Orem'in Öz Bakım Eksikliği Kuramına Göre Tip II Diabete olan Yaşlı Bir Kadının Hemşirelik Bakımı

Yıl 2024, Cilt: 11 Sayı: 3, 257 - 261, 28.10.2024

Samineh Esmaeilzadeh , Ahmadu Inuwa

https://doi.org/10.31125/hunhemsire.1462998

Öz

Orem’in öz bakım eksikliği teorisi, hemşirelik uygulamalarında çok uygulanan bir teoridir ve birçok araştırma, hemşirelik bakımında, Orem’in öz bakım eksikliği teorisinin hastalar üzerinde olumlu sonuç bıraktığını ortaya koymuştur. Bu vaka çalışması, teoriye dayalı hemşirelik uygulamalarının bir bakım ortamında pratik olarak uygulanmasını kavrama şansı sağlar. Hastaya ilişkin bilgiler Orem'in rehber niteliğindeki kavramı aracılığıyla toplanmıştır. Bayan Y, 63 yaşında ve tip 2 diyabet hastasıdır. Üç sağlık sapması için öz bakım gereksinimleri, hastanın ailesinin yardım aramasındaki ana amaç olarak ortaya çıkmıştır. Çalışma sırasında en yüksek kan glikoz düzeyi 211 mg/dl, yönetimden sonraki ortalama 118 mg/dl olarak belirlenmiştir. Kısmen telafi edici hemşirelik sisteminde olan hastada, Orem’in özbakım eksikiği teorisi uygulandıktan sonra amaçlanan hemşirelik bakım sonuçlarına ulaşılmıştır. Aile üyeleri, gelecekteki ilerlemesi ve diyabet yönetimine yönelik yaşam tarzı değişiklikleri için hayati önem taşıyan daha fazla enerji ve kan glikoz düzeyi kontrolünü yeniden kazanması konusunda onu desteklemeye teşvik edildi. Hemşireler, klinik uygulamada hemşirelik müdahalelerini uygulamak, izlemek ve değerlendirmek için Orem’in öz bakım eksikliği teorisini uygulayabilirler. Bu teori, Tip II diyabet gibi kronik hastalıkların yönetiminde pratik müdahalelerin ardından hesap verebilirliği garantileyen bir uygulama güncellemesi sunmaktadır.

Anahtar Kelimeler

Orem teorisi, Özbakım, Tip II Diyabet, Vaka çalışması, Yaşlı kadın.

Nursing Care of an Elderly Woman with Type II Diabetes According to Orem's Self-Care Deficit Theory

Öz

Orem's self-care deficit nursing theory (SCDNT) is well-known and applied in nursing practice worldwide. Many researchers have commended SCDNT for improving patients' health outcomes through nurses' contributions. This case study provides a chance to comprehend the practical implementation of theory-based nursing practice in a care setting. Information regarding the patient was gathered through Orem's conceptualization as a guide; Mrs. Y is 63, in late middle age, with type 2 diabetes. Three health deviations self-care requirements emerged as the main aim for the patient's family in seeking assistance. The highest blood glucose value during the study was 211 mg/dl, and the average following management was 118 mg/dl. She was on the partially compensatory nursing system, and after applying SCDNT, her intended nursing care outcomes were achieved. The family members were encouraged to support her in regaining more energy and blood sugar level control, which are vital for her future progress and lifestyle modifications for diabetes management. Nurses can apply SCDNT to implement, monitor, and evaluate nursing interventions in clinical practice. It offers a practice update that ensures accountability following practical interventions in managing chronic conditions like T2DM.

Anahtar Kelimeler

Case study, Older woman, Orem, Self-care, Type II Diabetes mellitus.

