Roy's Adaptation Theory Research Articles

Asuhan Keperawatan Perioperatif pada Adenoma Hipofisis dengan Pendekatan Teori Adaptasi Roy

This study aims to describe the implementation of nursing care in post-endoscopic transsphenoidal surgery (ETSS) patients with indications of pituitary adenoma. This research method is a case study in post-ETSS patients with Roy's Adaptation theory approach. This study showed that the patient was free of postoperative complications. The patient could mobilize in stages and went home in a condition that he could walk even with assistance. During treatment, the patient's blood sugar levels were controlled, and signs of dehydration were not found. In conclusion, strict control and good postoperative care can prevent the risk of postoperative complications in patients.
 
 Keywords: Roy Adaptation, Pituitary Adenoma, ETSS

EFFECT OF EARLY AMBULATION ON MATERNAL OUTCOME AMONG POST CAESAREAN MOTHERS

The purpose of the study was to determine the effect of early ambulation on maternal outcome among post caesarean mothers. The objectives of the study was to assess the effect of early ambulation on maternal outcome among post caesarean mothers and to nd out the association between the maternal outcome among post caesarean mothers with selected demographic variables. This study was based on Roy's adaptation theory. The research design adopted for the study was post-test only control group design. 60 post caesarean mothers who fullled the inclusion criteria were selected for the study, out of which 30 post caesarean mothers were in experimental group and 30 post caesarean mothers were in control group. Non-probability purposive sampling technique was used to select the samples. The tool used to assess the effect of early ambulation was post caesarean bio physiological health parameters chart. The study was conducted in General Hospital, Neyyattinkara. The effectiveness of early ambulation was assessed by comparing the maternal outcome of post caesarean mothers in experimental group and control group. The result shows that there was a signicant difference in the maternal outcome among post caesarean mothers in the experimental group after performing early ambulation and there was an association between the maternal outcome among post caesarean mothers with selected demographic variables except in case of period of gestation

Asuhan Keperawatan Dengan Pendekatan Teori Model Adaptasi Roy Pada Pasien Congestive Heart Failure: Case Study

Congestive Heart Failure (CHF) is a chronic complex syndrome characterized by the inability of the heart to support the circulation of the peripheral organs and may cause negative effects on the whole human body systems. CHF survivors may develop poor adaptation and quality of life also death. Roy's adaptation theory model-based intervention aid in improving patient adaptation to the fulfillment of physiological needs, self-concept, role function, and interdependence. The purpose of this case study was to apply Roy's adaptation theory model to patients with CHF. The results showed that adaptive mal behavior becomes the priority problem of low cardiac output with focal stimuli: increased afterload, preload, contractility, and changes in heart rate. The history of hypertension, diabetes mellitus, and non-adherence were included in the contextual stimulus. The history of smoking is included in the residual stimulus. Two mechanisms of regulatory and cognitive control are used as nursing interventions. Results showed that the patient performed physiological-physical adaptation had no diuretic injection, was capable to endure fluid restriction, and showed adequate fluid balance. Moreover, patients were also adapted with lifestyle changes supported by their families. It is recommended to provide Roy's adaptation theory model-based nursing intervention to the chronic disease patients in the clinical setting.

Adaptation of Patient's Colorectal Cancer to Stoma in Padang City

Introduction: Colorectal cancer patients have a variety of impacts after the colostomy such as skin irritation, problems with odors, and fears of pouch leaks that will affect daily life. Patients must be able to adapt to new situations due to ostomy so that they can undergo daily activities as usual. This study aims to explore the experience of colorectal cancer patients' adaptation to the ostomy. Materials and Methods: Research was conducted with a qualitative design grounded theory approach with semi-structured interviews on six participants (one man and five women) who were taken purposively with criteria to have an ostomy for more than 4 months at the General Hospital in Padang. After the data is collected, then the data were analyzed using grounded theory by doing open coding, axial coding, and selective coding and determining the core categories. Results: The research obtained the core category of patient’s adaptation to ostomy based on Roy's adaptation theory with two selective codings, among others, the impact of ostomy as a stimulus in patients and coping mechanisms carried out including social support from family, friends, health workers, and ostomates who help patients overcome psychosocial impacts. Conclusion: This study shows the process of ostomate adaptation to the impact of ostomy with various strategies as well as the presence of social support.

