ROY ADAPTATION MODEL IN HEMODIALYSIS PATIENTS: A MIXED METHOD RESEARCH

RAM is used in ERSD patients. Nurses play important role in their adaptation.
The goal of the study is to explain the adaptive and ineffective responses of Hemodialysis patients
based on RAM in qualitative part, and to compare their adaptation scores in quantitative part.
Materials & Methods: qualitative design of this mixed study method is descriptive phenomenology.
Data were saturated by purposeful sampling (n=14). Data were drawn by Struebert and Fawcett
methods and confirmed by Lincoln and Goba method .T-paired test was used to compare the means.
Result: 680 primary codes (236 adaptive and 444 ineffective responses) were identified at physiologic,
self-concept, role play and interdependence modes in 9, 5, 3 and 2 subcategories respectively. Total
adaptation score, and adaptation scores in physiologic and self-concept modes increased significantly
but not in role play and interdependence modes.
Conclusion: Hemodialysis increases total adaptation of ERSD patients and is affective in physiologic
and self-concept modes but not in role play and interdependence modes. Nursing interventions are
necessary for these modes