The Effect of Self-Care Education Based on Orem's Model on Self- Efficacy of Patients with Beta Thalassemia Major

Masinaeinezhad, Nosratollah; Abdollahimohammad, Abdolghani; Bonjar, Ali Khosravi; Allahyari, Jasem

doi:10.4172/0032-745x.1000299

Cited by 3 publications

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“…However, recent experimental studies have reported conflicting findings on the application of caring programs driven by this theory and its constructs. Based on the literature, researchers have commended SCDNT as a means of improving QoL, self‐care, or self‐efficacy among patients with different chronic health conditions such as heart failure (HF) (Aghakhani et al., 2018; Al‐Hammed & Algunmeeyn, 2021), type 2 diabetes mellitus (T2DM) (Ahrary et al., 2020; Borji et al., 2017), hypertension (HTN) (Ghasemniai Namaghi et al., 2018; Nasresabetghadam et al., 2021), myocardial infarction (MI) (Mohammadpour et al., 2015), chronic kidney disease (CKD) (Khazaei et al., 2021; Rostami et al., 2015; Shojaei Shad et al., 2018), migraine (Mahmoudzadeh Zarandi et al., 2016), stroke (Yang & Wei, 2020), chronic obstructive pulmonary disease (COPD) (Said Sabry et al., 2021), multiple sclerosis (MS) (Dahmardeh & Amirifard, 2018; Khodaveisi et al., 2018), major thalassemia (Madmoli et al., 2019; Masinaeinezhad et al., 2018), cancer (Afrasiabifar et al., 2018; Deng et al., 2021), and gastric ulcer (Mao et al., 2017). In addition, nursing based on SCDNT could significantly reduce adverse emotions (e.g., anxiety, stress, and depression) in comparison with the routine patients with cancer, MS, asthma, and cardiac conditions (Badakhsh et al., 2017; Deng et al., 2021; Hemati et al., 2016; Zhu et al., 2021).…”

Section: Introductionmentioning

confidence: 99%

Application of Orem's theory‐based caring programs among chronically ill adults: A systematic review and dose–response meta‐analysis

Nasiri

Jafari

Rakhshan

et al. 2022

International Nursing Review

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Aim This study aimed to clarify the value of caring programs developed according to Orem's Self‐Care Deficit Nursing Theory regarding quality of life and self‐care as the primary outcomes and self‐efficacy, anxiety, depression, and stress as the secondary outcomes among individuals aged 18–70 years with chronic diseases. Background Chronically ill patients need to receive appropriate self‐care training, counseling, and support. In this regard, the use of caring programs developed based on theories is highly suggested. Orem's Nursing Theory is the most well‐known theory that provides a structure to involve patients in their self‐care activities. Introduction Orem's Nursing Theory has been increasingly applied to guide practice for patients with chronic health conditions. However, recent trials have reported conflicting findings on the value of its application. Methods Eight information sources (e.g., Web of Science Core Collection, PubMed, and Scopus) and the International Clinical Trials Registry Platform were searched up to 30 March 2022. Results A total of 46 studies and 11 study register entries were eligible. Orem's theory‐based interventions significantly improved the quality of life, self‐care, and self‐efficacy as well as significantly reduced anxiety and depression. However, the value of the interventions on stress was uncertain, as performing the meta‐analysis was not possible. Discussion Orem's Nursing Theory can help nurses in different fields to dynamically and carefully evaluate patients’ self‐care ability and implement appropriate nursing measures tailored to their needs, interests, and problems. Considering the inconsistent evidence to support the empirical adequacy of this theory, high‐quality reviews are essential. Conclusion Orem's theory‐based programs had a favorable effect on taking care of adults with chronic diseases. Implications This study augments the previous reviews related to the applicability of Orem's Nursing Theory. Considering the undesirable evidence quality and the high between‐study heterogeneity, further well‐designed trials are required to draw an evidence‐based conclusion.

