Effect of Orem's self-care model on perceived stress in adolescents with asthma referring the asthma and allergy clinic, Isfahan, 2014

Background: incidence of asthma in adolescents leads to variations in family status, roles and interaction with peers for them, which could be a source of stress and psychological tensions in them. Therefore, the present study was conducted to investigate the effect of Orem's self-care model on perceived stress in adolescents with asthma

Methods: in this semi-experimental study conducted from April 2013 to February 2014, 64 asthmatic adolescents referring Shariati Hospital, Isfahan were enrolled by simple random sampling and the patients were assigned to two groups of control and intervention. Then, Orem's self-care model-based training was implemented throughout eight sessions of two hours each and the Cohen Perceived Stress Scale was administered to both groups prior to and two months after the completion of the training. The data were analyzed by descriptive and analytical statistics consisting of paired t-test, independent t-test, Chi-square and Mann-Whitney using SPSS Version 20

Results: mean age of the participants was 14.15 +/- 3.12 years in the intervention group and 15.21 +/- 3.09 years in the control groups. 68.8% and 59.4% of the participants were male in the intervention and control groups, respectively. Independent t-test indicated a significant difference in the mean scores of perceived stress in the intervention [25.46 +/- 5.31] and control groups [28.90 +/- 5.27] after the training. Also, the result of paired t-test indicated a significant difference in the mean score of perceived stress between before [29.18 +/- 5.27] and after [25.46 +/- 5.31] training

Conclusion: as the training based on Orem's model had a positive effect on declining perceived stress in asthmatic adolescents, continuation of using these training interventions could contribute to ultimately achieving positive outcomes in health functions of these patients

impact of education, based on the basnef model, on maternal attitudes toward child abuse in shahrekord health centers, 2012

As childhood is considered to be the infrastructure for growth and progress, experiencing misconduct may leave behind a heritage of imbalance and unrest which may be manifested in any situation in some form of mental disorder [neurotic attack]. This problem leads to physical and mental disorder in children and inflicts heavy social and economic damages to the society. This research aims at evaluating the impact of education, based on BASNEF model, on maternal attitude towards child abuse. The current research is based on an interventional study on 95 mothers referred to the Shahrekord health center. They were randomly selected and divided into two groups of test and control, and education was conducted in four sessions based on structures of BASNEF model. Finally their obtained information was analyzed using paired t-test, independent t-test, Mann-Whitney and Chi-square statistical tests. The mean score in beliefs was 77.73 +/- 7.27, attitudes 87.01 +/- 8.1, subjective norms 85.55 +/- 8.4 and enabling factors 82.77-4:10.64 in the test group. There was a significant difference in the average marks of the structures of the BASNEF model [beliefs, attitudes, subjective norms, and enabling factors] between the control and intervention groups after the training process. Model-based training has a positive effect on improving attitudes; therefore, instead of traditional methods, applying a planned training program is suggested so that its effects can be reliable