The effect of a supportive educational intervention developed based on the Orem’s self-care theory on the self-care ability of patients with myocardial infarction

rahmati sharghi, Narjes (2013) The effect of a supportive educational intervention developed based on the Orem’s self-care theory on the self-care ability of patients with myocardial infarction. Masters thesis, gonabad university of medical sciences.

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Abstract

Background and aim: Myocardial infarction is a common debilitating, life-threatening disease. Most of the patients with myocardial infarction are discharged form hospital after a few days and convalesce at home. However, they usually suffer from the long-term complications of the disease and experience serious health problems during their lifetime. Consequently, self-care plays an important role in the prevention of long-term diseases of the disease. According to Orem’s self-care theory, human beings are self-care agents that assume responsibility for self-care and develop their self-care ability through learning, experiencing, and communicating with others. Self-care behaviors improve the quality of life and decrease the number and length of hospitalizations. The aim of this study was to assess the effect of a supportive educational intervention developed based on the Orem’s self-care theory on the self-care ability of patients with myocardial infarction. Methods: This was a randomized controlled trial conducted in 2012. A random sample of 66 patients with myocardial infarction was selected. The patients were randomly allocated to either the experimental or the control group. The patients in the experimental group received education, support, and counseling while patients in the control group received neither education nor counseling. We employed a demographic questionnaire and the Myocardial Infarction Self-Care Ability Questionnaire for data collection. We employed SPSS v.16 and the paired- and independent-samples t test as well as the Fisher’s exact and Chi-square tests for data analysis. The level of significance was set at below 0.05. Findings: Before the study, there was no statistically significant difference between the experimental and the control groups in terms of self-care knowledge, motivation, and skills (P value > 0.05). However, after the study, patients in the experimental group had higher levels of self-care knowledge, motivation, and skills compared with the pre-study readings and the control group (P ≤ 0.001). On the other hand, in the experimental group, the patients’ self-care ability was significantly correlated with their only their educational status (P value = 0.04). Moreover, in the control group, there was a statistically significant correlation between self-care knowledge and numbers of experienced myocardial infarction. After the study, the patients’ self-care ability was significantly correlated with their blood glucose and cholesterol levels (P value < 0.001). Moreover, we found a statistically significant difference between the study groups in terms of systolic (P value = 0.001) and diastolic (P value < 0.001) blood pressure. Conclusion: The supportive educational intervention developed based on the Orem’s self-care theory is an effective strategy for the enhancement of patients’ self-care ability and therefore, for the management of the disease and the prevention of the complications. Consequently, developing organized self-care education and counseling programs based on Orem’s self-care theory is recommended. Moreover, the introduction of the Orem’s self-care theory into the baccalaureate nursing curriculum and continuing education programs is also recommended to promote nurses and nursing students’ clinical practice and to improve patient outcomes. Keywords: Myocardial infarction, Orem’s self-care theory, Self-care, Educational needs.

Item Type: Thesis (Masters)
Subjects: R Medicine > RT Nursing
Depositing User: Unnamed user with email eprints@gmu.ac.ir
Date Deposited: 09 Nov 2019 10:48
Last Modified: 09 Nov 2019 10:48
URI: http://eprints.gmu.ac.ir/id/eprint/1320

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