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:: Volume 33, Issue 4 (winter 2023) ::
MEDICAL SCIENCES 2023, 33(4): 372-380 Back to browse issues page
Effect of “Roy’s Adaptation Model” based care on pain of patients in intensive care unit: a clinical trial
Jamal Seidi1 , Sina Valiee2 , Shima Sadat Aghahosseini3 , Daem Roshani4 , Hero Hamzehpour 5
1- Associate Professor, Department of Medical Surgical Nursing, Kurdistan University of Medical Sciences, Sanandaj, Iran
2- Department of Nursing, Social Determinants of Health Care Center, Kurdistan University of Medical Sciences, Sanandaj, Iran
3- Department of Nursing, Faculty of Nursing and Midwifery, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran
4- Department of Biostatistics, Social Determinants of Health Care Center, Kurdistan University of Medical Sciences, Sanandaj, Iran
5- MSc of Medical- Surgical Nursing, Student Research Committee, Kurdistan University of Medical Sciences, Sanandaj, Iran , herohamzepour91@gmail.com
Abstract:   (501 Views)
Background: Pain management is one of the most important components of patient care, and the nurse plays a key role in its management. Therefore, the aim of this study was to determine the effect of the care program based on the "Roy’s Adaptation Model" on the pain of patients in the surgical ICU.
Materials and methods: This triple-blind clinical trial study was conducted in 2016 on 100 patients in the intensive care unit. Two surgical ICU wards in Sanandaj Basath Hospital were randomly selected as the intervention and control wards. Eligible patients in each department were assigned to the intervention or control group separately by simple random method. In the intervention group, care based on adaptation model was performed; and in the control group, routine care was done. Patients' pain was measured twice a day for 7 days based on pain measurement scale. The obtained data were analyzed with SPSS software ver21.
Results: The mean pain score during seven days was 4.43 and within seven nights was 4.66 in the intervention group; while in control group it was 4.75 during seven days and 4.77 during seven nights. Also, pain in the intervention group was significantly reduced compared to the control group (P<0.05).
Conclusion: Care based on the adaptation model by nurses had an effect on reducing the pain of patients in the intensive care unit. It is suggested to provide organized nursing care based on nursing patterns in order to improve the health of patients in the special care department
Keywords: Pain, Roy adaptation pattern, Intensive care unit
Full-Text [PDF 341 kb]   (352 Downloads)    
Semi-pilot: Controlled/Randomized clinical trial | Subject: Nursing
Received: 2023/06/17 | Accepted: 2023/08/13 | Published: 2023/12/1
1. Stephens J, Wright M. Pain and Agitation Management in Critically Ill Patients. Nurs Clin North Am 2016;51:95-106. [DOI:10.1016/j.cnur.2015.11.002]
2. Gregory J, McGowan L. An examination of the prevalence of acute pain for hospitalised adult patients: a systematic review. J Clin Nurs 2016;25:583-98. [DOI:10.1111/jocn.13094]
3. Dureja GP, Iyer RN, Das G, Ahdal J, Narang P. Evidence and consensus recommendations for the pharmacological management of pain in India. J Pain Res 201729;10:709-736. [DOI:10.2147/JPR.S128655]
4. Durand G, Plata EM. The effects of psychopathic traits on fear of pain, anxiety, and stress. Pers Individ Differ 2017;119:198-203. [DOI:10.1016/j.paid.2017.07.024]
5. Dieb W, Moreau N, Chemla I, Descroix V, Boucher Y. Neuropathic pain in the orofacial region: The role of pain history. A retrospective study. J Stomatol Oral Maxillofac Surg 2017;118:147-150. [DOI:10.1016/j.jormas.2017.03.004]
6. Del Giorno R, Frumento P, Varrassi G, Paladini A, Coaccioli S. Assessment of chronic pain and access to pain therapy: a cross-sectional population-based study. J Pain Res 2017;10:2577-2584. [DOI:10.2147/JPR.S136292]
7. Nasser SC, Nassif JG, Saad AH. Physicians' Attitudes to Clinical Pain Management and Education: Survey from a Middle Eastern Country. Pain Res Manag 2016;2016:1358593. [DOI:10.1155/2016/1358593]
8. Ramia E, Nasser SC, Salameh P, Saad AH. Patient Perception of Acute Pain Management: Data from Three Tertiary Care Hospitals. Pain Res Manag 2017;2017:7459360. [DOI:10.1155/2017/7459360]
