Introduction: Nursing profession and field, as a scientific field, needs a scientific basis of which nursing models were and still are. One of the prominent models in nursing is Orem's self-care model. Therefore, this study was conducted with the aim of applying the nursing process based on the Orem self-care model in patients with tibia fractures. Methods: In this case study, the nursing process of a patient with tibia fracture admitted to Ba'ath Hospital in Hamedan city in 2019 was presented. In the stage of nursing research and recognition, data collection was done based on the "Orem self-care model survey form". Nursing diagnoses were compiled and care goals were determined and nursing measures were taken to achieve the goals. Data analysis was presented using a table. Results: The findings showed that cases of self-care deficiencies and patient self-care needs decreased after nursing measures based on the Orem self-care model. The findings led to 7 nursing diagnoses and 42 care goals. Conclusions: Using Orem's self-care model as a framework for diagnosis, choosing the appropriate action and evaluating the results was very useful. It is suggested that nursing theories be applied in all departments and on different patients.

Background and Aim: Communication with patient is the initial stage and main core of nursing care. Patient centered communication skills require special attention. Not applying a non-pragmatic theoretical model is one of the hindering underlying factors for quality and quantity care development. This study aimed to determine the effect of Orem self- care model on nursing students communication performance in clinical setting.Materials and Methods: In this quasi-experimental study, 66 nursing students were selected by easy-access sampling. Intervention group were trained based on Orem Self Care Model and control group based on routine nursing process method. Then the two groups cared patients over a week. Data were collected by performance evaluation checklist and nursing process record evaluation form, then analyzed with chi-square, Mann-Whitney and independent t test.Results: The mean of communication performance evaluation scores in the intervention group (88.4±10.6) was significantly higher than the control group (79.0±17.9) (P=0.014).Conclusion: As Orem self- care model showed a 12% students performance increase, it is recommended to present a course on nursing theories for undergraduate students.

Background: With the development of chronic diseases including chronic renal failure, quality of life for these patients is often lower than normal. This study was designed to use Orem self care framework and it impact on quality of life in patients treated with hemodialysis was designed and executed.Materials and Method: Quasi-experimental research present study, sampling method on 35 hemodialysis patients who referred to were Khatam hospital Hemodialysis unit in Zahedan themerin 1389. Data collection included demographic information, health status forms of Orem-based model and the standard measure of quality of life instrument SF-36 was QOL Scores recorded as pre-test and then revied wase the plemouted questionnaire after completetion without health status, training needs and educational needs during the four individual half an hour sessions month. After two months of the last session of the quality of life questionnaire completion and data analyzed SPSS-16 software using Martvsyfy paired T test, Pearson correlation and ANOVA were analyzed.Resulst: After applying all aspects of self care model for quality of life was significantly enhanced (p<0.005). Also, mean total quality of life prior to the 90.46% 65.56% after applying self care model promoting Vtfavt found significantly (p<0.001).Conclusion: Results indicated a positive impact Orem self care framework is. Therefore, a program based on training needs, can indicate chronic and progressive course of disease patterns, the importance of self care that stows permanent drift.

Context: Fatigue and the reduced quality of life are among the most common problems of patients with chronic obstructive pulmonary disease (COPD), affecting all aspects of life in these patients. Aims: This study aimed to evaluate the effects of self‑, care program based on the Orem self‑, care model on fatigue and quality of life in patients with COPD. Setting and Design: This was a randomized controlled trial conducted on 66 patients with COPD who were admitted to hospitals of Shahrekord University of Medical Sciences, Iran. Materials and Methods: The patients were randomized either to the intervention group or control group using random numbers by random allocation software. The intervention group received self‑, care program based on the Orem’, s self‑, care theory, including four educational sessions as well as a 2‑, month follow‑, up. The control group received only usual care. The needed data were collected using the Fatigue Severity Scale and 12‑, item Short‑, Form Health Survey questionnaire once before and once after the interventions and then analyzed using descriptive and analytic statistics. Statistical Analysis Used: These data were analyzed by SPSS software using descriptive and analytic statistics. Results: In the intervention group, the mean score of fatigue reduced and the mean score of quality of life significantly increased after performing the interventions (P < 0. 05). Moreover, the mean scores of fatigue and quality of life were significantly different between the groups (P < 0. 05). The mean changes in terms of fatigue and quality of life scores were significantly greater in the intervention group compared to the control group (P < 0. 05). Conclusion: Orem’, s self‑, care theory is an effective nursing theoretical framework used to reduce fatigue and improve quality of life, thus it can be used for other chronic diseases and conditions as well.

