EFFECT OF ROY ADAPTATION MODEL APPLICATION ON PATIENTS UNDERGOING HEMODIALYSIS

Abstract

The Roy Adaptation Model (RAM) focuses on the physiological and psychosocial adaptation of patients to the environment by using the four adaptive modes: physiologic, self-concept, role function, and interdependence. Aim: To evaluate the effect of the (RAM) application on patients undergoing hemodialysis. Subjects and method: Design: One group quasi-experimental design (pre and post) was used in this study. Setting: This study was conducted at hemodialysis unit of General hospital in Port Said city. Subjects: The study data was collected from purposive adult patients undergoing hemodialysis (no=105) in 9 months. Tools: two tools were used, tool I: includes structure interview questionnaire, Tool II: designed model based on RAM tools. Results: There was an observed improvement in mean ±SD of total RAM modes 246±39.2 post model implementation compared to 218±40.3 pre- model implementation. There was a statistically significant difference for the mean scores of RAM modes of patients (physiological, self-concept, work role function, and independence and interdependence mode) on pre and post-application of RAM. Conclusion: There was a statistically significant difference for the mean scores of physiological, self-concept, work role function, and independence and interdependence mode of patients on pre and post-application of RAM. There was observed improvement in adaptation level among patients undergoing hemodialysis after application of RAM, especially in Independence and Interdependence mode. Recommendations: Encourage further study on theory-based patient care for chronic and acute illnesses. Encourage effective utilization of research findings on the management of diseases affecting hemodialysis patients.