9. Vallerand AH, Cosler P, Henningfield JE, Galassini P. Pain management strategies and lessons from the military: A narrative review. Pain Res Manag 2015;20:261-8. [DOI:10.1155/2015/196025]
10. Coutaux A. Non-pharmacological treatments for pain relief: TENS and acupuncture. Joint Bone Spine 2017;84:657-661. [DOI:10.1016/j.jbspin.2017.02.005]
11. Nezameslami S, Pishgoee, SAH Sharififar S, Soltannezhade F. The Effect of Education on the Basis of Roy Adaptation Pattern on the Quality of Life of Home Caregivers of Psychiatric Patients with a History of Hospitalization in Mental Hospitals of Military Hospitals in Bushehr. Mil Caring Sci 2019; 6:105-114. [In Persian] [DOI:10.29252/mcs.6.2.105]
12. Maddineshat M, Borzou2 R, Cheraghi F, Khatiban M. The Application of Roy's Adaptation Model in a Patient with Obsessive Compulsive Disorder: A Case study. IJPN 2020; 8:19-22. [In Persian]
13. Mahdavipour F. Review A on Adaptation of Heart Failure Patients Based on Roy Adaptation Model: A Review Study. IJSR. 2021; 1:11-19. [In Persian]
14. Ghanbari Afra L, Adib Hajbagheri M. Roy adaptation model in patient with COVID-19. Nurs Midwifery J 2020; 18:387-397. [In Persian]
15. Hamzehpour H, Valiee S, Majedi MA, Roshani D, Seidi J. Effect of "Roy adaptation model" in physiologic aspect on the level of consciousness of patients in intensive care unit: A clinical trial. Sci J Kurdistan Univ Med Sci 2017;22:1-12. [In Persian]
16. Seidi J, Alhani F, Salsali M. Nurses' Clinical Judgment Development: A Qualitative Research in Iran. Iran Red Crescent Med J 2015;17:e20596. [DOI:10.5812/ircmj.20596]
17. Kalani Z, Tavangar H, Rahimi A. effectiveness of nursing interventions on incidence of delirium in patients hospitalized to intensive cardiac care units, Shiraz Hospitals, 2012. Med Surg Nurs J 2013;2:93-100. [In Persian]
18. Rijkenberg S, Stilma W, Bosman RJ, van der Meer NJ, van der Voort PHJ. Pain Measurement in Mechanically Ventilated Patients After Cardiac Surgery: Comparison of the Behavioral Pain Scale (BPS) and the Critical-Care Pain Observation Tool (CPOT). J Cardiothorac Vasc Anesth 2017;31:1227-1234. [DOI:10.1053/j.jvca.2017.03.013]
19. Ito Y, Teruya K, Kubota H, Yorozu T, Nakajima E. Factors affecting pain assessment scores in patients on mechanical ventilation. Intensive Crit Care Nurs 2017;42:75-79. [DOI:10.1016/j.iccn.2017.03.001]
20. Hemmati Maslakpak M, Maleki F. The effect of Performance care Plan Based on the Roy Adaptation Model on fatigue in multiple sclerosis Patients. Sci J Hamadan Nurs Midwifery Fac 2016;24:184-192. [In Persian] [DOI:10.21859/nmj-24036]
21. Whittemore R, Sister Callista Roy. Adapting to diabetes mellitus: a theory synthesis. Nurs Sci Q 2002;15:311-7. [DOI:10.1177/089431802236796]
22. Najafi Ghezeljeh T, Mohades Ardebili F, Rafii F. The effects of massage and music on pain, anxiety and relaxation in burn patients: Randomized controlled clinical trial. Burns 2017;43:1034-1043. [DOI:10.1016/j.burns.2017.01.011]
23. Kacaroglu Vicdan A, Gulseven Karabacak B. Effect of Treatment Education Based on the Roy Adaptation Model on Adjustment of Hemodialysis Patients. Clin Nurse Spec 2016;30:E1-13. [DOI:10.1097/NUR.0000000000000215]
24. Sadeghnezhad Forotaghe M, Vanaki Z, Memarian R. The effect of nursing care plan based on "Roy Adaptation model" on psychological adaptation in patients with diabetes type II. Evid Bas Care J 2011;1:5-20.
25. Van Rompaey B, Van Hoof A, van Bogaert P, Timmermans O, Dilles T. The patient's perception of a delirium: A qualitative research in a Belgian intensive care unit. Intensive Crit Care Nurs 2016;32:66-74. [DOI:10.1016/j.iccn.2015.03.002]
26. Alimohammadi N, Maleki B, Shahriari M, Chitsaz A. Effect of a care plan based on Roy adaptation model biological dimension on stroke patients' physiologic adaptation level. Iran J Nurs Midwifery Res 2015;20:275-81.
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Seidi J, Valiee S, Aghahosseini S S, Roshani D, Hamzehpour H. Effect of “Roy’s Adaptation Model” based care on pain of patients in intensive care unit: a clinical trial. MEDICAL SCIENCES 2023; 33 (4) :372-380
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Volume 33, Issue 4 (winter 2023) Back to browse issues page
فصلنامه علوم پزشکی دانشگاه آزاد اسلامی واحد پزشکی تهران Medical Science Journal of Islamic Azad Univesity - Tehran Medical Branch
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