Background & Aims: Due to the chronic nature of diabetes and its long process and the high prevalenceof foot ulcer complications in patients with diabetes and spending a lot finance and service of for healthcare providers related to the care of wounds, using self-care programs such Orem's self-care programcan be effective. This study aimed to determine the effect of self-care program based on Orem's modelon self-care behaviors of patients with diabetic foot ulcers referred to Ayatollah Taleghani Hospital inUrmia.Materials and Methods: The present study is a quasi-experimental study.60 patients with diabetic footulcers referred to Ayatollah Taleghani hospital in Urmia were selected by available sampling approach. All the patients had inclusion criteria, and they were randomly divided into two equal groups controland intervention, each having 30 members. Data collection tools were demographic, measure of selfcare and assessment based on Orem's model questionnaires that were completed In two stages, beforeand after the implementation of Orem's self-care program. The data were analyzed via SPSS software v.16, using descriptive and statistical testes.Results: The results showed that mean score of self-care status before intervention in the interventionand control groups was not statistically significant (P=0.11). But the t-test indicates a statisticallysignificant difference between the two groups in self-care status after the intervention (P<0.001).Conclusion: Implementing Orem's self-care program can cause the increase of self-care behaviors indiabetic patients. Therefore, it is recommended to improve the patient’s knowledge and adherence toself-care behaviors. The nurses should use different patient-centered communication approaches toimprove it.

Introduction: The development of nursing curriculum to develop the skills and the professional tasks by using the proper training is necessary for planning. Learning based on nursing models and theories is an original strategy in nursing education. This study aimed to clarify participants' experiences about patient education curriculum. Method: This study was part of a qualitative study using Glasser grounded theory approach in 2014. To explore experiences and understanding of nursing students، lecturers، and clinical tutors، in-depth and semi-structural interviews about patient education was used to gather the data. Data analysis conducted simultaneously by data gathering. The extracted codes were categorized into three main themes with several subthemes. Results: Three main themes were extracted including ‘ the role of professional patient education’ ، ‘ application of nursing theory in clinical practice’ ، and ‘ integrated curriculum course’ . Conclusion: This study recommends the application of Orem nursing model for managing and organizing the patient education curriculum. This may be an applicable guidance for developing nursing curriculum.

Background. Multiple sclerosis is a chronic disease of the central nervous system and most often occurs in people between the ages of 20 to 50 years. Orem's self-care model is one of the models that have had a special approach to human and health care issues. The aim of this study was to review the effect of self-care training based on the Orem model on the burden on caregivers of patients. . Methods. The present quasi-experimental study was performed on 76 main members of the family caring for patients with multiple sclerosis in Bandar Abbas with a pre-test, post-test design and a control group. The study units were randomly selected and divided into two groups of control and intervention. The intervention group was trained according to the Orem training program in patients with amnesia during 6-8 sessions of 40 minutes. In order to assess the burden on caregivers, a 22-item "Zarit" questionnaire was used and a questionnaire was completed before and after the intervention in both groups. The results were analyzed with SPSS software version 26. Results. The difference between the mean of burden before the intervention (44. 6 13 13) and after the intervention (33. 7 10 10) in the intervention group was significant (P<0. 05), which indicated the positive effect of training on decrease in the burden. The increase in the age of the intervention group was associated with an increase in the burden on the caregivers (P<0. 05). There was a significant relationship between the burden on caregivers and the amount of income in the intervention group (P<0. 05). Conclusion. Educating the caregiver of these patients can play an important role in reducing the burden on the caregiver during the long period of care. Applying Orem self-care model enables people to play a more active role in their care and treatment, thereby improving self-care, reducing fear and dependence, increasing motivation and self-confidence, and a sense of independence. Practical Implications. Application of research findings in nursing practice, nursing service management and nursing training.