The effects of Orem's self-care model on the nutrition status and fatigue of colorectal cancer patients

authors:

avatar Saba Karimi 1 , avatar Zohreh Vanaki 2 , * , avatar Homayoon Bashiri 3 , avatar Seyed Abdolmotalleb Hasani 4

Internal and Surgical Nursing,Tarbiat Modares University of Medical Sciences, Tehran, Iran
Tarbiat Modares University of Medical Sciences, Tehran, Iran
Imam Reza Hospital, Kermanshah University of Medical Sciences (KUMS), Kermanshah, Iran
Internal and Surgical Nursing, Amol University of Medical Sciences, Amol, Iran
Journal of Nursing and Midwifery Sciences: Vol.3, issue 3; 1-10
published online: August 31, 2016
article type: Research Article
received: April 23, 2016
accepted: June 06, 2016
DOI: https://doi.org/10.18869/acadpub.jnms.3.3.1

how to cite: Karimi S, Vanaki Z, Bashiri H, Hasani S A. The effects of Orem's self-care model on the nutrition status and fatigue of colorectal cancer patients. J Nurs Midwifery Sci. 2016;3(3):e141222. https://doi.org/10.18869/acadpub.jnms.3.3.1.

Abstract

Background and Purpose: Colorectal cancer (CRC) is one of the most highly prevalent and life-threatening digestive tract cancers.
CRC and its treatment are associated with numerous complications in the patients. Orem’s self-care model is a theory on clinical
improvement and reducing fatigue in patients with CRC. This study aimed to investigate the effects of Orem’s self-care theory on the
nutrition status and fatigue of CRC patients.
Methods: This quasi-experimental study was conducted on 70 patients diagnosed with CRC in the teaching hospital of Imam Reza in
Kermanshah, Iran in 2014. Samples were randomly divided into two groups of experimental and control. Data were collected using
the food frequency questionnaire (FFQ) and Brief Fatigue Inventory (BFI). After data collection, a self-care training program was
implemented based on Orem’s self-care theory.
Results: Self-care training intervention in the experimental group improved the consumption patterns of fruits (P=0.002), vegetables
(P=0.001), and dairy products (P=0.001). Moreover, general fatigue of CRC patients in the experimental group decreased after the
intervention (P=0.0001).
Conclusion: According to the results of this study, Orem’s self-care model could reduce the clinical symptoms and fatigue of patients
with CRC. Therefore, it is recommended that this model be applied to enhance the self-care behaviors and clinical conditions of CRC
patients.