The effect of care plan application based on Roy adaptation model on the self-efficacy in elderly people in urmia nursing homes

Due to the dramatic rise in the aging population and the problems and complications of this period, it
is necessary to cause positive adaptation during this important period of life. In this regard, nursing theories
and especially Roy's adaptation model can be applied in order to convert unhealthy and maladaptive behaviors
into healthy and adaptive ones so that complications and problems of the old age can decrease and
consequently self-efficacy can rise in the elderly. The present study was conducted in order to determine the
effect(s) of implementing a care program on self-efficacy in the elderly of nursing homes of Urmia based on
Roy's adaptation model. The present research is a before-and-after experimental study. Convenience sampling
was utilized to select sixty elderly who had the conditions of entering the study. They were randomly divided
into a control group (30 subjects) and an intervention group (30 subjects). Data collection instrument was the
standard questionnaire of self-efficacy that was filled out by the two groups before and after the intervention.
The care program was designed based on the results of Roy's form of knowledge and examination and
implemented during two public sessions and four individual sessions to manipulate the main motivations over
a period of 1.5 months and followed up for one month. Data analysis was carried out through descriptive and
inferential tests using SPSS 16.0. The results of the study indicated that after the intervention there was a
significant difference between the two groups in regard with the mean score of their self-efficacy (P<0.001).
The mean score of self-efficacy of the elderly in the intervention group increased and the results of the paired
samples T-test proved this increase to be significant (P<0.001). Implementing the care program that was based
on Roy's adaptation model had a positive effect on enhancing the self-efficacy of the elderly. Therefore,
healthcare providers and nurses are highly recommended to enhance the self-efficacy among the elderly of
the nursing homes by raising adaptation among them through nursing theories and care programs