Background: Mastectomy is the most common surgical treatment for breast cancer that lead to
serious impacts on women's adaptation and satisfaction due to the surgical alteration of the breasts.
Aim of the study: Was to evaluate application of Roy's adaptation model on women's satisfaction
after mastectomy. Research design: A quasi – experimental design was utilized in this study.
Setting: This study was conducted at Health Insurance Hospital in Benha and Outpatient Clinic of
Oncology Department at Benha University Hospital and followed by home visits. The sample: A
Purposive sample of women attended previously mentioned settings to have mastectomy surgery,
total sample size was 90 women. Tools: Four tools were used I): A structured interviewing
questionnaire which consists of 3 parts to assess a): Demographic characteristics of post
mastectomy women b): Medical history of women regarding breast cancer and mastectomy c):
knowledge of women regarding breast cancer and mastectomy, II): Observational checklist which
consists of 2 parts to assess a): women's practices after mastectomy b) home environment of women
after mastectomy. III): Roy's Adaptation Model Scale to assess the adaptation level of women after
mastectomy. IV): Women satisfaction scale to assess satisfaction of women after mastectomy.
Result: 45.6% of the studied women aged 50 and more years with mean age 52.25±10.67 years and
80.0% of them were married while 66.7%, 65.6% of women had good total knowledge level
regarding breast cancer and mastectomy post implementation and at follow up phase respectively
and 77.8%, 75.6% of them had satisfactory total practices level post implementation and at follow
up phase respectively. 63.3% of women had high adaptation post implementation which improved
to 71.1% at follow up phase and 62.2% of women were satisfied post implementation which
improved to 66.7% at follow up phase. Conclusion: Roy adaptation model had a positive effect on
improvement of women's knowledge, practice, adaptation level and satisfaction after mastectomy.
There were positive correlations between knowledge, practices, adaptation and satisfaction pre, post
implementation of Roy's adaptation model and at follow up phase. Recommendation: Continous
application of Roy's adaptation model for women at home after mastectomy to enhance their
knowledge, practices, adaptation level and satisfaction. |
