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Introduction: Periodic attacks of migraine can cause  some dysfunctionality such as long-term absence from work,  mood change, sleep disturbances  and ultimately change in quality of life. The aim of this study was to determine the effect of   educational program based on "Orem Self Care Model" on quality of life in patients with migraine. 

 

Materials and Methods:  In this quasi-experimental study, 42 patients with migraine were selected by convenience sampling referred to one of the traditional medical clinic of Tehran.  The data were collected with demographic data questionnaire and "Quality of Life Questionnaire for Patients with Migraine". The questionnaire was validated by content validity of ten experts and two neurologist physician.  Reliability of the questionnaire was confirmed by test-retest method. Orem's Self-Care Educational Program, was performed according to the patient needs during 2 hours in four sessions. The quality of life was measured in two stages before and 8 week after the study.  Data were analyzed with SPSS/14.

 

Findings: Average score of functions for the "physical" and "mental" status of the health, was increased before and after the study and it was significant (P=0.001).   In addition, there was a significant difference,   between mean scores of overall quality of life ,  before and after the study  (P=0.049).

 

Conclusions: Self-care educational program, based on "Ore m Self Care Model" and patients’ self-care needs, improves quality of life in the patients with migraine. It is recommended that this model be used to improve the quality of life in these patients.

 

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Introduction: Self-care behaviors of heart failure patients is essential for optimal disease management. Social support can influence treatment adherence of patients with chronic illnesses. The aim of this study was to determine correlation between perceived social support and self-care behaviors of patients with heart failure. Materials and Methods: In this descriptive correlational study, 170 patients with heart failure who were admitted in hospitals affiliated to Shahid Beheshti University of Medical Sciences were selected with purposive sampling method. Data were collected with 3 instruments: 1- Demographic and clinical questionnaire, 2- "Perceived Social Support Questionnaire" 3- "European Heart Failure Self-Care Behavior Scale". Content and face validity of instruments were evaluated. Reliability of instruments were evaluated with internal consistency and test re-test methods. The range of Cronbach's alpha of "Perceived Social Support Questionnaire" in various dimensions were 0.84-0.91 and with test re-test method reliability values was 0.92. Also reliability of "European Heart Failure Self-Care Behavior Scale" with internal consistency and test re-test methods was 0.84 and 0.91 respectively. Data for this study were collected in morning and evening shifts through interview and were analyzed with SPSS/18 software. Findings: Results showed mean scores of perceived social support and self-care behaviors was 56.13±16.7 and 39.35±12.3 respectively. Subjects received the largest amount of emotional, instrumental, informational and appraisal support from their spouse. The largest part of perceived social support was related to emotional support. Based on Pearson correlation coefficient test There was a direct and significant correlation between perceived social support and its dimensions with self-care behaviors (p<0.001). Conclusion: The findings suggest a direct and significant correlation with perceived social support and self-care behaviors in patients with heart failure.

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Introduction: Heart failure as a chronic disease is a growing problem in communities. Social support and illness perception are two important factors in the self-care of patients. The aim of this study was to determine the correlation between social support and self-care in patients with heart failure by the mediating role of illness perception.
Methods: In this descriptive-correlational study, 149 heart failure patients in Tabriz, Iran, were selected using the convenience sampling method in 2016. To collect the data, a demographic questionnaire, the European Heart Failure Self-Care Behavior Scale, Brief illness Perception Questionnaire, and Social Support Scale were used. The validity and reliability had been measured in the previous study. Data were analyzed by the SPSS. 21 and Sobel test.
Results: There was a significant correlation between social support and self-care (r = -0.518, P < 0.01). The Sobel test showed the mediating role of illness perception between perceived social support and self-care (Sobel test = -4.73, P < 0.01).
Conclusions: Illness perception can be considered as a mediator and also a bridge between social support and self-care. It is suggested that nurses, health psychologists and doctors to consider these variables in primary priorities of self-care education.
 
 

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Introduction: Students have many problems in their various dimensions of self-care and self-efficacy. The aim of this study was to determine the effect of health habit-based intervention on self-care and self-efficacy of nursing students.
Methods: The present study was a semi-experimental design with pretest-posttest with control group. Sixty nursing students were randomly assigned to two intervention and control groups. For data collection, the "Dossey & Keygan Self-Care Scale" and "General Self-Efficacy Scale" Sherrer et al were used. Validity and reliability of "Self-care scale of Dossey and Keegan" were determined by the face validity, content validity index and content validity ratio and its reliability was determined by Alpha-Cronbach's coefficient. Validity and reliability of the Persian version “Self-Efficacy Scale” have been confirmed in previous studies. The intervention group was run for 6 weeks for the intervention group. Six sessions of support and follow-up consultation were conducted at the student dormitory student counseling center. There was no intervention for the control group. Questionnaires were completed by both groups before and after the intervention. Data was analyzed in SPSS software version 19.
Results: The difference in mean of total self-care score and self-efficacy in the two intervention and control groups was not statistically significant (P > 0.005) before intervention. But after the intervention, the difference in mean of self-care score in physical, mental and interest dimensions, as well as the mean score of self-efficacy, was statistically significant (P < 0.001).
Conclusions: The health habit-based intervention program was able to increase student’s self-care in areas such as physical, mental, and interest as well as self-efficacy. It is recommended that this intervention be applied for undergraduate nursing courses in all universities.
 

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Introduction: Attention to self-care behaviors is important in the management and control of chronic diseases such as hypertension. The aim of this study was to determine the correlation between active aging and hypertensive self-care behaviors in the elderly with hypertension.
Methods: The present study is descriptive-correlation. The statistical population included all the elderly with hypertension who referred to the specialized clinic of Hazrat Mohammad Rasoolullah Hospital in Mobarakeh in 2020. 125 of them were included in the study by available sampling method. Data were collected using a demographic questionnaire, "Iranian Active Aging Measurement Instrument", and the behavioral component of "Hypertension Self-Care Profile". The content validity of the instruments was calculated by qualitative method and the construct validity was calculated by confirmatory factor analysis and the reliability was calculated by internal consistency method by calculating Cronbach's alpha coefficient. Data were analyzed in SPSS. 20.
Results: The mean total score of active elderly in the elderly was 118.57±64.20. The mean total score of hypertensive self-care behaviors in the elderly was 54.10±24.66. Spearman correlation coefficient test showed a direct, strong and significant correlation between the total score of active aging and the total score of hypertensive self-care behaviors in the elderly (P<0.001, r =0.883).
Conclusion: Active aging status and self-care behaviors in the elderly were above average. There was also a direct, strong and significant correlation between active aging and hypertensive self-care behaviors. It is suggested that the training of hypertensive self-care behaviors for the elderly and attention to active aging in order to promote health, be considered by the treatment team and especially nurses.