The effect of educational interventions by nurses through Orem’s self-care theory on the ability of self-care in myocardial Infarction patients in public sector hospital: a quasi-experimental study

Authors

  • Muhammad Shahid Dow Institute of Nursing, Dow University of Health Sciences, Karachi, Pakistan https://orcid.org/0009-0007-6929-6400
  • Sarfraz Masih Dow Institute of Nursing, Dow University of Health Sciences, Karachi, Pakistan
  • Nawaz Lashari Department of Cardiology, Dr. Ruth Pfau Civil Hospital, Karachi, Pakistan
  • Waqas Ahmed Farooqui School of Public Health, Dow University of Health Sciences, Karachi, Pakistan

DOI:

https://doi.org/10.47391/JPMA.10396

Keywords:

Orem’s self-care deficit nursing theory, Self-care ability, Patient’s education, Myocardial infarction, Self-efficacy, Quality of life

Abstract

Objective: To assess the impact of educational intervention by nurses guided by Orem’s theory to reinforce the of self-care abilities of patients experiencing myocardial infarction.

Method: The prospective, quasi-experimental case-control study was conducted from September 2020 to April 2021 at Dr. Ruth K.M. Pfau Civil Hospital, Karachi, and comprised myocardial infarction and heart failure patients with co-morbidities diabetes mellitus and hypertension. The patients were randomised into experiment group A and control group B. Group A received educational intervention one day before and one day after discharge in line with the American Heart Association guidelines. Two 30-45-minute sessions of seven modules were conducted. Group B received routine information from ward staff. Assessment was done at baseline and first month and second month post-intervention using the Heart Failure Self-Care Index version 6.2. Data was analysed using SPSS 20.

Results: Of the 80 patients, 40(50%) were in group A; 27(76.5%) males and 13(32.5%) females. The remaining 40(50%) patients were in group B; 20(50%) males and 20(50%) females. The overall age of the sample ranged 36-65 years and 48(60%) had a previous history of heart failure. The mean score of maintenance, management, confidence and overall self-care were significantly higher in group A compared to group B (p<0.05).

Conclusions: Nursing self-care educational intervention based on Orem’s theory was found to be highly effective among patients of myocardial infarction and heart failure with respect to their self-efficacy ability.

Key Words: Orem’s self-care deficit nursing theory, Self-care ability, Patient’s education, Myocardial infarction, Self-efficacy, Quality of life.

Author Biography

Muhammad Shahid, Dow Institute of Nursing, Dow University of Health Sciences, Karachi, Pakistan

I am currently Working as Assistant Professor / Principal School Of Nursing Kharadar General Hospital. Master in Nursing from Dow University of Health Sciences, 15 Years experience of teaching to undergraduate and graduate nursing students. 

Published

2024-08-23

How to Cite

Muhammad Shahid, Masih, S., Lashari, N., & Farooqui, W. A. (2024). The effect of educational interventions by nurses through Orem’s self-care theory on the ability of self-care in myocardial Infarction patients in public sector hospital: a quasi-experimental study. Journal of the Pakistan Medical Association, 74(9), 1617–1622. https://doi.org/10.47391/JPMA.10396

Issue

Section

RESEARCH ARTICLE

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