With the growing elderly population and the incidence of complications and problems associated with this period, the need to make a positive adaptation during this important period of life, is considerable. In this regard, this is possible to use the nursing theory and particular, Roy's adaptation model to creation work positive with make the incompatible and unhealthy behaviors to compatible and healthy behaviors and also improve their SWB as one if the overall health. The present study was determine the effects of the health care plan based on Roy's adaptation model on the Spiritual Well-Being of elderly people In Urmia nursing homes, have been done. In this study, 60persons of elderly, which had conditions related to this study, had been selected and randomly divided into control group (30 persons) and intervention group (30 persons), were selected. Tools for Collecting data was SWB questionnaire, which was completed in post and pre – test. The care plan was designed according to conclusions from investigation and knowing Roy's adaptation model and applicate in intervention group, in 2 sessions teaching for elderly and 4 individual sessions , in order to manipulate focal stimulants in during 1.5 month and a month later was followed. The analysis of data were done by SPSS software and by using the descriptive and inferential statistics. The results indicate that overall mean scores below the scale dual SWB and average of SWB, after a study of 2 groups is statistically significant (P< 0.001).Also the average of scores in elderly SWB in the intervention group after care plan, was increased which, according to T-test, this increase is significant(P< 0.001). Caring plan which based on self concept mode of Roy's adaptation model, have positive influence in promoting the SWB of the elderly. Therefor, it's suggested, health caring providers and nurses by strengthen the adaptation in the elderly based on the theories of nursing and caring plan, increase adaptation and healthy behaviors as a critical component in promoting the SWB of the elderly.