Kontakt 2012, 14(4):485-496 | DOI: 10.32725/kont.2012.048

Adaptation of patients to rheumatoid arthritis in context of the Roy adaptation modelBiomedicine - Original article

Mária Sováriová Soósová

Univerzita Pavla Šafárika v Košiciach, Ústav ošetrovateľstva

The target of the study presented here was to test selected propositions of the Roy adaptation model (RAM) in patients with rheumatoid arthritis (RA), particularly a) to consider relationships between RAM modes in patients with RA, b) to consider the adaptation level in patients with RA within the framework of four RAM modes and, based on a comparison with a control group of health individuals to assess the effect of the disease (diagnosis of RA) as a focal stimulus to the adaptation in the modes followed and c) to estimate effects of the RA duration, age, gender, education and marital status as possible contextual and residual factors affecting the adaptation of patients with RA.
Sixty patients with RA were compared with 58 healthy individuals without the RA diagnosis serving as controls. Answers in RAM modes were evaluated by the Arthritis Impact Measurement Scales 2 (AIMS 2). The mutual relationships of the four modes: physiologic, self-concept, role function and interdependence were considered by using the Spearman rho coefficient. The disease was tested as a focal stimulus among patients with the RA diagnosis and control group of healthy individuals without the RA diagnosis with the use of the Mann-Whitney U test. Effects of further environmental stimuli (duration of the disease, age, gender, marital status and education) on bio-psycho-social responses in patients with RA were tested by using the linear regression analysis.
In patients with RA, there were mostly very strong significant relationships (r>0.70, p0.30, p

Keywords: Roy adaptation model; rheumatoid arthritis; bio-psycho-social responses; mutual relationships between modes; environmental stimuli

Received: September 8, 2011; Accepted: April 6, 2012; Prepublished online: December 21, 2012; Published: December 30, 2012  Show citation