Abstract

Introduction: Self-care is the main part of health and the care of chronic diseases, and since nowadays cancer is one of the most important and common chronic diseases, using nursing theories and models has been suggested to promote self-care in these patients. This study has been carried out with the aim of determining the effect of training Orem's self-care model on the self-care agency of patients with cancer.

Methods: This quasi-experimental study was performed on 20 patients with cancer at Imam Khomeini Hospital's Hematology Ward.

The self-care assessment checklist of patients with cancer was used to collect data. First, according to the self-care assessment checklist, patient information in 5 main areas (proper diet, strategies to increase body image, strategies to alleviate nausea and vomiting, medication regimen, and caring the mouth sores due to chemotherapy) were scored between 0 and 10 based on a Likert scale. Then, considering the patient's condition, the necessary training was performed using Orem's self-care model. Then, the patients' information was re-evaluated based on the checklist and the results of before and after the intervention were compared.

Results: According to the results of the present study, the mean score of self-care agency in each of the 5 areas including diet P = 0.04 and strategies to increase body image (p = 0.000) and strategies to alleviate nausea and vomiting (p = 0.003), considering and adjusting medication regimen p = 0.001, caring the mouth sores p = 0.01 before and after training based on Orem's self-care model, demonstrated a significant difference.

Conclusion: Due to the positive effects of training based on Orem's self-care model the use of this model is recommended as an appropriate method along with other treatment measures.

Keywords: Orem's Self-Care Model; Self-Care; Cancer

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