Hastanın Orem’in Öz Bakım Eksikliği Kuramına Göre Hemşirelik Yönetimi: Olgu Sunumu

The World Health Organization reported that 38.4 million people were living with HIV in 2021 and 650 thousand people lost their lives due to HIV and viruses. Kaposi's sarcoma is still one of the most common cancers in HIV-infected people. Individuals living with this disease also have many biological, psychological and social needs. The aim of this article is to determine the needs of a young patient with Kaposi's sarcoma who has just been diagnosed with HIV (+) according to Orem Self-Care Deficit Nursing Theory, to perform nursing care and to guide nurses working in the field. Data were collected by face-to-face interviews in the hematology clinic, care was planned, applied and evaluated according to the model. As a result of the theoretical evaluation of the case, the nursing diagnoses of "impaired gas exchange, activity intolerance, excess fluid volume, anxiety, deterioration in body image, lack of knowledge, risk of infection, and deterioration of the oral mucous membrane" were determined. Orem Self-Care Deficit Nursing Theory is a useful model for determining the needs of HIV-positive patients and in the implementation of nursing interventions.

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.

Orem's Self-Care Model of Nursing Care: A Retrospective Study with Elders After Hip Arthroplasty.

This retrospective study investigates the effectiveness of a nursing intervention based on Orem's self-care model of nursing with elderly patients with femoral head necrosis who underwent total hip arthroplasty. Postoperative outcomes in the intervention and control groups were assessed by the visual analog scale (VAS), Barthel index, and Harris Hip Score (HHS). Participants in the intervention group had significantly better outcomes in terms of VAS, Barthel index, and HHS. The occurrence of pneumonia was significantly different between the groups. Those who underwent Orem's self-care model of nursing intervention were highly satisfied with their status postoperatively compared with the control group.

The application of the self-care deficit nursing theory in adolescents with cystic fibrosis: A randomized controlled study

PurposeThe present study evaluates the effects of the application of Self-Care Deficit Nursing Theory (SCDNT) on the self-care knowledge and skills in adolescents with Cystic Fibrosis. Design and methodsThis randomized controlled study included 30 adolescents who were equally divided into the intervention and control groups. The data were collected by using the Sociodemographic Data Form and the Self-Care Knowledge and Skills Evaluation Forms for Adolescents with Cystic Fibrosis. A total of seven home visits were conducted with the adolescents in the intervention group, during which individualized care plans were applied based on the Self-Care Deficit Nursing Theory. The self-care needs of the adolescents in the control group were identified based on data collected during two home visits conducted at the onset of the study and after 4.5 months. ResultsAs a result of the application of nursing interventions based on the SCDNT, a statistically significant increase was noted in the self-care knowledge and skills of the adolescents in the intervention group (p < 0.05). Additionally, after the interventions based on SCDNT, the need of adolescents for nursing interventions decreased significantly over time in all adolescents in the intervention group (p < 0.05). ConclusionsThe application of nursing interventions based on the SCDNT was effective in enhancing the self-care knowledge and skills of adolescents with Cystic Fibrosis. Practice implicationsNurses can benefit from Orem's Self-Care Deficit Nursing Theory in the design and application of the individualized care of adolescents with Cystic Fibrosis to improve their self-care practices.

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.

A comparative analysis of dorothy orem's self-care deficit theory and sister callista roy's adaptation model

This paper provides a comparative analysis of Dorothy Orem's Self-Care Deficit Theory and Sister Callista Roy's Adaptation Model in the context of nursing practice. Orem's theory underscores the importance of self-care and the nursing role in addressing self-care deficits, focusing on concepts like self-care agency and deficit. Conversely, Roy's model views individuals as adaptive systems, highlighting the role of nursing in facilitating adaptive responses to environmental stimuli. Through a detailed examination of their theoretical perspectives, assumptions, and key concepts, this analysis elucidates the similarities and differences between the two theories. While Orem's theory concentrates on self-care deficits and the nurse's supportive role, Roy's model takes a broader view, emphasizing adaptation and holistic well- being. Understanding these theories' distinct perspectives can empower nurses to tailor interventions effectively, promoting better patient outcomes across diverse healthcare settings.

Caring for a COVID-19 Patient with CLL (Chronic Lymphocytic Leukemia) According to Dorothea Elizabeth Orem's Self-Care Insufficiency Theory (Case Report)

Kronik Lenfositer Lösemi (KLL) bireylerin yaşam kalitesini önemli ölçüde etkileyen hematolojik bir kanser hastalığıdır. KLL ve eşlik eden bir kronik hastalığın olması bireyin vücudunu olumsuz etkileyerek alacağı veya almış olduğu onkolojik tedaviyi negatif yönde etkilemektedir. Yapılan araştırmalarda; tüm dünyada çok sayıda ölüme neden olan COVID 19’un onkolojik tedavi gören bireyleri olumsuz etkilediği belirlenmiştir. Özellikle hastanelerde yatan kanser ve Covid 19 tanılı bireylerin sağlığına kavuşmasında hemşirelerin büyük rolü olmuştur. Hasta bireyin sağlığının geliştirilmesi, korunması, tedaviye ve hastalığa uyum sürecinde hemşireler bireye yardım ederek; öz bakım ve hemşirelik sistemleriyle ilgili uygulamaları yapmaktadır. Orem hemşirelerin, bireyin bağımsız fonksiyonunu destekleyerek; sağlıktan sapma durumunda yardım ve rehberlik etmeleri gerektiğini ifade etmektedir. Dolayısıyla bu çalışmada KLL ve COVID-19 tanılı bir hastanın bakımı Orem’in Öz-Bakım Yetersizlik Kuramına göre planlandı, uygun girişimler uygulandı ve sonuçları değerlendirildi. Hastanın hemşirelik bakım planı evrensel öz bakım, gelişimsel öz bakım ve sağlıktan sapma öz bakım gereksinimi çerçevesinde ele alındı. Sonuç olarak Orem’in Öz-Bakım Yetersizlik Kuramı doğrultusunda verilen hemşirelik bakımının hastada olumlu etkilerinin olduğu görüldü.

