Vol. 10 No. 2 (2022): International Journal of Nursing Care
Articles

Application of Orem’s Self-Care Deficit Nursing Theory on Self-Efficacy and Quality of Life Among Patients with Bronchial Asthma: Randomized Controlled Study

Malarvizhi JayaKumar
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Ester Mary Pappiya
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Ibrahim Mubarak Al Baalharith
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Hamad Salem Algrd
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Ramasubbamma Ramaiah
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Published 2022-07-12

Keywords

  • Bronchial asthma, nursing theory; Orem’s self-care deficit nursing theory, Quality of life; Selfcare; Selfefficacy, peak flow monitoring.

How to Cite

Malarvizhi JayaKumar, Ester Mary Pappiya, Ibrahim Mubarak Al Baalharith, Hamad Salem Algrd, & Ramasubbamma Ramaiah. (2022). Application of Orem’s Self-Care Deficit Nursing Theory on Self-Efficacy and Quality of Life Among Patients with Bronchial Asthma: Randomized Controlled Study. International Journal of Nursing Care, 10(2), 31–37. https://doi.org/10.37506/ijonc.v10i2.18742

Abstract

Background: Asthma is a serious public health problem and a major cause of disability. Asthma is a chronic
inflammatory disorder of the lungs that can lead to structural and functional changes, resulting in bronchial
hyper responsiveness and airflow obstruction. Achieving optimal asthma control relies upon the patient’s
behavior factors namely treatment compliance and self-monitoring using peak flow meter and that may be
influenced by monitoring the self-efficacy and quality of life, these ingredients turn the behavior into the desired
outcome, significantly predicts the quality of life. Reducing asthma related expenses and less hospitalizations and
emergency department visit with bronchial asthma is essential. The present study aimed to determine the effect of
self-monitoring behaviors based on Orem’s nursing theory on the quality of life and self-efficacy in patients with
bronchial asthma.
Methods: This randomized controlled trial study was conducted in Outpatient department, Tertiary care
hospital, Chennai. 250 patients were selected using random sampling and divided equally into two control and
experimental groups based on random allocation number generated by computer. A teaching program based
on Orem’s nursing theory and according to the needs of patients was conducted in the experimental group. Data
were collected before, immediately after one month, and third and 6th month the intervention using Asthma Selfefficacy
and Asthma Quality of Life Questionnaires. Data were analyzed using SPSS 21; Chi-square test, Mean-
Whitney, Wilcoxon signed Rank test and KruskalWalli’s Test were used to analyze the data.
Results: The mean score of the self-efficacy in the experimental group was significantly higher than the control
group six months after the intervention (56.31±4.82 vs. 58.30±5.83; P=0.0001). However, this difference was not
significant immediately after the intervention (58.23±2.32 vs. 55.86±4.321, P=0.01). The mean scores of quality of
life were not significantly different from those of the control group immediately after (104.96±6.32 vs. 66.43±6.21,
P=0.001) and six months after the intervention (130.48±12.432 vs. 78.82±4.34, P=0.0001).

Conclusion: The results showed that emphasizing self-care based on Orem’s theory can improve the quality of
life of patients with bronchial asthma. Therefore, it is recommended that nurses in outpatient care of patients with
bronchial asthma should apply this theory.