The effect of Orem self-care model on the improvement of symptoms and quality of life in patients with diabetes: A scoping review.
Mohammadamin Jandaghian Bidgoli, Sheida Jamalnia, Marzieh Pashmforosh and 3 others
PMID 39083820WHAT IT FOUND
Most included studies reported improvements in self-care, quality of life, and symptom reduction for diabetic patients receiving Orem model-based care.
However, this is a scoping review of mostly non-randomized trials, so it identifies associations rather than proving the model causes these benefits.
Key findings
01Eight of the nine included studies showed a positive statistically significant correlation between the Orem self-care model and improved outcomes in diabetic patients.
02Reported benefits included improved self-efficacy, quality of life, and self-care behaviors, along with reduced diabetic symptoms such as neuropathy.
03The review included only studies published in English or Persian, and used varied measurement tools, limiting the generalizability and comparability of the findings.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The review is a scoping review, not a systematic review with meta-analysis, so it summarizes findings without pooling them. Most included studies were non-randomized or single-group, which increases the risk of bias. Only English and Persian articles were included, potentially missing relevant research. The included studies used different measurement tools for outcomes, making direct comparison difficult. The review reports associations, not causation, so it cannot confirm that the Orem model alone caused the improvements.
Declared interests
No conflicts of interest or funding sources were explicitly declared in the provided text.
The easy way to misread this
Do not interpret the positive findings as proof that the Orem model works better than other nursing care frameworks. The review includes mostly non-randomized studies and reports associations, not controlled effects, so the observed improvements may be due to other factors like increased attention or standard care.