effectiveness of a support-training program based on the orem’s self-care deficit theory on the quality of life of children undergoing hemodialysis

Background: most children undergoing hemodialysis (hd) are burdened with some deficits to practice self-care, causing poor quality of life (qol). orem’s self-care theory (sct) is known as one of the nursing models involving patients in care and putting much more emphasis on self-care. aim: this study aimed to investigate the effectiveness of a support-training program developed based on orem’s sct on qol among iranian children undergoing hd. method: this quasi-experimental study with a pretest-posttest research design was conducted using the census method on a total number of 27 children aged 8-15 undergoing hd at dr. sheikh hospital, mashhad, iran, in 2019. for this purpose, the self-care measurement scale (shintani, 2009) and the kidscreen-52 quality of life questionnaires were completed before the inclusion of the study participants, and then, universal self-care and health-deviation self-care needs were identified. the data were further analyzed in the spss statistics software (version 16). results: the total mean scores of qol were obtained at 24.9±0.118 and 27.3±0.177 before and immediately after the intervention program, respectively. the results of the bonferroni posthoc test showed a significant difference between the total mean scores of the pretest-posttest stages (p˂0.001). moreover, the difference between the total mean scores was significant 2 and 6 weeks after the implementation of the given program and immediately after it (p˂0.001). implications for practice: since, in this study, the self-care support-training program practiced was developed based on orem’s scdt, the study findings can be utilized in planning to improve the qol of children undergoing hd.