Impact of nursing based on Orem's self-care theory on self-care behaviours in older patients with heart failure: A randomised controlled trial

IF 1.4 4区医学 Q4 GERIATRICS & GERONTOLOGY

Australasian Journal on Ageing Pub Date : 2025-07-01 DOI:10.1111/ajag.70059

Ying Xie, Dongmei Wang, Jing Zhou, Tong Zhou, Yuli Huang, Keke Zhang, He Li

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引用次数: 0

Abstract

Objective

This study aimed to evaluate the impact of Orem's self-care theory on self-care behaviours in older patients with chronic heart failure.

Methods

A prospective randomised controlled trial that involved 104 older patients with heart failure who were admitted to the cardiology department of our hospital between November 2021 and April 2023. Participants were randomly assigned to either the control group or the study group. The study group received comprehensive nursing based on Orem's self-care deficit theory (OSCD), while the control group received standard nursing care. The two groups' self-care ability, medication adherence and mental health were compared.

Results

After the intervention, the study group demonstrated significantly better self-care ability and medication adherence than the control group. Additionally, the improvement in the Self-Rating Anxiety Scale (SAS) and Self-Rating Depression Scale (SDS) scores in the study group was significantly greater than in the control group. The study group also experienced fewer readmissions within 1 year than the control group.

Conclusions

Implementing comprehensive nursing based on Orem's self-care theory in patients with chronic heart failure can significantly enhance self-care ability, improve medication adherence, enhance mental health and reduce readmission rates. Integrating Orem's self-care theory into routine heart failure management encourages a more holistic and empowering approach to care. It supports patient independence, strengthens nurse–patient engagement and may help health-care systems reduce readmission-related costs. This model is particularly valuable in managing chronic illnesses among older adults, where self-efficacy and adherence are often compromised.

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基于Orem自我护理理论的护理对老年心力衰竭患者自我护理行为的影响：一项随机对照试验

目的探讨Orem自我护理理论对老年慢性心力衰竭患者自我护理行为的影响。方法采用前瞻性随机对照试验，纳入2021年11月至2023年4月在我院心内科收治的104例老年心力衰竭患者。参与者被随机分配到对照组和研究组。研究组采用基于Orem自我护理缺陷理论（OSCD）的综合护理，对照组采用标准护理。比较两组患者的自我护理能力、药物依从性和心理健康状况。结果干预后，实验组自我护理能力和药物依从性明显优于对照组。此外，研究组在焦虑自评量表（SAS）和抑郁自评量表（SDS）得分上的改善显著大于对照组。研究组在1年内的再入院率也低于对照组。结论对慢性心力衰竭患者实施基于Orem自我护理理论的综合护理，可显著提高患者的自我护理能力，提高服药依从性，增强心理健康，降低再入院率。将Orem的自我护理理论整合到日常的心力衰竭管理中，可以鼓励更全面、更有力的护理方法。它支持患者独立，加强护士与患者的参与，并可能帮助卫生保健系统减少与再入院相关的费用。这种模式在管理老年人的慢性疾病方面特别有价值，因为老年人的自我效能和依从性经常受到损害。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Australasian Journal on Ageing 医学-老年医学

CiteScore

3.10

自引率

6.20%

发文量

114

审稿时长

>12 weeks

期刊介绍： Australasian Journal on Ageing is a peer reviewed journal, which publishes original work in any area of gerontology and geriatric medicine. It welcomes international submissions, particularly from authors in the Asia Pacific region.