Background & Aims: COVID-19 is an acute disease of the respiratory system with diffuse inflammation. In this disease, a wide range of symptoms can cause biological and psychological changes in performance. Skillful preparation of the patient to find the optimal way to deal with this disease, as well as maintaining the independence and vitality of life, is an important part of the treatment process in these patients. So the aim of this study was to use ROY's adaptability MODEL in patient care for COVID19 and to prepare the patient to deal with the problems caused by the disease based on the nursing process, which is made according to the instructions of the ROY MODEL. Materials & Methods: The case report study was conducted in March 2020 in one of the hospitals of Qom University of Medical Sciences. A patient with COVID19 was examined and the ROY pattern was performed on him. Nursing care was performed based on the ROY nursing process in 6 stages. Results: The results of the study showed that the patient had maladaptive behaviors in 4 modes (physiological, ADAPTATION of self-perception, role-playing, independence and dependence(. After performing nursing care based on the ROY ADAPTATION pattern, maladaptive behaviors decreased. Conclusion: According to the results of the present study, implementing a nursing care program based on ROY ADAPTATION MODEL can be effective on the physical, psychological ADAPTATION and reduction of maladaptive behaviors in patient with COVID 19. In this regard, Nurses can play a more effective role in improving the maladaptive behaviors of these patients by applying nursing care based on the ADAPTATION MODEL.

Background and Aim: Hypertension is a significant risk factor for cardiovascular disease and is the leading cause of death worldwide. The nursing process based on the ROY ADAPTATION MODEL is widely used to solve the problems caused by chronic diseases. This study aimed to adapt the MODEL performed on patients with hypertension. Materials and Methods: The study was conducted in the autumn of 2021 in one of the hospitals of Qom University of Medical Sciences, Qom City, Iran. A patient with hypertension was examined, and a ROY MODEL was performed on him. Nursing care was performed based on the ROY nursing process in 6 stages. Results: The study showed that the patient had maladaptive behaviors in four modes (physiological needs, ADAPTATION of self-concept, role function, and independence and dependence). After nursing care based on the ROY ADAPTATION MODEL, maladaptive behaviors decreased. Conclusion: According to the present study results, nursing care based on the ROY MODEL can affect the physical, psychological, and maladaptive behaviors of patients with hypertension. In this regard, Nurses can play a more effective role in improving the maladaptive behaviors of these patients by applying nursing care based on the ADAPTATION MODEL.

Introduction & objective: Theory and practice are two sides of a coin and together must be considered as a whole. The link between theory and practice is necessary for professional nursing care. One of the successful nursing MODELs is ROY ADAPTATION MODEL that has been used frequently in different situations and broach about useful outcomes. The goal of this study is to determine the brought to the application of ROY MODEL in Iran clinical situations.Methods: A questionnaire was made about ROY MODEL application barriers by using the influential the educators references about nursing theories. Then it was used to assess the opinion of nursing students, and the lectures about the present barriers.Results: 30 MA and 6 ph.D nursing students, 20 educators (holding MA) and 5 nursing lecturers (ph.D) filled in the questionnaire. 64% of the students and 30% of the lecturers agreed with the existence of sociocultural barriers. 100% of the students and the lecturers and 74% of the educators agreed with the existence of knowledge and awareness barriers. 64% of the students, 66% of the lecturers and 74% of the educators agreed with the existence of executive barriers.Discussion: At the end of the study, a scheme was proposed to show how we can use the ROY MODEL in spite of the existing barriers in its application in different clinical situations in Iran.

