The Effect of Self-Care Education Based on Orem's Model on Self- Efficacy of Patients with Beta Thalassemia Major

Background: self-efficacy is the main factor in human behavior showing the extent of an individual's efforts in performing an activity. Strengthening self-efficacy empowers the person to follow and adhere to treatment. Improving selfcare behaviors is of the requirements of strengthening selfefficacy behaviors. Thus, the present study was conducted to determine the effect of self-care education based on Orem's model on self-efficacy in patients with beta thalassemia major.

Methods: In this clinical trial, 60 patients with thalassemia who were admitted to Razi Hospital of Saravan were randomly divided into control and intervention groups. Demographic and Sherer's self-efficacy questionnaires were used to collect data. The intervention group was educated for 5 sessions. The control group received routine interventions. The questionnaires were completed again after a month, and data were analyzed using SPSS23.

Results: The mean and standard deviation of self-efficacy scores before intervention in intervention and control groups were 42.86 ± 3.24 and 42.80 ± 3.86, respectively, and after intervention 49.16 ± 8.17 and 43.20 ± 4.84, respectively. Statistical variance test with repeated measures showed significant statistical differences between the two groups before and after intervention (p=0.01).

Conclusion: The results showed that the use of Orem's selfcare model increased the level of self-care behaviors in these patients. Thus, using Orem's model is recommended as an effective way to promote self-efficacy of patients.