Roy Adaptation Model In Nursing Influence On Quality Of Life And Stigma Of Breast Cancer Patients In Postoperative

Objective Discuss the accuracy of Qo L and Stigma predicted by breast cancer patients with MRM, IBR and BCS surgery. Use the Roy adaptation model of nursing intervention to study its influence on Qo L and stigma.Methods Choose 438 female breast cancer patients in Breast Surgery of the first affiliated hospital of Liaoning Medical University from September 2012 to December 2014. The 325 patients in early stage are divided into three groups by operation methods, MRM 46 cases, IBR 68 cases and BCS 211 cases. Use clinical measurements in preoperative and telephone follow-up in postoperative. Use visual analogue scale to evaluate quality of life and Likert scale to evaluate stigma scores in preoperative and postoperative. Then collect 113 patients as intervention group to use Roy adaptation model, and choose 113 as retrospective matched from 325 patients as control group by controlling the factors such as age, operation method and clinic features to give conventional nursing measures. The patients of two groups are evaluated by visual analogue scale and Likert scale for Qo L and stigma in postoperative. Quality of life scores are from 0 to 100, where 0 means the worst and 100 indicates the best. Stigma scores are from 1 to 5, where 1 means very shame and 5 indicates never feels shame.Results The preoperative Qo L scores in MRM group, IBR group and BCS group are 57.6, 73.4and 71.4, and the scores in postoperative are 83.8, 83.8 and 88.5. The stigma of three groups in preoperative are 3.24, 2.53 and 1.88 and the scores in postoperative are 2.46, 2.07 and 1.76, pair t test for preoperative and postoperative scores, the difference is statistically significant(P < 0.05);The Qo L scores of experimental group and control group are 89.8 and 86.9, and the stigma scores are 1.37 and 1.65, the difference is statistically significant(P < 0.05) by using independent-sample t test.Conclusions The postoperative Qo L scores are higher than predicted scores, and the postoperative stigma scores are lower than predicted scores. The Qo L scores of MRM group in preoperative are lower than IBR group and BCS group, while the stigma scores are higher, the difference is statistically significant(P < 0.05); the Qo L scores of BCS groups in postoperative are higher than IBR group and BCS group, while the stigma scores are lower, the difference is statistically significant(P < 0.05).Use Roy adaptation model of nursing measures to evaluate physiological function, self concept, role function and interdependence, and find out the inefficiencies, focal stimulus, contextual stimulus and residual stimulus, effectively improve the Qo L scores and reduce the stigma scores.