[ effect of implementing orem's self-care model on the self- esteem of elderlies resident of nursing home in Urmia]

ABSTRACT

Regarding the increase in the elderly population, using nursing theories especially Orem self-care model can be effective in self- esteem improvement. This study aimed at evaluating the effect of implementing Orem self-care model on the self- esteem of the elderly resident in the nursing homes in Urmia. In this quasi-experimental study, 50 elderly people who have inclusion criteria were selected through available sampling and were randomly divided into two groups of control [25] and intervention [25]. Self- esteem was evaluated via Rosenberg self-esteem questionnaire before and one month after implementing the selfcare program. Data were analyzed via SPSS software v. 16, using descriptive and inferential statistical testes. Results showed that in the control group, need level in 48% of the elderly was low, in 44% moderate and in 8% high. In the intervention group this level was reported low in 44%, moderate in 52% and high in4% of the subjects. Chi-square test did not show a significant difference between the two groups regarding level of needs [P=0.76]. In the intervention group, the mean score of self-esteem before the intervention was 25.70 which increased to 27.96 after the intervention. The difference between the means scores of self-esteem in the two groups was significant [P=0/015]. Implementing orem's self-care model had a positive influence on improving self- esteem of the elderly people. Therefore, nurses and other eldercare providers are suggested to reinforce self-care spirit in these patients, according to the nursing theories and health care programs, to improve self- esteem in the elderly resident in nursing homes.