Evaluation of the Effect of Caring Program Based on Roy Adaptation Model in Physiology and Self-Concept Dimensions on Fatigue of Elderly Cancer Patients Undergoing Chemotherapy
Keywords:Roy adaptation model, Fatigue, Chemotherapy.
Introduction: Fatigue is one of the complications of chemotherapy. Due to physiological conditions of
elderly people, it is followed by several complications. Nursing intervention based on Roy adaptation model
is required to reduce these complications.
Objective: Evaluation of the effect of caring program based on Roy adaptation model in physiology and
self-concept dimensions on fatigue of elderly cancer patients undergoing chemotherapy
Method: This was a clinical trial study conducted in two groups (65 subjects in each group) undergoing
chemotherapy in oncology ward of hospitals affiliated to Shahid Beheshti University of Tehran in 2018.
Sampling was performed in 2 stages. First, eligible people were selected by convenient sampling method.
Then, they were randomly assigned to intervention and control groups. The research tools included standard
multidimensional fatigue inventory and “Roy” adaptation form. In the intervention group, 4 sessions of
training were provided to elderly people in accordance with nursing diagnosis. Then, fatigue was followedup
in the two groups and the data were analyzed using SPSS, version 20.
Finding: In this study, no significant difference was observed in the number of chemotherapy courses in the
groups before intervention according to chi-square test (P = 0.667). Mean score of fatigue according to the
paired T-Test was 60.63 ± 5.92 and 58.84 ± 6.28, respectively, in intervention and control groups before the
intervention and it was 50.43 ± 7.42 and 58.46 ± 5.68, respectively, in intervention and control groups after
the intervention (p-value <0.001).
Conclusion: The caring program based on “Roy” adaptation model was effective in reducing the fatigue of
elderly cancer people undergoing chemotherapy.