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All Journal An Idea Health Journal Protein: Jurnal Ilmu Keperawatan dan Kebidanan
Dina Alfiana Ikhwani
STIKes Hamzar Lombok Timur
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

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Effectiveness of Roy’s Adaptation Model-Based Interventions in Nursing Research: A Systematic Review Idyatul Hasanah; Apriani Susmita Sari; Dina Alfiana Ikhwani
An Idea Health Journal Vol 6 No 02 (2026)
Publisher : PT.Mantaya Idea Batara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53690/ihj.v6i02.682

Abstract

Background: Roy’s Adaptation Model (RAM) conceptualizes individuals as adaptive systems that respond to environmental changes through coping mechanisms to maintain equilibrium. This model has been extensively applied as a theoretical framework in nursing practice and research to enhance the quality of care. The present study assessed the efficacy of Roy’s Adaptation Model in guiding nursing research by analyzing recent publications that utilized RAM as a conceptual framework. Methods: A literature review design with a narrative synthesis approach was employed. Literature searches were conducted in five electronic databases: Scopus, PubMed, ProQuest, ScienceDirect, and SAGEPub, for articles published from 2017 to 2021. The selection process included identification, screening, and eligibility assessment based on predefined inclusion and exclusion criteria. Methodological quality was evaluated using appraisal tools from the Cochrane Collaboration and the Joanna Briggs Institute (JBI). Of the 1,315 articles initially identified, 20 studies met the inclusion criteria and were included in the analysis. Results: Most studies indicated that RAM-based interventions effectively improved patients’ adaptive responses, reduced anxiety levels and clinical symptoms, and enhanced quality of life. The reviewed studies encompassed diverse populations and healthcare settings. Interventions guided by Roy’s Adaptation Model consistently yielded positive outcomes, although variations in research methods and study designs affected the magnitude of reported effects. Conclusion: Roy’s Adaptation Model serves as an effective conceptual framework for developing nursing interventions across diverse healthcare settings.  
Hubungan Diabetes Mellitus Self Management dengan Risiko Komplikasi pada Penderita Diabetes Mellitus Tipe II di Klinik Al-Muchlisin Pringgabaya Maruli Taufandas; Anatun Aupia; Ahyar Rosidi; Dina Alfiana Ikhwani; Nandang DD Khairari
Protein : Jurnal Ilmu Keperawatan dan Kebidanan.  Vol. 4 No. 4 (2026): Oktober : Protein: Jurnal Ilmu Keperawatan dan Kebidanan
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/protein.v4i4.2735

Abstract

Type 2 diabetes mellitus is a chronic disease that requires long-term management because it carries a risk of various complications, both acute and chronic. One important aspect of diabetes management is the practice of self-management, which includes diet control, physical activity, blood glucose monitoring, and adherence to medication. Suboptimal self-management can increase the risk of complications in people with diabetes mellitus. This study aims to determine the relationship between diabetes self-management and the risk of complications in patients with Type II diabetes mellitus at the Al-Muchlisin Clinic in Pringgabaya. This study employed a quantitative approach with a cross-sectional design. The sampling technique used was purposive sampling. The sample consisted of 53 respondents. The research instruments were the Diabetes Self-Management Questionnaire (DSMQ) and an observation sheet for the risk of diabetes mellitus complications. Data analysis was performed using the Spearman rank test. The results of this study indicate that 49.1% of respondents had inadequate self-management and 56.6% were at risk for diabetes mellitus complications. The results of the Spearman’s rank test showed a correlation coefficient of -0.728 with a p-value of 0.001 (<0.05), indicating a strong, significant negative correlation between diabetes mellitus self-management and the risk of DM complications. These findings suggest that the lower a Type II DM patient’s level of self-management, the higher their risk of experiencing DM complications.
Co-Authors Ahyar Rosidi Anatun Aupia Idyatul Hasanah Maruli Taufandas Nandang DD Khairari Sari, Apriani Susmita