M.Sc. Student of Nursing, Student Research Committee, Isfahan University of Medical Sciences, Isfahan, Iran.
Department of Adult Health Nursing, Isfahan University of Medical Sciences, Isfahan, Iran.
Ethiop J Health Sci. 2023 Mar;33(2):355-362. doi: 10.4314/ejhs.v33i2.21.
Opioid abuse is one of the most obvious problems in today's world and directly affects individuals' quality of life. The present study aimed to investigate the effects of Roy's adaptation model on the quality of life in people with opioid abuse under methadone maintenance treatment.
This randomized trial study was conducted in 2021 on 72 patients with opioid abuse under methadone maintenance treatment at the Center for Addiction Harm Reduction in Isfahan. The samples were randomly allocated into intervention (n=36) and control groups (n=36) based on the table of random numbers by computer. The intervention was conducted by implementing Roy's adaptation model in the intervention group. To analyze the data, paired t-test, independent sample t-test, chi-square test, and analysis of covariance were used.
The mean ± standard deviation of the quality of life score in the intervention group (28.96±4.79) was significantly different than before the intervention (24.02±6.09) (P<0.001). At the same time, it was not significantly different in the control group. The mean ± standard deviation of the quality of life score in the intervention group (24.02±6.09) was not significantly different from the control group (20.55±8.53) before the intervention.
Roy's adaptation model had positive effects on the quality of life score in patients with opioid abuse. On the other hand, patients' quality of life indicates the effectiveness of methadone maintenance treatment. Therefore, it is suggested to use this model in nursing care programs.
阿片类药物滥用是当今世界最明显的问题之一，直接影响个人的生活质量。本研究旨在探讨罗伊适应模式对美沙酮维持治疗下阿片类药物滥用者生活质量的影响。
本随机试验研究于 2021 年在伊斯法罕成瘾危害减少中心对 72 名美沙酮维持治疗下的阿片类药物滥用者进行。根据计算机随机数表，将样本随机分为干预组（n=36）和对照组（n=36）。在干预组中实施罗伊适应模式进行干预。采用配对 t 检验、独立样本 t 检验、卡方检验和协方差分析对数据进行分析。
干预组生活质量评分的均数±标准差（28.96±4.79）与干预前（24.02±6.09）有显著差异（P<0.001）。同时，对照组无显著差异。干预组生活质量评分的均数±标准差（24.02±6.09）与干预前的对照组（20.55±8.53）无显著差异。
罗伊适应模式对阿片类药物滥用者的生活质量评分有积极影响。另一方面，患者的生活质量表明美沙酮维持治疗的有效性。因此，建议将该模式纳入护理计划中。
