The Effect of Roy Adaptation-Based Nursing Intervention

NCT05568342 | Completed DMC

• 1 other identifier: Roy Adaptation Model
• Study Type: interventional
• Target: 80
• Locations: 1 country
• Sites: 1

Brief Summary

Abstract Objective: The research was conducted to determine the effect of the nursing intervention, which was given to patients according to the Roy Adaptation Model, on patients' stress, psychosocial adjustment, and self-care power. Methods: The population of the study, which was conducted as a randomized controlled experimental study, consisted of 80 patients receiving outpatient dialysis treatment in the hemodialysis unit of a university hospital. The patients from the population were included in the sample of the study in a randomized manner. The data were collected using the Descriptive Characteristics Form, the Hemodialysis Stressor Scale, the Self-Care Scale, and the Psychosocial Adjustment to Illness Scale. Results: When the pre-tests between the groups were compared, hygienic self-care power, healthcare orientation, vocational environment, domestic environment, sexual relationships, extended family relations, social environment and total psychosocial adjustment levels changed significantly (p\<0.05). When the post-tests were compared between the groups, no significant difference was found only in the mean of the mental state sub-dimension (p\>0.05). Conclusion: Interventions made according to the Roy Adaptation Model reduced the stress level of the patients, and increased their self-care power and psychosocial adjustment. Keywords: Hemodialysis, Roy Adaptation Model, Stress, Self-Care Power, Psychosocial Adjustment

Conditions

Hemodialysis Complication; Stress Disorders, Post-Traumatic; Psychosocial Impairment; Self Neglect

Keywords

Hemodialysis, Roy Adaptation Model, Stress, Self-Care Power, Psychosocial Adjustment

Outcome Measures

Primary Outcomes (1)

• Stress

  Stress was evaluated with the Hemodialysis Stressor Scale

  It was used to determine stress levels before starting the study. After 3 months, the interventions were finished and it was used again to measure stress levels.

Secondary Outcomes (1)

• Psychosocial Adjustment

  It was used to determine compliance levels before starting the study. After 3 months, the interventions were finished and again used to measure compliance levels.

Other Outcomes (1)

• Self-Care Power

  It was used to determine self-care levels before starting the study. After 3 months, the interventions were finished and it was used again to measure self-care levels.

Study Arms (2)

Roy Group

EXPERIMENTAL

The population of the research consisted of 80 patients receiving outpatient dialysis treatment in the hemodialysis unit of a university hospital. In the sample of the study, those patients who came to the dialysis session on Monday-Wednesday-Friday were randomly assigned to the Roy group (experimental) (40 patients). Pre-test was applied to the patients in Roy and clinical groups using data collection tools. After the pre-test, the patients in the Roy group were trained 6 times in 3 months, twice a month, at home and in the clinic. Nursing interventions were performed using the Roy Adaptation Model in the trainings. At the end of the third month, the post-test data of both groups were collected. During the study, no training or intervention was given to the patients in the clinical group. The nursing education and interventions of this group were carried out by nurses working in the dialysis clinic within the scope of routine practices.

Behavioral: The Effect of Roy Adaptation-Based Nursing Intervention on Stress, Psychosocial Adjustment and Self-Care Power in Hemodialysis Patients: A Randomized Controlled Experimental Study

Clinic Group

NO INTERVENTION

The population of the research consisted of 80 patients receiving outpatient dialysis treatment in the hemodialysis unit of a university hospital. In the sample of the study, those patients who came to the dialysis session on Tuesday-Thursday-Saturday were included in the Clinical group (control) (40 patients). Pre-test was applied to the patients in Roy and clinical groups using data collection tools. After the pre-test, the patients in the Roy group were trained 6 times in 3 months, twice a month, at home and in the clinic. Nursing interventions were performed using the Roy Adaptation Model in the trainings. At the end of the third month, the post-test data of both groups were collected. During the study, no training or intervention was given to the patients in the clinical group. The nursing education and interventions of this group were carried out by nurses working in the dialysis clinic within the scope of routine practices.

Interventions

The Effect of Roy Adaptation-Based Nursing Intervention on Stress, Psychosocial Adjustment and Self-Care Power in Hemodialysis Patients: A Randomized Controlled Experimental Study BEHAVIORAL

Pre-test was applied to the patients in Roy and clinical groups using data collection tools. After the pre-test, the patients in the Roy group were trained 6 times in 3 months, twice a month, at home and in the clinic. Nursing interventions were performed using the Roy Adaptation Model in the trainings. At the end of the third month, the post-test data of both groups were collected. During the study, no training or intervention was given to the patients in the clinical group. The nursing education and interventions of this group were carried out by nurses working in the dialysis clinic within the scope of routine practices.

Roy Group

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• the absence of hearing and visual impairments that would prevent communication
• no diagnosed psychiatric disorder
• literacy
• Turkish proficiency

You may not qualify if:

• Not wanting to voluntarily participate in the study.

Sponsors & Collaborators

• Gaziantep Islam Science and Technology University: lead

Study Sites (1)

Gaziantep Şahinbey Research and Application Hospital Hemodialysis Unit

Gaziantep, Şehitkamil, 27310, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Stress Disorders, Post-Traumatic

Condition Hierarchy (Ancestors)

Stress Disorders, Traumatic; Trauma and Stressor Related Disorders; Mental Disorders

Study Officials

• Zeynep GÜNGÖRMÜŞ, phD (Associate Professor)

  University of Gaziantep

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: QUADRUPLE
• Who Masked: PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
• Purpose: SUPPORTIVE CARE
• Intervention Model: CROSSOVER
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Lecturer

Study Record Dates

• First Submitted: September 28, 2022
• First Posted: October 5, 2022
• Study Start: September 1, 2016
• Primary Completion: November 30, 2016
• Study Completion: July 10, 2017
• Last Updated: October 5, 2022

Record last verified: 2022-09

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)