Background: ADAPTATION is a process in which a person is actively involved for a period of time and uses different strategies. ROY’, s ADAPTATION MODEL sees individuals as an adaptive system in a stable interaction with internal and external environment,therefore, they constantly change and try to adapt. When the individual does not make the desired ADAPTATION and hence ineffective responses, nurses learn about it. The present study aimed to systematically review the studies conducted in Iran on the ROY’, s ADAPTATION MODEL. Methods: This is a systematic review study, and it has been done purposefully by focusing on research purpose. A computerized search was performed systematically with no time limitation till October 2021, by using keywords: ROY’, s ADAPTATION MODEL, Nursing and Iran in Web of Sciences, PubMed, Scopus, Google Scholar, IranDoc, SID and Magiran databases. The articles were evaluated using the Consort checklist. A total of 235 articles were found, and the systematic review of the articles was performed based on PRISMA. Finally, full text of 34 suitable articles were selected and analyzed after several steps of evaluation. Results: Out of the reviewed articles, 23. 52% were published in international journals in English and 76. 47% were published in Iranian journals in Persian and English. All the articles were original researches and intervention studies that 5. 88, 47. 05, 41. 17, and 5. 88% of them were experimental, quasi-experimental, clinical trial, and randomized controlled trials, respectively. Also, in all the studies pre-test and post-test were used, 5. 88, 88. 23, and 5. 88% of them utilized random, availability, and block sampling, respectively. Conclusion: Application of care program based on the ROY’, s ADAPTATION MODEL increased physical and psychological adaptive (healthy) behaviors in patients with chronic diseases, which might improve the patients’,psychological ADAPTATION to the disease, proper disease control, reduction of complications, and quality of nursing care.

Background: Asthma is a common long term inflammatory disease during adolescent. Absence of school education and reduction of mental and social mindedness are among the most common problems found in adolescents with asthma. Therefore, the present study was aimed to examine the effect of ROY ADAPTATION MODEL on controlling malADAPTATION behaviors in adolescents with asthma. Materials and Methods: This study is a semi-experimental research that was conducted with the participation of all adolescents with asthma referred to the Asthma and Allergy Clinic of Shariati Hospital. Random sampling was used for a total of 64 adolescents to have two groups of intervention and control. Data collection was through a questionnaire based on the ROY’ s ADAPTATION MODEL. Over six weeks, adolescents were trained in six two-hour sessions. Data were analyzed by descriptive and analytical statistics consisting of Mann-Whitney, ANOVA, paired t-test and independent t-test. Results: The mean age of adolescents with asthma in the intervention and control groups was 15. 8± 3. 5 and 14. 8± 3. 5 years, respectively. Also, the mean score of malADAPTATION behaviors in four physiological, self-concept, role-function and interdependence modes had a significant difference in intervention group before and after training (p<0. 001), but there was no significant difference in all modes before and after intervention in control group (p>0. 05). Conclusion: Given the effect of ROY ADAPTATION MODEL on the different aspects of malADAPTATION behaviors in adolescents with asthma, it is recommended to use this MODEL as a healthcare intervention for controlling malADAPTATION behaviors in adolescents with other chronic disease.

Introduction: As one of the chronic diseases, epilepsy can affect children's self-steam and life satisfaction by lowering self-steam, that leads to social isolation, reduced self-efficacy and finally affects their ADAPTATION to the disease. Therefore, the aim of this study was to determine the relationship between demographic characteristics (individual and clinical) and ADAPTATION (based on ROY ADAPTATION MODEL) with adherence to treatment in adolescents with epilepsy. Methods: In this descriptive-analytical study, 111 adolescents aged 10-20 years with epilepsy referred to the Isfahan Epilepsy Association were studied based on inclusion criteria. Demographic characteristics, ROY ADAPTATION and adherence to treatment questionnaire were use to collected data. Results: The results showed that except the age of participants (p=0. 038), the overall score of treatment adherence was not significantly associated with none of the demographic and clinical characteristics items of the participants (p>0. 05). Also, there was a significant direct correlation between the overall score of treatment adherence and the overall score of ADAPTATION which means that increasing overall score of treatment adherence leads to increasing in the overall score of ADAPTATION(R=0. 197، P=0. 019). Also the overall score of treatment adherence had a direct and meaningful correlation with the score of ADAPTATION aspects. Conclusions: Regarding the mentioned results, interventions which increase adolescents’,ADAPTATION with their disease can promote their adherence.