Study on the Effect of Orem's Self-care Model in School-age Children with Asthma_West China Medical Journal

Authors：

 ZhangXuejun ¹ , LiCongling ¹ , MengYaxi ²

1. Pediatric Department;Tongchuan Mining Bureau Central Hospital, Tongchuan, Shaanxi 727000, P. R. China;
2. Department of General Surgery;Tongchuan Mining Bureau Central Hospital, Tongchuan, Shaanxi 727000, P. R. China;

Corresponding author：

Keywords：

Orem's self-care model; School-age children with asthma; Pulmonary function; Therapeutic compliance; Quality of life

DOI：

10.7507/1002-0179.201600433

Video：

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Objective To investigate the efficacy of Orem's self-care model in school-age children with asthma. Methods Seventy-four children with asthma treated between March 2012 and June 2014 were divided into observation group (n=37) and control group (n=37) randomly. Orem's self-care model was applied in the observation group, while routine nursing was carried out in the control group. We observed the pulmonary function, therapeutic compliance and quality of life in children of both the two groups before and one year after treatment. Results One year after treatment, forced expiratory volume in one second and peak expiratory flow increased significantly (P<0.05), and increase in the observation group was significantly more than that in the control group (P<0.05). Compared with the control group, the observation group showed significant increased treatment compliance rate (P<0.05). Pediatric asthma quality of life questionare scale results showed that one year after treatment, the two groups got significantly increased scores in the dimensions of emotion, symptom and activity (P<0.05), and the scores were significantly higher in the observation group (P<0.05). Conclusion Orem's self-care model has a significant curative effect for the improvement of lung function in school-age children with asthma, which can promot the treatment compliance and quality of life of the patients.

Citation： ZhangXuejun, LiCongling, MengYaxi. Study on the Effect of Orem's Self-care Model in School-age Children with Asthma. West China Medical Journal, 2016, 31(9): 1585-1588. doi: 10.7507/1002-0179.201600433 Copy

1.	Bønnelykke K, Sleiman P, Nielsen K, et al. A genome-wide association study identifies CDHR3 as a susceptibility locus for early childhood asthma with severe exacerbations[J]. Nat Genet, 2014, 46(1):51-55.
2.	Sonney JT, Gerald LB, Insel KC. Parent and child asthma illness representations:a systematic review[J]. J Asthma, 2016, 53(5):510-516.
3.	Tangarayasap W, Thana K. Knowledge, self-care behaviors and asthmatic control in school-age children with asthma[J]. Mahasarakham Hospital J, 2014, 11(1):9-15.
4.	May SF, Thomas KW. Clinical application of Orem's self-care model of nursing in a Chinese community[J]. Contemp Nurse, 2014, 30(8):262-272.
5.	中华医学会儿科学会呼吸学组, 《中华儿科杂志》编辑委员会. 儿童支气管哮喘诊断与防治指南[J]. 中华儿科杂志, 2008, 46(10):745-753.
6.	周庆良, 陈民理, 陈秀凤, 等. GINA阶梯方案治疗儿童支气管哮喘的疗效观察[J]. 海峡预防医学杂志, 2009, 15(5):86-87.
7.	王厚玲, 闵凡云. Orem自我护理模式在儿童哮喘自我管理中的应用[J]. 齐鲁护理杂志, 2014, 20(11):27-29.
8.	Hashemi F, Rahimi Dolatabad F, Yektatalab S, et al. Effect of Orem Self-Care program on the life quality of burn patients referred to Ghotb-al-Din-e-Shirazi burn center, Shiraz, Iran:a randomized controlled trial[J]. Int J Community Based Nurs Midwifery, 2014, 2(1):40-50.
9.	Khodayar O, Khodadad K. Effectiveness of education based on Orem's Self-Care model in Self-Care activity of patients with implantable cardioverter defibrillators[J]. Hayat, 2014, 19(3):47-55.
10.	Zahran HS, Bailey CM, Qin X, et al. Assessing asthma control and associated risk factors among persons with current asthma-findings from the child and adult Asthma Call-back Survey[J]. J Asthma, 2015, 52(3):318-326.
11.	杨磊, 黄洋, 周小勤, 等. 武汉地区儿童支气管哮喘患病率及危险因素调查[J]. 中华实用儿科临床杂志, 2013, 28(21):1622-1624.
12.	刘龙涛. 心理、家庭、社会环境因素对儿童支气管哮喘影响的研究进展[J]. 中华现代护理杂志, 2014, 20(31):4026-4028.
13.	Lecturer NM. Using Orem's self-care model for asthmatic adolescents[J]. J Spec Pediatr Nurs, 2013, 18(3):233-242.
14.	Hemati Z, Mosaviasl FS, Abasi S, et al. Effect of Orem's Self-Care model on Self-Esteem of adolescents with asthma referred to an asthma and allergy clinic in isfahan[J]. Tanaffos, 2015, 14(4):232-237.
15.	崔艳梅. Orem自理模式在儿童支气管哮喘护理中的应用[J]. 中国中医药科技, 2014, 16(增刊2):243-244.

