Effect of self-care training program based on Orem's model on the behaviors leading to sexually transmitted disease in vulnerable women

The Effect of the Reproductive Health Self-Care Educational Booklet on the Self-Care Ability of Female University Students

Background

Reproductive health during youth is considered one of the pivotal aspects of sustainable development. In this regard, students are more exposed to reproductive health problems and risks. Accordingly, the aim of this study was to determine the effect of the reproductive health self-care educational booklet on the self-care ability of female university students.

Materials and Methods

This study was a quasiexperimental research in which a reproductive health self-care educational booklet designed based on needs assessment was provided to 75 newly admitted female university students at Isfahan University of Medical Sciences in 2018-2019 who were selected by quota sampling method from all faculties. Using a researcher-made questionnaire on reproductive health self-care ability (knowledge, attitude, practice), data were collected before, immediately after, and 6 weeks after the intervention. Data analysis was performed using descriptive and analytical statistics in SPSS version 20.

Results

As the results showed, the mean score of self-care ability (F = 208.46, p < 0.001), knowledge (F = 130.88, p < 0.001), attitude (F = 76.09, p < 0.001), and practice (F = 89.76, p < 0.001) of the subjects immediately and 6 weeks after the intervention was significantly higher than before the intervention. However, no significant difference was observed in these scores, between immediately after and 6 weeks after the intervention.

Conclusions

The results indicated that the designed self-care educational booklet led to a relatively constant promotion of the reproductive health self-care ability of female students. Thus, this booklet seems to be useful in meeting the educational needs of female students in various aspects of reproductive health.

Prevention of osteoporosis in female students based on the Orem self-care model

Background

The World Health Organization has introduced osteoporosis as the fourth main enemy of mankind. Self care has served as a new trend in health care.

Objective

Educational intervention for osteoporosis related preventive self care in female university students using the Orem model.

Methods

This study is a controlled filed trial, carried out with female students of Islamic Azad University, Shahrekord Branch, Iran, from October 28, 2014 to November 15, 2016. Two-stage random stratified sampling was performed and the data were collected through a validated questionnaire developed by the researcher for osteoporosis preventive self-care based on the Orem model. The intervention group received education about osteoporosis preventive self-care through two months training, as per the dimensions in the Orem model. For statistical analysis, independent-samples t-test and paired t-test were used in SPSS version 23.

Results

As revealed, mean scores for self-care agency, self-care demand, self-care operation structures and total self-care in the intervention group were significantly different before and after the intervention (p=0.014, p<0.001, p=0.002, and p<0.001, respectively). Accordingly, educational intervention seems to be effective in promoting self-care for the prevention of osteoporosis. While the control group, showed no significant difference in any of the above-mentioned aspects before and after intervention (p=0.90, p=0.53, p=0.51, and p= 0.97, respectively).

Conclusion

The results are in favor of the effects of educational intervention on osteoporosis preventive self-care among female students. It can be suggested that education during a woman’s young age, can be very beneficial for the prevention of osteoporosis in the future.

Trial registration

The trial was registered at the Iranian Registry of Clinical Trials (http://www.irct.ir) with the Irct ID: IRCT201510028742N8.

Funding

The authors received no financial support for the research, authorship, and/or publication of this article.