THE EFFECT OF NURSING CARE PLAN BASED ON “ROY DAPTATION MODEL” ON PSYCHOLOGICAL ADAPTATION IN PATIENTS WITH DIABETES TYPE II

Applying “Roy adaptation model" for diabetes patients need carefully
assessment and care planning based on principles of this model. But no study has done by that, up to
now in our nursing. So, this study was done in order to assess the effect of nursing care plan designed
based on “Roy adaptation model” on psychological adaptation in type II diabetics' patients.
Materials & Methods: The study was a quasi experimental one carried out on two groups; before and
after intervention which was done in Parsian Diabetes Foundation in Mashhad in 2009. Samples were
60 diabetics’ patients selected non- randomly and allocated in two groups randomly. For data
gathering “Roy assessment form”, adaptation strategies questionnaire, and HgA1C test were used. In
“Roy assessment form”, maladaptive behaviors and their stimulators in psychological domains were
determined. Then, nursing care plan was designed based on the results of it, and it was implemented
for 2.5 months and one month follow up. After this, data repeatedly gathered and analyzed by “chisquare test, t- test and Wilcocxon test” in SPSS17.
Result: Analyzing demographic data in two groups with chi-square test (x2) showed that they were
matched (p >0.05). Average of age was 48 ±7/3 .Comparison of HgA1c before and after intervention in
case group by paired t-test was significant (p <0.05). Also, Wilcoxon test showed (p <0.05) the
decreasing of maladaptive behaviors in self concept and interdependence mode in case group. But role
function mode did not show significant decreasing (p >0.05).
Conclusion: Applying the "care plan designed" based on “Roy adaptation model” for increasing
psychological adaptation in type two diabetics' patients is highly recommend