Plaster Patient Education With Roy Adaptation Model

Study Overview
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Brief Summary
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The aim of this study is to determine the effect of training given with the Roy adaptation model on the self-care agency and coping strategies of patients with plaster casts.

Detailed Description
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According to Global Burden of Disease data, fractures, which 436 million people suffer from each year, are the second most common musculoskeletal system disorder. Plaster casts have been used in treatment of fractures since 1850, and they play an important role in extremity injuries and the healing of operative repairs. In fractures treated with plaster, the bone alignment is corrected and this alignment is maintained with limited mobility. However, if plaster casts are incorrectly applied or not properly taken care of, this may prevent the healing of fractures and can threaten the safety of patients. Failure to comply with plaster-casting and cast-care principles can cause patients a range of immediate and delayed complications, including severe pain, edema, compartment syndrome, tissue necrosis, malunion, delayed union, nonunion, contracture, neurological problems, paralysis and pressure sores. Orthopedic patients, and especially those with plaster casts, are susceptible to the side effects arising from immobility. They thus need quality care and information to prevent or manage these side effects. Nurses play an important role in prevention or early recognition of complications arising from plaster-casting and in providing the patient with information. Orthopedic nursing requires special skills, knowledge and clinical judgement to provide the plaster cast-patient with safe, quality-care and to prevent complications. Patient education and information are very important for those patients whose treatment continues at home after casting, in order that they can maintain their care and prevent complications.In this study, the sample size was determined with an effect size of 0.43 using the power analysis Gpower 3.1.9.7 program. Accordingly, it was calculated that 29 patients were included in the intervention and control groups with a 5% margin of error and 80% power. İt was decided to include at least 66 people in each working group with 10% surplus, considering that they might be lost in data collection.

Official Title
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The Effect of Training Given With the Roy Adaptation Model on the Self-care Agency and Coping Strategies of Patients With Plaster Casts.

Conditions
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Educational Problems

Intervention / Treatment
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* Other: Educational intervention


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: With lower extremity fracture Have at least 6 weeks of plaster cast experience Exclusion Criteria: Have communication problem Have restriction of movement before fracture Patient who can not speak very well Turkish

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Prospective randomized controlled clinical trial
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| No Intervention: Control group<br>There will be no intervention to the control group. | |
| Experimental: Experimental group<br>The experimental group will be given training based on the roy adaptation model. | Other: Educational intervention<br>* Educational intervention<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Self-care agency scale score level | Score level of self-care agency before the patient education | At the beginning of plaster treatment, an avarage of 1 hour | 
| Coping orientation to problems experienced (COPE) | Score level of coping orientation to problems experienced before the patient education | At the beginning of plaster treatment, an avarage of 1 hour | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Self-care agency scale score level | Score level of coping orientation to problems experienced after the patient education | At the end of treatment, an avarage of 1 week | 
| Coping orientation to problems experienced (COPE) | Score level of coping orientation to problems experienced after the patient education | At the end of treatment, an avarage of 1 week | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Coping Skills, Casts, Surgical, Patient Education as Topic, Nursing Education, Self Care