Nursing Analysis in Disorder Patients with Cardiovascular System Approach The Model of the Roy Adaptation Theory

Background: The prevalence of patients with an increase in the cardiovascular system is increasing. Nurses are expected to have a contribution in the handling of patients with cardiovascular disorders by implementing and deepening using the Roy Adaptation Model (MAR). The role as care provider was applied to men who were supported 70 years with CAD 3VD EF 52% POST-CABG X3 OFF PUMP. Purpose: The purpose of the study was to discuss the problem of nursing care in patients with cardiovascular system disorders. Methods: This study uses a case study design with nursing care given to one patient with a cardiovascular system, age disagreement and does not specify the sex to be used in a case study. Data analysis techniques by analyzing data from the assessment to evaluation and documentation. Results: The results of the research obtained by policy and stimulus studies can be applied more optimally in the arrangement of ordinary care rooms where patients are stable and not at high risk of reducing cardiac output. Enforcement of attractive nursing diagnoses on NANDA and SDKI. Roy did not arrange specific interventions for each diagnosis based on Roy's Adaptation Model which explained the coping relationships on the regulator and cognator subsystems. Nursing evaluation is completed based on the adaptation achieved by the patient in the mode of adaptation. Conclusion: Roy's Adaptation Model Theory can be used in providing nursing care to patients with cardiovascular system disorders using a format adapted to the format in the hospital.

Application of the Roy Adaptation Theory to a care program for nurses

Theory-guided nursing practice is foundational in providing the framework for the development of excellent nursing care. There is a need for effective care programs for nurses, whereby they are adequately supported within their workplace infrastructures as a professional group whose work is essential to the provision of healthcare worldwide. Likewise, there is a need for care programs for nurses to be theory-guided. In the current global pandemic climate, the well-being of nurses continues to become compromised evidenced by increasing moral distress, compassion fatigue, and burnout. Theory-based supportive programs are vital to the overall wellbeing, morale, and retention of nurses. The Roy Adaptation Theory may serve as a guide in the development and evaluation of a hospital-based program designed to support the needs of the healthcare team. This discussion will explore the application of the Roy Adaptation Theory-Group Identity Mode to the Tea for the Soul Care Model for nurses.

Factors that Affect Coping Mechanisms in Chemotherapy Patients with the Approach of Callista Roy Adaptation Theory

Chemotherapy could cause pain in the patient, thus causing the condition of the body would gradually weaken. This condition would make the patient delay the therapy due to physical symptoms and emotional pressure (psychological), which affected the seriousness of patients in the treatment and strong coping mechanism required to maintain good conditions One of the empirical evidence of conceptual model theory "Holistic Adaptif System", Callista Roy put it, this model was used in chronic illnesses undergoing treatment, because theoretically successful handling by conducting adaptive coping mechanism behavior was an important variable in the physiological and psychological adaptation process to the stimulus that occurs. This study aimed to identify the behavior of patients using Callista Roy adaptology. This study aimed to analyze factors that influenced coping mechanisms in chemotherapy patients with the Callista Roy adaptation theory approach. This research design is analytical with a cross sectional approach. The population in this study were 95 patients. This research sampling technique was Consecutive Sampling. The sample size in this study was 78 respondents who met the criteria of the researcher. The research instrument used CAPS with an adaptation theory approach. The results showed that educational factors (p = 0.031) and job (p = 0.023) influenced the coping mechanism with the theory approach of Callista Roy adaptation to chemotherapy patients. The higher the level of education, the tolerance and control of stressors is better so that coping mechanisms become adaptive. Those who worked were more stress because they had to combine their work with scheduled care.

