The Effectiveness of Self-Care Training, Based on the Self-Care Model, on the Global Function of Schizophrenia

Introduction: Schizophrenia has a significant effect on the performance of patients, mostly Global of Functioning. The aim was to evaluate a self-care programchr('39')s effectiveness based on Oremchr('39')s model on the global function (GF) of patients with schizophrenia. Methods: Self-Care Training program was developed and evaluated based on the Orem self-care model in two phases. At first, in the qualitative phase, The program was designed and then implemented as a clinical trial with a three-month follow-up. In the implementation phase, 70 samples participated in a clinical trial study in control groups (35 people) and intervention (35 people). Examples were selected by simple random sampling. Then, randomly assigned to either the intervention and control group. The self-care intervention group participated in eight ninety-minute sessions, and the control group participated in three group sessions and expressed their problems and experiences. Data analyzed using the General Functioning Schisofern Patientschr('39') Questionnaire (GAF) at the beginning of the study, one month and three months after the Intervention was collected. The data were analyzed via SPSS version 20 and through the statistical exams. Results: The findings of the study showed that there was no significant difference between the control groups (55.57± 8.03) and the Intervention (55/06 ± 7.46) before the Intervention (P > 0.05). However, one month and three months after the study, the performance of the patients in the experimental group was higher than the control group (P < 0.05), with a mean difference (-54.543and-7.544), respectively. Conclusions: The study results showed that self-care training based on Oremchr('39')s self-care model could increase patientschr('39') overall performance with schizophrenia. Therefore, it seems that such educational interventions with long-term follow-up are not only practical but also necessary.