Roy's adaptation model-guided education for adaptation to chronic obstructive pulmonary disease.
OBJECTIVE
This article is a report of the effects of Roy's adaptation model-based patient education on physical and psychosocial adaptation of patients with chronic obstructive pulmonary disease.


BACKGROUND
Patients with chronic obstructive pulmonary disease abound in Turkey, as they do worldwide. Patient education could help in the adaptation of patients with chronic obstructive pulmonary disease to the disease, as it has with other long-term diseases.


METHODS
The study adapted a quasi-experimental design, with a comparison between an intervention group and a control group.


METHODS
Sixty-five patients with obstructive pulmonary disease participated in this study. The data were collected between December 2008-January 2010. The data collection tool comprised an adaptation of a Roy's adaptation model-based evaluation form and perceived social support from family and friends scale. The intervention group received oral and written education based on Roy's adaptation model, while the control group received a routine follow-up. Data were analysed with paired t-test and analysis of covariance (ancova).


RESULTS
The results indicate that education given according to Roy's adaptation model increases adaptation to disease in three modes (physiologic, self-concept and role-function mode). In addition, taking into account interdependence mode as Roy's adaptation model's fourth mode, a statistically significant increase was observed in social support from friends but not from family.


CONCLUSIONS
The more intervention for improving interpersonal support - especially perceived as coming from family - the more using Roy's adaptation model to educate patients with chronic obstructive pulmonary disease could benefit them to increase adaptation to the disease.
Internal Nursing Department, Atatürk University Faculty of Health Sciences, Erzurum, Turkey. rahsanakyil@hotmail.com
Rahşan Çevik
RÇ
Akyil
Seher
S
Ergüney
D000222:Adaptation, Physiological; D006801:Humans; D008962:Models, Theoretical; D010353:Patient Education as Topic / Q000379:methods*; D029424:Pulmonary Disease, Chronic Obstructive / Q000503:physiopathology*