Adaptation theory: elements identified in pediatric patients in substitutive kidney therapy




Nursing theory; Renal dialysis; Nursing care.


Objective: To identify adaptation problems, according to the Theoretical Model proposed by Sister Callista Roy, in children undergoing hemodialysis treatment. Methodology: Cross-sectional and descriptive study, conducted with 16 patients, at a referral center for pediatric renal therapy in a city in northern Brazil. For the collection, an interview form and data collection from medical records were used, from January to March 2016. Results: Regarding hemodialysis data, the duration of therapy varied from 12 to 96 months, with an average of 31.68 months, that is, an average of 2 years and 8 months. The predominant vascular access was the catheter (87.5%). Eleven adaptive problems were identified in ways related to physiological, self-concept, identity and interdependence. Conclusion: the use of Roy's adaptation model was appropriate, as it allowed us to understand the changes related to adaptive modes and to visualize in a concrete way which are the focuses for nursing interventions. Conclusión: el uso del modelo de adaptación de Roy fue apropiado, ya que nos permitió comprender los cambios relacionados con los modos adaptativos y visualizar de manera concreta cuáles son los focos para las intervenciones de enfermería.


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How to Cite

Silva, P. S. da ., Alverga, H. A. de M. ., Lima, M. G. S. P. ., Cruz, M. de N. da S. ., Martins, J. D. N. ., Soares, F. C., Uno, T. M. R. L. ., Pantoja , I. do N. ., Menezes, I. M. de ., Santos , M. L. P. ., Souza, S. dos S. B. de ., Rezende, E. do S. dos S. ., Albuquerque, L. P. ., Santos, C. C. dos ., Silva, G. M. da, Neves , kathleen H. P. C. ., Oliveira, W. M. C. de ., & Castilho, F. de N. F. de . . (2020). Adaptation theory: elements identified in pediatric patients in substitutive kidney therapy. Research, Society and Development, 9(9), e324997104.



Health Sciences