1. Bønnelykke K, Sleiman P, Nielsen K, et al. A genome-wide association study identifies CDHR3 as a susceptibility locus for early childhood asthma with severe exacerbations[J]. Nat Genet, 2014, 46(1):51-55.
2. Sonney JT, Gerald LB, Insel KC. Parent and child asthma illness representations:a systematic review[J]. J Asthma, 2016, 53(5):510-516.
3. Tangarayasap W, Thana K. Knowledge, self-care behaviors and asthmatic control in school-age children with asthma[J]. Mahasarakham Hospital J, 2014, 11(1):9-15.
4. May SF, Thomas KW. Clinical application of Orem's self-care model of nursing in a Chinese community[J]. Contemp Nurse, 2014, 30(8):262-272.
5. 中华医学会儿科学会呼吸学组, 《中华儿科杂志》编辑委员会. 儿童支气管哮喘诊断与防治指南[J]. 中华儿科杂志, 2008, 46(10):745-753.
6. 周庆良, 陈民理, 陈秀凤, 等. GINA阶梯方案治疗儿童支气管哮喘的疗效观察[J]. 海峡预防医学杂志, 2009, 15(5):86-87.
7. 王厚玲, 闵凡云. Orem自我护理模式在儿童哮喘自我管理中的应用[J]. 齐鲁护理杂志, 2014, 20(11):27-29.
8. Hashemi F, Rahimi Dolatabad F, Yektatalab S, et al. Effect of Orem Self-Care program on the life quality of burn patients referred to Ghotb-al-Din-e-Shirazi burn center, Shiraz, Iran:a randomized controlled trial[J]. Int J Community Based Nurs Midwifery, 2014, 2(1):40-50.
9. Khodayar O, Khodadad K. Effectiveness of education based on Orem's Self-Care model in Self-Care activity of patients with implantable cardioverter defibrillators[J]. Hayat, 2014, 19(3):47-55.
10. Zahran HS, Bailey CM, Qin X, et al. Assessing asthma control and associated risk factors among persons with current asthma-findings from the child and adult Asthma Call-back Survey[J]. J Asthma, 2015, 52(3):318-326.
11. 杨磊, 黄洋, 周小勤, 等. 武汉地区儿童支气管哮喘患病率及危险因素调查[J]. 中华实用儿科临床杂志, 2013, 28(21):1622-1624.
12. 刘龙涛. 心理、家庭、社会环境因素对儿童支气管哮喘影响的研究进展[J]. 中华现代护理杂志, 2014, 20(31):4026-4028.
13. Lecturer NM. Using Orem's self-care model for asthmatic adolescents[J]. J Spec Pediatr Nurs, 2013, 18(3):233-242.
14. Hemati Z, Mosaviasl FS, Abasi S, et al. Effect of Orem's Self-Care model on Self-Esteem of adolescents with asthma referred to an asthma and allergy clinic in isfahan[J]. Tanaffos, 2015, 14(4):232-237.
15. 崔艳梅. Orem自理模式在儿童支气管哮喘护理中的应用[J]. 中国中医药科技, 2014, 16(增刊2):243-244.

West China Medical Journal

Study on the Effect of Orem's Self-care Model in School-age Children with Asthma

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