جستجوی مقالات مرتبط با کلیدواژه « Roy Adaptation Model » در نشریات گروه « پزشکی »

Diseases of heart failure are considered as one of the main challenges of health care systems. One of the main components of care models in heart failure is patient involvement. In this regard, the adaptation model (RAM) is one of the most popular and most widely used nursing patterns that specifically address compatibility issues. The purpose of this article is to review the adaptability of heart failure patients based on the Roy adaptation model.

This research is a systematic review study by searching Persian articles using Roy Model Keywords, Roy Adaptation Model and Heart Failure in Iranian Margine, SID Resource Databases and Roy Adaptation Model Keywords, Roy Model, Heart Disease was performed on Ovid and Web of Sciences database, Scopus, Science Direct, Google Scholar, ProQuest, PubMed for publication of useful articles from 2000 to 2019.

In this study, out of 50 articles, 6 Persian and one English study were selected based on inclusion and exclusion criteria. All of the reviewed findings had an impact on the pattern of adaptation of Roy to heart failure but had different designs had studied and in only one study examined dietary adherence based on the Roy adaptation model.

The Roy Adaptation Model focuses on promoting adaptation and contributes significantly to the health and quality of life of patients. Further studies indicate improved nursing activities, concentration, organization, and guidance of nurses' thoughts and practices in caring for cardiovascular patients, and increased adaptive responses in all four dimensions of the Roy adaptation model, namely physiological, self-perception, role-playing, And dependency/independence has been a consequence of nursing interventions. However, due to the limitations that most studies have encountered, the need for further studies with more detailed designs remains to be seen. Also, since most studies in heart failure patients, it is recommended to study the effect of this method on other chronic diseases..

Stress in any physical illness makes its symptoms worse. Hypertension is a common illness that psychological factors such as stress can worsen its symptoms and complications; the present study aimed to evaluate the effectiveness of Roy's adaptation model on alexithymia and diet adherence in people with hypertension comorbid with stress.

This was a quasi-experimental study with a pretest-posttest design and a control group. Using the convenience sampling method, 40 patients with hypertension comorbid with stress    (21 females and 19 males) who were referred to Aligudarz city medical centers in 2021, were selected by convenience sampling method and randomly assigned to the experimental (n=20) and control (n=20) groups. The experimental group received a Roy's adaptation model intervention for 8 sessions of 60 minutes, but the control group did not receive any intervention. The data were collected by the stress, anxiety and depression questionnaire, Toronto emotional dysfunction scale, diet information record form and a form for assessing Roy’s adaptation model.

The results of covariance analysis showed that Roy's adaptation model was significantly effective in reducing alexithymia (F=235.24, p<0.01) and increasing diet adherence (F=540.87, p<0.01) in hypertension patients comorbid with stress.

 The results of this study suggest that Roy's adaptation model significantly decreased the alexithymia and increased diet adherence, therefore using Roy's adaptation model in hypertension patients comorbid with stress is recommended.

Thalassemia is one of the most common chronic diseases and causes many adverse effects on the life of the child and parents, especially the mother. Additionally, maternal compatibility can help to cope with these problems and ability to deal with challenges. One of the practical patterns in nursing is Roy Adaption Model. The purpose of this study was to investigate the effect of Roy Adaption Model  on the resilience of mothers of children with thalassemia.

In a clinical trial study at Taleghani Pediatric Hospital of Gonbadkavous, 54 mothers with children with thalassemia were selected by convenience sampling method and randomly assigned into two intervention and control groups. Training was conducted based on the ROY adaptation pattern in 8 sessions in two months. Data were gathered using a Demographic and Connor  Davidson Resiliency Questionnaire

There was no significant difference between the two groups before  intervention (P = 0.14). There was a significant difference in test group before and after the intervention (p <0.01). also after elimination the pre-test effect There was a significant difference between the experimental and control groups (p <0.01).

education based on Roy Adaption Model  has a positive effect on the resilience of mothers of children with thalassemia, therefore it is recommended that attention be paid to the needs of parents in child care programs. This will increase the motherchr('39')s resilience to the disadvantages and, consequently, the child. It is suggested that the impact of this model on children is also assessed.

