STUDY THE EFFECT OF PERFORMANCE ROY ADAPTATION MODEL ON INTENSITY AND EFFECTS OF FATIGUE IN MULTIPLE SCLEROSIS PATIENTS

Fatigue is a common symptom of multiple sclerosis, and can limit a person's daily
activities. It is possible to have Health achievement in chronic disease by establishing compatibility on
various dimension of the patient's existence. One of the most effective and practical templates in nursing,
which is more significant in this topic, is Roy Adaptation model. Therefore this study performed with
the purpose of studying the effect of performance care plan, based on the Roy Adaptation Model on
intensity, and effects of fatigue on multiple sclerosis patients of MS Association of Urmia in 2015.
Materials & Methods: In this study, 80 patients with multiple sclerosis of inclusion criteria, selected
randomly and divided into two groups of 40 subjects as intervention and control group respectedly. The
data collected tool in this study was fatigue severity’s standard questionnaire, which was completed in
both groups before and after the intervention. The intervention was consisted of 6 sessions, 2 general
education sessions and 4 care programs, based on maladaptive behavior sessions. After two months, a
post-test was performed to find the results. For descriptive statistics Spss software was used in order to
find the characteristics of the study population, and for non-parametric quantitative data, Mann-Whitney
was used. A t-test was used for parametric quantitative data.
Results: The results of this study showed that before of intervention, there was no significant differences
in the mean number fatigue severity between the two groups. Mean number of fatigue severity decreased
after the care programs, based on the Roy adaptation model, in the intervention group, than the control
group, and this reduction was statistically significant. (P <0.001)
Conclusion: Implementation of the Roy Adaptation Model reduces fatigue in people with multiple
sclerosis. Therefore, it is recommended that nurses can use from this low cost model in order to reduce
fatigue and complications