Roy's adaptation model-guided education for adaptation to chronic obstructive pulmonary disease


Akyil R. C., ERGÜNEY S.

JOURNAL OF ADVANCED NURSING, cilt.69, sa.5, ss.1063-1075, 2013 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 69 Sayı: 5
  • Basım Tarihi: 2013
  • Doi Numarası: 10.1111/j.1365-2648.2012.06093.x
  • Dergi Adı: JOURNAL OF ADVANCED NURSING
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Social Sciences Citation Index (SSCI), Scopus
  • Sayfa Sayıları: ss.1063-1075
  • Anahtar Kelimeler: chronic obstructive pulmonary disease, nurses, nursing, nursing, Roy's adaptation model, Turkey, QUALITY-OF-LIFE, SOCIAL SUPPORT, SELF-MANAGEMENT, REHABILITATION, INDIVIDUALS, DEPRESSION, FRAMEWORK, DYSPNEA, ASTHMA, CANCER
  • Atatürk Üniversitesi Adresli: Evet

Özet

Aim This article is a report of the effects of Roy's adaptation model-based patient education on physical and psychosocial adaptation of patients with chronic obstructive pulmonary disease. Background Patients with chronic obstructive pulmonary disease abound in Turkey, as they do worldwide. Patient education could help in the adaptation of patients with chronic obstructive pulmonary disease to the disease, as it has with other long-term diseases. Design The study adapted a quasi-experimental design, with a comparison between an intervention group and a control group. Methods Sixty-five patients with obstructive pulmonary disease participated in this study. The data were collected between December 2008January 2010. The data collection tool comprised an adaptation of a Roy's adaptation model-based evaluation form and perceived social support from family and friends scale. The intervention group received oral and written education based on Roy's adaptation model, while the control group received a routine follow-up. Data were analysed with paired t-test and analysis of covariance (ancova). Findings The results indicate that education given according to Roy's adaptation model increases adaptation to disease in three modes (physiologic, self-concept and role-function mode). In addition, taking into account interdependence mode as Roy's adaptation model's fourth mode, a statistically significant increase was observed in social support from friends but not from family. Conclusion The more intervention for improving interpersonal support especially perceived as coming from family the more using Roy's adaptation model to educate patients with chronic obstructive pulmonary disease could benefit them to increase adaptation to the disease.