Fatigue and decreased ability to perform daily activities are the most common complications of heart failure. Applying the Roy Adaptation Model for these cases requires careful consideration and implementation of a care plan according to this model. The aim of this study was to determine the effect of care plan based on Roy adaptation model on fatigue and daily activities in patients with heart failure.

The present study was an experimental study carried out in 2018 on 60 patients with heart failure in Shafa and Afzalipour Educational Hospitals in Kerman. Samples were simple [S1] randomly selected and assigned to two groups of control and test. Intervention was performed in 6 training sessions including two sessions of group training and four sessions of face to face training for each patient based on the "Roy" adaptation model. Fatigue level was calculated based on piper fatigue scale and daily activities were calculated by Barthle scale. Data were analyzed by SPSS 20 software using descriptive statistics including mean and standard deviation and analytical tests including Pearson correlation coefficient, chi square, independent t-test, paired t-test, ANOVA and Tukey at the significance level of 0.05.

Findings of the study showed that there was a statistically significant difference between the two groups in the amount of fatigue and the level of daily activities after intervention (P ≤ 0.05). The results showed that in the experimental group the mean and standard deviation of fatigue were significantly decreased before intervention (6.2 ± 2.2) compared to after intervention (3.5 ± 1.7) (p = 0.001). Also in the experimental group the mean daily and standard deviation of daily activities before intervention (45.3 ± 11.2) was significantly increased than after intervention (62.2 ± 12.8) (p = 0.001).

Using a program designed in the care program based on Roy Adaptation Model to reduce fatigue and increase the ability to perform daily activities of heart failure patients is suggested as a low cost, non-invasive and effective method of providing nursing care.

General health is not merely the absence of illness or disability, but a state of well-being that enables one to cope with the stresses of life, become professionally and academically useful. Parents' multiple sclerosis complications have potential effects on the health of their offspring. Therefore, the aim of this study was to evaluate the effect of program based on Roy’s adaptation model on general health of offspring of patients with multiple sclerosis.

This semi-experimental study was done on 80 offspring of parents with multiple sclerosis, member of the MS association and the welfare organization of Shahrekord in 2018. Samples were selected as available, Roy form were completed by them and those who scored less than 80%, entered the study. The general health questionnaire was completed in both groups before, after and two months after the intervention. In the intervention group, a program based Roy’s adaptation model was developed, implemented and followed up for six session (2session education, of general education and 4 session direct intervention). Data were analyzed by SPSS21 software and statistical tests.

 Before intervention, the mean of general health scores between the two groups was not statistically significant (p = 0.716). But there was a significant difference immediately after (p = 0.025) and two months after the intervention (p <0.001). General health scores in the intervention group showed a significant increase.

Using a program based on Roy’s adaptation model has a positive effect on general health of  offspring of people with multiple sclerosis.

One of the indicators of recovery in the patients admitted to intensive care units is improvement of the level of consciousness. Various factors, including the type of care are effective in the changes of consciousness level of the patients. This study was conducted to determine the effect of nursing care plan based on “Roy adaptation model” in physiologic aspect on the level of consciousness of the patients in the intensive care unit.
Material and This triple-blind clinical trial included 100 patients in the intensive care unit in 2017. Two ICU units in Sanandaj hospitals were selected randomly as intervention and control groups. Eligible patients in each unit were randomly assigned to intervention and control groups. The intervention group received nursing care plan based on "Roy adaptation model” and the control group received routine care. We measured level of consciousness for every patient based on the GCS for 7 days, twice a day. We used SPSS version 21 for data analysis.
The mean level of consciousness in the first three days and nights did not show any significant difference between the intervention and control groups. But there was a significant difference between the mean levels of consciousness from the fourth day and night on, between intervention and control groups (p Roy adaptation model was effective in increasing the level of consciousness after three days in the patients in the intensive care unit. Therefore, we recommend organized nursing care based on standard nursing models for all of the patients in the intensive care units.