Kaynakça

• 1. Tanaka M. Orem's nursing self‐care deficit theory: A theoretical analysis focusing on its philosophical and sociological foundation. Nurs Forum. 2022;57(3):480-5.
• 2. Yip JY. Theory-based advanced nursing practice: A practice update on the application of Orem's self-care deficit nursing theory. SAGE Open Nurs. 2021;7:1-7.
• 3. Mahmoudzadeh ZF, 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 Med Iran. 2016;54(3):159-64.
• 4. 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;10;3(1):7-13.
• 5. Khademian Z, Ara FK, Gholamzadeh S. The effect of self-care education based on orem’s nursing theory on quality of life and self-efficacy in patients with hypertension: a quasi-experimental study. Int J Community Based Nurs Midwifery. 2020;8(2):140-9.
• 6. Mohammadpour A, Rahmati Sharghi N, Khosravan S, Alami A, Akhond M. The effect of a supportive educational intervention developed based on the Orem's self‐care theory on the self‐care ability of patients with myocardial infarction: A randomised controlled trial. J Clin Nurs. 2015;24(11-12):1686-92.
• 7. Afrasiabifar A, Mehri Z, Ghaffarian Shirazi HR. Orem’s self-care model with multiple sclerosis patients’ balance and motor function. Nurs Sci Q. 2020;33(1):46-54.
• 8. Afrasiabifar A, Mehri Z, Sadat SJ, Shirazi HR. The effect of Orem’s self-care model on fatigue in patients with multiple sclerosis: A single blind randomized clinical trial study. Iran Red Crescent Med J. 2016;18(8):e31955.
• 9. Sharifi N, Majlessi F, Montazeri A, Shojaeizadeh D, Sadeghi R. Prevention of osteoporosis in female students based on the Orem self-care model. Electron Physician. 2017;9(10):5465-71.
• 10. Mahmoudirad G, Hoseini MS, Madarshahian F. The effect of teach-back education on foot self-care among patients with type II diabetes mellitus. Mod Care J. 2015;12(1):1-7.
• 11. Baraz S, Zarea K, Shahbazian HB. Impact of the self-care education program on quality of life in patients with type II diabetes. Diabetes Metab Syndr. 2017-1;11:S1065-8.
• 12. Borji M, Otaghi M, Kazembeigi S. The impact of Orem’s self-care model on the quality of life in patients with type II diabetes. Biomedical and Pharmacology Journal. 2017;10(1):213-20.
• 13. Surucu HA, Kizilci S, Ergor G. The impacts of diabetes education on self-care agency, self-care activities and hbA1c levels of patients with type 2 diabetes: A randomized controlled study. Int J Caring Sci. 2017;10(1):479-89.
• 14. Abd El-Aal BG, El-Nagar SA. Effect of self-care educational intervention based on Orem’s Self Care Theory on self-care management and fasting blood glucose among patients with type 2 diabetes. International Journal of Novel Research in Healthcare and Nursing. 2018;5(3):376-94.
• 15. Hemmati Maslakpak M, Shahbaz A, Parizad N, Ghafourifard M. Preventing and managing diabetic foot ulcers: application of Orem’s self-care model. International Journal of Diabetes in Developing Countries. 2018;38:165-72.
• 16. Xiaojuan J. Effect of "one-to-one" health education combined with Orem's self-care theory on self-management ability and quality of life of patients with newly diagnosed type 2 diabetes mellitus. 2018;26(4):282-8.
• 17. Onuoha P, Vincent R, Boochoon D, Duke V, Ramsingh S, Latchman-Ragoonanan BC, et al. Knowledge and practice of self-care management of persons with type ii diabetes at a health centre in east Trinidad. Int J of Dev Res. 2017;7(09):15530-9.
• 18. Gumbs J. Orem's Select Basic Conditioning Factors and Health Promoting Self-Care Behaviors among African American Women with Type 2 Diabetes. Journal of Cultural Diversity. 2020;1;27(2):47-52.
• 19. Marques FR, Charlo PB, Pires GA, Radovanovic CA, Carreira L, Salci MA. Nursing diagnoses in elderly people with diabetes mellitus according to Orem’s Self-Care Theory. Rev Bras Enferm. 2022;15;75:e20201171.
• 20. Ali BH. Application of Orem self-care deficit theory on psychiatric patient. Annals of Nursing and Practice. 2018;5(1):1-3.
• 21. Ghani N, Suliman M, Fatima A. Application of Orem's nursing theory to a stroke patient: A case study. Journal of Saidu Medical College, Swat. 2019;9(2).
• 22. Kumar CP. Application of Orem's Self‐Care Deficit Theory and Standardized Nursing Languages in a Case Study of a Woman with Diabetes. Int J Nurs Terminol Classif. 2007;18(3):103-10.
• 23. Carroll K. Bringing nursing care to patients living with Diabetes mellitus. Nurs Sci Q. 2019;32(3):187–8.
• 24. Pickett S, Peters RM, Jarosz PA. Toward a middle–range theory of weight management. Nurs Sci Q. 2014;27(3):242-7.