Effectiveness of Roy Adaptation Model-Based Cognitive Stimulation Therapy in Elderly Patients with Non-Small Cell...

Area of Science:

• Oncology
• Geriatrics
• Nursing Science

Background:

• Elderly patients with non-small cell lung cancer (NSCLC) undergoing curative resection face risks of cognitive decline and postoperative delirium.
• The Roy adaptation model (RAM) provides a framework for nursing interventions aimed at promoting adaptation.

Purpose of the Study:

• To investigate the effects of a Roy adaptation model (RAM)-based cognitive stimulation therapy (CST) intervention on elderly NSCLC patients undergoing curative resection.
• To assess the impact of RAM-based CST on cognitive function, postoperative delirium, anxiety, depression, and quality of life (QoL).

Main Methods:

• A randomized controlled trial involving 280 elderly NSCLC patients undergoing curative resection.
• Intervention group received RAM-based CST; control group received standard care.
• Outcomes including cognitive function (Mini-Cog), delirium (NDSC), anxiety/depression (HADS), and QoL (SF36) were assessed pre-surgery, at discharge, and 1-month post-discharge.

Main Results:

• The RAM-based CST group showed significantly higher cognitive function scores (Mini-Cog) at discharge and post-intervention.
• Patients receiving RAM-based CST had a lower incidence of postoperative delirium.
• Improvements in anxiety and depression were observed at discharge and 1-month post-discharge in the RAM-based CST group.
• Significant enhancements in SF36 QoL subcategory scores were noted at 1-month post-discharge in the RAM-based CST group.

Conclusions:

• RAM-based CST is effective in enhancing cognitive function in elderly NSCLC patients post-surgery.
• The intervention significantly reduces postoperative delirium incidence and improves emotional well-being and QoL.
• RAM-based CST offers a promising approach for comprehensive postoperative care in this patient population.