Roy adaptation model-based nursing diagnosis and implementation reduces the sense of shame and enhances nursing outcomes in female patients with breast cancer

Lina Zheng; Qi Jin

Roy adaptation model-based nursing diagnosis and implementation reduces the sense of shame and enhances nursing outcomes in female patients with breast cancer

Am J Transl Res. 2022 Aug 15;14(8):5520-5528. eCollection 2022.

Authors

Lina Zheng¹, Qi Jin²

Affiliations

¹ Outpatient Management Office, The First People's Hospital of Wenling Wenling 317500, Zhejiang Province, China.
² Department of Hepatobiliary Hernia Surgery, The First People's Hospital of Wenling Wenling 317500, Zhejiang Province, China.

PMID: 36105053
PMCID: PMC9452335

Abstract

Objective: This study aimed to explore the role of Roy adaptation model (RAM)-based nursing diagnosis and implementation in regulating the sense of shame and improving the nursing outcomes of female patients with breast cancer.

Methods: The clinical data of 69 female patients with breast cancer treated in our hospital from October 2019 to October 2021 were retrospectively analyzed. Patients who received conventional care were included in a control group, and those who received RAM-based nursing were included in an observation group. Patients in both groups were evaluated for sense of shame, emotional state, psychological resilience, self-esteem, quality of recovery scores and complication rates.

Results: The scores of Perceived Devaluation and Discrimination Scale (PDD), Substance Use Stigma Mechanisms Scale (SUSMS) and Stigma Coping Scale (SCS) in the observation group were lower than those of the control group at the end of nursing (P < 0.05). The score of Hamilton Anxiety Rating Scale (HAMA) in the observation group was lower than that in the control group at the end of nursing (P < 0.05). The levels of mental toughness, mental strength, and optimism scores in the observation group were higher than those of the control group at the end of nursing (P < 0.05). The score of Rosenberg Self-Esteem Scale (SES) in the observation group was significantly higher than that of the control group at the end of nursing (P < 0.05). Psychosocial recovery, physical recovery, relationship with medical workers, marital relationship, and sexual function scores in the observation group were significantly lower than those in the control group at the end of nursing (P < 0.05). The incidence of complications was 5.71% in the observation group, lower than 23.53% in the control group (P < 0.05).

Conclusion: RAM-based nursing diagnosis and implementation can significantly reduce patients' sense of shame and negative emotions, improve patients' psychological resilience, quality of recovery, and quality of life, and reduce complications for female patients with breast cancer.

Keywords: Breast cancer; Roy adaptation model theory; nursing diagnosis; nursing implementation; nursing outcomes; stigma.