Nursing Approach Based on the Roy Adaptation Model of a Patient Undergoing Hemodialysis: Case Report

Abstract

Hemodialysis treatment affects individuals' lifestyle, physiological needs, psychological states, social roles and self-perception. Patients receiving hemodialysis treatment experience difficulties in adapting to areas such as treatment, diet, fluid, and salt restriction, social role, and social life. The Roy Adaptation Model evaluates patients in the physiological domain, self-concept domain, role function domain, and interconnection domain, and focuses on their adaptation. This model increases the compliance of individuals receiving hemodialysis treatment by providing a holistic approach. In this case report, it was aimed to present the nursing care of an individual receiving regular hemodialysis treatment based on the Roy Adaptation Model.

Keywords

• Hemodialysis;
• Roy Adaptation Model
• Nursing care

Hemodiyaliz Tedavisi Alan Bir Hastanın Roy Adaptasyon Modeline Dayalı Hemşirelik Yaklaşımı: Olgu Sunumu/ Nursing Approach Based on the Roy Adaptation Model of a Patient Undergoing Hemodialysis: Case Report

Abstract

Hemodiyaliz tedavisi bireylerin yaşam şeklini, fizyolojik gereksinimlerini, psikolojik durumlarını, sosyal rollerini ve benlik algısını etkilemektedir. Hemodiyaliz tedavisi alan hastalar tedavi, diyet, sıvı ve tuz kısıtlaması, sosyal rol, sosyal yaşam gibi alanlara uyum sağlamada güçlük yaşamaktadır. Roy Adaptasyon Modeli hastaları fizyolojik alan, benlik kavramı alanı, rol fonksiyon alanı ve birbirine bağlanma alanı içinde değerlendirmekte ve uyumlarına odaklanmaktadır. Bu model hemodiyaliz tedavisi alan bireylere bütüncül bir yaklaşım sağlayarak uyumlarını artırmaktadır. Bu olgu sunumunda düzenli hemodiyaliz tedavisi alan bir bireyin hemşirelik bakımını Roy Adaptasyon Modeline dayalı olarak sunmak amaçlandı.

Keywords

• Hemodiyaliz
• Roy Adaptasyon Modeli
• Hemşirelik Bakımı

References

1. 1. Hill NR, Fatoba ST, Oke JL, Hirst JA, O’Callaghan CA, Lasserson DS, et al. Prevalence of chronic kidney disease: A systematic review and meta-analysis. PLoS One. 2016;(11)7:1–18.
2. 2. Süleymanlar G, Utaş C, Arinsoy T, Ateş K, Altun B, Altiparmak MR, ve ark. A population based survey of chronic renal disease in Turkey the CREDIT study. Nephrol Dial Transplant. 2011;26(6):1862–71.
3. 3. Süleymanlar G, Ateş K, Seyahi N. Türkiye’de, Nefroloji-Diyaliz ve Transplantasyon Registry 2020. Türk Nefroloji Derneği Ankara: Miki Matbaacılık San. ve Tic. Ltd. Şti 2021;1-138.
4. 4. Siagian E, Habeahan EJ. The life experience of patient chronic kidney under hemodialysis treatment at Bandar Lampung Adventist Hospital. Abstr Proc Int Sch Conf. 2019;7(1):99–115. doi: 10.35974/isc.v7i1.901
5. 5. Tanyi RA, Werner JS. Adjustment, spirituality, and health in women on hemodialysis. Clin Nurs Res. 2003;12(3):229–245. doi: 10.1177/1054773803253163
6. 6. Vicdan AK, Karabacak BG. Effect of treatment education based on the Roy Adaptation Model on adjustment of hemodialysis patients. Clinical Nurse Specialist. 2016;30(4): E1-E13.
7. 7. Roy C. The Roy Adaptation Model. 3rd ed. Upper Saddle River: Pearson Prentice Hall Health, New Jersey. 2009;35–50.
8. 8. Öngün E, Eyi S. Nursing care plan standardization and its mobile/web delivery application: An interactive tool developed for nurse practitioners and their supervisors. Journal of Social Sciences. 2020;9(3), 66-84.

9. 9. Marudhar M, Josfeena M. Roy’s Adaptation Model of nursing. Int J Sci Dev Res. 2019;4(1):283–287.
10. 10. Akinsanya J, Cox G, Crouch C, Fletcher L. Introduction to Roy Adaptation Model. London: Palgrave; 1994:13-22.
11. 11. Pektekin C. Hemşirelik Felsefesi Kuramlar Bakım Modelleri ve Politik Yaklaşımlar. İstanbul: İstanbul Tıp Kitabevi, 2013;s.126-134.
12. 12. Abdolahi M, Doustmohamadi MM, Sheikhbardsiri H. The effect of an educational plan based on the Roy Adaptation Model for fatigue and activities of daily living of patients with heart failure disease. Ethiop J Health Sci. 2020; 30(4):559-566.
13. 13. Fiona R. Roy’s Adaptation Model of Nursing. Birmingham City University. 2010;13-16.
14. 14. Frazão CMF, Fernandes MI, Nunes MD, de Sá JD, Lopes MV, Lira AL. Components of a Roy’s Adaptation Model in patients undergoing hemodialysis. Rev Gaúcha Enferm. 2013;34(4):45–52.
15. 15. Nobahar M, Saffari M, Babamohamadi H, Sotodehasl N, Mirmohammadkhani M. The effect of a care plan based on the Roy Adaptation Model on general health in hemodialysis patients; a randomized controlled clinical trial. J Ren Inj Prev. 2020;1–11.
16. 16. Horigan, Ann E. Fatigue in hemodialysis patients: A review of current knowledge. Journal of Pain and Symptom Management. 2012;44(5):715–24. doi: 10.1016/j.jpainsymman.2011.10.015.
17. 17. Ju A, Strippoli GFM, Craig JC, Tong A, Saglimbene VM, Unruh ML. Interventions for fatigue in people with chronic kidney disease requiring dialysis. Cochrane Database Syst Rev. 2018;2018(8):CD013074. doi: 10.1002/14651858.CD013074
18. 18. Yurtsever S, Bedük T. Hemodiyaliz hastalarında yorgunluğun değerlendirilmesi. Hemşirelikte Araştırma Geliştirme Dergisi. 2003;3-12.
19. 19. Fazel Asgarpoor, A, Amini Z, Zeraati A., Esmaeli H. The effect of a care plan based on the Roy Adaptation Model on level of Fatigue in hemodialysis patients. Evidence Based Care, 2011; 1(1): 77-90. doi: 10.22038/ebcj.2011.3766
20. 20. Abdolahi M, Doustmohamadi MM, Sheikhbardsiri H. The Effect of an educational plan based on the RoyAdaptation Model for fatigue and activities of daily living of patients with heart failure disease. Ethiop J Health Sci. 2020;30(4):559-566.
21. 21. Sofulu F, Ünsal Avdal E, Özgürsoy Uran BN, Ayvaz İ, Tokem Y, Şentürk S. Sistemik Lupus Eritematozus-Lupus Nefriti: Bir olgu sunumu. Nefroloji Hemşireliği Dergisi. 2017; 12(2): 97-103.
22. 22. Yodchai K. (2014) How do Thai patients adapt to haemodialysis? Unpublished Doctorate Thesis. Australia Deakin University.
23. 23. Erdoğan R, Akin B, Demirhan Ö. Arteriyovenöz fistülü olan hastaların klinik takiplerinin değerlendirilmesi. Istanbul Bilim Univ Florence Nightingale J Med. 2016;2(4):233–242