Effectiveness of a care plan based on the Roy adaptation model for
fatigue and activities of daily living of patients with heart failure
disease: A randomized controlled trial
Abstract
Abstract Rationale, aims, and objectives: Cardiac failure is one of the
most common chronic diseases with high rate of morbidity and mortality.
Fatigue and decreased ability to perform daily activities are of the
most common complications of this disease. The purpose of this study was
to determine effect of care plan based on Roy adaptation model on
fatigue and daily activities in patients with heart failure. Methods:
This clinical trial was performed on 60 heart failure patients admitted
in two educational hospitals supervised by the Kerman University of
Medical Sciences in 2019. Sample was randomly assigned into two
intervention and control groups. The intervention group received the
care plan through a face to face and group training program in 6
sessions at one month. Interval followed by a follow-up period for 4
weeks later, while the control group only received the regular services
from hospital. Fatigue level was calculated based on piper fatigue scale
and daily activities were calculated by Barthes scale. Results: finding
indicated there was a significant difference between the two groups
control and intervention after the intervention. Result showed that the
intervention group had significantly lower mean scores in fatigue and
higher mean scores in daily activities compared to the control group
after intervention P ≤ .05. There was significant relationship between
fatigue and daily activities of life with frequency of hospitalization
and duration of disease in both groups P ≤ .05. Conclusion:
Implementation of Roy model based education program as a low-cost,
effective, and non-aggressive nursing intervention can affect fatigue
and improve the ability to perform daily activities in patients with
heart failure.