effect of orem self-care program on self-efficacy of burn patients referred to ghotb-al-din-e-shirazi burn center, shiraz, iran

Doing self-care behaviors and promoting them in patients with burn are important. since self-efficacy is one of the key factors in promoting self-care behaviors, the present study has been conducted in order to determine the effects of orem self-care program on the self-efficacy of burn patients. a randomized clinical trial study was conducted on 110 eligible burn patients. patients were selected using simple random sampling method and were allocated randomly into two groups of experiment and control. the instrument for data collection was a questionnaire, containing demographic information and self-efficacy (supph-29) questionnaire. the intervention consisted orem’s self-care program which was prepared according to the patients’ needs. for the experiment group, 5 sessions of theoretical training and 75-90 minutes of practical training were accomplished. the self-efficacy of the patients with burns was assessed in three phases of (before, one month and two months) after implementing the self care program by the supph-29 questionnaire. data were analyzed in spss-17 using chi-square test, fisher’s exact test, independent t-test and repeated measurement multivariate test. a month and two months after the intervention, the mean of all dimensions of self-efficacy significantly improved (p<0.001). also, the total mean of self- efficacy had improved from 66.91% in the first experiment to 76.76 % and 87.33 % in the next experiment after the intervention (p<0.001). but in the control group, the changes in the total mean and mean of all dimensions of self-efficacy, both in pre-and post-intervention phases, were not statistically signifcant (p>0.05). designing and implementing a self-care program based on orem’s model may improve the burn patients’ confidence in doing self-care behaviours and as a result promote their self –efficacy.