جستجوی مقالات مرتبط با کلیدواژه « roy’s adaptation model » در نشریات گروه « پزشکی »

Burn is one of the most debilitating type of trauma. Preparing the patient to find the optimal way to deal with the disease as well as maintaining independence and happiness in life is an essential part of the treatment process for burn patients. The aim of this study was to apply the Callista Roy's adaptation model in the care of burn patients.

This study was a case study that was conducted with the participation of a burn patient hospitalized in the burn ward of Besat Hospital in Hamedan city in 2022. Data were collected using observation, interview and patient documentation and were analyzed in four dimensions, based on the steps of the nursing process in Roy's adaptation model.

The results of the study showed that the patient had compatible and incompatible behaviors in physiological dimensions, adaptation of self-perception, role playing, independence and dependence. However, after nursing care based on Roy's adaptation model, some of these incompatible behaviors decreased. Also, based on the information obtained from the Hospital Anxiety and Depression Scale (HADS), the application of the Roy's adaptation model reduced the patient's anxiety and depression in three stages. So that the overall score of the anxiety and depression questionnaire in the second and third time compared to the first time of completing the questionnaire decreased by 67% and 68%, respectively.

According to the results of the present study, the implementation of the nursing care program based on the Roy adaptation model can be effective on physical and psychological adaptation and reduction of incompatible behaviors in patients with burn injuries.

The treatment process of hospitalized patients with obsessive-compulsive disorder is less studied. However, because of the complex nature of the disease, these patients require a comprehensive nursing care plan. Since nursing process based on Roy’s adaptation model is widely used to solve problems caused by chronic diseases, this study aimed to implement this model in a patient with obsessive-compulsive disorder.

This study was a case study performed on a patient with obsessive-compulsive disorder admitted in the psychiatric ward of Farshchian (Sina) Hospital in Hamadan, Iran, in 2019. Data were collected using observation, interview, and patient documentation, and they were analyzed in four dimensions based on the stages of the nursing process in Roy’s adaptation model.

Based on data from the assessment stage, manifestations of chronic maladaptive behaviors in the patient included unwanted, intrusive, repetitive thoughts and fears as the focual stimuli, family history of obsessive-compulsive disorder, parental divorce and weakness in coping mechanisms as the contexcual stimulus, beliefs of the patient's father, and psychiatric hospitalization as residual stimuli. Six types of maladaptive behaviors in four modes including inappropriate nutrition (physiological mode), reduced self-care, non-adherence to treatment, need to perform obsessive rituals, avoiding social interactions (self-concept mode), and father dependency (role function mode and interdependence mode) were identified.

Implementing a nursing process based on Roy’s adaptation model by deeply identifying maladaptive behaviors and then, promoting the use of regulate and cognitive coping mechanisms can help correct or modify maladaptive behaviors of patients with obsessive-compulsive disorder. However, achieving desirable outcomes after discharge requires long-term follow-up and support by psychiatric nurses.

Diabetes is the most common chronic disease in Iran and countries across the world. The most important causes of mortality and complications in this disease are impaired compliance and reduced quality of life resulting in the unfulfillment of the associated needsRoy’s adaptation model can help improve the level of compliance, thereby facilitating a better control of the disease and enhancement of the quality of life. Regarding this, the aim of the present study was to investigate the effect of nursing intervention based on "Roy’s adaptation model" on adaptation dimensions in diabetic patients.
This quasi-experimental study was conducted on 48 diabetic patients referring to the Diabetes Clinic of Zabol, Iran, in 2016. The subjects were randomly assigned into two groups of intervention (n=23) and control (n=25). The intervention group was subjected to an educational-supportive intervention based on the "Roy’s adaptation model" for 10 weeks. Four weeks after the end of the intervention, the two groups were compared with each other. The data were collected by means of a demographic information form, review and knowledge form of Roy, and questionnaire of adaptation strategies. Data analysis was performed in SPSS software using the descriptive statistics, independent and paired sample t-tests, as well as Chi-square test. P-value less than 0.05 was considered statistically significant.
According to the results, there was no significant difference between the intervention and control groups in terms of non-adaptive behaviors, namely self-perception, self-efficacy, independence, and dependence. However, after the intervention, the intervention groups showed a significant decrease in the aforementioned non-adaptive behaviors, compared to the control group (P Roy’s adaptation model as an effective intervention can be helpful in the improvement of adaptation, health status, and quality of life in patients with type II diabetes mellitus.

