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. 2025 Jun 15;17(6):4679-4688.
doi: 10.62347/UWNY6958. eCollection 2025.

Roy Adaptation Model-Based nursing care improves quality of life for elderly burn patients

Yudan Wang  1 , Jiang Chang  1 , Guo Fei  1 , Qing Zhou  1 , Dan Sun  1
Affiliations

Roy Adaptation Model-Based nursing care improves quality of life for elderly burn patients

Yudan Wang et al. Am J Transl Res. .

Abstract

Objective: To explore the effects of the Roy Adaptation Model on psychological resilience and nutritional status in elderly burn patients.

Methods: Retrospectively, 112 elderly burn patients undergoing routine nursing care based on the Roy Adaptation Model were enrolled as the observation group, and another 112 patients receiving routine nursing care only were selected as the control group. The psychological resilience, level of hope, immunity, emotions, quality of life and sleep of enrolled patients were assessed.

Results: In the observation group, patients were observed with markedly improved psychological resilience, notably higher hope and SF-36 scores, significantly lower Self-Rating Anxiety Scale, Self-Rating Depression Scale, Self-Rating Anxiety Scale and Pittsburgh Sleep Quality Index, as well as markedly elevated serum albumin, prealbumin, and hemoglobin, IgM and IgG levels, in contrast to the control group (all P<0.05).

Conclusion: Nursing care based on the Roy Adaptation Model can significantly enhance the psychological resilience and hope, improve emotions, pain and sleep quality, strength nutritional absorption and immunity when applied in elderly burn patients, so as to increase their compliance with treatment and quality of life.

Keywords: Burn; Roy Adaptation Model; nursing care; nutritional status; psychological resilience.

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Conflict of interest statement

None.

Figures

Figure 1
Figure 1
Comparison of SAS and SDS scores between the two groups. A: Comparison of SAS scores between the two groups; B: Comparison of SDS scores between the two groups. Compared with the control group, ***P<0.001; Compared with before intervention, ###P<0.001. SAS: Self-Rating Anxiety Scale; SDS: Self-Rating Depression Scale.
Figure 2
Figure 2
Comparison of PSQI scores between the two groups. Note: Compared with the control group, ***P<0.001; Compared with before intervention, ###P<0.001. PSQI: Pittsburgh Sleep Quality Index.
Figure 3
Figure 3
Comparison of SDSS scores between the two groups. Note: Compared with the control group, ***P<0.001; Compared with before intervention, ###P<0.001. SDSS: Social Disability Screening Schedule.
Figure 4
Figure 4
Comparison of VAS scores between the two groups. Note: Compared with the control group, ***P<0.001; Compared with before intervention, ###P<0.001. VAS: Visual Analog Scale.
Figure 5
Figure 5
Comparison of immunoglobulin levels between the two groups. A: IgM comparison between the two groups, B: IgG comparison between the two groups. Note: Compared with the control group, ***P<0.001; Compared with before treatment, ###P<0.001.
Figure 6
Figure 6
Comparison of satisfaction of core family caregivers between the two groups. A: Distribution of the satisfaction results in the observation group, B: Distribution of the satisfaction results in the control group.
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