Alimohammadi Nasrollah, Maleki Bibi, Abbasi Samira, Shakerian Behzad, Hemati Zeinab
Department of Critical Care, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
Tanaffos. 2018 Feb;17(2):103-109.
Asthma is a common long term inflammatory disease during adolescent. Absence of school education and reduction of mental and social mindedness are among the most common problems found in adolescents with asthma. Therefore, the present study was aimed to examine the effect of Roy adaptation model on controlling maladaptation behaviors in adolescents with asthma.
This study is a semi-experimental research that was conducted with the participation of all adolescents with asthma referred to the Asthma and Allergy Clinic of Shariati Hospital. Random sampling was used for a total of 64 adolescents to have two groups of intervention and control. Data collection was through a questionnaire based on the Roy's Adaptation Model. Over six weeks, adolescents were trained in six two-hour sessions. Data were analyzed by descriptive and analytical statistics consisting of Mann-Whitney, ANOVA, paired t-test and independent t-test.
The mean age of adolescents with asthma in the intervention and control groups was 15.8±3.5 and 14.8±3.5 years, respectively. Also, the mean score of maladaptation behaviors in four physiological, self-concept, role-function and interdependence modes had a significant difference in intervention group before and after training (p<0.001), but there was no significant difference in all modes before and after intervention in control group (p>0.05).
Given the effect of Roy adaptation model on the different aspects of maladaptation behaviors in adolescents with asthma, it is recommended to use this model as a healthcare intervention for controlling maladaptation behaviors in adolescents with other chronic disease.
哮喘是青少年时期常见的慢性炎症性疾病。学校教育缺失以及心理和社会意识下降是哮喘青少年中最常见的问题。因此，本研究旨在探讨罗伊适应模式对控制哮喘青少年适应不良行为的影响。
本研究为半实验性研究，所有转诊至沙里亚蒂医院哮喘与过敏诊所的哮喘青少年参与其中。采用随机抽样法选取64名青少年，分为干预组和对照组。通过基于罗伊适应模式的问卷收集数据。在六周内，青少年接受了六次每次两小时的培训。数据采用描述性和分析性统计方法进行分析，包括曼-惠特尼检验、方差分析、配对t检验和独立t检验。
干预组和对照组哮喘青少年的平均年龄分别为15.8±3.5岁和14.8±3.5岁。此外，干预组在生理、自我概念、角色功能和相互依赖四种模式下适应不良行为的平均得分在训练前后有显著差异（p<0.001），但对照组在干预前后所有模式下均无显著差异（p>0.05）。
鉴于罗伊适应模式对哮喘青少年适应不良行为各方面的影响，建议将该模式作为一种医疗保健干预措施，用于控制其他慢性病青少年的适应不良行为。
