Orem’s Self-Care Model with Multiple Sclerosis Patients’ Balance and Motor Function

Afrasiabifar, Ardashir; Mehri, Zahra; Shirazi, Hamid Reza Ghaffarian

doi:10.1177/0894318419881792

Cited by 8 publications

(8 citation statements)

References 21 publications

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“…The VAS score, Barthel index, and HHS were significantly different postoperatively between the intervention and control groups. This finding was in line with previous studies using this intervention model for other orthopedic and neurological conditions (Afrasiabifar et al, 2020; Hashemi et al, 2014; Xu et al, 2020). All the patients in the intervention group received counseling services and started to take part in the nursing program as soon as they were admitted.…”

Section: Discussionsupporting

confidence: 92%

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

Zhu,

You,

Wei

et al. 2024

Nurs Sci Q

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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.

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Section: Discussionsupporting

confidence: 92%

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

Zhu,

You,

Wei

et al. 2024

Nurs Sci Q

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“…However, this represents an unnaturally slow speed for most, and it could be argued that not many patients would be expected to walk at this speed. Still, the speed is relevant, as slow speed could likely occur in a domestic setting, doing house chores, and other activities of daily living (ADL) [ 29 ]. At higher speeds the small variation could likely be attributed to experimental bias, e.g., when the first and last step are counted.…”

Section: Discussionmentioning

confidence: 99%

Smartphone Pedometer Sensor Application for Evaluating Disease Activity and Predicting Comorbidities in Patients with Rheumatoid Arthritis: A Validation Study

Wagner

Gregersen

Henriksen

et al. 2022

Sensors

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Smartphone-based pedometer sensor telemedicine applications could be useful for measuring disease activity and predicting the risk of developing comorbidities, such as pulmonary or cardiovascular disease, in patients with rheumatoid arthritis (RA), but the sensors have not been validated in this patient population. The aim of this study was to validate step counting with an activity-tracking application running the inbuilt Android smartphone pedometer virtual sensor in patients with RA. Two Android-based smartphones were tested in a treadmill test-bed setup at six walking speeds and compared to manual step counting as the gold standard. Guided by a facilitator, the participants walked 100 steps at each test speed, from 2.5 km/h to 5 km/h, wearing both devices simultaneously in a stomach pouch. A computer automatically recorded both the manually observed and the sensor step count. The overall difference in device step counts versus the observed was 5.9% mean absolute percentage error. Highest mean error was at the 2.5 km/h speed tests, where the mean error of the two devices was 18.5%. Both speed and cadence were negatively correlated to the absolute percentage error, which indicates that the greater the speed and cadence, the lower the resulting step counting error rate. There was no correlation between clinical parameters and absolute percentage error. In conclusion, the activity-tracking application using the inbuilt Android smartphone pedometer virtual sensor is valid for step counting in patients with RA. However, walking at very low speed and cadence may represent a challenge.

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“…Among the possible challenges to theory-based practice is that the SCDNT addresses specific practical aspects of nursing practice rather than conceptualizing the nature of the nursing activity. Despite this limitation, the SCDNT offers the necessary simplicity, clarity, and logic to serve as the preferred framework for many APNs undertaking chronic disease management in primary healthcare settings (Afrasiabifar et al., 2020), such as the APN observed in the current case study. Moreover, the model offers a clear roadmap for the coordination of nurse–patient relations and establishes the actions to be undertaken by both partners to ensure the mutually desired outcome of boosting the patient's SCA.…”

Section: Discussionmentioning

confidence: 99%

Theory-Based Advanced Nursing Practice: A Practice Update on the Application of Orem's Self-Care Deficit Nursing Theory

Yip

2021

SAGE Open Nursing

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Introduction Many researchers have commended the self-care deficit nursing theory (SCDNT) developed by Orem as a means of improving patients' health outcomes through nurses' contributions. However, experimental research has investigated specific aspects of SCDNT, such as self-care agency and self-care requisites, rather than how the construct is practiced and understood as a whole. The current research presents a case study in which an advanced practice nurse (APN) used SCDNT-led practice within a primary healthcare setting that illustrates how the theory is applied to case management. Methods A case study was conducted by observing an APN during her work in the asthma clinic of a public hospital in Hong Kong. A comparison was made between the case management of the APN under observation with the nursing processes stipulated by the SCDNT across four key operations: diagnostic, prescriptive, treatment or regulatory, and case management. Conclusion During the observed consultation, the APN applied the four key operations. In SCDNT, the role of the APN is to apply practical nursing knowledge by determining how a patient can best undertake self-care within the circumstances of their living arrangements and support facilities. The case study also demonstrated that SCDNT-based nursing practice has strengths and limitations in a primary healthcare setting. The study concluded that Orem's SCDNT serves as an appropriate theoretical framework for nursing practice within primary healthcare settings. One practical consequence of using SCDNT is that it enables APNs to use nurse-sensitive indicators when evaluating their clinical practice. This study offers a practice update to increase the accountability of nursing practice for nurse-led healthcare services.

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Orem’s Self-Care Model with Multiple Sclerosis Patients’ Balance and Motor Function

Cited by 8 publications

References 21 publications

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

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

Smartphone Pedometer Sensor Application for Evaluating Disease Activity and Predicting Comorbidities in Patients with Rheumatoid Arthritis: A Validation Study

Theory-Based Advanced Nursing Practice: A Practice Update on the Application of Orem's Self-Care Deficit Nursing Theory

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