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.

Penerapan Model Kemandirian Keluarga Dalam Merawat Lansia Dengan Hipertensi Melalui Pendekatan Teori Orem (Self-Care) Di Desa Mongolato Kecamatan Telaga

Hypertension is a degenerative or non-communicable disease that is still high in cases as a contributor to morbidity and death rates in the community and often occurs in the elderly. The main focus of the conceptual model of self-care is to improve the ability of a person or family to care for himself and his family members independently so as to achieve the ability to maintain their health and well-being, because according to Orem, self-care is not a process of intuition, but a behavior that can be learned through the process of learning. The type of research used in this study is experimental design (one group pre-test post-test design), the study was carried out by means before treatment / treatment, the dependent variable was observed and measured blood pressure first (pre-test), after that treatment / treatment was carried out using instruments in the form of SAP, after treatment was observed and measured again blood pressure (post-test). The population in this study was 3 families with elderly people with hypertension in Mongolato Village, Telaga District. The results of data analysis from the data review found nursing problems, namely Knowledge Deficit and Health Behavior tend to be risky. The implementation carried out by the researcher is counseling using liflets about hypertension and Self-Care Management based on Orem Theory. The overall evaluation, after nursing actions, was obtained, namely increasing knowledge from each family about hypertension and being able to independently the elderly suffering from hypertension through their families based on the theory of Orem Self-Care Management.

Situation-Specific Theory for Health Management in Heart Failure.

This situation-specific theory was developed by linking concepts from Orem's Self-Care Deficit Nursing Theory and standardized nursing languages with the purpose of explaining and describing the health management of outpatients with heart failure. This theory suggests that the health management of these patients is influenced by basic conditioning factors, which may affect individuals' health management capability and may interfere with the ability to present health management behaviors. Knowing the ability of these patients to manage their health will allow nurses to plan their interventions, which will reflect directly on a patient's quality of life, and reduce the chances of hospitalization and health costs.

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.

The popularisation of self-care: Tracing the dissemination of Orem's Self-Care Deficiency Nursing Theory into the scientific disciplines.

Bibliometric methods may be used to examine research trends, and information visualisation techniques are useful in illustrating the diffusion of knowledge and how theories are applied. The present study aimed to illustrate how Orem's Self-Care Deficiency Nursing Theory (SCDNT) has been cited and applied in nursing science and beyond. A bibliometric analysis examined scientific publications that cited Orem's nursing theory. In addition, the diffusion of SCDNT was assessed using data visualisation methods and integration scores of SCDNT versions were calculated to define trends in its theoretical usage in other scientific domains. The information visualisation demonstrated increased usage of SCDTN in different disciplines. Integration scores demonstrated that the scientific community still recognises and uses versions of SCDTN. Studying citation patterns helps to identify which publications are still cited and relevant, as well as illustrating the dissemination of theory. Findings may be used in the collection weeding of SCDTN book versions. Findings provided nursing scientists with a better conceptual understanding of SCDNT diffusion and development. For academic library managers, the findings identify which SCDNT should be retained for historical interest and curriculum needs.

Nursing Care of a Child with MOPD II and Moyamoya according to Orem’s Self-care Deficiency Theory: A Case Report

Microcephalic osteodysplastic primitive dwarfism (MOPDII) is the most familiar form of microcephalic primordial dwarfism (MPD). The classic features of the MPD group are marked microcephaly and severe antenatal and postnatal growth retardation. Such patients also have Moyamoya disease, which includes recurrent stroke attacks and possible neurological complications. Today, it is possible to provide care for such patients with many theories. Caring for children with growth-developmental retardation with Orem's Self-care Deficiency Theory may enable them to become self-aware and increase their quality of life. The significance of nursing care for this rare disease is undeniable. In this study, the nursing care of a patient diagnosed with MOPD2 and Moyamoya was carried out based on the Self-care Deficit Nursing Theory. "Partly remedial nursing care" was provided as the patient can self-care at a moderate level, and also "supportive and educational nursing care" was provided to support the mother and other family members who provide care to the patient.

Optimizing quality of care by integrating orem's self-care deficit theory with orlando's nursing process theory

This study proposes the integration of Dorothea Orem's Self-Care Deficit Theory with Ida Jean Orlando's Nursing Process Theory to enhance the quality of patient care. Orem's theory emphasizes the importance of self-care for maintaining health and well-being, suggesting that individuals actively participate in their care to address self-care deficits. Orlando's theory focuses on the nurse-patient interaction and the nurse's role in identifying and meeting patient needs through deliberate action. Orem's theory provides a structured approach for assessing patients' self-care abilities and identifying deficits, empowering patients to participate in their care. Orlando's theory complements this by emphasizing the nurse's observational skills and their capacity to perceive and address unmet patient needs. By combining these theories, nurses can systematically assess self-care deficits, engage patients in their care, and respond to patients' immediate concerns, leading to a more holistic and patient-centered approach. By optimizing the quality of care through the integration of these two influential theories, nurses can better understand patients' self-care requirements and provide tailored interventions that not only address deficits but also enhance the overall well-being of patients. This approach holds the potential to improve patient outcomes, enhance patient satisfaction, and contribute to the advancement of nursing theory and practice. Further research and practical application of this integrated framework are warranted to fully explore its impact on the quality of patient care.

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.].