Background and Head trauma is amongst the major causes of death and morbidity caused by traumatic injuries. Assessment of trauma patients is an active process which includes initial (triage) and secondary assessments. Various triage tools are designed and used, but, so far no specific and accurate tool has been introduced for triage of head trauma. This study compared the effectiveness of ESI triage tool and nursing triage approach based on Roy Adaptation Model to predict the need for ICU admission in patients with head trauma.
A clinical trial was done in 400 patients with head trauma in Emergency Department, Mashhad Shahid Kamyab Hospital, 2016. Patients were selected using block randomization and based on the day of admission. They were allocated into receiving nursing care either through ESI triage or Roy Adaptation Model. Twelve hours after triage, patient's outcome were followed based on keeping them in ICU or ward admission. Finally, the margin of error was calculated and compared between the two instruments.
Kappa test did not show any significant difference between the ESI and Roy Adaptation Model triage in prediction for ICU admission at first place (P= 0.123). But, the Roy Adaptation Model was associated with significantly less errors in keeping the patient in ICU or ward admission (P = 0.012 ).
Compared with ESI triage, Roy Adaptation Model could result in fewer errors in predicting the consequences of head trauma patients.

Aims: One of the most important factors of individual health in the adolescents is the self-concept. As a nursing model, the Roy adaptation model mainly investigates the factor. The aim of the study was to investigate the self-concept and its related factors in the adolescent girls in Gonabad Township, based on the Roy adaptation model.
Instrument & In the descriptive cross-sectional study, 270 adolescent girls were studied in Gonabad Township, Iran, in 2015. The subjects were selected from three health-care centers via stratified cluster random sampling method. Data was collected using a demographic questionnaire and a researcher-made inventory assessing the self-concept in the adolescent girls based on the Roy adaptation model. Data was analyzed by SPSS 22 software using descriptive statistics and Spearman’s correlational and Chi-square tests.
Findings: The mean self-concept score of the adolescent girls was 281.10±19.06. 125 girls (46.6%) and 143 girls (53.4%) were good and moderate, respectively. Age and the constant self-concept (p=0.03; r=-0.13), the economic status and the moral-spiritual self-concept (p=0.02; r=0.15), as well as the constant self-concept (p=0.02; r=0.11), father’s educational level and the constant self-concept (p=0.04; r=0.12), and father’s occupation and the mental self-concept (p=0.04; r=0.13) were significantly correlated.
The self-concept is moderate in more than a half of the adolescent girls in Gonabad Township. In addition, most of them have weak or moderate objective self.

Appropriate adaptation with the multiple sclerosis can help to reduce problems. One of the more effective and practical templates in nursing has more attentive to this topic is Roy Adaptation model. This study done with the purpose of study the effect of performance care plan based on the Roy Adaptation Model on effects of fatigue in multiple sclerosis patients.
In this study, 80 patients with multiple sclerosis has selected the form of available, and randomly divided into two groups of 40 subjects were assigned to intervention and control. The data collected tool in this study was, fatigue effect scale that was completed, in both groups before and after the intervention. The intervention was consisted of 6 sessions, 2 general education sessions and 4 care programs based on maladaptive behavior sessions. Data analyzed with Spss software and descriptive- Inferential statistics.
Before of intervention, the mean fatigue effects scores and that domain were not significantly different between the two groups. Mean of fatigue effects scores and that domain, decreased after-care programs based on the Roy adaptation model, in the intervention group, than the control group, that this reduction was statistically significant. (P Implementation of the Roy Adaptation Model, reduce effects of fatigue in people with multiple sclerosis, therefore it is recommended that nurses use from this model to reduce effects of fatigue in patients.

