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:: Volume 34, Issue 3 (7-2026) ::
Journal of Ilam University of Medical Sciences 2026, 34(3): 73-84 Back to browse issues page
Application of Roy’s Adaptation Model in Comprehensive Nursing Care of a Patient with Acute Asthma Attack: A Case Report
Ahmadreza Abdolahi1 , Arman Azadi *2
1- Student Research Committee, Faculty of Nursing and Midwifery, Ilam University of Medical Sciences, Ilam, Iran
2- Dept of Nursing, Faculty of Nursing and Midwifery, Ilam University of Medical Sciences, Ilam, Iran , azadi.arman@gmail.com
Abstract:   (154 Views)
Introduction:  Asthma is a common chronic airway disease, particularly among young adults, and remains a major public health challenge. Acute asthma exacerbation may be accompanied not only by respiratory symptoms but also by anxiety, fear of suffocation, and disruption of daily roles, affecting the patient’s physiological, psychological, and social adaptation. Roy’s Adaptation Model provides a holistic framework for assessing stimuli, patient responses, and nursing care planning. This case report aimed to describe the application of this model in the care of a 20-year-old patient with acute asthma exacerbation.
Case Presentation: A 20-year-old male patient with an 8-year history of asthma developed gradual worsening of symptoms following an upper respiratory viral infection and presented to the emergency department with dyspnea, wheezing, tachypnea, use of accessory respiratory muscles, and an SpO₂ of approximately 90%. According to the GINA criteria, the exacerbation was assessed as moderate to severe. The assessment showed that, in addition to the physiological dimension, the patient also had problems in the domains of self-concept, role function, and interdependence. A nursing care plan was developed based on the four modes of Roy’s Adaptation Model. The interventions included improving respiratory status, reducing anxiety, maintaining relative independence, and strengthening emotional support. Following the interventions, improvement in respiratory status, reduction in anxiety, and increased patient participation were observed. Ethical considerations, including obtaining written informed consent, were observed.
Conclusion: Applying Roy’s Adaptation Model provided both a theoretical framework and a practical guide for nursing assessment and intervention, helping identify maladaptive responses across all four modes. Despite the limitations of a case report, the findings highlight the importance of comprehensive, humanistic, and patient-centered care in managing acute asthma exacerbation.
Keywords: Acute asthma attack, Roy Adaptation Model, nursing care, adaptation, case report
Full-Text [PDF 712 kb]   (62 Downloads)    
Editorial Note: case report | Subject: nurse
Received: 2026/05/4 | Accepted: 2026/06/14 | Published: 2026/07/27
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Abdolahi A, Azadi A. Application of Roy’s Adaptation Model in Comprehensive Nursing Care of a Patient with Acute Asthma Attack: A Case Report. J. Ilam Uni. Med. Sci. 2026; 34 (3) :73-84
URL: http://sjimu.medilam.ac.ir/article-1-8932-en.html
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Volume 34, Issue 3 (7-2026) Back to browse issues page
مجله دانشگاه علوم پزشکی ایلام Journal of Ilam University of Medical Sciences
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