The effectiveness of self-care program based on the Orem pattern on the quality of life of children undergoing hemodialysis

Background: The quality of life of children with chronic kidney disease is low. The Orem model emphasizes on self-care. Therefore, it is necessary to further study the usefulness of this model in children Objective: To determine the effectiveness of self-care program based on Orem model on quality of life in children undergoing hemodialysis. Method: This clinical trial (quasi-experimental) with pre-test and post-test design was performed on 27 children aged 8 to 15 years undergoing hemodialysis in Sheikh Hospital of Mashhad who met the inclusion criteria in 1398. The Orem Self-Care Questionnaire, and the Adolescent Standard Quality of Life Questionnaire were completed prior to enrollment, and the needs for general self-care and health care were identified. Then, the self-care support-educational program designed based on the Orem model was implemented individually in the form of 8 to 10 sessions of half to one hour and with various educational methods. Data were analyzed using SPSS statistical software. Results: The mean and standard deviation of the total quality of life score before the intervention was 24.9± 0.118 and immediately after the intervention was 27.3±0.177.A significant difference between immediately after the intervention and before the intervention (P <0.001). The difference between tow weeks and six weeks after the intervention and immediately after the intervention was also significant . Implications for Practice:Since the educational program designed in this study based on the Orem model was effective, the findings of this study can be used in planning to increase the quality of life of children undergoing hemodialysis.