Clinical Trial Details
— Status: Completed
Administrative data
| NCT number |
NCT05221424 |
| Other study ID # |
206195 |
| Secondary ID |
|
| Status |
Completed |
| Phase |
N/A
|
| First received |
|
| Last updated |
|
| Start date |
January 7, 2018 |
| Est. completion date |
May 27, 2018 |
Study information
| Verified date |
January 2022 |
| Source |
Mus Alparlan University |
| Contact |
n/a |
| Is FDA regulated |
No |
| Health authority |
|
| Study type |
Interventional
|
Clinical Trial Summary
The aim of this study was to determine the effect of training given according to the Roy
Adaptation Model on medical treatment and physiological, psychological and social adaptation
to the disease in individuals with hypertension.
Description:
Despite effective and available antihypertensive drugs, the studies showed that less than
half of patients with hypertension received antihypertensive therapy and only 1 out of 3
people (less than 20%) had blood pressure control. One of the most important factors in
controlling blood pressure in patients with hypertension is the patients' adherence to
treatment. Non-adherence to treatment in chronic diseases is considered as a public health
problem that increases mortality rates and the economic burden of the disease.
In order to prevent and control hypertension, the importance of non-medical strategies,
including lifestyle changes is also emphasized. Lifestyle changes have an important role in
increasing treatment and controlling symptoms in hypertensive patients and it is recommended
as the first step in managing blood pressure. The most important reason for the failure in
the management of hypertension is the patient profile which does not carry out lifestyle
changes in parallel with treatment. In this type of patient profile, problems are experienced
in the patient's adherence to treatment and it becomes difficult to control blood pressure.
Good adaptation to lifestyle changes can reduce the medication needs, lead to a positive
effect on cardiovascular risk factors and play an important role for the patient to provide
contribution to his/her own treatment.
The non-adherence of hypertensive patients is quite common during their lifestyle changes
depending on the disease and during the medication use. Some of the patients stop taking
their medications and some do not use their medication regularly. Increasing adherence is the
most important factor in success. One of the best ways to increase adherence is to involve
the patient in decisions about treatment strategies. One of the factors affecting the
adherence to treatment in hypertensive patients is the lack of information about the disease
and treatment. For this reason, it is important to increase the awareness and knowledge of
patients about the risks associated with blood pressure control in particular. It is possible
for hypertensive patients to have knowledge about the disease and treatment, comply with the
lifestyle changes and thus control the blood pressure through the training given to the
patient. The training and monitoring programs applied for hypertensive patients are one of
the best practices that enables the patient to adapt to the disease, control blood pressure
and respond to medical treatment faster and live with the disease.
In order for hypertensive patients to comply with the treatment and to implement lifestyle
changes, nurses, who are the closest healthcare professionals, have important
responsibilities and duties. In the studies, it has been revealed that the interventions
applied under the supervision of nurses increase medication adherence. The nursing models,
which act as a guide in professional nursing practices and are used in professional
development, patient care, and patient training, provide great convenience and assistance in
the holistic assessment of the patient. By using models, the problems in the application can
be identified by determining the basic concepts of care and the correlation between the
concepts and training can be given within this framework by developing solutions for these
problems.
In recent years, the use of nursing models in the researches and the patient care management
draws a lot of interest in Turkey. One of the models used commonly in the profession is the
Roy Adaptation Model (RAM). The purpose of RAM is to provide adaptation for a person to
his/her environmental stimuli through adaptive shape methods. According to RAM, individuals
should provide and develop their physical and psychological adaptations. This model
identifies the reasons of non-adherence to disease and treatment (main and background causes,
other stimuli) through an accurate investigation of different individual aspects (for
example: physiological aspects, self-perception, role-playing and independence). Thus, it is
stated to be helpful in designing a comprehensive training program in order to develop
healthy behaviors and comply with the lifestyle changes. Some studies in Turkey showed that
the use of RAM increased the adaptation in patients with essential hypertension, increased
medication adherence in patients who were followed up with diagnosis of ruptured ectopic
pregnancies, and provided positive effects on the diabetes care profile in diabetic
individuals. Only one study was found that did not publish when this study was planned, but
was seen to be published recently, and evaluating the training given to hypertensive patients
using RAM on hypertension management and medical adherence. However, the literature review
performed in different databases revealed that there was no study evaluating the effects of
training given according to RAM on the disease and psychosocial adjustment in patients with
hypertension. For this reason, we assumed that training given by using RAM could cause
adherence to medical treatment and disease in the experimental group compared to the control
group.
The aim of this study is to evaluate the effects of training given according to Roy
Adaptation Model on the disease and psychosocial adjustment in patients with hypertension.
