Results
Finding showed majority of participants (71.9%) in both groups were
within the age range 45-60. In the both groups (62.7%) were female and
majority of participants (58.7%) base of education level in both groups
were bachelor degree, another demographic characterized showed in Table
1. The Chi-square test showed that the intervention and control groups
were no significant different base of demographic variables, P
< 0.05, showed in Table 1. Findings indicated that care plan
based on Roy adaptation model can influence maladaptive behaviors of
patients with heart failure in all physiologic, self-concept, role
function and interdependence modes, so that significant reduction was
observed in the number of maladaptive behaviors after intervention
compared to before intervention.
Results of current research showed that in relation with mean score
fatigue and daily activities of life were not significant in
intervention and control group before intervention, while it was
significant after intervention P < 0.05. Pair t-test showed
mean score of fatigue and daily activities in intervention group before
and after intervention was significant P < 0.01, so that in
the intervention group the mean score of fatigue were significantly
decreased after intervention (3.5 ± 1.7) compared to before intervention
(6.2 ± 2.2).Also in the intervention group the mean score of daily
activities were significantly increased after intervention (62.2 ± 12.8)
compared to before intervention (45.3 ± 11.2), showed in Table 2.T-test
showed significant difference between intervention and control groups in
terms of mean score of fatigue and daily activities, so that the
intervention group had significantly lower mean scores in fatigue and
higher daily activities after intervention compared to the control group
P < 0.01, shows in Table 3.
The ANOVA test showed there was a significant relationship between the
duration of time heart failure disease and frequency of hospitalization
with fatigue in both intervention and control groups P ≤ .05, so
that, the mean score of fatigue was less than other participants in
patients hospitalized twice a month because of the nature of the disease
and their duration of heart failure was 5 years or less. The ANOVA test
showed there was a significant relationship between the duration of time
heart failure disease and frequency of hospitalization with daily
activities level P ≤ .05, so that, the mean score of daily
activities level in the participants both control and intervention
groups was more than other participants in the first 5 years of heart
failure and hospitalization twice per month. The result showed no
significant relationship was observed between another demographic
characterized and variables of fatigue and daily activities in both
groups.