title: Effect of Orem's Self-Care Model on Perceived Stress in Adolescents with Asthma Referring the Asthma and Allergy Clinic, Isfahan, 2014.
abstract: BACKGROUND
  Incidence of asthma in adolescents leads to variations in family status, roles and interaction with peers for them, which could be a source of stress and psychological tensions in them. Therefore, the present study was conducted to investigate the effect of Orem's self-care model on perceived stress in adolescents with asthma.
  
  
  METHODS
  In this semi-experimental study conducted from April 2013 to February 2014, 64 asthmatic adolescents referring Shariati Hospital, Isfahan were enrolled by simple random sampling and the patients were assigned to two groups of control and intervention. Then, Orem's self-care model-based training was implemented throughout eight sessions of two hours each and the Cohen Perceived Stress Scale was administered to both groups prior to and two months after the completion of the training. The data were analyzed by descriptive and analytical statistics consisting of paired t-test, independent t-test, Chi-square and Mann-Whitney using SPSS Version 20.
  
  
  RESULTS
  Mean age of the participants was 14.15±3.12 years in the intervention group and 15.21±3.09 years in the control groups. 68.8% and 59.4% of the participants were male in the intervention and control groups, respectively. Independent t-test indicated a significant difference in the mean scores of perceived stress in the intervention (25.46±5.31) and control groups (28.90±5.27) after the training. Also, the result of paired t-test indicated a significant difference in the mean score of perceived stress between before (29.18±5.27) and after (25.46±5.31) training.
  
  
  CONCLUSIONS
  As the training based on Orem's model had a positive effect on declining perceived stress in asthmatic adolescents, continuation of using these training interventions could contribute to ultimately achieving positive outcomes in health functions of these patients.
authors.affiliation: Nursing and Midwifery Care Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
authors.forename: Zeinab
authors.initials: Z
authors.lastname: Hemati
authors.affiliation: Department of Psychiatric Nursing, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
authors.forename: Samira
authors.initials: S
authors.lastname: Abasi
authors.affiliation: NICU Ward, Shahid Beheshti Hospital, Isfahan University of Medical Sciences, Isfahan, Iran.
authors.forename: Fatemehsadat
authors.initials: F
authors.lastname: Mosaviasl
authors.affiliation: Pediatric Ward, Shariati Hospital, Isfahan, Iran.
authors.forename: Behzad
authors.initials: B
authors.lastname: Shakerian
authors.affiliation: Psychiatric Ward, Hajar Hospital, Shahrekord University of Medical Sciences, Shahrekord, Iran.
authors.forename: Davood
authors.initials: D
authors.lastname: Kiani
keywords: Adolescent; Orem’s self-care model; Stress