ArticlePatient preference and adherence2026
Implementing Orem's Self-Care Model on Health-Promoting Behaviors in Patients with Heart Failure: A Quasi-Experimental Study.
Article in Patient preference and adherence, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Objective: Given that heart failure is a chronic disease and lifelong adaptation is necessary, patients are expected to follow a set of health behaviors to take care of themselves. Therefore, this study aimed to evaluate the effect of the Orem self-care program on patients' health-promoting behaviors. Methods: A quasi-experimental design was employed. 60 heart failure who were admitted to Khatam Al-Anbiya Hospital, Salmas (Iran) between December 15, 2025 to April 20, 2026, were assigned to the intervention (n= 30) and control (n = 30) groups after convenience sampling. The intervention group received four individual educational sessions based on the Orem support-education system, for 30 to 45 minutes, over one month, by a specialist nurse. The control group received the usual care. Data were collected using demographic characteristics, Orem's self-care needs, and Health-Promoting Lifestyle Profile II (HPLP:II) questionnaires at the pre-test and three months after the intervention. Data analysis was performed using IBM SPSS version 20.0, and was conducted using descriptive and inferential statistics were used. Results: Findings showed that Systolic and diastolic blood pressure, LDL, glucose, and triglyceride levels decreased in the intervention group after education (P <0.05). The mean score of Orem's self-care needs and HPLP:II in the intervention group increased by 14 and 46.5 units, respectively (P<0.001). The regression coefficient showed that the use of the educational method increased the mean score of Orem's self-care needs and HPLP:II by an average of 34.32 and 101.39, respectively, under the fixed effect of other predictor variables. Additionally, the effect of the educational method on the scale scores was direct and significant (P<0.001). Conclusion: According to the results, incorporating self-care education programs into routine care processes can be an effective strategy to improve outcomes for patients with cardiovascular disease, reduce the care burden, and improve their quality of life.
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