Randomized controlled trials on Roy adaptation model nursing in patients with acute myocardial infarction in china: a systematic review

Objective:This study was to evaluate the quality of the randomized controlled trials on Roy adaptation model nursing in individuals suffering from acute myocardial infarction in China.Methods:We systematically searched the Cnki,Wanfang and Vipdatabases,to get randomized controlled trials on Roy adaptation model nursing in individuals suffering from acute myocardial infarction.The search period was from inception to October 2020.According to the Cochrane risk bias assessment tool,the quality of the studies included was appraised.Results:A total of 55 studies were retrieved,and 11 were eventually included in the study.Among the studies included,the first study was published in 2008.The overall quality of the 11 studies included was relatively low.Conclusions:The overall quality of the randomized controlled trials on Roy adaptation model nursing in individuals suffering from acute myocardial infarction was not high,which would hinder the evidence transformation as well as clinical practice.

Theory-guided interventions for Chinese patients to adapt to heart failure:A quasi-experimental study

Objectives:To examine the effects of the Roy Adaptation Model-based interventions on adaptation in persons with heart failure.Methods:A quasi-experimental study was conducted in Hangzhou,China,from March 2018 to November 2019.A convenience sample of 112 participants with heart failure from a multi-campus hospital was enrolled.Participants were allocated into an intervention group(n=55)and a control group(n=57)according to their hospitalized campus.A culturally-tailored care plan intervention based on the Roy Adaptation Model was performed in the intervention group.The control group received bedside patient education and a regular booklet for HF home care before discharge.Heart ultrasound,Minnesota Living with Heart Failure Questionnaire(MLHFQ),a knowledge survey,Self-care Heart failure Index(SCHFI),and Coping and Adaptation Processing Scale-Short Form(CAPS-SF)were used to measure patients’levels of adaptation of physical function,self-concept,role function,and interdependence at baseline and six months after discharge.Results:Ninety-one participants with complete data,43 in the intervention group and 48 in the control group,were included in the analysis for the primary endpoints and showed adaptive improvement trends.Most patients in the intervention group completed 60%or more of the given interventions.At the sixth month after discharge,compared with the control group,the intervention group had improved adaptive behaviors showing higher scores of the MLHFQ(70.90±22.45 vs.54.78±18.04),heart failurerelated knowledge(13.79±2.45 vs.10.73±4.28),SCHFI maintenance(57.67±13.22 vs.50.35±10.88),and CAPS-SF(40.23±4.36 vs.38.27±2.60)at the six-month follow-up(P<0.05).There were no significant differences between the two groups in the scores of left ventricular ejection fraction,scores of SCHFI management and SCHFI confidence subscales(P>0.05).Conclusions:The findings reported evidence of positive adaptation in patients with heart failure,indicating that the Roy Adaptation Model is an effective guide for developing an implemented framework for the nursing practice of the patients.The culturally-tailored care plan intervention is helpful to improve adaptation of patients with heart failure.