The effects of nursing of Roy adaptation model on the elderly hypertensive: a randomised control study

Abstract

Background: Hypertension is a chronic disease affecting middle-aged and elderly patients worldwide.Self-management behavior plays a critical role in maintaining blood pressure. Roy adaptation model (RAM), which was proposed by Roy in 1970, has been used to guide hypertension nursing to improve selfmanagement behavior of elderly patients. In the study, to explore the effect of nursing based on the RAM on the self-management behavior of elderly hypertensive patients.Methods: A total of 120 elderly hypertensive patients admitted from June 2020 to March 2021 were selected and randomly divided into a control group and observation group based on odd and even numbers of the admission order, with 60 cases in each group. The control group received routine nursing measures while the observation group was given nursing based on the RAM. The self-management behavior, medication compliance, quality of life, and blood pressure control effect were compared between the two groups. Results:The scores of the self-efficacy and self-management behaviors of the observation group and the total score of the scale were higher than those of the control group (P<0.05); the observation group patients' medication compliance score was 6.57±1.47, which was higher than that of the control group (4.90±2.16) (P<0.01); physiological function, physical pain, energy, social function, emotional function, mental health scores, and total scores of the SF-36 scale in the observation group were all higher than those of the control group (P<0.05), while comparison of the general health status dimension scores showed no statistically significant difference; the systolic blood pressure and diastolic blood pressure of the observation group were respectively lower than those of the control group (P<0.05); The blood pressure control compliance rate of the observation group was 85.4%, which was higher than that of the control group 64.6% (P<0.05).Conclusions: Nursing intervention based on Roy's adaptation model can better enhance the self-efficacy and self-management ability of elderly hypertensive patients, have a positive effect on promoting healthy behavior changes and improving the quality of life, improve medication compliance, and achieve better blood pressure control effects.

Perioperative care based on roy adaptation model in elderly patients with benign prostatic hyperplasia: impact on psychological well-being, pain, and quality of life

“…In the study design, a meticulous sample size calculation ensured robust statistical power for detecting effects. A existing literature comparing SF36 total scores (Control: 583.05 ± 111.20, RAM: 642.46 ± 75.13) revealed significant improvement with RAM in elderly hypertensive patients [ 11 ]. G*Power 3.1.9.2 software determined effect size (d = 0.626).…”

“…The RAM describes behaviors as either adaptive or non-adaptive and focuses on the dynamic process of adaptation in response to four modes: physiological, self-concept, role function, and interdependence [ 9 , 10 ]. It has been widely applied in various healthcare settings and has demonstrated benefits for promoting adaptation and well-being in elderly patients [ 11 – 13 ]. Therefore, in the context of perioperative care for elderly patients with BPH, the application of the RAM can provide valuable insights and guidance.…”

Pemberian Aroma Terapi Lavender (Lavandula Angustifolia) Dan Terapi Musik Langgam Jawa Terhadap Kualitas Dan Kuantitas Tidur Lansia Insomnia Berbasis Teori Adaptasi Roy

“…Teori Callista Roy sebagai dasar pemberian intervensi keperawatan yang menjelaskan bahwa model adaptasi roy merupakan suatu upaya untuk kebutuhan dasar manusia yang bersifat individual dan holistik (J. Zhang et al, 2021). Kualitas dan kuantitas tidur yang baik dalam penelitian ini dapat dihasilkan dengan menggunakan musik dan aromaterapi sebagai cara untuk membantu memberikan kenyamanan pasien menuju tidurnya.…”

“…Hal ini sesuai dengan penelitian oleh (J. Zhang et al, 2021)yang menyatakan bahwa perempuan lebih rentan stress dikarenakan pola pikir perempuan lebih cenderung menggunakan emosional dibanding rasional sehingga hormone yang timbul akibat stress ini menyebabkan gagalnya hormone melatonin untuk release sehingga proses memulai tidur terganggu. Pada penelitian sebelumnya menjelaskan bahwa menurunnya kadar estrogen menyebabkan menurunnya kadar serotonin sehingga pada perempuan lansia yang telah mengalami penurunan hormone estrogen dapat berpengaruh terhadap tidur utamanya pada fase REM pada fase tidur (Kurniawan et al, 2020).…”

Clinical validation of the terminological subset for people with chronic kidney disease undergoing conservative treatment

“…Among the main existing nursing theoretical frameworks, the Roy Adaptation Model (RAM) stands out because it demonstrates that the individual or group interacts and responds to stimuli from the environment, making its suitability plausible for people with CKD who need to get adapted to their new health condition ( 7 , 8 ) .…”