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The Effect of Self-Care Education Based on Orem's Self-Care Theory on Self-Efficacy of Children with Nephrotic Syndrome: An Experimental Study
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Jamalodin Begjani   , Akram Sadat Sadat Hoseini , Zahra Zarifian Soroush , Hadi Ranjbar , Mohammad Mehdi Rajabi * |
| Department of Pediatric Nursing and Neonatal Intensive Care, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran. Iran , mmehdirajabi1379@gmail.com |
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Abstract: (537 Views) |
Introduction: Management of symptoms and disease progression in nephrotic syndrome requires self-care. Self-care is closely related to self-efficacy. Individuals with higher self-efficacy believe they are more successful in self-care, thus engage more in treatment activities and ultimately achieve better outcomes. This study aimed to determine the effect of self-care education based on Orem's theory on self-efficacy of children with nephrotic syndrome.
Method: In this experimental study, 72 children aged 7-18 years with nephrotic syndrome who referred to Mofid Hospital were consecutively selected and then randomly assigned to two groups: intervention and control. Data collection tools included a demographic information questionnaire and the Self-Efficacy for Children Questionnaire (SEQ-C). The intervention consisted of self-care education based on Orem's self-care model, which was conducted in two 60-minute face-to-face training sessions. The control group received routine care and did not receive any new intervention. Data were collected at the beginning of the study and one month after the end of the intervention. The results were entered into SPSS software version 23. Finally, the data were analyzed using descriptive and inferential statistical tests including mean, standard deviation, percentage, frequency, Chi-square, Mann-Whitney, independent t-test, and Wilcoxon.
Results: At the end of the study, data of 60 participants were analyzed. The two groups were homogeneous in terms of demographic variables (P>0.05). The mean self-efficacy score in the intervention and control groups before the intervention was 64.50 ± 18.42 and 64.76 ± 19.02, respectively, and there was no significant difference between the two groups (P>0.05). One month after the intervention, the mean self-efficacy score in the intervention group increased to 76.10 ± 14.67 and in the control group to 65.06 ± 17.04, and the mean self-efficacy between the two groups showed a significant difference (P<0.05).
Discussion and Conclusion: Self-care education based on Orem's model is effective in promoting self-efficacy in children with nephrotic syndrome. It is recommended that healthcare providers use Orem's model in self-care education for children with chronic diseases |
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| Keywords: education, self-care, self-efficacy, nephrotic syndrome, children |
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Type of Study: Pediatric and Neonatal Nursing |
Subject:
nursing
Received: 2024/03/13 | Accepted: 2024/05/19 | Published: 2024/07/31
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