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Orem's Self-Care Model with Multiple Sclerosis Patients' Balance and Motor Function.

Ardashir Afrasiabifar1, Zahra Mehri1, Hamid Reza Ghaffarian Shirazi1

  • 1Yasuj University of Medical Sciences, Yasuj, Iran.

Nursing Science Quarterly
|December 5, 2019
PubMed
Summary

Nursing interventions based on Orem's self-care model significantly improved balance and motor function in multiple sclerosis patients. This approach empowers individuals managing chronic diseases through enhanced self-care capabilities.

Keywords:
Orem’s self-care modelbalancemotor functionmultiple sclerosis

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Area of Science:

  • Nursing Science
  • Rehabilitation Medicine
  • Chronic Disease Management

Background:

  • Orem's self-care model is utilized to empower patients with chronic diseases.
  • Multiple sclerosis (MS) significantly impacts patients' balance and motor function.
  • Effective nursing interventions are crucial for managing MS symptoms and improving quality of life.

Purpose of the Study:

  • To evaluate the effectiveness of nursing interventions applying Orem's self-care model on balance and motor function in multiple sclerosis (MS) participants.
  • To determine if Orem's self-care model-based nursing interventions can lead to measurable improvements in physical function for MS patients.

Main Methods:

  • A randomized controlled trial was conducted with 63 participants diagnosed with multiple sclerosis.
  • Participants were allocated to either an intervention group or a control group.
  • The intervention group received eight sessions (45-60 minutes each) of nursing care based on Orem's self-care model.

Main Results:

  • The intervention group showed a statistically significant improvement in balance scores (p=0.001) and motor function (p=0.001).
  • Mean balance scores increased from 17.09 ± 1.97 to 33.75 ± 6.01 post-intervention.
  • Mean motor function scores decreased from 4.12 ± 0.34 to 1.59 ± 0.71 post-intervention.
  • No significant changes in balance or motor function were observed in the control group (p=0.10 and p=0.20, respectively).

Conclusions:

  • Nursing interventions grounded in Orem's self-care model are effective in enhancing balance and motor function for individuals with multiple sclerosis.
  • This nursing model provides a beneficial framework for improving physical capabilities and self-management in MS patients.
  • The findings support the integration of Orem's self-care model into nursing practice for managing chronic neurological conditions like MS.