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:: Volume 23, Issue 4 (winter 2022) ::
JHC 2022, 23(4): 353-364 Back to browse issues page
The Effectiveness of Application of Roy's Adaptation Model on Alexithymia and Diet Adherence in People with Hypertension Comorbid with Stress
M Kolivand , K Amraei , F Rezaei
Department of Psychology, School of Literature and Humanistic Sciences, Lorestan University, Khoramabad, Iran
Abstract:   (247 Views)
Background & aim: Stress in any physical illness makes its symptoms worse. Hypertension is a common illness that psychological factors such as stress can worsen its symptoms and complications; the present study aimed to evaluate the effectiveness of Roy's adaptation model on alexithymia and diet adherence in people with hypertension comorbid with stress.
Methods: This was a quasi-experimental study with a pretest-posttest design and a control group. Using the convenience sampling method, 40 patients with hypertension comorbid with stress    (21 females and 19 males) who were referred to Aligudarz city medical centers in 2021, were selected by convenience sampling method and randomly assigned to the experimental (n=20) and control (n=20) groups. The experimental group received a Roy's adaptation model intervention for 8 sessions of 60 minutes, but the control group did not receive any intervention. The data were collected by the stress, anxiety and depression questionnaire, Toronto emotional dysfunction scale, diet information record form and a form for assessing Roy’s adaptation model.
Results: The results of covariance analysis showed that Roy's adaptation model was significantly effective in reducing alexithymia (F=235.24, p<0.01) and increasing diet adherence (F=540.87, p<0.01) in hypertension patients comorbid with stress.
Conclusion: The results of this study suggest that Roy's adaptation model significantly decreased the alexithymia and increased diet adherence, therefore using Roy's adaptation model in hypertension patients comorbid with stress is recommended.
Keywords: Roy Adaptation Model, Affective symptoms, Diet Adherence, Hypertension, Stress
Full-Text [PDF 431 kb]   (82 Downloads)    
Type of Study: quasi-experimental | Subject: Psychiatric Nursing
Received: 2021/11/16 | Accepted: 2022/03/18 | Published: 2022/03/20
References
1. Fay KS, Cohen DL. Resistant hypertension in people with CKD: a review. American Journal of Kidney Diseases. 2021;77(1):110-21. [DOI:10.1053/j.ajkd.2020.04.017] [PMID]
2. Fouad J, Joseph P. The evolution in nomenclature, diagnosis, and classification of pulmonary hypertension. Clinics in chest medicine. 2021;42(1):1-8. [DOI:10.1016/j.ccm.2020.11.012] [PMID]
3. Unger T, Borghi C, Charchar F, Khan NA, Poulter NR, Prabhakaran D, et al. 2020 International Society of Hypertension global hypertension practice guidelines. Hypertension. 2020;75(6):1334-57. [DOI:10.1161/HYPERTENSIONAHA.120.15026] [PMID]
4. Lobelo F, Rohm Young D, Sallis R, Garber MD, Billinger SA, Duperly J, et al. Routine assessment and promotion of physical activity in healthcare settings: a scientific statement from the American Heart Association. Circulation. 2018;137(18):e495-e522. [DOI:10.1161/CIR.0000000000000559] [PMID]
5. Yadollahi M, Shamsedini N, Poostforooshfard A, Eslahi M. Comparison of Blood Glucose Levels, Physical Activity and Blood Pressure between Medical Sciences University Employees and General Population. International Journal of Nutrition Sciences. 2018;3(3):145-50 [Persian].
