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. 2016 May 24;18(8):e31955.
doi: 10.5812/ircmj.31955. eCollection 2016 Aug.

The Effect of Orem's Self-Care Model on Fatigue in Patients With Multiple Sclerosis: A Single Blind Randomized Clinical Trial Study

Ardashir Afrasiabifar  1 , Zahra Mehri  1 , Saied Javad Sadat  1 , Hamid Reza Ghaffarian Shirazi  2
Affiliations

The Effect of Orem's Self-Care Model on Fatigue in Patients With Multiple Sclerosis: A Single Blind Randomized Clinical Trial Study

Ardashir Afrasiabifar et al. Iran Red Crescent Med J. .

Abstract

Background: Orem's self-care model is a nursing model that was introduced with the purpose of improving the self-care of individuals, especially patients suffering from chronic diseases.

Objectives: To determining the effect of Orem's self-care model on fatigue in multiple sclerosis patients.

Patients and methods: This research involved a clinical trial. Sixty-three multiple sclerosis patients at the vice-chancellor in treatment affairs of Yasuj University of Medical Sciences were selected based on nonrandom sampling, but they were allocated to the two groups based on random allocation. In the intervention group, Orem's model was applied during six sessions of 45 - 60 minutes in length, and the process continued for 1 month. The data were collected 1 week before and 7 weeks after the end of the intervention using the Orem's self-care model-based assessment form and fatigue severity scale, the validity and reliability of which have been.

Results: Before the intervention, 11.11% of the participants had a good knowledge of self-care. In addition, self-care willingness and skills were observed in 76.19% and 4.76% of participants, respectively. The mean difference in fatigue reduced significantly in the intervention group after the intervention (P < 0.05). After the intervention, a statistically significant difference was observed in the mean difference of fatigue between the two groups (P < 0.05).

Conclusions: Orem's self-care model is significantly effective in reducing the fatigue of multiple sclerosis patients.

Keywords: Fatigue; Models; Multiple Sclerosis; Nursing.

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Conflict of interest statement

Conflict of Interest:None declared.

Figures

Figure 1.
Figure 1.. Consort Flow Diagram
Figure 2.
Figure 2.. Summary Error Bars of Three Dimensions of Self-Care Deficit (95% Confidence Interval) for the Intervention and Control Groups before the Intervention
See this image and copyright information in PMC

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