The Effect of Education Given According to Roy's Adaptation Model

The Effect of Education Given According to Roy's Adaptation Model to Kidney Patients Undergoing Immunosuppressive Therapy on Self-Efficacy, Immunosuppressive Therapy, and Chronic Disease Adaptation Levels

Background and Aim: Immunosuppressive therapies administered after chronic kidney disease and kidney transplantation are critically important for patients' life adaptation and the continued success of transplantation. However, the process of compliance with immunosuppressive therapy is not limited to regular medication use; it is closely related to multidimensional factors such as disease adjustment, physical adjustment, psychological balance, social functioning, and the individual's level of self-efficacy. This study aimed to examine the effect of Roy's Adaptation Model-based education on the adherence of patients with chronic kidney disease or kidney transplantation undergoing immunosuppressive therapy to immunosuppressive therapy, their adaptation to the disease, and their self-efficacy levels.

Material and Methods: This quasi-experimental study with a pretest-posttest control group design was conducted with 78 chronic kidney disease patients who were scheduled to receive immunosuppressive therapy for the first time between November 2024 and June 2025 at the nephrology and transplantation services of a university hospital. Data were collected using the "Patient Information Form," "Immunosuppressive Drug Adherence Scale," "Chronic Disease Coping Scale," and "General Self-Efficacy Scale."

Inclusion Criteria:

• Patients receiving immunosuppressive therapy for the first time at the nephrology and transplantation clinics of Trakya University Hospital,
• Aged 18 years or older,
• Literate,
• Without communication or mental disorders,
• Without motor skill impairments,
• Patients who consent to participate in the study

Exclusion Criteria:

• Patients who are not willing to participate in the study,
• Patients who are illiterate,
• Patients with communication or mental problems,
• Patients with motor skill problems,
• Patients who wish to withdraw from the study at any stage,
• Patients who do not attend follow-up appointments,
• Patients undergoing dialysis treatment and not receiving immunosuppressive therapy