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Section: Introductionmentioning

confidence: 99%

Application of Orem's theory‐based caring programs among chronically ill adults: A systematic review and dose–response meta‐analysis

Nasiri

Jafari

Rakhshan

et al. 2022

International Nursing Review

View full text Add to dashboard Cite

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“…Self-efficacy is one of the most essential aspects in the development of self-care habits. An increase in self-efficacy leads to improving previous behaviors, such as adherence to treatment, stress management, physical activity, and its decline leads to an increase in depression and a decrease in self-care activities [ 9 ].…”

Section: Discussionmentioning

confidence: 99%

“…Self-care in thalassemia patients include nutrition, physical activity, using iron remover, chelation therapy, regular blood transfusion and visits to the doctor, and not smoking [ 8 ]. Among the effective factors in developing self-care behaviors in the patients with thalassemia, self-efficacy is a significant factor [ 9 ]. One way to improve self-efficacy in the patients with a chronic disease is to provide them with self-care education [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

Comparing the effects of self- care education by lecture and smartphone application on self-efficacy of patients with thalassemia

Kharaman-nia

Rezaei

Roustaei

et al. 2023

BMC Med Inform Decis Mak

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Background Patients with the thalassemia have a basic requirement for self-efficacy regarding their treatment procedure. The present study aimed to compare the effect of self-care education via a smartphone application and lectures on the self-efficacy of patients with thalassemia. Methods In the present quasi-experimental study, 99 patients with thalassemia at Shahid Beheshti Hospital in Yasuj, Iran, in 2019 who were eligible to enter the study, were selected. The block randomization was done with the block sizes of 3, 6, and 9, and participants were randomly assigned to 3 groups: smartphone application (A), lecture intervention (B), and control (c). Smartphone application and lecture interventions were performed for intervention groups A and B, respectively, during 8 weeks. Scherer's self-efficacy measure was used to collect the data at baseline and eight weeks after the intervention. Data were analyzed by SPSS-version 25 software using Paired t-test, Wilcoxon and Kruskal–Wallis tests. Results Ninety-nine patients with thalassemia with a mean (SD) age of 25 (6) and 58 females (58.59%) participated in the present study. The results indicated a significant difference in self-efficacy among 3 groups after intervention (P = 0.001). However, self-care education with smartphone application revealed a significant increase in the mean (SD) of self-efficacy of the patients with thalassemia 68.36(8.45) compared to the lecture method 62.55 (7.3) (P = 0.003) and control 62.09 (6.7) (P = 0.001). There were no significant differences among the self-efficacy scores of the patients in lecture intervention and control groups. Conclusions The results revealed that smartphone application was a suitable educational software to promote self-efficacy in patients with thalassemia. It is recommended to use smartphone application methods to improve the self-efficacy levels of patients with thalassemia.

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Depressive symptoms and their associated factors in heart failure patients

Pan

2021

Frontiers of Nursing

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Objectives Depressive symptoms are common in heart failure (HF) patients and they may exacerbate the progression of HF. Thus, identifying associations with depressive symptoms is essential to develop effective interventions to alleviate patients’ depressive symptoms. Therefore, this study aimed to explore the factors related to HF patients’ depressive symptoms. Methods Potential hospitalized patients were recruited from a university-affiliated hospital by convenience sampling. This study included 321 HF patients who had completed information about depressive symptoms, functional capacity, social support, dispositional optimism, self-care confidence, and health literacy. Descriptive statistics were used to characterize the sample. Independent group t-tests and one-way analysis of variance were used to assess the difference in depressive symptoms score in demographic and clinical characteristics, while Pearson's correlation was used to assess the associations among continuous variables. Results The scores for functional capacity, social support, dispositional optimism, self-care confidence, and health literacy were negatively associated with the score for depressive symptoms. The interaction effect between the functional capacity and the dispositional optimism on depressive symptoms was significant. Conclusions Interventions targeted improving the above-mentioned factors may be beneficial to reduce depressive symptoms in HF patients.

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The Effect of Self-Care Education Based on Orem's Model on Self- Efficacy of Patients with Beta Thalassemia Major

Cited by 3 publications

References 0 publications

Application of Orem's theory‐based caring programs among chronically ill adults: A systematic review and dose–response meta‐analysis

Application of Orem's theory‐based caring programs among chronically ill adults: A systematic review and dose–response meta‐analysis

Comparing the effects of self- care education by lecture and smartphone application on self-efficacy of patients with thalassemia

Depressive symptoms and their associated factors in heart failure patients

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