Volume 30, Issue 1 (Winter 2022)                   Avicenna J Nurs Midwifery Care 2022, 30(1): 72-80 | Back to browse issues page

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Famili khalili F, Salehi S. Effect of Implementing Orem Self-Care Model on Health-Promoting Behaviors of Mothers having Children with Leukemia Referring to the Pediatric Ward of Seyed Al-Shohada Hospital in Isfahan City (Iran) in 2021. Avicenna J Nurs Midwifery Care 2022; 30 (1) :72-80
URL: http://nmj.umsha.ac.ir/article-1-2400-en.html
1- MSc of Nursing, Community Health Research Center, Isfahan Branch (Khorasgan), Islamic Azad University, Isfahan, Iran
2- Associate Professor, Community Health Research Center, Isfahan Branch (Khorasgan), Islamic Azad University, Isfahan, Iran , sh.salehi@khuisf.ac.ir
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Background and Objective
Leukemia is among the most prevalent childhood malignancies. Mothers are the first caregivers of children with leukemia, experiencing many challenges in dealing with numerous problems and duties caused by their children’s illness. This study aimed to determine the effect of implementing the Orem self-care model on health-promoting behaviors of mothers of children with leukemia referring to the Pediatric Ward of Seyed Al-Shohada Hospital in Isfahan, Iran, in 2021. Orem's self-care model is among the self-care education models. This clinical guide model is suitable for designing and implementing a self-care program and is used as a concept to guide self-care programs. Orem considers humans as self-care agents who take all the necessary care for their health to maintain their life and health and always feel good. Self-care in people with advanced diseases not only helps to control symptoms, but also to emotional, psychological, and social adjustments. Parents are the first caregivers of children with leukemia, who face many challenges in adapting to a variety of problems and tasks arising from the child's illness, including the provision of specific medications, medical care, and the fear of premature death. Playing multiple roles inside and outside the home, accompanying the child in blood tests, continuous injections of chemotherapy drugs, and special care for these patients are the causes of the stress for the parents. Nurses have a key role in providing supportive-educational interventions and reducing the destructive effects and complications of chronic diseases in children and families, especially mothers. In addition, the Orem self-care model has been considered by many researchers in the clinical field as the basis of nursing care and has led to desirable results in ensuring, maintaining, and promoting individuals’ health.
Materials and Methods
This quasi-experimental study investigated 32 mothers of children with leukemia referring to the Pediatric Ward of Seyed Al-Shohada Hospital, Isfahan, Iran, who were selected by the available sampling method according to the study’s inclusion criteria. The tools employed to collect the required data were a demographic information form, Walker’s Health-Promoting Lifestyle Profile, and a needs assessment based on the Orem model, measured at two stages of pre- and post-implementation of the Orem self-care model. In accordance with the mothers’ needs, a supportive training program was designed and implemented in-person and individually for 8 hours in 4 sessions held once a week. Furthermore, an educational pamphlet was designed and provided to the participants. During the intervention, the research participants were called by telephone, communicated in-person, and were checked on how to perform and apply the given training pieces. Any problem in any of the units was solved in case of occurrence. In the next step, after one month of self-care training, the researcher completed the standard Health-Promoting Lifestyle Profile again after one week. In the end, the collected data were analyzed in SPSS statistical software (version 20) using descriptive and inferential levels.
The results revealed that in the dimensions of self-fulfillment, accountability, interpersonal support, stress management, exercise, nutrition, and health-promoting index, the mean scores of maternal health-promoting behaviors were significantly higher after implementing the Orem self-care model, compared to the score before implementing the model (P<0.001).
This study aimed to investigate the effect of implementing the Orem self-care model on health-promoting behaviors of mothers of children with leukemia referred to the Pediatric Ward of Seyed Al-Shohada Hospital, Isfahan, Iran in 2021. Based on the results of the study, it can be concluded that self-care education increases happiness in stressful situations such as childhood. To the best of the researchers’ knowledge, no study has investigated this issue. In other words, no studies were found to confirm the alignment or non-alignment of the obtained data. Therefore, for the purpose of analyzing the current findings, other studies similar to the present subject study were used. For instance, the obtained finding is indirectly in line with the study of Orki et al. (1398). Their research showed that self-care education increased hope, happiness, and quality of life in the elderly. Other results showed that implementing the Orem self-care model affects the nutritional dimension of maternal health-promoting behaviors. According to the findings, it may be claimed that implementing the Orem self-care model affected the health-promoting behaviors of mothers of children with leukemia. Consequently, it is necessary to adopt supportive-educational measures based on the Orem model in the relevant centers according to the mothers’ needs.
Type of Study: Original Research | Subject: Nursing
Received: 2021/11/13 | Accepted: 2022/02/6 | Published: 2022/03/1

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