Effect of Roy’s Adaptation, Model-based, Perioperative Nursing Service on Patients: A Clinical Observational Study.

Context • Surgery for early-stage lung carcinoma (LC) is invasive and most patients will experience psychological disorders, such as depression and anxiety. Accumulating evidence has shown that a nursing intervention can exert significant improvements in clinical efficacy for perioperative patients. Objective • The study intended to investigate the clinical value during the perioperative period of a nursing service based on Roy’s Adaptation Model (RAM), for patients undergoing radical resection for early-stage LC, to provide accurate guidance and reference for a future clinical nursing intervention for LC patients. Design • The research team designed a retrospective analysis, controlled study. Setting • The study took place at Jiangsu Cancer Hospital in Nanjing, Jiangsu, China. Participants • Participants were 69 patients with earlystage LC who had been admitted to the hospital between March 2018 and March 2020. Intervention • The research team assigned participants to an intervention or a control group, with 42 participants in the intervention group receiving RAM nursing during hospitalization, and 27 participants in the control group receiving routine nursing care. Outcome Measures • The study measured the alterations in pulmonary function (PF) pre- and postoperatively and assessed the incidence of complications postintervention. At baseline and postintervention, the research team also assessed participants’ psychological states using the Self-rating Anxiety Scale (SAS) and the Self-rating Depression Scale (SDS) and their pain levels using a visual analogue scale (VAS). Postintervention, participants competed a nursing satisfaction survey. At baseline and postintervention, the participants completed the Karnofsky Performance Status (KPS) scale for functional status, the Self-Perceived Burden Scale in Cancer Patients (SPBS-CP), the Pittsburgh Sleep Quality Index (PSQI) for sleep quality, and the WHO-QOL-BREF questionnaire. Results • Postoperatively, the PF indexes had decreased significantly for both groups, but the intervention group’s value were significantly higher postoperatively than those in the control group (P<.05). No differences existed in the incidence of adverse reactions between the groups (P > .05). The intervention group had significantly lower SAS and SDS scores, pain scores, and SPBS-CP scores than the control group postintervention but had significantly higher KPS scores (all P < .05). The intervention group significantly higher nursing satisfaction, sleep quality, and quality of life than the control group did (P<.05). Conclusions • RAM nursing can significantly protect the PF of patients with early-stage LC who are undergoing a radical resection and can effectively improve patients’ psychological states, sleep quality, and nursing satisfaction, which makes it worthy of clinical reference and popularization. [ABSTRACT FROM AUTHOR]