6. Peng Q, Shao Y-q, Fang X, Zhang Y-y. The interaction on hypertension between family history and diabetes and other risk factors. Scientific Reports. 2021;11(1):1-7. [DOI:10.1038/s41598-021-83589-z] [PMID] [PMCID]
7. Popiołek L, Dzieża-Grudnik A, Siga O, Popiołek I, Moląg M, Królczyk J, et al. Coping with stress and hypertension-mediated organ damage. Archives of Psychiatry and Psychotherapy. 2019;21(4). [DOI:10.12740/APP/108666]
8. Munakata M. Clinical significance of stress-related increase in blood pressure: current evidence in office and out-of-office settings. Hypertension research. 2018;41(8):553-69. [DOI:10.1038/s41440-018-0053-1] [PMID]
9. Casagrande M, Boncompagni I, Mingarelli A, Favieri F, Forte G, Germanò R, et al. Coping styles in individuals with hypertension of varying severity. Stress and Health. 2019;35(4):560-8. [DOI:10.1002/smi.2889] [PMID]
10. Luminet O, Bagby RM, Taylor GJ. Alexithymia: advances in research, theory, and clinical practice: cambridge university press; 2018. [DOI:10.1017/9781108241595]
11. Piotrowska-Półrolnik M, Holas P, Krejtz I, Symonides B. Relationship between alexithymia and variability of blood pressure measured with ABPM in hypertensive patients. General Hospital Psychiatry. 2019;60(Gen Hosp Psychiatry):1-5. [DOI:10.1016/j.genhosppsych.2019.04.014] [PMID]
12. Sobhe A. Comparison of Automatic Thoughts and Alexithymia with Anxiety in People with Hypertension and People without Hypertension in Zanjan. Journal of Health Promotion Management. 2021;11(1):61-71 [Persian].
13. Pirzadeh A, Peyman TS, Hassanzadeh A, Mostafavi F. Adherence to self-care behaviors among hypertensive patients. Journal of Health Literacy. 2019;4(3):17-24.
14. Uchmanowicz B, Chudiak A, Uchmanowicz I, Rosińczuk J, Froelicher ES. Factors influencing adherence to treatment in older adults with hypertension. Clinical interventions in aging. 2018;13:2425. [DOI:10.2147/CIA.S182881] [PMID] [PMCID]
15. Shim J-S, Heo JE, Kim HC. Factors associated with dietary adherence to the guidelines for prevention and treatment of hypertension among Korean adults with and without hypertension. Clinical hypertension. 2020;26(1):1-11. [DOI:10.1186/s40885-020-00138-y] [PMID] [PMCID]
16. Park K, Cho S, Bower JK. Changes in adherence to non-pharmacological guidelines for hypertension. PLoS One. 2016;11(8):e0161712. [DOI:10.1371/journal.pone.0161712] [PMID] [PMCID]
17. Callis AMB. Application of the Roy Adaptation Theory to a care program for nurses. Applied Nursing Research. 2020;56:151340. [DOI:10.1016/j.apnr.2020.151340] [PMID] [PMCID]
18. Abdalahi M, Abdolahyar A, Doustmohamadi MM. The Effect of Care Program based on Roy Adaptation Model on Fatigue and Activities of Daily Living of Patients with Heart Failure. Journal of Nursing Education. 2020;8(6):1-7 [Persian].
19. Esmaili M, Salehi-Tali S, Mazaheri E, Hasanpour-Dehkordi A, Kheiri S. The Effect of the Nursing Care Based on the Roy Adaptation Model on the Level of the Quality of Life and Fatigue in the Patients Undergoing Coronary Artery Bypass Graft Surgery. Critical Care Nursing Quarterly. 2022;45(1):35-41. [DOI:10.1097/CNQ.0000000000000386] [PMID]
20. Russo S, Baumann SL, Velasco-Whetsell M, Roy C. A comparison of two case studies using the Roy adaptation model: Parents of opioid-dependent adults and bariatric surgery. Nursing Science Quarterly. 2019;32(1):61-7. [DOI:10.1177/0894318418807943] [PMID]
21. Kilic D, Turkoglu N, Baysal HY, Adibelli D, Bilgin S, Akyil RC. The effect of education provided using the Roy's adaptation model on hypertension management. International Journal of Caring Sciences. 2018;11(1):333-43.
22. Amanak K, Sevil U, Karacam Z. The impact of prenatal education based on the Roy adaptation model on gestational hypertension, adaptation to pregnancy and pregnancy outcomes. Journal of Pakistan Medical Association. 2019;69(1):7-11.