Fatigue is a common symptom of multiple sclerosis, and can limit a person's daily activities. It is possible to have Health achievement in chronic disease by establishing compatibility on various dimension of the patient's existence. One of the most effective and practical templates in nursing, which is more significant in this topic, is Roy Adaptation model. Therefore this study performed with the purpose of studying the effect of performance care plan, based on the Roy Adaptation Model on intensity, and effects of fatigue on multiple sclerosis patients of MS Association of Urmia in 2015.
In this study, 80 patients with multiple sclerosis of inclusion criteria, selected randomly and divided into two groups of 40 subjects as intervention and control group respectedly. The data collected tool in this study was fatigue severity’s standard questionnaire, which was completed in both groups before and after the intervention. The intervention was consisted of 6 sessions, 2 general education sessions and 4 care programs, based on maladaptive behavior sessions. After two months, a post-test was performed to find the results. For descriptive statistics Spss software was used in order to find the characteristics of the study population, and for non-parametric quantitative data, Mann-Whitney was used. A t-test was used for parametric quantitative data.
The results of this study showed that before of intervention, there was no significant differences in the mean number fatigue severity between the two groups. Mean number of fatigue severity decreased after the care programs, based on the Roy adaptation model, in the intervention group, than the control group, and this reduction was statistically significant. (P Implementation of the Roy Adaptation Model reduces fatigue in people with multiple sclerosis. Therefore, it is recommended that nurses can use from this low cost model in order to reduce fatigue and complications.

In pregnancy period, mothers experience many changes psychologically. Self-concept as one of the factors affecting the mental states, in present cares of pregnancy becomes less than attention. Present study was implemented in order to the effect of intervention this model on personal self-concept in primi gravida women.
In this randomized controlled field trial, Research Sample consisted of 83 primi gravida women that were selected by simple random sampling and were assigned in groups of intervention (42 persons) and control (41persons) through block permutation method. Intervention group received the educational supportive intervention consisted of training sessions and psychological counseling planned based on model over 4 weeks. For assessing the level of adaptation in personal self-concept mode, a valid and reliable questionnaire was used. Data was analyzed by means of SPSS software and using descriptive statistics and tests of analytic statistics were analyzed. P Adaptation scores in personal self-mode in both groups before intervention respectively were 38.26±7.56 and 40.73±8.21 and their comparison had not significant statistically difference while after intervention scores in two groups respectively were 30.69±4.46 and 41.29±8.40 that their comparison showed a significant difference.
Using of designed program based on "Roy" model, as an effective and low cost intervention, can increase prim -gravida women's adaptation in self- concept mode. Therefore the implementation of this pattern besides in this period is recommended.

Increasing elderly population requires more attention to positive adaptation with this critical period of life. Applying nursing theories, particularly the Roy adaptation model can be effective in converting maladaptive into adaptive behavior, and ultimately enhancing the self-esteem of the elderly. This study tries to evaluate the effect of implementing care plan application based on Roy Adaptation Model on the self- esteem of the elderly people in Urmia nursing homes. The present study is an experimental pre and post test one. 60 elderly people who have inclusion criteria were selected through available sampling and were randomly divided into two groups of control (30) and intervention (30). Data collection tool was Rosenberg Self-esteem questionnaire that was completed before and after the intervention. The care plan was designed based on results that obtained from Roy assessment forms and was implemented as two sessions of the Elderly’s General Education and four individual sessions in order to manipulate the principal stimulants during a month and a half and was followed for a month. The data were analyzed via SPSS software v. 16, using descriptive and inferential statistical testes. Results showed that after intervention, the mean score of self-esteem in elderly were statistically significant between the two groups (P< 0.001). Elderly’s mean score of self-esteem in the intervention group after implementing care plan was increased. The Paired t-test showed a significant increase (P< 0.001). Implementing care plan based on Roy adaptation model had a positive influence on improving self- esteem of the elderly people. Therefore, nurses and other eldercare providers are suggested to reinforce adaptation in elderly, according to the nursing theories and health care programs, to improve self- esteem in the elderly in nursing homes.