Orem's Theory Research Articles

Nursing Care of an Elderly Woman with Type II Diabetes According to Orem's Self-Care Deficit Theory

Orem's self-care deficit nursing theory (SCDNT) is well-known and applied in nursing practice worldwide. Many researchers have commended SCDNT for improving patients' health outcomes through nurses' contributions. This case study provides a chance to comprehend the practical implementation of theory-based nursing practice in a care setting. Information regarding the patient was gathered through Orem's conceptualization as a guide; Mrs. Y is 63, in late middle age, with type 2 diabetes. Three health deviations self-care requirements emerged as the main aim for the patient's family in seeking assistance. The highest blood glucose value during the study was 211 mg/dl, and the average following management was 118 mg/dl. She was on the partially compensatory nursing system, and after applying SCDNT, her intended nursing care outcomes were achieved. The family members were encouraged to support her in regaining more energy and blood sugar level control, which are vital for her future progress and lifestyle modifications for diabetes management. Nurses can apply SCDNT to implement, monitor, and evaluate nursing interventions in clinical practice. It offers a practice update that ensures accountability following practical interventions in managing chronic conditions like T2DM.

Effect of training based on Orem's self-care deficit theory on breast cancer patients' management of chemotherapy-related side effects and self-care behaviors: A randomized controlled trial

PurposeTo examine the effects of training based on Orem's self-care deficit theory on breast cancer patient's physical, social, and psychological well-being and self-care behaviors during chemotherapy. MethodsThis randomized controlled trial was based on a pretest–posttest experimental design. The study sample consisted of 62 breast cancer patients (n = 31 for each of the intervention and control groups) receiving cyclophosphamide–epirubicin or cyclophosphamide–adriamycin treatment in the medical oncology department of a university hospital in Tekirdağ, Turkey. The breast cancer patients in the intervention group received training based on Orem's self-care deficit theory regarding physical, social, and psychological well-being and self-care behaviors during chemotherapy. The researcher conducted two face-to-face follow-ups (during the second and third chemotherapy cycles, 3 weeks apart) and a posttest assessment. Pretest and posttest symptom scores and self-care survey results were compared for both groups. ResultsThe Nightingale Symptom Assessment Scale (N-SAS) first follow-up, second follow-up, and posttest scores showed that the intervention group experienced fewer negative changes in quality of life than the control group based on the physical, social, and psychological subdimension and total scale scores (p < .05). The most positive changes in the intervention group's self-care behaviors were observed for items about caring for and protecting hair, using protective gloves when doing chores, monitoring weight, and limiting social meetings when blood values were low to protect against possible infection. ConclusionTraining based on Orem's self-care deficit theory positively influenced breast cancer patients' management of chemotherapy-related side effects and self-care behaviors. Chemotherapy-related side effects should be evaluated frequently. Moreover, patients' needs should be determined, and training should be tailored to their needs.

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 &lt; 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.

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.

PENGARUH TELEREHABILITASI SELF CARE OREM TERHADAP MOBILISASI PASIEN PASCA STROKE

Post-stroke patients need to receive telerehabilitation to increase mobility, telerehabilitation approaches Orem's Self Care Theory to increase mobility so that recurrent strokes will be greatly minimized. The research method for this research is Quasi Experimental with a pre-post test design approach and purposive sampling technique. The population is post-stroke patients in the Neurology Polyclinic and Orchid Room at RSUD Dr. R Koesma Tuban numbered 50 patients. 25 people in the control group were given education and 25 people in the intervention group were given a rehabilitation video. The chi square test and normality test were carried out and data analysis used the Mann Whitney test. Mobilization during the pre test with the average score in the control group was 23.72 and the intervention group was 27.28. The Std value. Deviation 10.016 with p value = 0.381. Mobilization during the post test with the average score in the control group was 31.8 and the intervention group was 19.2. The Std value. Deviation 16.427 with p value = 0.002. Based on the results of this study, it was found that there was a significant increase in mobilization scores after being given telerehabilitation in the intervention group. Keywords: Mobilization; Orem's Self Care; Telerehabilitation

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.

Based on the relationship between anxiety of existential meaninglessness, hope level, and fear of progression, explored the effect of preoperative nursing with Orem theory in the senile cataract population.

Cataracts, characterized by a decrease in vision due to the clouding of the lens, can progress to blindness in advanced stages. The rising incidence of cataract cases has led to a significant number of patients experiencing negative emotions associated with vision loss, thereby diminishing their quality of life. In clinical practice, it is imperative for healthcare professionals to consider the psychological well-being of cataract patients. Currently, there is a scarcity of research focusing on psychological evaluations, such as assessing feelings of meaninglessness among individuals with cataracts. This study aims to investigate the factors influencing the anxiety of existential meaninglessness and to explore the relationships among existential anxiety, Herth hope index levels and fear of progression in the elderly cataract-affected population. Additionally, it evaluates the effectiveness of Orem's nursing care strategies. Utilizing a sociodemographic questionnaire, the Existential Meaninglessness Anxiety Scale (EM-A), Herth Hope Index Level Scale, and the Fear of Progression Questionnaire-Short Form (FoP-Q-SF), this research employed convenience sampling for a cross-sectional and intervention study. The retrospective study sample comprised 1,029 individuals, while the intervention study included 317. The intervention design assessed psychological changes in existential meaninglessness following Orem's preoperative nursing interventions. Multiple linear regression analysis was employed to ascertain the determinants of EM-A within the population of elderly patients with senile cataracts. Pearson correlation analysis elucidated the relationship between EM-A, levels of hope, and the FoP-Q-SF among this demographic. Subsequent investigations, utilizing a t-test, evaluated the effects by comparing the data before and after the implementation of the interventions. The correlation between EM-A, hope levels, and FoP-Q-SF was statistically significant (p < 0.05). Factors such as age, education level, alcohol consumption habits, hope levels, and FoP-Q-SF scores significantly affected EM-A scores (p < 0.05). Orem's nursing framework significantly reduced existential anxiety (p < 0.05). Among elderly patients with cataracts, existential anxiety was generally moderate. Hope levels and fear of progression were closely associated with the EM-A. The novel Orem preoperative care model effectively addresses clinical issues. In clinical practice, it is crucial to address psychological problems and enhance patients' quality of life.

