Effects of Role Adaptation Promotion Program on Quality of Life among The Breast Cancer Patients Receiving Chemotherapy
Keywords:The Roy Adaptation Model, adaptation, quality of life, breast cancer, chemotherapy
Breast cancer is the most common cancer among women, whilst the side effects of chemotherapy can
psychologically and physically impact the adaptation and the quality of patients’ life. This quasiexperimental
research aimed to investigate the effectiveness of role adaptation promotion program on
the quality of life among breast cancer patients receiving chemotherapy, by using the Roy Adaptation
Model as the framework. The sample included 48 female breast cancer patients of Stage I-IIIA receiving
the first chemotherapy AC regimen at Chemotherapy Unit, Chulabhorn Hospital. All of them were assigned
into the experimental and the control groups of 24 patients in each group. The experimental group
received the role adaptation program in physiological mode, self-concept mode, role function mode,
and interdependence mode to promote the adaptation and increase the quality of their life. The program
consisted six times of activities: 1) Individual education (4 times) and 2) Follow-up on records of health
adaptation continuously with advice and suggestions by telephone (2 times). Data collection was
conducted using the interview tools including: 1) Questionnaires of Adjustment Assessment Form for
Breast Cancer Patients Receiving Chemotherapy and 2) Functional Assessment of Cancer Therapy-Breast
Scale: FACT-B version 4. Data were analyzed using percentage, mean, and standard deviation, t-test for
Independent Sample and Repeat Measure ANOVA.
The results showed that the overall follow-up period for adaptation in the experimental group had
higher scores than the control group, with a statistical significance (p <.05). Likewise, there was also
a statistically significant higher score in the post-test and follow up period for the quality of life in the
experimental group (p<.05). In particular, the program should be best applied in breast cancer patients
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