Effect of Training Program Based on Roy's Adaptation Model on Quality of Life of Patients with Heart Failure: A Randomized Clinical Trial.

Abstract

Abstract: Introduction: Heart failure is one of the most common cardiovascular diseases which decrease the quality of life. Most of the factors influencing the quality of life can be modified with educational interventions. Therefore, this study examined the effects of a Roy Adaptation Model based on quality of life of patients with heart failure. Methods: This randomized clinical trial study was conducted during May to August 2011. Forty four participants with heart failure referred to Tabriz Shahid Madani polyclinics according to research criteria were conveniently selected and randomly allocated to two groups. The intervention group (n = 22) received ongoing training including one-to-one teaching, counseling sessions and phone calls over 3 months. The control group (n = 22) received routine care program. Data on quality of life was collected using the Minnesota Living with Heart Failure Questionnaire at baseline as well as three months later, and analyzed in SPSS 13. Results: The statistical tests showed significant differences in the physical, emotional dimensions and total quality of life (p<0.001) in intervention group. But in control group, no significant differences were obtained. In addition there was significant differences in interpersonal support between two groups after intervention (p<0.001). Also there was a statistically significant increase in 6-minutes' walk distance compared with baseline at 3 months for intervention (p<0.001) group. Conclusion: This results showed that teaching program based on Roy's adaptation model was effective in improving the quality of life and in interpersonal support for patients with heart failure.