Cerebrovascular accident (CVA) is a chronic disease which influences different aspects of human’s life such as the psychological and social dimensions. The patients’ recovery of balance in these dimensions needs proper and pre-planned care.The aim of this study was to biologically examine the effects of a care plan upon the extent of the patient’s adaptability with psychosocial dimensions in reference to Roy’s adaptation mod. In this clinical trial, 50 CVA patients in selected hospitals of Isfahan during 2014-2015 were selected through accessibility sampling and randomly assigned to two groups of similar size. The data were collected via researchers’ developed form of recognition and review of Roy’s Model. The care plan was developed based on the maladaptation behaviors and their stimuli which were implemented in the study group and follow-up study was also done. The control group received routine cares. The collected data were analyzed using SPSS 18 and the statistical tests were analyzed. The mean score of adaptation before intervention in two groups showed there was no significant difference between psychological adjustment (i.e. self-perception, independence-dependence) and social dimension (role-playing) while a significant difference was found between two groups after intervention (P<0.001). The results of the present study showed that the designed care plan based on the Roy’s model with holistic approach and care based on cooperation among the units are able to enhance the adaptation of psychosocial dimensions among patients with CVA.

Any deficiency in the body not only is a physical injury, but also redound social and psycho-emotional damage and can also influence various aspects of life. A practical and effective models in nursing which focuses specifically on the issue of adaptation, is the Roy’s Adaptation model... The purpose of this study is to investigate the role of nurses and the usage of nursing models in particular the Roy’s adaptation model on the care of veterans with amputee that look for better adaptation. This study is a review article based on the information, which is published in the internet, journals and associated researches in 2000- 2014. The Roy’s Adaptation Model is a useful framework for providing nursing care to patients in the acute, chronic and terminal phase of disease. The results of most studies indicate improvement in nursing activities, focusing, organizing and directing of thoughts and actions of nurses in the care of chronic patients and increasing of adaptive responses in these patients. In this article have been cited to some of these studies.Discussion & The Roy’s Adaptation Model is focused on improving of adaptation, health and quality of life of patients. The results of more studies indicate that the Roy’s Adaptation Model can be the appropriate framework for the survey, care and intervention and finally chronic disease management and Increasing of adaptation in patients and different groups of veterans.

The Roy’s adaptation model is a helpful instrument to be used in treatment processes of patient s with chronic diseases. According to chronic nature of amputee veterans'' diseases، it is expected that the implementation of care plan s based on this model can increase adaptation in the patients. The present study was performed to design and determine validity and reliability of a researcher-designed adaptation questionnaire based on the Roy’s adaptation model on war veterans with lower limb amputation. Methods & Materials: This study was conducted among war veterans referred to the veteran clinic of Orthotics and Prosthetics center using convenience sampling method during 2012-2014. M ain concepts of adaptation defined based on the Roy’s adaptation model were used to provide items. The validity and reliability of the questionnaire was assessed using the content validity index (CVI)، content validity ratio (CVR)، face validity، internal consistency (Cronbach''s alpha)، and stability (test-retest reliability) tests. Thirty five items were developed including 15 items on physiological area، 11 items on self-concept area، four items on dependence/ independence area، and five items on role playing area. The CVI was 0. 95. The Cronbach''s alpha was 0. 78. The correlation coefficient values ​​were more than 0. 7 in each area. The psychometric analysis of the questionnaire showed proper validity and reliability for measuring adaptation on war veterans with lower limb amputation. The questionnaire is recommended to be used in nursing practice.