The effect of Roy’s adaptation model-based care planon the severity of depression, anxiety and stress inhospitalized patients with colorectal cancer

Aghakhani, N and Vahabzadeh, D and Tayyar, F and Hazrati Marangaloo, A (2019) The effect of Roy’s adaptation model-based care planon the severity of depression, anxiety and stress inhospitalized patients with colorectal cancer. Hayat, Journalof Schoolof Nursing and Midwifery, Tehran University of Medical Sciences, 25 (2). pp. 208-219.

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Abstract

Diagnosis of cancer can cause emotional problems such asstress, anxiety, depressionand incompatibility with the disease in the patient andhis/her family, leading toadverse consequences in the improvement process andan increase in the complications of the disease. Considering the importance of thistopic, the study was conducted to investigate the effect of Roy’s adaptation model-based care plan on the severity of depression, anxiety and stress in patients withcolorectal cancer hospitalized in the treatment and educational centers of Urmia.Methods & Materials:In this randomized clinical trial study, 36 patients withcolorectal cancer (at the third or fourth stageof disease) hospitalized in thetreatment and educational centers of Urmia were selected by a conveniencesampling and were assigned to the intervention group or control group in 2016.Data collection tools were a form for assessing the Roy’s adaptation model and thedepression, anxiety, and stress scale(DASS-21). The Roy’s adaptation model-based care plan was administered to the intervention group. Data analysis wasperformed using the SPSS software version 18 and t test and Chi-square test.Results:Thestudy results showed before the intervention, the mean scores ofdepression, anxiety and stress were 12.7±4.5, 13.9±4.8, 16.4±4.7for the controlgroup and were 15.7±4.5, 13.0±4.6, 12.6±4.2 for the intervention group,respectively. There was nostatistically significant difference between the twogroups (P>0.05). However, after the intervention, the mean scores of the studiedvariables increased in the control group (13.7±4.8, 13.93±4.9, 17.16±4.4) anddecreased in the intervention group (10.46±3.1, 11.00±3.4, 13.8±5.2). There wasa significant difference between the two groups (P<0.05).Conclusion:Due to the severity of depression, anxiety, and stress among cancerpatients, more cost-effective and non-pharmacological methods such as the Roy’sadaptation model, can be useful to control these complications and create a lessstressful environment for these patients.Clinical trial registry:IRCT20160220026662N5

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