23. Mohammadpour M, Sadeghi K, Foroughi A, Amiri S, Pouyanfard S, Parvizifard A, et al. The unified protocol for transdiagnostic treatment of emotional disorders: treatment of comorbid psychopathology accompanying a generalized anxiety disorder. International Journal of Behavioral Sciences. 2018;12(3):125-31 [Persian].
24. Lee J, Lee E-H, Moon SH. Systematic review of the measurement properties of the Depression Anxiety Stress Scales-21 by applying updated COSMIN methodology. Quality of Life Research. 2019;28(9):2325-39. [DOI:10.1007/s11136-019-02177-x] [PMID]
25. Besharat MA, Ofoghi Z, Aghaei Sabet SS, Habibnezhad M, Pournaghdali A, Geranmayepour S. Moderating effect of cognitive emotion regulation strategies on the relationship between alexithymia and interpersonal problems. Advances in Cognitive Sciences. 2014;15(4):43-52 [Persian].
26. Parker JD, Taylor GJ, Bagby RM. The 20-Item Toronto Alexithymia Scale: III. Reliability and factorial validity in a community population. Journal of Psychosomatic Research. 2003;55(3):269-75. [DOI:10.1016/S0022-3999(02)00578-0]
27. Besharat MA. Reliability and factorial validity of a Farsi version of the 20-item Toronto Alexithymia Scale with a sample of Iranian students. Psychological Reports. 2007;101(1):209-20. https://doi.org/10.2466/pr0.101.1.209-220 [DOI:10.2466/PR0.101.5.209-220] [PMID]
28. Mirkarimi A, Khoddam H, Vakili MA, Sadeghi MB, Modanloo M. Effect of life style modification on adherence to diet and hypertension in hypertensive patients. Koomesh. 2018;20(2):192-202 [Persian].
29. Memarian R. Nursing theories and concepts application. Tehran: Tarbiat Modares University Publication. 2013 [Persian].
30. Kavuran E, Yurttas A. Effects of education based on Roy adaptation model on diabetes care profile of patients with type 2 diabetes mellitus. Iranian Red Crescent Medical Journal. 2018;20(4):e64635 [Persian]. [DOI:10.5812/ircmj.64635]
31. Yildiz E, Karagözoğlu Ş. The Effects of Nursing Education Constructed According to Roy Adaptation Model on Adaptation Process of Patients Undergoing Bariatric Surgery. Bariatric Surgical Practice and Patient Care. 2021;16(2):98-108. [DOI:10.1089/bari.2020.0030]
32. Aaron RV, Fisher EA, De La Vega R, Lumley MA, Palermo TM. Alexithymia in individuals with chronic pain and its relation to pain intensity, physical interference, depression, and anxiety: a systematic review and meta-analysis. Pain. 2019;160(5):994. [DOI:10.1097/j.pain.0000000000001487] [PMID] [PMCID]
33. ShariatPanahi S, Farahani MA, Rafii F, Rassouli M, Tehrani FJ. Application of Roy adaptation model on adherence to treatment in patients with heart failure. Revista Latinoamericana de Hipertensión. 2020;15(2):128-37.
34. Amouzeshi Z, Safajou F, Kazemi T, Kianfar S. The relationship between cognitive perception of self-concept and coping styles in heart failure patients. Nursing Open. 2020;7(2):530-5. [DOI:10.1002/nop2.417] [PMID] [PMCID]
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Kolivand M, Amraei K, Rezaei F. The Effectiveness of Application of Roy's Adaptation Model on Alexithymia and Diet Adherence in People with Hypertension Comorbid with Stress. JHC. 2022; 23 (4) :353-364
URL: http://hcjournal.arums.ac.ir/article-1-1346-en.html


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Volume 23, Issue 4 (winter 2022) Back to browse issues page
مجله سلامت و مراقبت Journal of Health and Care
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