Prevention of osteoporosis in female students based on the Orem self-care model
Keywords:
Osteoporosis, Orem self-care model, Educational interventionAbstract
Background: The World Health Organization has introduced osteoporosis as the fourth main enemy of mankind. Self care has served as a new trend in health care.
Objective: Educational intervention for osteoporosis related preventive self care in female university students using the Orem model.
Methods: This study is a controlled filed trial, carried out with female students of Islamic Azad University, Shahrekord Branch, Iran, from October 28, 2014 to November 15, 2016. Two-stage random stratified sampling was performed and the data were collected through a validated questionnaire developed by the researcher for osteoporosis preventive self-care based on the Orem model. The intervention group received education about osteoporosis preventive self-care through two months training, as per the dimensions in the Orem model. For statistical analysis, independent-samples t-test and paired t-test were used in SPSS version 23.
Results: As revealed, mean scores for self-care agency, self-care demand, self-care operation structures and total self-care in the intervention group were significantly different before and after the intervention (p=0.014, p<0.001, p=0.002, and p<0.001, respectively). Accordingly, educational intervention seems to be effective in promoting self-care for the prevention of osteoporosis. While the control group, showed no significant difference in any of the above-mentioned aspects before and after intervention (p=0.90, p=0.53, p=0.51, and p= 0.97, respectively).
Conclusion: The results are in favor of the effects of educational intervention on osteoporosis preventive self-care among female students. It can be suggested that education during a woman’s young age, can be very beneficial for the prevention of osteoporosis in the future.
Trial registration: The trial was registered at the Iranian Registry of Clinical Trials (http://www.irct.ir) with the Irct ID: IRCT201510028742N8.
Funding: The authors received no financial support for the research, authorship, and/or publication of this article.
References
Ghaffari M, Tavassoli E, Esmaillzadeh A, Hasanzadeh A. The Effect of Education based on Health Belief
Model on theimprovement of osteoporosis Preventive Nutritional Behaviorsof SecondGrade Middle School
Girls in Isfahan. J Health Research System 2010; 6(4): 1-10.
Holroyd C, Cooper C, Dennison E. Epidemiology of osteoporosis. Best Practice & Research Clinical
Endocrinology & Metabolism. 2008;22(5):671-85. PMID: 19028351. doi: 10.1016/j.beem.2008.06.001
Kurt-Sirin O, Yilmaz-Aydogan H, Uyar M, Seyhan M-F, Isbir T, Can A. Combined effects of collagen type
I alpha1 (COL1A1) Sp1 polymorphism and osteoporosis risk factors on bone mineral density in Turkish
postmenopausal women. Gene. 2014;540(2):226-31. PMID: 24566004. doi: 10.1016/j.gene.2014.02.028
Tavakoli MB, Salamat MR, Tavakoli M. Comparative study of the density of L2, L3, and L4 vertebrae in
menopausal women aged over 50 years with osteoporosis. Journal of education and health promotion.
;4. PMCID: PMC4456881.
Lane NE. Epidemiology, etiology, and diagnosis of osteoporosis. American journal of obstetrics and
gynecology. 2006 Feb 28;194(2):S3-11. PMID: 16448873. doi: 10.1016/j.ajog.2005.08.047
El-Tawab SS, Saba EKA, Elweshahi HMT, Ashry MH. Knowledge of osteoporosis among women in
Alexandria (Egypt): A community based survey. The Egyptian Rheumatologist. 2015. Doi:
1016/j.ejr.2015.08.001.
Rizzoli R, Stevenson JC, Bauer JM, Van Loon LJ, Walrand S, Kanis JA, et al. The role of dietary protein
and vitamin D in maintaining musculoskeletal health in postmenopausal women: a consensus statement
from the European Society for Clinical and Economic Aspects of Osteoporosis and Osteoarthritis
(ESCEO). Maturitas. 2014 Sep 30;79(1):122-32. PMID: 25082206. doi: 10.1016/j.maturitas.2014.07.005
Ryu K-J, Park H-T, Kim YJ, Yi KW, Shin JH, Hur JY, et al. Vasomotor symptoms and osteoporosis in
Korean postmenopausal women. Maturitas. 2016;87:27-32. PMID: 27013285. doi:
1016/j.maturitas.2016.02.007
Iwamoto Y, Uchida K, Sugino N, Kuroiwa H, Kitamura Y, Udagawa N, Shinohara A, et al. Osteoporosis,
osteoporotic fractures, and carotid artery calcification detected on panoramic radiographs in Japanese men
and women. Oral surgery, oral medicine, oral pathology and oral radiology. 2016 Jun 30;121(6):673-80.
DOI: 10.1016/j.oooo.2016.02.006.
Sharifi N, Majlessi F. Self-Empowerment of Female Students in Prevention of Osteoporosis. Global
Journal of Health Science. 2016 Jun 30;9(2):7. Doi: 10.5539/gjhs.v9n2p7.