Occupational health nursing in civil construction: contributions based on Roy's adaptation theory.

Reflecting on the role of the nursing staff in civil construction has paramount importance, because it enables improving knowledge and making discoveries. Such reflection is further useful for managers and workers to jointly develop disease prevention and health promotion strategies. The aim of the present study is to describe a nurse's contributions to a civil construction company. It consists of an experience report according to Callista Roy's adaptation theory. The analyzed experience took place from August 2017 through March 2018. We describe the activities carried out by the nurse jointly with other healthcare workers. We believe that the present study evidences the significance of occupational health nursing actions, particularly within civil construction, as well as the relevance of providing theoretical scientific grounds to such actions to contribute to make working environments healthier for all the involved actors without neglecting the aspect of productivity.

ADAPTATION OF LONG-LIVED ELDERS AT HOME AFTER HOSPITALIZATION IN THE INTENSIVE CARE UNIT AND HOSPITAL DISCHARGE

ABSTRACT Objective: to identify stimuli that interfere with the adaptation of long-lived elders at home after hospitalization in the intensive care unit and hospital discharge. Method: a descriptive study with a qualitative approach, conducted with elderly individuals who were hospitalized in the intensive care unit and were already at home after hospital discharge. Data collection took place through open interviews and was performed at the intensive care unit of the hospital and at the home of the elderly. Home visits took place between December 2017 and February 2018, and were conducted in seven cities. Bardin's content analysis was used, and the discussion was based on Callista Roy's Adaptation Theory. Ethical and legal cares were strictly respected. Results: eleven long-lived elders, aged between 80 and 94 years old, took part in the study. Two categories emerged from the participants' testimonies: Stimuli that contribute to adaptive behavioral responses in the long-lived elders and Stimuli that negatively affect the adaptation of the long-lived elders. Conclusion: the main stimuli that contributed to the adaptive behavior of the long-lived elders were the return to their homes, family support and the social support network. In contrast, the stimuli that negatively affected adaptation were fear, lack of information and difficulties in continuing the care. The critical role of the health professionals in the intensive care unit and the hospital unit in preparing longevity the long-lived elders their families for hospital discharge and home return is highlighted.

ANALISIS FAKTOR YANG BERHUBUNGAN DENGAN MEKANISME KOPING PADA ODHA DENGAN PENDEKATAN TEORI ADAPTASI CALLISTA ROY

Pendahuluan : Dampak negatif yang ditimbulkan oleh individu yang hidup dengan HIV/AIDS adalah masalah fisik, psikososial dan emosional, sehingga ODHA perlu untuk meningkatkan mekanisme koping kearah adaptif. Roy menjelaskan ada 3 stimulus yang dapat mempengaruhi mekanisme koping yaitu stimulus fokal, stimulus kontektual,stimulus residual. Tujuan penelitian ini adalah untuk mengetahui faktor yang berhubungan dengan mekanisme koping berdasarkan Teori Adaptasi Roy.Metode : Desain penelitian menggunakan analitik korelasional pendekatan cross sectional,30 responden dipilih dengantehnik purposive sampling.Instrumen penelitian menggunakan kuesioner. Hasil :Hasil penelitian menunjukan stimulus fokal, stimulus kontektual, adan stimulus residual berhubungan dengan mekanisme koping pada ODHA, sebagian besar responden memiliki mekanisme koping negatif sebanyak 18 responden (60.0%) dan mekanisme koping positif sebanyak 12 responden (40.0%). Analisis dan Diskusi : Berdasarkan hasil analisa menunjukan ada hubungan stimulus fokal p-value = 0.018 dan stimulus kontektual p-value = 0.004, sedangkan stimulus residual tidak ada hubungannya dengan mekanisme koping pada ODHA di KDS friendship plus Kota Kediri.Selama bergabung dalam kelompok dukungan sebaya ODHA mempunyai wadah untuk mencurahkan perasaan dan emosi serta dapat berkomunikasi sosial dengan baik, sehingga adanya stimulus fokal dan kontektual dari KDS dapat menstimulasi respon kognator dan regulator yang dapat mempengaruhi fungsi fisiologis sehingga mampu beradaptasi secara adaptif.

