Effects of Orem's Self-Care Model of Nursing on Hand Symptoms and Life Activities in Geriatric Individuals Diagnosed with Rheumatoid Arthritis: A Pilot Study.

IF 0.8 4区 医学 Q4 NURSING
Halil Ibrahim Tuna, Guler Balci Alparslan
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引用次数: 0

Abstract

Background and purpose: According to Orem's self-care deficit theory, when patients cannot meet their care needs, they need nursing systems for maintaining their health. Nursing care for elderly patients with rheumatoid arthritis (RA) should be based on maintaining self-care. This study aims to determine the effects of Orem's self-care model of nursing care given to geriatric patients with RA on hand symptoms, life activities, and hand pain.

Methods: The study sample comprised a total of 22 patients (intervention group, 11; control group, 11) who met the sample selection criteria at a rheumatology outpatient clinic of a university hospital between June 17, 2019 and September 20, 2019. All interviews with patients in the intervention group were conducted by daily phone calls and a face-to-face interview at the hospital every 4 weeks. Patients continued to receive routine prescription by a physician during the course of application.

Results: No difference was observed between the groups in terms of descriptive patient characteristics (p > .05). Hand pain, hand symptoms, and life activities of patients in the intervention group were measured at study initiation, week 4, and week 8. Intragroup comparison revealed that hand pain, hand symptoms, and life activity scores were lowest at week 8 in the intervention group (p < .05).

Implications for practice: This study indicates that nursing care given according to Orem's self-care model is effective in reducing pain, improving hand functions, and performing life activities.

奥瑞姆自我护理模式对老年类风湿关节炎患者手部症状和生活活动的影响:一项试点研究
背景和目的:根据奥瑞姆的自理能力缺失理论,当患者不能满足其护理需求时,就需要护理系统来维持其健康。对类风湿性关节炎(RA)老年患者的护理应以维持自我护理为基础。本研究旨在确定 Orem 的自理模式护理对老年类风湿关节炎患者手部症状、生活活动和手部疼痛的影响:研究样本包括2019年6月17日至2019年9月20日期间在某大学附属医院风湿科门诊就诊的符合样本选择标准的共22名患者(干预组,11名;对照组,11名)。对干预组患者的所有访谈都是通过每天的电话和每 4 周在医院进行的面对面访谈进行的。在应用过程中,患者继续接受医生的常规处方:结果:两组患者在描述性特征方面无差异(P > .05)。干预组患者的手痛、手部症状和生活活动在研究开始、第 4 周和第 8 周时进行了测量。组内比较显示,干预组患者在第 8 周时的手痛、手部症状和生活活动评分最低(P < .05):本研究表明,根据奥瑞姆的自我护理模式提供的护理能有效减轻疼痛、改善手部功能和进行生活活动。
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来源期刊
CiteScore
1.20
自引率
0.00%
发文量
32
审稿时长
>12 weeks
期刊介绍: Research and Theory for Nursing Practice focuses on issues relevant to improving nursing practice, education, and patient care. The articles strive to discuss knowledge development in its broadest sense, reflect research using a variety of methodological approaches, and combine several methods and strategies in a single study. Because of the journal''s international emphasis, article contributors address the implications of their studies for an international audience.
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