The Application of Roy's Adaptation Model in a Patient with ObsessiveCompulsive Disorder: A Case Study

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MADDINESHAT MARYAM; BORZOU SEYED REZA; CHERAGHI FATEMEH; KHATIBAN MAHNAZ

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Paper Information

Journal: Iranian Journal of Psychiatric Nursing Year:2020 | Volume:8 | Issue:1 Page(s): 19-28

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Title

The Application of Roy's Adaptation Model in a Patient with ObsessiveCompulsive Disorder: A Case Study

Author(s)

MADDINESHAT MARYAM | BORZOU SEYED REZA | CHERAGHI FATEMEH | KHATIBAN MAHNAZ | Issue Writer Certificate

Keywords

Obsessive-Compulsive DisorderQ1

Nursing ProcessQ2

Roy's Adaptation ModelQ1

AdaptationQ1

Case StudyQ1

Abstract

Introduction: The treatment process of hospitalized patients with Obsessive-Compulsive Disorder is less studied. However, because of the complex nature of the disease, these patients require a comprehensive nursing care plan. Since Nursing Process based on Adaptation Model/fa?page=1&sort=1&ftyp=all&fgrp=all&fyrs=all" target="_blank">Roy's Adaptation Model is widely used to solve problems caused by chronic diseases, this study aimed to implement this model in a patient with Obsessive-Compulsive Disorder. Methods: This study was a Case Study performed on a patient with Obsessive-Compulsive Disorder admitted in the psychiatric ward of Farshchian (Sina) Hospital in Hamadan, Iran, in 2019. Data were collected using observation, interview, and patient documentation, and they were analyzed in four dimensions based on the stages of the Nursing Process in Adaptation Model/fa?page=1&sort=1&ftyp=all&fgrp=all&fyrs=all" target="_blank">Roy's Adaptation Model. Results: Based on data from the assessment stage, manifestations of chronic maladaptive behaviors in the patient included unwanted, intrusive, repetitive thoughts and fears as the focual stimuli, family history of obsessivecompulsive disorder, parental divorce and weakness in coping mechanisms as the contexcual stimulus, beliefs of the patient's father, and psychiatric hospitalization as residual stimuli. Six types of maladaptive behaviors in four modes including inappropriate nutrition (physiological mode), reduced self-care, non-adherence to treatment, need to perform obsessive rituals, avoiding social interactions (self-concept mode), and father dependency (role function mode and interdependence mode) were identified. Conclusions: Implementing a Nursing Process based on Adaptation Model/fa?page=1&sort=1&ftyp=all&fgrp=all&fyrs=all" target="_blank">Roy's Adaptation Model by deeply identifying maladaptive behaviors and then, promoting the use of regulate and cognitive coping mechanisms can help correct or modify maladaptive behaviors of patients with Obsessive-Compulsive Disorder. However, achieving desirable outcomes after discharge requires long-term follow-up and support by psychiatric nurses.

Cites

Effectiveness of Group Reality Therapy on Social Well-being, Life Expectancy and Locus of Control in Women with Obsessive-Compulsive Disorder

References

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APA: Copy

MADDINESHAT, MARYAM, BORZOU, SEYED REZA, CHERAGHI, FATEMEH, & KHATIBAN, MAHNAZ. (2020). The Application of Roy's Adaptation Model in a Patient with ObsessiveCompulsive Disorder: A Case Study. IRANIAN JOURNAL OF PSYCHIATRIC NURSING (IJPN), 8(1 ), 19-28. SID. https://sid.ir/paper/408276/en

Vancouver: Copy

MADDINESHAT MARYAM, BORZOU SEYED REZA, CHERAGHI FATEMEH, KHATIBAN MAHNAZ. The Application of Roy's Adaptation Model in a Patient with ObsessiveCompulsive Disorder: A Case Study. IRANIAN JOURNAL OF PSYCHIATRIC NURSING (IJPN)[Internet]. 2020;8(1 ):19-28. Available from: https://sid.ir/paper/408276/en

IEEE: Copy

MARYAM MADDINESHAT, SEYED REZA BORZOU, FATEMEH CHERAGHI, and MAHNAZ KHATIBAN, “The Application of Roy's Adaptation Model in a Patient with ObsessiveCompulsive Disorder: A Case Study,” IRANIAN JOURNAL OF PSYCHIATRIC NURSING (IJPN), vol. 8, no. 1 , pp. 19–28, 2020, [Online]. Available: https://sid.ir/paper/408276/en

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