IRCT20200211046461N1 IRCT 2020-06-12 Babol University of Medical Sciences The Effect of Betty Neuman’s systems model on Anxiety The effect of Betty Neuman’s systems model application on anxiety levels of elderly people candidate colonoscopy examination. 2019-09-23 anticipated 70 Complete https://irct.ir/trial/46724 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Education/Guidance, Other design features: Individuals with at least 50 percent of the total score of the needs assessment form will participate in the study as those with educational needs. According to the steps of the Betty Neuman nursing process, the intervention will be done in four stages. Thus, in the first stage, potential and actual stressors are identified based on the needs assessment form of Betty Newman model. It should be noted that the initial evaluation will be based on the Betty Neuman model for both groups and one week before the colonoscopy, and the anxiety questionnaire will be completed by individuals in both groups. In the second stage, appropriate goals and strategies (nursing diagnoses) for nursing measures are determined by strengthening the natural and flexible defense line. In the third stage, nursing interventions (training and counseling of clients) will be implemented based on the needs of clients.In this model, the purpose of strengthening the defensive lines of nursing interventions (training and counseling) according to the needs of the elderly about the structure, sequence, characteristics of the colonoscopy unit, as well as training on defining and explaining relaxation techniques, etc. Reduces the possibility of exposure to stressors and in some cases reduces the corresponding reactions. Only in the test group, individual intervention based on the training needs derived from the needs assessment form for each elderly person will be performed for 30-30 minutes. In the present study, the needs assessment form has already been developed. Educational content related to each of the items of the needs assessment form will be developed in each of the physiological, psychological, cultural-social, evolutionary and spiritual dimensions. Given that educational needs can vary from person to person, education and counseling are tailored to the needs of the elderly. Due to the fact that the initial intervention is one week before the colonoscopy, additional training sessions will be arranged during this week as needed. The researcher's phone number is also given to the elderly so that they can receive answers to their questions by contacting the researcher. During this time, the researcher will be in link with them by phone and will be consulted if they feel the need. In the final stage, the evaluation is done. In the present study, evaluation will be performed at the beginning of the study and at the end of the intervention (before entering the colonoscopy room) by measuring the level of anxiety by completing the Segal Anxiety Questionnaire, Randomization description: If you receive at least 50% of the total need assessment form, you will be enrolled as a person with an educational need.Then the samples are based on variables such as age, sex, marital status, employment, residence, economic status, insurance, education, home, history of chronic illness (diabetes, hypertension, cancer, copd, etc.), And the matched anxiety score will be assigned to one of the experimental and control groups by random allocation method in both groups, Blinding description: Elderly candidate for colonoscopy Outpatient visit the endoscopy unit of Imam Sajad Hospital in Ramsar. The researcher identifies the elderly candidate for colonoscopy after receiving approval from the University Research Council and obtaining approval from the University Ethics Committee and obtaining permission from the Imam Sajad Hospital in Ramsar, referring to the Endoscopy Unit.Then, by phone call, they will be invited to an introductory meeting and co-operation in a training class at Imam Sajad Hospital in Ramsar a week before colonoscopy. This session will explain the research outline for examples. If they wish and consent to participate in the research and to complete a written consent form, they will be asked to complete a researcher-made form of an elderly candidate for colonoscopy based on the Betty Neuman’s systems model .Individuals will be included in the study if they receive at least 50% of the total form of the needs assessment. N/A colonoscopy. Intervention 1: Intervention group 1: Patients in the study group received nursing process of Betty Neuman's theory by the researcher plus the routine hospital intervention. Intervention 2: Control group1: Patients only received the routine hospital intervention. Yes - There is a plan to make this available What will be shared: All potential data can be shared after people have not been identified. When: The beginning of the access period to the data files from 1399 for 6 months after the publication of the study results. To whom: Study data will only be available to researchers working in academic and scientific institutions. Conditions: Any analysis on the data is allowed after obtaining the consent of the researcher. Where to obtain: Ways of communication: Mobile number: 09115757971 ابتداEmail: fatemeh.larijani72@gmail.com How to obtain: The respondent first receives an email from the applicant. The respondent is obliged to send the answer within 7-14 days. If the applicant needs to receive information immediately, he can receive the information he needs by contacting the respondent's mobile phone. Comments: