A study on Development and Implementation of the Psychophysiological Well-being Assessment Tool based on Roy’s Adaptation Model for breast cancer patients

ABSTRACT

Breast cancer is a major health burden among Indian females in their young age. As the females came to know the disease isalready in advance stage. To get rid from the complications they have to undergo for mastectomy and after mastectomy they havedisturbed Psychophysiological Wellbeing. In the present methodological study researcher has developed PsychophysiologicalWellbeing Assessment Tool (PWAT) based on Roy's Adaptation Model after three rounds of item analysis and Delphi surveywith experts of different fields of nursing to assess their Psychophysiological wellbeing. After the finalization of PWAT it wasimplemented on 200 post mastectomy breast cancer patients who were under radiation therapy or chemotherapy and selected byNon- probability purposive sampling technique, in Rajinra Hospital Patiala. Data was collected and analyzed by using descriptiveand inferential statistics. Common consensus of experts was obtained from 72 pooled items to final version of PWAT with 38items. The reliability of instrument was estimated by using split half Chronbachs alpha which was r=0.87. Statistically all theitems of PWAT were found inter correlated and were compatible to each other. The mean score range of physiological well-beingwas 57.40 as compared to mean score range of the psychological well-being of breast cancer patients was 83.17.There waspositive correlation (0.347) between physiological wellbeing and psychological wellbeing at the level of 0.001. Thus it wasstatistically evident that if physiological well-being score increased then psychological wellbeing score also increased. Thus itmay be concluded that if the nurses would be equipped with PWAT, they will do quick assessment of psychophysiologicalwellbeing of post mastectomy breast cancer patients. Their timely intervention will help in decreasing re-hospitalizations ofpatients and help in cost containment for the health care industry which is the essence of quality care management.