THE EFFECT OF APPLYING OREM SELF-CARE MODEL ON SELF CARE ABILITY IN PATIENTS HOSPITALIZED IN THE INTERNAL CARDIAC MEDICINE UNIT IN EMAM REZA HOSPITAL, SIRJAN

The most important causes for mortality rate and re admission in patients with
heart disease arise from insufficient education and inappropriate self care. This study determines the
effect of applying Orem self-care model on self care ability in patients hospitalized in the internal cardiac
unit in Emam Reza hospital of Sirjan.
Materials and Methods: In this clinical trial study, 80 patients with known heart disease were selected
randomly, and they were divided in to two groups of experimental and control. A pre test was performed.
The patients, in the experiment group, received 5 education sessions by implementing Orem's model,
each lasting twenty minutes during the hospital stay, and also they were given an educational pamphlet.
The control patients received routine care the patients in both groups. Post test was performed. The data
were analyzed via SPSS soft ware version 16.
Result: The mean score for self care cognitive abilities in the experimental group before the intervention
increased from 2/03 ± 0/15 to12 ±0/001 after the intervention. The mean score of self care performance
ability in the experimental group, increased from 32/28 ± 9/51 to 105/43 ± 3/96 after the intervention.
Significant differences between self care ability before and after the intervention were observed
(p<0/001). The difference was not significant in the control group (p> 0/05).
Conclusion: Applying of Orem's self care model had a positive influence on raising the self care ability
of the patients with heart disease. Therefore, the application of Orem's model is suggested in the care of
patients with chronic, especially heart patients