The Effect of Orem’s Self-Care Model on the Improvement of Personal Hygiene in Post-Stroke Clients

Dani Riyanto; Widiyono; Fajar Alam Putra

doi:10.58545/jrcnp.v4i1.660

Authors

Dani Riyanto Faculty of Health Sciences, Universitas Sahid Surakarta, Indonesia
Widiyono Faculty of Health Sciences, Universitas Sahid Surakarta, Indonesia https://orcid.org/0000-0002-8091-486X
Fajar Alam Putra Faculty of Health Sciences, Universitas Sahid Surakarta, Indonesia https://orcid.org/0000-0003-0125-1111

DOI:

https://doi.org/10.58545/jrcnp.v4i1.660

Abstract

Background: Stroke is a leading cause of disability, resulting in impaired physical mobility and increased patient dependence in fulfilling basic needs, particularly personal hygiene. Orem’s Self-Care Model is a nursing intervention that focuses on empowering patient independence through structured supportive nursing systems. Objective: To analyze the effect of implementing Orem’s Self-Care Model on the improvement of personal hygiene among post-stroke clients. Methods: This study employed a pre-experimental design using a One-Group Pretest–Posttest approach. A total of 55 respondents were selected through purposive sampling at the General Hospital, Dr. Soehadi Prijonegoro, Sragen. Personal hygiene levels were assessed using the Barthel Index. Data analysis was conducted using the Wilcoxon Signed Ranks Test. Results: Prior to the intervention, the majority of respondents were categorized as totally dependent (41.8%). After three days of implementing the Orem Self-Care Model, no respondents remained in the total dependence category (0%), with most shifting to mild dependence (43.6%) and independent status (30.9%). Statistical analysis revealed a p-value < 0.001, indicating a significant effect of the Orem Self-Care Model on improving personal hygiene. Conclusion: The application of Orem’s Self-Care Model was significantly effective in improving personal hygiene independence among post-stroke clients. This intervention is recommended for integration into rehabilitative nursing care in hospital settings.

Keywords:

Personal hygiene, Post-Stroke, Orem Model

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Author Biography

Dani Riyanto, Faculty of Health Sciences, Universitas Sahid Surakarta, Indonesia

Nursing Study Program

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