Using Orem’s Self-Care Model to Measure the Quality of Life of Patients With Heart Failure: A Systematic Review

Abstract

Background and Objectives: Heart Failure (HF) can cause poor quality of life (QoL). Self-care can lead to desirable outcomes in health. Orem’s self-care model is one of the methods that include patients in care and emphasizes self-care. This study aims to review various studies used Orem’s self-care model to assess the QoL of HF patients. Methods: This is a systematic review study that was conducted from October to December 2021. The search was conducted in Web of Science, MagIran, Irandoc, IranMedex, Information Database Scientific (SID), Scopus, Cochran, Google Scholar and PubMed databases for related studies in both Persian and English without time limit using the keywords heart failure, self-care, Orem, and QoL in Persian and English with “AND” and “OR” operators. The Critical Appraisal Skills Programme Checklist was used to check the quality of articles. Finally, of 865837 found articles,12 eligible articles were reviewed. Results: Based on Orem’s self-care model, the QoL of patients with HF was at a moderate level. QoL was significantly associated with age, gender, number of children, level of education, occupation, living in an urban area, ejection fraction, length of hospital stay, recreational activities, self-care behaviors, self-care education, management, self-confidence, functional capacity, underlying diseases, comorbidity, depression, anxiety, and personality type D. Conclusion: Considering the positive effect of using Orem’s self-care model on the QoL of patients with HF, health care providers are recommended to use this model to improve the QoL of patients with HF.

Keywords

• nursing models
• self-care
• quality of life
• heart failure