Roy’s Adaptation Model-Based Patient Education for Promoting the Adaptation of Hemodialysis Patients

Abstract

BackgroundIn addition to physical adaptation and psychosocial adjustment to chronic renal disease, hemodialysis (HD) patients must also adapt to dialysis therapy plan.ObjectivesThe aim of the present study was to examine the effect of Roy’s adaptation model-based patient education on adaptation of HD patients.Patients and MethodsThis study is a semi-experimental research that was conducted with the participation of all patients with end-stage renal disease referred to the dialysis unit of Shahid Beheshti Hospital of Yasuj city, 2010. A total of 59 HD patients were randomly allocated to two groups of test and control. Data were collected by a questionnaire based on the Roy’s Adaptation Model (RAM). Validity and reliability of the questionnaire were approved. Patient education was determined by eight one-hour sessions over eight weeks. At the end of the education plan, the patients were given an educational booklet containing the main points of self-care for HD patients. The effectiveness of education plan was assessed two months after plan completion and data were compared with the pre-education scores. All analyses were conducted using the SPSS software (version 16) through descriptive and inferential statistics including correlation, t-test, ANOVA and ANCOVA tests.ResultsThe results showed significant differences in the mean scores of physiological and self-concept models between the test and control groups (P = 0.01 and P = 0.03 respectively). Also a statistical difference (P = 0.04) was observed in the mean scores of the role function mode of both groups. There was no significant difference in the mean scores of interdependence modes between the two groups.ConclusionsRAM based patient education could improve the patients’ adaptation in physiologic and self-concept modes. In addition to suggesting further research in this area, nurses are recommended to pay more attention in applying RAM in dialysis centers.

Exploring experiences of the quality of nursing care among patients, nurses, caregivers and physicians in a haemodialysis department

“…Patients undergoing HD require special ongoing training due to the many medical therapies they receive, the special diets to which they adhere and the necessity of learning about adapting to physical and mental disabilities (Afrasiabifar et al . ). The findings of the present study revealed the effect of the patient's possession of self‐care capabilities on the quality of nursing care.…”

“…The main task of nursing is to help provide for human needs, maintain and promote health, improve self‐care capabilities and increase the patient's capacity for adapting to problems (Afrasiabifar et al . ). The patients want to have a more active role in their treatment.…”

The Application of Callista Roy Adaptation Model in the Care of Patients with Multiple Sclerosis – Case Report

“…Also, other authors [7][8][9][10] confirm the relevance and effectiveness of the model based on Roy's assumptions in the care and education of the chronically ill patient chronically. Therefore, Roy adaptation model is used around the world, both in research aimed at the development of nursing, as well as in everyday nursing practice [11].…”

The Status of Quality of Life and Adaptation of Patients with Heart Failure to Their Disease in Shushtar, Khuzestan Province

“…The findings of Mohammadi Zeighami and Shahparian, Yousefi et al and Abedi et al also indicated that patients with heart failure have a poor quality of life (19)(20)(21). Chronic and debilitating nature of this disease, heavy costs of frequent hospitalizations and treatments, impairment in performing daily activities and fatigue, dependence on others and loss of independence for self-care measures, sexual problems, and difficulty in performing jobs and social duties are factors, which can affect the quality of life of patients with heart failure (22).…”