Title of article :
The Effects of a Care Plan Based on the Roy Adaptation Model on Depression among Nursing Home Residents
Author/Authors :
Alidoost, Nishteman Department of Midwifery - Shahid Motahari Educational Hospital - Urmia University of Medical Sciences , Naseri, Omid Department of Nursing - Be'sat Educational Hospital - Kurdistan University of Medical Sciences, Sanandaj , Jahanban, Aylin Department of Nursing - Maragheh University of Medical Sciences, Maragheh , Hemmati Maslakpak, Masumeh Maternal and Childhood Obesity Research Center - School of Nursing and Midwifery - Urmia University of Medical Sciences, Urmia , Maghsoudi, Banafshe Department of Bioinformatics - School of Health Management & Information Sciences - Iran University of Medical Sciences, Tehran, Iran
Abstract :
Background: Depression is one of the most common mental disorders among nursing home residents. Nursing models are among the therapies with potential
effects on depression. Objectives: This study aimed to determine the effects
of a care plan based on the Roy’s Adaptation Model (RAM) on depression
among nursing home residents. Methods: This quasi‑experimental study was
conducted on sixty older adults selected from four nursing homes in Urmia,
Iran. Participants were randomly allocated to a control and an intervention
group. A care plan based on the RAM was designed and implemented for
participants in the intervention group. The plan included individualized
and group educations based on participants’ maladaptive behaviors in the
four modes of the RAM. During the intervention, participants’ maladaptive
behaviors and their stimuli were determined and measures were taken for their
management. The intervention lasted for 1.5 months, followed by a 1‑month
supervision. Before and after the intervention, depression was assessed using the
Geriatric Depression Scale. Data were analyzed through the independent‑ and
the paired‑sample t and the Chi‑square tests. Results: The pretest and the
posttest mean scores of depression were 5.78 ± 3.51 and 6.11 ± 3.64 in the
control group and 6.81 ± 3.64 and 2.86 ± 2.50 in the intervention group. The
between‑group difference respecting the pretest mean scores of depression
was not statistically significant (P = 0.21), whereas the posttest mean score
of depression in the intervention group was significantly less than the control
group (P < 0.001). Although the mean score of depression in the control
group did not significantly change (P = 0.32), it significantly decreased in the
intervention group (P < 0.001). Conclusion: The care plan developed in this
study based on the RAM is effective in significantly reducing depression among
nursing home residents. Therefore, it can be used for depression management in nursing homes.
Keywords :
Care plan , Depression , Elderly , Nursing home , Roy Adaptation Model
Journal title :
Nursing and Midwifery Studies
