The Effect of Care Program based on Roy Adaptation Model on Fatigue and Activities of Daily Living of Patients with Heart Failure

Fatigue and decreased ability to perform daily activities are the most common complications of heart failure. Applying the Roy Adaptation Model for these cases requires careful consideration and implementation of a care plan according to this model. The aim of this study was to determine the effect of care plan based on Roy adaptation model on fatigue and daily activities in patients with heart failure.

The present study was an experimental study carried out in 2018 on 60 patients with heart failure in Shafa and Afzalipour Educational Hospitals in Kerman. Samples were simple [S1] randomly selected and assigned to two groups of control and test. Intervention was performed in 6 training sessions including two sessions of group training and four sessions of face to face training for each patient based on the "Roy" adaptation model. Fatigue level was calculated based on piper fatigue scale and daily activities were calculated by Barthle scale. Data were analyzed by SPSS 20 software using descriptive statistics including mean and standard deviation and analytical tests including Pearson correlation coefficient, chi square, independent t-test, paired t-test, ANOVA and Tukey at the significance level of 0.05.

Findings of the study showed that there was a statistically significant difference between the two groups in the amount of fatigue and the level of daily activities after intervention (P ≤ 0.05). The results showed that in the experimental group the mean and standard deviation of fatigue were significantly decreased before intervention (6.2 ± 2.2) compared to after intervention (3.5 ± 1.7) (p = 0.001). Also in the experimental group the mean daily and standard deviation of daily activities before intervention (45.3 ± 11.2) was significantly increased than after intervention (62.2 ± 12.8) (p = 0.001).

Using a program designed in the care program based on Roy Adaptation Model to reduce fatigue and increase the ability to perform daily activities of heart failure patients is suggested as a low cost, non-invasive and effective method of providing nursing care.