Effect of “Roy’s Adaptation Model” based care on pain of patients in intensive care unit: a clinical trial

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.

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.

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).

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