The Effect of Orem’s Self-Care Model on Quality of Life in Patients with Migraine: a Randomized Clinical Trial
Many aspects of the lives of migraineurs are commonly affected by the condition, including occupational affairs, social and family life, responsibilities and ultimately the quality of life. This study was designed to determine the effect of orem's self-care nursing model on quality of life in patients with a migraine. This study was carried out in Tehran, Iran. According to the pre-post design of the randomized clinical trial, 88 patients were selected. After obtaining approval from the ethics committee of the Baqiyatallah Medical Sciences University's Research Deputy; Patients who signed the informed consent aged 20-55 years and without any more disease or disability affecting the quality of life were selected and randomly assigned to a group. Data collection tools were a demographic questionnaire, general health survey short form (SF36), and Orem cognition form and self-care checklist. Self- care model were held as four 30-45 minutes training sessions based on self-care deficit needs for the experimental group. The quality of life scores was measured in two stages, before and three months after intervention then were compared in both groups. Data were analyzed with statistical software SPSS and use of descriptive analysis tests, Chi-square, Mann-Whitney u and Wilcoxon. The final analysis was performed on 43 experimental and 40 controls. No significant difference was detected in the two groups in terms of demographic variables (P>0.05). All dimensions of quality of life including physical functioning, physical role limitation, body pain, general health, vitality, social functioning and emotional role limitation and mental health in the experimental group showed a significant increase after intervention compared to the control group (P<0.05). It was concluded that performing Orem's self-care nursing model improves function and overall quality of life and reduces the high cost of a migraine and migraine-related disability to individuals and society.
Blumenfeld, A., et al., Disability, HRQoL and resource use among chronic and episodic migraineurs: results from the International Burden of Migraine Study (IBMS). Cephalalgia, 2011. 31(3): p. 301-315.
Bromberg, J., et al., A Randomized Trial of a Web‐Based Intervention to Improve Migraine Self‐Management and Coping. Headache: The Journal of Head and Face Pain, 2012. 52(2): p. 244-261.
McLean, A. and K. Coutts, Occupational therapy: Self-management for people with migraines. Sense of Doing, 2011: p. 5.
Smith, T.R., R.A. Nicholson, and J.W. Banks, A Primary Care Migraine Education Program has Benefit on Headache Impact and Quality of Life: Results from the Mercy Migraine Management Program. Headache, 2010. 50(4): p. 600.
Buse, D.C., M.F. Rupnow, and R.B. Lipton. Assessing and managing all aspects of migraine: migraine attacks, migraine-related functional impairment, common comorbidities, and quality of life. in Mayo Clinic Proceedings. 2009: Elsevier.
Lantéri-Minet, M., et al., Quality of life impairment, disability and economic burden associated with chronic daily headache, focusing on chronic migraine with or without medication overuse: a systematic review. Cephalalgia, 2011. 31(7): p. 837-850.
Rutberg, S. and K. Ohrling, Migraine--more than a headache: women's experiences of living with migraine. Disabil Rehabil, 2012. 34(4): p. 329-36.
Wright, W.L., Assessing Functional Impairment During and Between Migraine Attacks. The Journal for Nurse Practitioners, 2008. 4(3): p. 201-207.
Molarius, A., Å. Tegelberg, and J. Öhrvik, Socio‐Economic Factors, Lifestyle, and Headache Disorders—A Population‐Based Study in Sweden. Headache: The Journal of Head and Face Pain, 2008. 48(10): p. 1426-1437.
MacKichan, F., et al., Self-care in people with long term health problems: a community based survey. BMC Fam Pract, 2011. 12: p. 53.
Rosmawati MB, R.A., Manan WA, The Evaluation of Supportive-Developmental Nursing Program on Self-Care Practices of Persons with Type 2 diabetes at the Health Centre in Bachok, Kelantan. The International Orem Society, 2013. 20(1): p. 16-22.
White, M., Spirituality Self-care Effects on Quality of Life for Patients Diagnosed with Chronic Illness. The International Orem Society, 2013. 20(1): p. 23-32.
Moore, J.B., et al., The effect of a nutrition education program on the nutritional knowledge, hemoglobin levels, and nutritional status of Nicaraguan adolescent girls. Public Health Nursing, 2009. 26(2): p. 144-152.
Lemstra, M., B. Stewart, and W.P. Olszynski, Effectiveness of multidisciplinary intervention in the treatment of migraine: a randomized clinical trial. Headache, 2002. 42(9): p. 845-54.
Smith, T.R., R.A. Nicholson, and J.W. Banks, Migraine education improves quality of life in a primary care setting. Headache, 2010. 50(4): p. 600-12.
Koseoglu, E., et al., Aerobic exercise and plasma beta endorphin levels in patients with migrainous headache without aura. Cephalalgia, 2003. 23(10): p. 972-6.
Varkey, E., et al., A study to evaluate the feasibility of an aerobic exercise program in patients with migraine. Headache, 2009. 49(4): p. 563-70.
Dittrich, S.M., et al., Aerobic exercise with relaxation: influence on pain and psychological well-being in female migraine patients. Clin J Sport Med, 2008. 18(4): p. 363-5.
Totzeck, A., et al., Aerobic endurance training versus relaxation training in patients with migraine (ARMIG): study protocol for a randomized controlled trial. Trials, 2012. 13: p. 46.
Hamedanizadeh F, M.Z.F., Ebadi A, Asad Zandi, Kachuyee H, Effectiveness of implementation of Orem self-care program on headache indices in Migraineur Kowsar Medical Journal, 2010. 15: p. 155-161.
Baraz S, Rostami M, Farzianpour F, et al. Effect of Orem Self Care Model on ederies' quality of life in health care centers of Masjed Solaiman in 2007-2008. Arak Univ Med Sci J 2009;12(2):51-9.
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