The Effect of Implementing Orem's Self-Care Model on Balance and Fatigue in Patients With Diabetic Neuropathy: A Clinical Trial.
Atefeh Sadeghi, Mohammad Malekzadeh, Abolfazl Dehbanizadeh et al.
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In 30 seconds
This randomized clinical trial evaluated Orem’s self-care model in 70 patients with diabetic neuropathy recruited by convenience sampling at one clinic. Participants were assigned to model-based care or no intervention; the intervention lasted 2 months, followed by 1 month of home self-care. Compared with controls, the intervention group had lower adjusted fatigue scores after treatment (mean difference, -9.40 points; 95% CI: -11.09 to -7.71; p < 0.001) and higher balance scores across baseline balance levels.
Key findings
- Adjusted fatigue was 9.40 points lower in the intervention group (95% CI: -11.09 to -7.71; p < 0.001).
- Adjusted balance differences favoured intervention by 7.01, 5.77, and 4.52 points at low, mean, and high baseline levels, respectively (all p < 0.001).
- The group × baseline balance interaction was significant (F(1,66) = 5.69, p = 0.020; partial η 2 = 0.079).
Why it matters
Fatigue and impaired balance are relevant outcomes for people with diabetic neuropathy. This trial suggests that a structured self-care approach may improve both measured outcomes compared with no intervention, supporting further consideration of self-management support as part of care. The findings concern questionnaire and balance-test outcomes and do not establish effects on falls or longer-term function.
What to keep in mind
Participants were recruited by convenience sampling at a single clinic, and the control group received no intervention. Outcomes were assessed by questionnaires and a balance test; longer-term effects are not reported.