An Exploratory Study to Assess Mothers Stress and Coping Patterns whose Children are Suffering with Leukaemia in selected Hospitals of Maharashtra

The study was conducted to assess the mothers stress and coping patterns whose children are suffering with leukaemia in selected hospitals of Maharashtra. The conceptual framework of the study was based on Roy's Adaptation theory (1989). For the present study exploratory approach was considered appropriate. Independent variable included in the study was leukaemia, extraneous variables included were: age, education, occupation, age of child, gender of the child, duration of illness, monthly family income, religion, type of family, number of hospitalization and birth order of child Dependent variables were stress and coping patterns. The tool used had three part: Part I was to obtain personal data, Part II structured Stress Scale which had 30 items and Part III was coping patters checklist (Modified standardized tool by Kiran Rao) and it was further modified by the investigator. A tryout of the tool was done on 6 mothers. Pilot study was done on 6 mothers at Christian Medical Hospital, Ludhiana, Punjab. Final data from sample of 60 mothers was collected from two hospitals from Maharashtra. Descriptive and inferential statistics were used to analyse the data, bar diagrams were used to depict the findings and to interpret the data. The following conclusions were drawn based on the findings of the study i. e. majority of mothers (65%) had moderate level of stress, majority of mothers whose children are suffering leukaemia had adaptive coping patterns, there is a moderate negative correlation between stress and coping patterns of the mothers and there was no significant association of stress and coping patterns with selected variables such as age, education, occupation, age of child, gender of the child, duration of illness, monthly family income, religion, type of family, number of hospitalization and birth order of child.

The Effects of an Asthma Management Education Program for Preschoolers

This study was conducted to develop an asthma management education program for preschool children using Roy's adaptation theory as a framework and examining the effects of this program on adaptation to asthma treatment. A non-equivalent control group pre-post-test design was used with 43 preschool children diagnosed with asthma and required to be hospitalized for inhalation therapy. An intervention group (n=23) participated in the educational program and a control group (n=20) received regular treatment. The education program was conducted and evaluated from June 30 to October 31 2012, a maximum 3 times every 24 hours during hospitalization. Two nurses conducted the program using the teaching method of Gagne and Briggs; instruction design theory through questionnaires to measure perception of disease, behavior of adaptation to treatment with inhalation therapy. Effects of asthma management education program; scores for face-pain rating decreased and time of adaptation to treatment increased significantly in the experimental group compared to the control group but no significant differences were found for perception of the disease's cause and treatment. Results indicate that the asthma management education program has positive effects on adaptation to asthma treatment of preschoolers.

Development of Nursing Assessment Tool: An Application of Roy's Adaptation Theory

It is well known that nursing theories are invaluable in providing the framework for the assessment of health problems and development of nursing care plan. Therefore in the present study authors aim to examine the Roy adaptation theory as a basis for the development of nursing assessment tool for the assessment of cardiac patients. Authors found the congruence between the concepts of cardiac nursing and Roy adaptation theory after in-depth review. Therefore this assessment tool was developed based on the concepts of Roy adaptation theory, in which the health problems of patients in all four modes and the relevant stimuli can be identified.

간호학 박사학위논문의 실험연구 경향 분석

Purposes: The purpose of this study was to identify recent trends of experimental research by analyzing doctoral dissertations in all colleges of nursing in Korea. Methods: The areas of research, the content, methodological and intervention characteristics used in this study were explored in experimental research on doctoral dissertations (n=132) published from 2006 to 2010. Results: In the issues of research, practice/clinical issues were most frequently used. As to outcome measurement, physiological variables increased more than psychological/emotional variables. Most theory applied in the research was taken from other disciplines, and nursing theory was only Roy's adaptation theory. A large majority of the research was quasi-experimental designs and the number of true-experimental designs was very low. In more than half of the dissertations, internal validity was not described, and the described external validity rate was very low. There were more single intervention programs than bundle ones and education/exercise programs were most frequently used as the source of intervention. Conclusion: Doctoral dissertations need to increase and encourage more high quality experimental research to expand nursing knowledge and to develop evidence based nursing practice.