Forouzi MA, Haghdoost AA, Saidzadeh Z, Mohamadalizadeh S. Study of knowledge and attitude of
Rafsanjanian female teachers toward prevention of osteoporosis. Journal of Birjand University of Medical
Sciences. 2009 Mar 1;16(1):71-7.
Huth PJ, Dirienzo DB, Miller GD. Major scientific advances with dairy foods in nutrition and Health. J
Dairy Sci 2006; 89(4): 1207-21. PMID: 16537954. doi: 10.3168/jds.S0022-0302(06)72190-7
Fujiwara S. Epidemiology of osteoporosis. clin calcium. 2005;15(4):577-582. PMID: 15802768.
Iranian Rheumatology Association. osteoporosis. 2010. Available from: http://www.iranianra.ir
Gurney S, Simmonds J. Osteoporosis: a teenage perspective. Physiotherapy. 2007 Dec 31;93(4):267-72.
DOI: 10.1016/j.physio.2006.12.004.
Papadopoulos L. Osteoporosis prevention education for adolescents: a systematic review of the literature
(Doctoral dissertation, Auckland University of Technology).
Mohammad Hassani MR, Farahani B, Zohour AR, Panahi Azar Sh. Self-care ability based on Orem’s
theory in individuals with coronary artery disease. Journal of Critical Care Nursing. 2010 Jul 15;3(2):15-6.
Dashiff CJ, McCaleb A, Cull V. Self-care of young adolescents with type 1 diabetes. Journal of pediatric
nursing. 2006 Jun 30;21(3):222-32.PMID: 16713512. doi: 10.1016/j.pedn.2005.07.013
Rafieifar SH, Atarzadeh M, Ahmadzad-Asl M. Comprehensive system of empowering people to take care
of their own health. Frontierless Researchers Institute; 2005:15-95.
VASILIEVA IA. Quality of life in chronic hemodialysis patients in Russia. Hemodialysis International.
Jul 1;10(3):274-8. PMID: 16805889. doi: 10.1111/j.1542-4758.2006.00108.x
Baker LK, Denyes MJ. Predictors of self-care in adolescents with cystic fibrosis: A test of Orem's theories
of self-care and self-care deficit. Journal of pediatric nursing. 2008 Feb 29;23(1):37-48. doi:
1016/j.pedn.2007.07.008, PMid: 18207046
Dean AG, Sullivan KM, Soe MM. OpenEpi: Open source epidemiologic statistics for public health,
version. Availabe from: www. OpenEpi. Com. 2014.
Burdette L. Relationship Between Self-care Agency, Self-care Practices and Obesity among Rural Midlife
Women. Self Care Depend Care Nurs. 2012;19(1):5-14.
Nazik E, Eryilmaz G. The prevention and reduction of postpartum complications: Orem’s Model. Nursing
science quarterly. 2013 Oct;26(4):360-4. PMID: 24085674. doi: 10.1177/0894318413500402
Wong CL, Ip WY, Choi KC, Lam LW. Examining Self‐Care Behaviors and Their Associated Factors
Among Adolescent Girls With Dysmenorrhea: An Application of Orem's Self‐Care Deficit Nursing
Theory. Journal of Nursing Scholarship. 2015 May 1;47(3):219-27. PMID: 25801754. doi:
1111/jnu.12134
Baghersad Z, Alimohammadi N, Boroumandfar Z, Golshiri P. Effect of self-care training program based on
Orem's model on the behaviors leading to sexually transmitted disease in vulnerable women. Iranian
Journal of Nursing and Midwifery Research. 2016 Sep;21(5):527. doi: 10.4103/1735-9066.193418, PMCid:
PMC5114800, PMID: 27904639.
Omatreza S, Moshtagh Eshgh Z, Eshagh M, Hekmatafshar M, Naieni MK. Effect of educational program
based on" Orem Self Care Model" on quality of life in patients with migraine. Journal of Health Promotion
Management. 2014 Jan 15;3(1):7-13.
H, Nikhbakht Nasrabadi A, Shaban M, Saebnia R. The effect of using Orem's model of self-care on
recovery of patients with heart failure. Iranian Journal of Nursing and Midwifery Research. 2010 Jun
;14(4).
Zarandi FM, Raiesifar A, Ebadi A. The Effect of Orem’s Self-Care Model on Quality of Life in Patients
with Migraine: a Randomized Clinical Trial. Acta Medica Iranica. 2016 Mar 1;54(3):159-64. PMID:
Hashemi F, Dolatabad FR, Yektatalab S, Ayaz M, Zare N, Mansouri P. Effect of Orem Self-Care program
on the life quality of burn patients referred to Ghotb-al-Din-e-Shirazi burn center, Shiraz, Iran: a
randomized controlled trial. International journal of community based nursing and midwifery. 2014
Jan;2(1):40. PMID: 25349844. PMCid:PMC4201185
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