Effect of a care plan based on Roy’s adaptation model on the Psychosocial adaptation of patients With CVA

Cerebrovascular accident (CVA) is a chronic disease which influences different aspects of human’s life such as the psychological and social dimensions. The patients’ recovery of balance in these dimensions needs proper and pre-planned care.The aim of this study was to biologically examine the effects of a care plan upon the extent of the patient’s adaptability with psychosocial dimensions in reference to Roy’s adaptation mod. In this clinical trial, 50 CVA patients in selected hospitals of Isfahan during 2014-2015 were selected through accessibility sampling and randomly assigned to two groups of similar size. The data were collected via researchers’ developed form of recognition and review of Roy’s Model. The care plan was developed based on the maladaptation behaviors and their stimuli which were implemented in the study group and follow-up study was also done. The control group received routine cares. The collected data were analyzed using SPSS 18 and the statistical tests were analyzed. The mean score of adaptation before intervention in two groups showed there was no significant difference between psychological adjustment (i.e. self-perception, independence-dependence) and social dimension (role-playing) while a significant difference was found between two groups after intervention (P<0.001). The results of the present study showed that the designed care plan based on the Roy’s model with holistic approach and care based on cooperation among the units are able to enhance the adaptation of psychosocial dimensions among patients with CVA.