ORIGINAL RESEARCH article
Front. Neurol.
Sec. Stroke
Volume 16 - 2025 | doi: 10.3389/fneur.2025.1610436
Impact of Roy adaptation model-based nursing combined with rehabilitation training on functional status and quality of life in patients with hemiplegia after stroke: A randomized controlled trial
Provisionally accepted
- Funan County People’s Hospital, Fuyang, China
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Objective: The Roy Adaptation Model (RAM) guides healthcare providers in assessing stimuli behind adaptation issues, enabling tailored interventions to reduce ineffective responses. Therefore, we investigated the effects of nursing based on RAM combined with rehabilitation training on functional status and quality of life in patients with hemiplegia after stroke. Methods: This is a randomized, controlled, and single-center study. Patients with hemiplegia after stroke admitted to Funan County People's Hospital from October 2023 to October 2024 were randomly classified into a control group ((64.70 ± 3.98) years, n = 50, received routine nursing and rehabilitation training) and an observation group ((65.00 ± 3.82) years, n = 50, received RAM-based nursing and rehabilitation training). Outcomes were assessed using the Fugl-Meyer Assessment (FMA), Exercise of Self-Care Agency Scale (ESCA), Activity of Daily Living Scale (ADL), Stroke-Specific Quality of Life Scale (SS-QOL), Self-Rating Anxiety Scale (SAS), and Self-Rating Depression Scale (SDS) before and one month after the intervention. Patient satisfaction with nursing care and the incidence of complications were recorded. Results: Compared with baseline, both groups showed improvements in FMA, ESCA, ADL, and SS-QOL scores, and decreases in SAS and SDS scores, with the observation group exhibiting greater improvements. There exists a group × time interaction effect on the nursing effectiveness of relevant scores. The observation group also had higher patient satisfaction, and lower incidence of complications (X2=4.332, P = 0.037). Conclusion: For post-stroke hemiplegia, RAM-based nursing integrated with rehabilitation training comprehensively enhances recovery outcomes, improves quality of life, and achieves high patient satisfaction.
Keywords: Roy adaptation model, Rehabilitation training, Stroke, Hemiplegia, Quality of Life
Received: 12 Apr 2025; Accepted: 06 Oct 2025.
Copyright: © 2025 Zhang, Zuo and Yang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Weiwei Zhang, zhangweiwei8271@163.com
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