THE EFFECT OF THE OREM MODEL APPROACH ON KNOWLEDGE AND ATTITUDE OF PREGNANT WOMEN IN REDUCING THE INCIDENCE OF SEVERE PREECLAMPSIA (PEB) DURING THE PANDEMIC AT THE NORTH CIMAHI HEALTH CENTER

Background : One of the causes of maternal death is preeclampsia, the high incidence of preeclampsia in Indonesia cannot be separated by several factors such as low education and lack of health awareness. The role of nurses in this case: is to carry out promotive efforts by carrying out health promotions to pregnant women about preeclampsia, Self Care Orem theory with the main focus on seeing how a person maintains his health and welfare can be applied through health education as an effort to increase knowledge and attitudes of pregnant women. Objectives : This study aims to determine the effect of the Orem model approach on the knowledge and attitudes of pregnant women about preeclampsia at the North Cimahi Health Center. Methods : This research method is quasi-experimental quantitative research with a one-group pretest-posttest design. The sample is 55 respondents using the purposive sampling technique. The instrument is a knowledge and attitude questionnaire about preeclampsia. Result : The results of this study indicate that half of them, 30 respondents (54.4%) have good knowledge and almost all 46 respondents (83.6%) have a positive attitude. Based on the analysis of the Marginal Homogeniety and Mcnemar test, the value of p = 0.000 &lt; (0.05). Conclusions : Concluded that there is an effect of the Orem model approach on the knowledge and attitudes of pregnant women regarding preeclampsia. The results of this study are expected to be used as a reference and basis for improving the health status of pregnant women, especially in preventing preeclampsia.

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.

Pembentukan Gaya Hidup Pada Penderita Hipertensi ( Self Care Management ) Sesuai Dengan Penerapan Teori Dorothea E. Orem

Hypertension is the condition when the blood pressure against the artery wall is too high. Hypertensive disease usually requires self-care management to form independence toward lifestyle changes for sufferers. Self-care management is an optimal action to maintain health that is carried out independently by a person to meet the needs of life to improve and regulate the function of the individual. In the application of self-care management Dorothea E. Orem has a significant effect in controlling blood pressure. The establishment of nursing care within a certain terrorist framework is important in terms of contributing to improving the quality of service. The purpose of this case study is to build the independence of hypertensive patients by applying Orem's self-care management theory, the case involves a 44-year-old adult woman who suffers from hypertension due to an unhealthy lifestyle. Dorothea E. Orem's theory is important in improving the quality of health in hypertension cases.

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.

Self-care behavior in hemodyalized patients in Ibarra, Ecuador

Introduction: The increase of patients with chronic kidney disease (CKD) on haemodialysis treatment in Ecuador and the complexity of care, points to the validity and importance of applying Orem's Theory, being relevant in the context of CKD, since knowledge about self-care behaviours can help to avoid complications in these patients. Objective: To analyse the health self-care behaviours of haemodialysis patients at a dialysis centre in Ibarra, based on Orem's theory. Material and Methods: A quantitative, observational, cross-sectional study with a sample of 30 haemodialysis patients of both sexes who met the inclusion criteria; the questionnaire Assessment of self-care of patients on hemodialysis treatment with a 0.86 Crombach's alpha reliability was used for data collection, applied during the third quarter of the year 2021. Results: 50% of the group presented an inadequate level of self-care in health and 60% of the patients established self-care behaviours as substantially adequate. The diagnostic outcome variables of the self-care test and the self-care behavioural factor on rest and sleep habits were significantly associated. There is a positive correlation between the self-care test diagnosis in haemodialysis patients and self-care behaviours. Conclusion: The group of patients evaluated show a deficit in self-care practices, and self-care behaviours are also a factor involved in the test diagnosis score.

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.

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.

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.

The Correlation Between Motivation and Self-Care Mangement Among Leukemia Patients Based on Orem's Theory

Introduction: Leukemia is one of the most diagnosed types of cancer and a cause of death worldwide. Patients who experience severe side effects of cancer treatment tend to experience less than optimal self-care management. Leukimia patients in treatment often complain of fatigue, weakness, lack of energy, and nausea which hinder them in self-care management. The purpose of this study was to determine the relationship between motivation and self-care management. Methods: This study used an analytic descriptive research design with a cross sectional approach. Population on this research were members of Chronic Granulocytic Leukemia (it is known as “ELGEKA”), East Java, Indonesia. The sample size was 69 respondents using purposive sampling. The independent variable was motivation and the dependent variable was self-care management. Data was analyzed using Spearman Rho analysis with level of significance 0.05. Results: The results of this study indicated that there was a relationship between motivation and self-care management (p=0.000) and (r=0,531). Discussion: Motivation has a significant relationship with self-care management in leukemia patients based on Orem's theory. The higher the motivation, the higher self-care management. Good self-care management involves nutrition and fluid management, physical activity, stress management, complementary therapy, information and support seeking, and medication adherence. Conclusion: Nurses have an important role in identifying and increasing patient motivation to carry out self-care management and changing their attitudes to improve health and disease care. The recommendation for future researchers is to develop research with interventions to improve self-care management in leukemia patients.