Effect of the Orem Self-care Model on Quality of Life in Adolescents with Asthma

Abstract

Background: Asthma is one of the chronic diseases that could affect quality of life (QOL). Therefore, one of the goals of healthcare interventions for this disease is improving the QOL. The current study aimed at determining the effect of the Orem self-care model on QOL in adolescents with asthma. Methods: The current prospective study assigned 64 adolescents with asthma referring to Shariati Hospital into 2 groups of control and intervention by the simple random sampling method. Then, the Orem-based training was implemented through 8 sessions of 2 hours and the asthma QOL questionnaire was presented to both groups prior to and 2 months after completion of the training. The data were analyzed by descriptive and analytical statistics consisting of the paired and independent t tests with SPSS version 20. Results: There was a significant change in the mean score of different QOL dimensions before and after the training in the intervention group by respiratory status (P = 0.001), mood functioning (P = 0.03), social functioning (P = 0.005), physical activity (P = 0.006), and general understanding of health (P = 0.004), but there was no significant difference in the mean score of different QOL dimensions before and after the training in the control group (P > 0.05). Conclusions: Based on the contribution of the Orem self-care model to increase QOL in the adolescents with asthma, it seems better to use this model as a healthcare intervention to improve asthma control and patient adherence.

Evaluation of bronchial asthma educational package on asthma self-management among school age children based on Orem’s self-care model in Zagazig city

“…By relevance, self-care pattern is a significant training pattern which is based on the person abilities and needs. For example, Orem's self-care model is a self-care pattern which is a suitable clinical guideline to plan for and implement self-care principles and might be applied as a conceptual framework to conduct self-care programs (Hemati et al, 2015). So this intervention study was conducted to examine the effect of asthma education program on asthma self-care activities among children Based on Orem's Self-Care model in Zagazig city.…”

“…They taught the proper use of medication, exercise techniques, use of action plans, careful diet, and protection against stimulants that resulted significant difference in the intervention group, compared with preintervention. In addition, Tang arayasap et al Revealed that the control of self-care behaviors in patients with asthma improves following the Orem model intervention (Hemati et al, 2015).…”

“…Nurses could have a major contribution to promoting self-care ability in patients thanks to playing roles in training, coaching and guidance. The self-care ability was introduced by Orem as a constituent of nursing theory, including individual ability of self-care (Hemati et al, 2015). Among self-care-based theories is the Orem model.…”

“…Hence providing right information on self-monitoring and adherence to medications, appropriate dietary measures and breathing exercises improves the disease control and reduces suffering due to frequency of acute attacks (Manchana and Mahal, 2014). Nurses could have a great contribution to promoting self-care capability in patients thanks to playing roles in training, coaching and guidance (Hemati et al, 2015). Nurses are often at the frontline in providing the care, education, and support that enables persons with health care deviations to recognize a change in health status and to find suitable assistance (Kaur et al, 2009).…”

“…Self-care is considered as an essential and valuable principle because it confirms the active role of persons in their own healthcare, not the passive. Many health organizations and healthcare professionals consider promoting self-care as a strategy to reduce the high costs of medical services (Hemati et al, 2015). Self-care thus consists of a variety of care activities deliberately engaged in to promote physical, mental and emotional health in order to maintain life and prevent disease (Rabie and Klopper, 2015).…”