Research Information System
Cyprus J Med Sci, vol.8, no.5, pp.344-353, 2023 (ESCI)
BACKGROUND/AIMS: To assess the effectiveness of continuous care based on the Roy Adaptation Model (RAM) in patients undergoing total knee
replacement (TKR) surgery.
MATERIALS AND METHODS: This quasi-experimental study included 83 patients in a university hospital. The intervention group was offered
continuous care based on RAM. The research data were collected using a Patient Identification Form, the Western Ontario and McMaster
Universities Osteoarthritis Index, and the Hospital Anxiety and Depression Scale.
RESULTS: Except for the pain score, no statistically significant difference in the pre-discharge and 3rd month was found for the patients in the
intervention and control groups. It was determined that the pain scores of patients in the intervention group in the pre-discharge period were
lower than those in the control group (p=0.022) A significant difference was found between the anxiety score averages in time in the intervention
group in terms of the group time interaction (p=0.009). Because of further analysis, a statistically significant difference was determined that the
anxiety scores of patients in the intervention group in the 3rd month were lower than those in the control group (p=0.032). A significant difference
was found between the depression score averages in time in the intervention group in terms of the group x time interaction (p=0.037).
CONCLUSION: The functional status and pain of patients improve over time. In this process, continuous care based on RAM was effective in
developing effective adaptation behaviors of patients, and a positive effect on pain, anxiety, and depression was determined.
Keywords: Total knee replacement, roy adaptation model, continuous care