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nazarpor B, Otaghi M. The effect of care Plan based on Roy adaptation model on spiritual well-being of women with breast cancer referring to Ahwaz oil hospital in 2017. Journal title 2019; 1 (3)
URL: http://newresearch.medilam.ac.ir/article-1-300-en.html
URL: http://newresearch.medilam.ac.ir/article-1-300-en.html
Abstract: (3483 Views)
Background and Purpose: One of the important nursing theories, which has a special application in adapting patients with chronic diseases and improving their quality of life, is the Roy adaptation model. Therefore, the purpose of this study was investigating the effect of care plan based on Roy adaptation model on spiritual well-being of women with breast cancer.
Methodology: This study has an experimental design with a control group that was conducted at Ahwaz Oil Hospital in 2017. In this study, 80 patients with breast cancer who referred to this center were randomly divided into two experimental (40 persons) and control (40 persons) groups. Then, a care plan was developed for the experimental group by using an assesment form and understanding of the adaptive model. Based on this form, the ineffective behaviors of the experimental group were determined in four dimensions of adaptation (physiologic, self-concept, role play, and interdependence), and the focal, contextual and residual stimuli of the ineffective behaviors were identified of these inconsistent behaviors were identified. At the beginning of the study, the paloutzian & Ellison Spiritual well-being Questionnaire was provided to the participants. After the intervention, that questionnaire was completed by the people of the two groups. The data were analyzed using descriptive statistical methods, independent t-paired test and t-test with SPSS software version 23 at 95% confidence level.
Results: There was a statistical significant difference between the mean score of spiritual well-being in the two groups after the intervention (P = 0.001). Spiritual well-being score in the exprimental group after intervention (99.9 ± 4.93) was significantly higher than before the intervention (73.77 ± 11.4) (P = 0.001). However, the spiritual well-being score in the control group after intervention (72.02 ± 4.38) was lower before intervention (73.10 ± 4.25), but statistically significant difference was not observed.
Discussion and conclusion: Regarding the results of this study and the effect of Roy adaptation model on the spiritual well-being of women with breast cancer, this model can be used as a comprehensive guide to improve the spiritual well-being of these patients in all of the hospitals in Iran. Also the effect of Roy adaptation model can be studied on other patient with chronic disease by randomized clinical trial.
Methodology: This study has an experimental design with a control group that was conducted at Ahwaz Oil Hospital in 2017. In this study, 80 patients with breast cancer who referred to this center were randomly divided into two experimental (40 persons) and control (40 persons) groups. Then, a care plan was developed for the experimental group by using an assesment form and understanding of the adaptive model. Based on this form, the ineffective behaviors of the experimental group were determined in four dimensions of adaptation (physiologic, self-concept, role play, and interdependence), and the focal, contextual and residual stimuli of the ineffective behaviors were identified of these inconsistent behaviors were identified. At the beginning of the study, the paloutzian & Ellison Spiritual well-being Questionnaire was provided to the participants. After the intervention, that questionnaire was completed by the people of the two groups. The data were analyzed using descriptive statistical methods, independent t-paired test and t-test with SPSS software version 23 at 95% confidence level.
Results: There was a statistical significant difference between the mean score of spiritual well-being in the two groups after the intervention (P = 0.001). Spiritual well-being score in the exprimental group after intervention (99.9 ± 4.93) was significantly higher than before the intervention (73.77 ± 11.4) (P = 0.001). However, the spiritual well-being score in the control group after intervention (72.02 ± 4.38) was lower before intervention (73.10 ± 4.25), but statistically significant difference was not observed.
Discussion and conclusion: Regarding the results of this study and the effect of Roy adaptation model on the spiritual well-being of women with breast cancer, this model can be used as a comprehensive guide to improve the spiritual well-being of these patients in all of the hospitals in Iran. Also the effect of Roy adaptation model can be studied on other patient with chronic disease by randomized clinical trial.
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