Journal of Rural Community Nursing Practice
Vol. 4 No. 1 (2026): March

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

Dani Riyanto (Faculty of Health Sciences, Universitas Sahid Surakarta, Indonesia)
Widiyono (Faculty of Health Sciences, Universitas Sahid Surakarta, Indonesia)
Fajar Alam Putra (Faculty of Health Sciences, Universitas Sahid Surakarta, Indonesia)



Article Info

Publish Date
28 Mar 2026

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.

Copyrights © 2026






Journal Info

Abbrev

JRCNP

Publisher

Subject

Health Professions Medicine & Pharmacology Nursing Public Health

Description

The Journal of Rural Community Nursing Practice (JRCNP) focuses on providing access to scientific information sources based on up-to-date and evidence-based results of research and engagement practices in rural areas around the world. This journal can be used by nurses, both as nurse educators, ...