title: Effect of a care plan based on Roy adaptation model biological dimension on stroke patients' physiologic adaptation level.
abstract: BACKGROUND
  Stroke is a stressful event with several functional, physical, psychological, social, and economic problems that affect individuals' different living balances. With coping strategies, patients try to control these problems and return to their natural life. The aim of this study is to investigate the effect of a care plan based on Roy adaptation model biological dimension on stroke patients' physiologic adaptation level.
  
  
  METHODS
  This study is a clinical trial in which 50 patients, affected by brain stroke and being admitted in the neurology ward of Kashani and Alzahra hospitals, were randomly assigned to control and study groups in Isfahan in 2013. Roy adaptation model care plan was administered in biological dimension in the form of four sessions and phone call follow-ups for 1 month. The forms related to Roy adaptation model were completed before and after intervention in the two groups. Chi-square test and t-test were used to analyze the data through SPSS 18.
  
  
  RESULTS
  There was a significant difference in mean score of adaptation in physiological dimension in the study group after intervention (P < 0.001) compared to before intervention. Comparison of the mean scores of changes of adaptation in the patients affected by brain stroke in the study and control groups showed a significant increase in physiological dimension in the study group by 47.30 after intervention (P < 0.001).
  
  
  CONCLUSIONS
  The results of study showed that Roy adaptation model biological dimension care plan can result in an increase in adaptation in patients with stroke in physiological dimension. Nurses can use this model for increasing patients' adaptation.
authors: Department of Critical Care, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Hezarjrb Ave., Isfahan, Iran.
authors: Nasrollah
authors: N
authors: Alimohammadi
authors: Nursing Student Research Center, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
authors: Bibi
authors: B
authors: Maleki
authors: Department of Adult Health Nursing, Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Hezarjrb Ave., Isfahan, Iran.
authors: Mohsen
authors: M
authors: Shahriari
authors: Department of Neurology, School of Medicine, Isfahan University of Medical Sciences, Hezarjrb Ave., Isfahan, Iran.
authors: Ahmad
authors: A
authors: Chitsaz
keywords: Adaptation; Roy adaptation model; stroke care plan