Fatemeh Rahimi Dolatabad - Department of Medical-Surgical Nursing, Fatemeh (PBUH) School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran
Fatemeh Hashemi - Department of Pediatric Nursing, Fatemeh (PBUH) School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran
Shahrzad Yektatalab - Department of Mental Health & Psychiatric Nursing, Fatemeh (PBUH) School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran
Mehdi Ayaz - Department of Surgery, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
Najaf Zare - Department of Biostatistics, School of Medicine, Infertility Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
Parisa Mansouri - Department of Medical-Surgical Nursing, Fatemeh (PBUH) School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran

Doing self-care behaviors and promoting them in patients with burn are important. Since self-efficacy is one of the key factors in promoting self-care behaviors, the present study has been conducted in order to determine the effects of Orem self-care program on the self-efficacy of burn patients. A randomized clinical trial study was conducted on ۱۱۰ eligible burn patients. Patients were selected using simple random sampling method and were allocated randomly into two groups of experiment and control. The instrument for data collection was a questionnaire, containing demographic information and self-efficacy (SUPPH-۲۹) questionnaire. The intervention consisted Orem’s self-care program which was prepared according to the patients’ needs. For the experiment group, ۵ sessions of theoretical training and ۷۵-۹۰ minutes of practical training were accomplished. The self-efficacy of the patients with burns was assessed in three phases of (before, one month and two months) after implementing the self care program by the SUPPH-۲۹ questionnaire. Data were analyzed in SPSS-۱۷ using Chi-square test, Fisher’s exact test, Independent t-test and repeated measurement multivariate test. a month and two months after the intervention, the mean of all dimensions of self-efficacy significantly improved (p<۰.۰۰۱). Also, the total mean of self- efficacy had improved from ۶۶.۹۱% in the first experiment to ۷۶.۷۶ % and ۸۷.۳۳ % in the next experiment after the intervention (p<۰.۰۰۱). But in the control group, the changes in the total mean and mean of all dimensions of self-efficacy,  both in pre-and post-intervention phases, were not statistically signifcant (P>۰.۰۵). designing and implementing a self-care program based on Orem’s model may improve the burn patients’ confidence in doing self-care behaviours and as a result promote their self –efficacy.

Orem self-care, Self-efficacy, Burn