The effectiveness of self-care program based on the Orem pattern on the quality of life of children undergoing hemodialysis

Q3 Medicine

Evidence Based Care Journal Pub Date : 2021-04-03 DOI:10.22038/EBCJ.2021.53217.2405

N. Razaghi, Fahimeh Khazaee, H. Behnam, M. Esmaeili

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引用次数: 0

Abstract

Background: The quality of life of children with chronic kidney disease is low. The Orem model emphasizes on self-care. Therefore, it is necessary to further study the usefulness of this model in children Objective: To determine the effectiveness of self-care program based on Orem model on quality of life in children undergoing hemodialysis. Method: This clinical trial (quasi-experimental) with pre-test and post-test design was performed on 27 children aged 8 to 15 years undergoing hemodialysis in Sheikh Hospital of Mashhad who met the inclusion criteria in 1398. The Orem Self-Care Questionnaire, and the Adolescent Standard Quality of Life Questionnaire were completed prior to enrollment, and the needs for general self-care and health care were identified. Then, the self-care support-educational program designed based on the Orem model was implemented individually in the form of 8 to 10 sessions of half to one hour and with various educational methods. Data were analyzed using SPSS statistical software. Results: The mean and standard deviation of the total quality of life score before the intervention was 24.9± 0.118 and immediately after the intervention was 27.3±0.177.A significant difference between immediately after the intervention and before the intervention (P <0.001). The difference between tow weeks and six weeks after the intervention and immediately after the intervention was also significant . Implications for Practice:Since the educational program designed in this study based on the Orem model was effective, the findings of this study can be used in planning to increase the quality of life of children undergoing hemodialysis.

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基于Orem模式的自我护理方案对血液透析患儿生活质量的影响

背景:慢性肾脏疾病患儿的生活质量较低。Orem模式强调自我照顾。目的:探讨基于Orem模型的自我护理方案对血液透析患儿生活质量的影响。方法:采用前测和后测相结合的临床试验(准实验)设计，对1998年在马什哈德Sheikh医院接受血液透析治疗的27例8 ~ 15岁儿童进行研究。在入组前完成Orem自我保健问卷和青少年标准生活质量问卷，并确定一般自我保健和卫生保健的需求。然后，根据Orem模型设计的自我照顾支持教育项目，以8 - 10个半小时至1小时的课程形式，采用多种教育方法进行个体实施。数据采用SPSS统计软件进行分析。结果:干预前总生活质量评分的均值和标准差为24.9±0.118，干预后立即的均值和标准差为27.3±0.177。干预后即刻与干预前有显著差异(P <0.001)。干预后两周和六周与干预后立即之间的差异也很显著。实践启示:由于本研究基于Orem模型设计的教育方案是有效的，本研究的发现可用于计划提高血液透析儿童的生活质量。

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

Evidence Based Care Journal Medicine-Health Policy

CiteScore

2.00

自引率

0.00%

发文量

审稿时长

12 weeks

期刊介绍： The Evidence Based Care Journal (EBCJ) is an international, peer reviewed, scientific journal that seeks to promote the development and exchange of knowledge that is directly relevant to all spheres of patient care. The primary aim is to promote a high standard of clinically related scholarship which advances and supports patient care in practice. The Journal also aims to promote the international exchange of ideas and experience that draws from the different cultures in which practice takes place. Further, EBCJ seeks to enrich insight into clinical needs and the implications for patient care intervention and models of service delivery. Emphasis is placed on clinical practicality of research findings and strength of study design. EBCJ is essential reading for anyone involved in healthcare professions, whether clinicians, researchers, educators, managers, policy makers, or students. Contributions are welcomed from other health professionals on issues that have a direct impact on patient care.