Roy’s Adaptation Model-Guided Education and Promoting the Adaptation of Veterans With Lower Extremities Amputation

Abstract

Background:Any defect in extremities of the body can affect different life aspects.Objectives:The purpose of this study was to investigate the effect of Roy’s adaptation model-guided education on promoting the adaptation of veterans with lower extremities amputation.Patients and Methods:In a randomized clinical trial, 60 veterans with lower extremities amputation referring to Kowsar Orthotics and Prosthetics Center of veterans clinic in Tehran, Iran, were recruited with convenience method and were randomly assigned to intervention and control groups during 2013 - 2014. For data collection, Roy’s adaptation model questionnaire was used. After completing the questionnaires in both groups, maladaptive behaviors were determined in the intervention group and an education program based on Roy’s adaptation model was implemented. After two months, both groups completed the questionnaires again. Data was analyzed with SPSS software.Results:Independent t-test showed statistically significant differences between the two groups in the post-test stage in terms of the total score of adaptation (P = 0.001) as well as physiologic (P = 0.0001) and role function modes (P = 0.004). The total score of adaptation (139.43 ± 5.45 to 127.54 ± 14.55, P = 0.006) as well as the scores of physiologic (60.26 ± 5.45 to 53.73 ± 7.79, P = 0.001) and role function (20.30 ± 2.42 to 18.13 ± 3.18, P = 0.01) modes in the intervention group significantly increased, whereas the scores of self-concept (42.10 ± 4.71 to 39.40 ± 5.67, P = 0.21) and interdependence (16.76 ± 2.22 to 16.30 ± 2.57, P = 0.44) modes in the two stages did not have a significant difference.Conclusions:Findings of this research indicated that the Roy’s adaptation model-guided education promoted the adaptation level of physiologic and role function modes in veterans with lower extremities amputation. However, this intervention could not promote adaptation in self-concept and interdependence modes. More intervention is advised based on Roy’s adaptation model for improving the adaptation of veterans with lower extremities.

The Effect of an Educational Plan Based on the Roy Adaptation Model for Fatigue and Activities of Daily Living of Patients with Heart Failure Disease

“…In the present study, the results showed that the mean Piper fatigue score in the pre and post intervention stage was significantly different in the intervention group in behavioral, emotional, sensory, and cognitive aspects of Piper's fatigue scale, so that the mean score of fatigue in each aspect was decreased in intervention group, while no difference was observed in control group. This finding is in line with studies conducted by (4,10,23,25,26). Various methods have been investigated for reducing fatigue in patients with heart failure.…”

“…The findings of this research showed effectiveness of the proposed educational plan in improvement of patients' ability in performing daily activities in intervention group, so that significant statistical difference was observed in intervention group before and after intervention while no significant statistical difference was observed in the control group before and after intervention. This finding is in line with the study conducted by ( 19 ) with titled using Roy model on daily activities of hemodialysis patients, the study of ( 23 ) conducted on daily activities of patients with MS using self-care program based on Orem's model and the study of ( 24 ) with title effects of antenatal education on maternal prenatal and postpartum adaptation. They found that using nursing theories has a positive effect on increasing ability to perform daily activities of patients' lives.…”

The effect of an educational program based on Roy's adaptation model on the quality of life of patients suffering from heart failure: A clinical trial study

“…To enhance adaptation with disease, patients should be helped to be active participants in their self‐care activities. Further, they should be allowed to express their emotions and affections suitably and concentrate on positive aspects of the disease which cause facilitated adaptation with the consequences of the disease (Azarmi & Farsi, ).…”

“…The dimension of independence and interdependence involves the interactive behaviors between social and individual systems. This model is a suitable framework for collecting information from patients and application of this model causes concentration, organization, conduction of thoughts and actions of nurses toward the targets of interest more effectively and suitably (Akyil & Erguney, ; Azarmi & Farsi, ). Based on this model, the nurse investigates the patient through interview, observation, and measurement in a methodical and precise manner.…”

Nursing Care based on the Roy Adaptation Model for a Patient Undergoing Amputation Surgery

“…Bunlardan bir tanesi, alt ekstremite amputasyonu olan emeklilerde Roy Uyum Modeli rehberli eğitim ve desteğin uyuma etkisinin araştırıldığı bir çalışmadır. (18) Diğeri ise 69 yaşında diz altı amputasyonu olacak erkek bir hastanın Roy Uyum Modeli'ne göre ameliyat öncesi değerlendirmesinin yapıldığı çalışmadır. (19) Türkiye'de çok sayıda amputasyon ameliyatı yapılmasına ragmen, bu hastaların bakımlarını Roy Uyum Modeli'ne yapılandırarak inceleyen bir çalışmaya ulaşılamamıştır.…”