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:: Volume 29, Issue 4 (Bimonthly 2025) ::
Feyz Med Sci J 2025, 29(4): 415-432 Back to browse issues page
The effect of educational programs based on Orem’s Self-Care Model on patients’ quality of life: A systematic review
Zahra Sooki , Fatemeh Haji Rezaei , Fatemeh Khodabakhshian *
Student Research and Technology Committee, Iran University of Medical Sciences, Tehran, Iran , fatemekhodabakhshian@yahoo.com
Abstract:   (398 Views)
Background and Aim: Orem’s self-care model, as a powerful theoretical framework, plays an important role in patient empowerment. However, evidence regarding the effect of educational programs based on this model on patients’ quality of life remains scattered and requires integration. This systematic review was conducted to determine the impact of such educational interventions on patients’ quality of life.
Methods: In this systematic review, English and Persian articles published between 2000 and 2024 were retrieved from PubMed, Scopus, ProQuest, Cochrane, Web of Science, CINAHL, and the Iranian databases Magiran, SID, ISC, and IranDoc, as well as Google Scholar, using the keywords “Orem’s self-care model,” “quality of life,” and their MESH equivalents combined with Boolean operators (AND, OR). Of the 1854 studies identified, after removing duplicates and screening titles and abstracts, 47 studies meeting the inclusion criteria were selected. Methodological quality was assessed using the Joanna Briggs Institute (JBI) checklist.
Results: A total of 47 studies (27 from Iran and 20 from other countries) were included. These studies targeted patients with various chronic conditions such as cancer, diabetes, cardiovascular diseases, and renal failure in adult and elderly populations. Educational interventions were designed according to the three approaches of Orem’s model: supportive–educative, partially compensatory, and wholly compensatory. In 46 studies (98%), implementation of the educational program led to statistically significant improvements in overall quality of life scores. Additionally, secondary outcomes such as self-efficacy, anxiety, depression, and self-care behaviors also improved.
Conclusion: The findings strongly support the effectiveness of Orem’s self-care model as a framework for designing educational interventions to improve patients’ quality of life. The success of these interventions depends on their adaptation to the cultural and social context of the target population. Based on this review, it is recommended that interventions be tailored to patients’ needs, delivered through individualized education, and supported by regular follow-up. While the strength of this review lies in its coverage of a wide range of chronic conditions, limitations such as methodological heterogeneity and geographic concentration in Asia should be considered when generalizing the results.
Keywords: Orem’s Self-Care Model, Quality of life, Patient education, Systematic review
Full-Text [PDF 565 kb]   (41 Downloads)    
Type of Study: Review | Subject: General
Received: 2024/12/28 | Revised: 2025/10/1 | Accepted: 2025/08/17 | Published: 2025/09/29
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Sooki Z, Haji Rezaei F, khodabakhshian F. The effect of educational programs based on Orem’s Self-Care Model on patients’ quality of life: A systematic review. Feyz Med Sci J 2025; 29 (4) :415-432
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