Document Detail

Theory-guided interventions for adaptation to heart failure.
MedLine Citation:
PMID:  18302601     Owner:  NLM     Status:  MEDLINE    
AIM: This paper is a report of a study to examine the effects of a Roy Adaptation Model-based experimental education, exercise and social support programme on adaptation in persons with heart failure. BACKGROUND: In the past 20 years, a large number of studies have evaluated heart failure. Several studies of other chronic diseases have been based on the Roy Adaptation Model and show that this approach is useful in promoting adaptation for patients. METHOD: A randomized, parallel, controlled clinical trial was conducted in 2005 with 43 patients (21 intervention and 22 control patients). A booklet for patient training was given to those in the intervention group. Participants received a patient identification form, assessment form for physiological data, the Minnesota Living with Heart Failure Questionnaire, Interpersonal Support Evaluation List and the 6-Minute Walk Test. RESULTS: Patients in the intervention group adapted well to their condition and the four adaptive modes of Roy Adaptation Model were interrelated. Patients' quality of life was enhanced, their functional capacities increased and social support within the interdependence dimension improved in patients in the intervention group. CONCLUSION: This is the first study to use the Roy Adaptation Model in a study of patients with heart failure. Roy's model is an effective guide for nursing practice when caring for patients with heart failure.
Gülcan Bakan; Asiye Durmaz Akyol
Publication Detail:
Type:  Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  Journal of advanced nursing     Volume:  61     ISSN:  1365-2648     ISO Abbreviation:  J Adv Nurs     Publication Date:  2008 Mar 
Date Detail:
Created Date:  2008-02-27     Completed Date:  2008-06-03     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7609811     Medline TA:  J Adv Nurs     Country:  England    
Other Details:
Languages:  eng     Pagination:  596-608     Citation Subset:  IM; N    
Izmir Atatürk Research and Education Hospital, Izmir, Turkey.
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MeSH Terms
Adaptation, Psychological*
Exercise Therapy / methods*
Follow-Up Studies
Heart Failure / nursing*,  psychology,  rehabilitation
Middle Aged
Models, Nursing
Quality of Life
Social Support*
Treatment Outcome
Comment In:
J Adv Nurs. 2008 Mar;61(6):583   [PMID:  18302599 ]

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