Community Health Journal

Community Health Journal

Application of "Roy’s Adaptation Model of Nursing" for Nursing Care of a Child with Osteomyelitis: A Case Report

Document Type : Original Article

Authors
F Enhesari 1
T Sadeghi 2
1 - MSc Student in Pediatric Nursing, School of Nursing and Midwifery, Student Research Committee, Rafsanjan University of Medical Sciences, Rafsanjan, Iran
2 PhD, Associate Prof., Dept.of Pediatric Nursing, School of Nursing and Midwifery, Non-Communicable Diseases Research Center, Rafsanjan University of Medical Sciences, Rafsanjan, Iran
10.22123/chj.2025.505985.2166
Abstract
Introduction: Osteomyelitis is a bone infection that is usually caused by bacteria. If it occurs in children, it is considered a threat to life or infected organ. The treatment of this disease is difficult and usually involves long periods of antibiotic therapy. Nursing care based on the "Roy’s Adaptation Model" can be effective in improving the level of adjustment, better control of disease and increasing the quality of life. This study aimed to evaluate the "Roy’s Adaptation Model" in the care of a child with osteomyelitis.
Case presentation: This study is a case report that examined the "Roy’s Adaptation Model of Nursing" in the care of a child with osteomyelitis hospitalized in the pediatric ward of Ali Ibn Abi Talib Hospital of Rafsanjan, 2024. The child was selected through convenience sampling method. A checklist prepared based on the dimensions of the "Roy’s Adaptation Model of Nursing" was the data collection tool. Data were collected using observation, interview, and patient documentation, and analyzed in four dimensions based on the stages of the "Roy’s Adaptation Model of Nursing". Based on the data, 13 nursing diagnoses were made in four modes (physiological, self-concept, role function, interdependence), and nursing care was implemented and evaluated for the child based on the Roy's model.
Conclusion: According to the results, nursing care based on the adaptation model can be effective in physical and psychological adaptation and reduction of maladaptive behaviors in children with osteomyelitis. Therefore, the use of nursing models in the patient care program is recommended.
Keywords
Roy&rsquo
s Adaptation Model, Osteomyelitis, Nursing care, Children
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Community Health Journal
Volume 19, Issue 2
Autumn 2025
Pages 24-32