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Oshvandi K, Keshmiri K, Salavati M, Emkanjoo Z, Musavi S. Effectiveness of Education based on Orem’s Self-Care Model in Self-Care Activity of Patients with Implantable Cardioverter Defibrillators. Hayat. 2013; 19 (3) :47-55
URL: http://hayat.tums.ac.ir/article-1-619-en.html

1- Mother and Child Care Research Center, Dept. of Medical Surgical Nursing, School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran گروه آموزشی پرستاری داخلی جراحی
2- MSc. in Nursing سایر
3- Mother and Child Care Research Center, Dept. of Medical Surgical Nursing, School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran گروه آموزشی پرستاری داخلی جراحی , salavati@umsha.ac.ir
4- Dept. of Internal Medicine, School of Medicine, Iran University of Medical Sciences, Tehran, Iran گروه آموزشی داخلی دانشکده پزشکی
5- Ph.D Student in Biostatistics, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran دانشکده بهداشت
Abstract:   (6576 Views)

  Background & Aim: Several studies have shown that the self-care activity of patients with implantable cardioverter defibrillator is inadequate. This study was conducted to assess the effect of an educational program based on the Orem’s self-care model in self-care ability of the patients .

  Methods & Materials: This clinical trial was conducted among 66 patients with implantable cardioverter defibrillator. Four educational sessions were held based on the patient's needs and Orem’s self-care model. Data was collected using a self-report questionnaire at baseline and one month after the intervention. Data were analyzed using statistical tests (x2, t-test, paired t-test) in the SPSS-18 . 

  Results: There were no significant differences in the self-care awareness, tendency to self-care, self-care skills, and self-care ability between the control and intervention groups. After the intervention, the self-care awareness score remained 22.06 ± 3.26 in the control group and increased (28.69 ± 1.51) in the intervention group (P<0.000). There was also significant difference in the tendency to self-care between the control (25 ± 3.31) and intervention (28.9 ± 1.33) groups (P<0.000). The self-care skills differed significantly between the control (14.9±3.06) and intervention (29.03±1.15) groups after the intervention (P<0.000). After the intervention, the self-care ability was also significantly different among the control (61.96±8.06) and intervention (86.63±2.93) groups (P<0.000) .

  Conclusion: The results of this study showed that implementing educational programs based on the Orem’s self-care model can improve self-care ability in patients with implantable cardioverter defibrillator. Applying this method is recommended in nursing interventions to promote health status of the patients .

  

Full-Text [PDF 226 kb]   (2694 Downloads)    
Type of Study: Research | Subject: Nursing Care
Published: 2014/01/21 | ePublished: 2014/01/21

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