Abordagem assistencial ao neonato portador de mielomeningocele segundo o modelo de adaptação de Roy

O objetivo deste estudo de caso foi identificar os diagnósticos de Enfermagem de um bebê portador de mielomeningocele, internado na Unidade de Terapia Intensiva Neonatal (UTIN), abordando os aspectos fisiológicos segundo a Teoria de Adaptação de Roy, e elaborar ações de enfermagem pertinentes a estes aspectos. O estudo foi desenvolvido na UTIN da Maternidade Escola Assis Chateaubriand, na cidade de Fortaleza, Ceará, Brasil, nos meses de dezembro de 2007 a março de 2008, quando foi utilizado um roteiro de levantamento de dados. Na análise, reconheceram-se os diagnósticos: padrão respiratório ineficaz; nutrição desequilibrada: menos do que as necessidades corporais; integridade da pele prejudicada; risco para infecção e percepção sensorial perturbada. A utilização desta teoria permitiu reconhecer que o RN pode desencadear respostas positivas ou negativas mediante estímulos, e que as metas e intervenções implementadas foram importantes para a substituição de respostas ineficazes por respostas adaptativas.

Adaptation in children with cancer: research with Roy's model.

This qualitative study was undertaken to establish a conceptual framework for the adaptation process of Taiwanese children with cancer. It was guided by Roy's adaptation model. Thirty-four pediatric cancer patients (23 boys and 11 girls) with different illness trajectories (from newly diagnosed to terminal stage) participated. Data were collected through individual in-depth interviews with patients and primary caregivers, observations, medical chart review, and researchers' reflective journals. The following five aspects of adaptation that emerged from the study were categorized according to different age groups: physiological and psychological, cognitive (self-concept), interdependence, and future orientation (self-concept and role). Comparison with Roy's adaptation theory is discussed.

Role tuning between caregiver and care receiver during discharge transition: an illustration of role function mode in Roy's adaptation theory.

The purpose of this study was to develop a conceptual framework to explain the interaction between the caregiver and the care receiver during the discharge transition. Data from face-to-face interviews with 12 care receivers and 16 caregivers were subjected to constant comparative analysis. Findings revealed that role tuning was the process used by caregivers and care receivers to achieve a harmonious pattern of caregiving and care receiving during the transition from hospital to home. This empirical finding can illustrate the concept of role function mode in the Roy adaptation theory and sensitize healthcare providers to the needs of the families during the discharge transition.

Advice concerning breastfeeding from mothers of infants admitted to a neonatal intensive care unit: the Roy adaptation model as a conceptual structure.

Data were collected by telephone interviews with 178 mothers of full-term patients in a NICU (neonatal intensive care unit) concerning advice on facilitation of the initiation of breastfeeding. The main advice to the first author as a nurse in the NICU concerned the environment, advice on breastfeeding, distance between units, work organization and nurse behaviour. The advice to other mothers of patients centred on persistence, physical contact with the infant, and not to let nurses take over maternal role functions. The data were structured into themes and categories, classified by one author and two research assistants according to Roy's adaptation theory, and analysed for degree of interrater agreement. The overall agreement of classification was high, reaching 92.5%. It was easily applied by nurses after a brief introduction and proved useful for structuring interview data. It also contributed to clarification of nurse behaviour and division of roles between nurses and mothers. As the four adaptation modes showed considerable overlap, this kind of classification seems inadvisable for application to the assessment of patient/parent situations in the nursing process. For use in a clinical setting, the theory needs the addition of the interactive aspect of nurse and patient/family role functions, and may then be used as a framework for the development of assessment tools.