Roy adaptation model-based patient education for elderly patients undergoing laparoscopic radical gastrectomy.

RAM-based patient education resulted in shortened time to flatus and first oral intake, and reduced postoperative hospitalization compared to usual care.

• Differences were statistically significant (p < 0.05)
• The RAM group received RAM-based patient education plus usual care (n = 80)
• The usual care group received usual care pathways only (n = 80)
• Outcomes were assessed in elderly patients undergoing laparoscopic radical gastrectomy

The RAM group showed significantly higher scores on all FACT-Ga well-being subscales compared to the usual care group at 1 month post intervention.

• Physical well-being effect size η² = 0.10
• Emotional well-being effect size η² = 0.12
• Functional well-being effect size η² = 0.11
• Social well-being effect size η² = 0.06
• Analysis of covariance controlled for baseline scores to determine main effect of treatment

The RAM group demonstrated significantly higher FACT-G total scores and gastric cancer subscale scores compared to the usual care group at 1 month post intervention.

• FACT-G total effect size η² = 0.30, indicating a large effect
• Gastric cancer subscale effect size η² = 0.10
• FACT-Ga total effect size η² = 0.28
• Outcomes measured using the Functional Assessment of Cancer Therapy-Gastric Module (FACT-Ga)

The RAM group had significantly lower anxiety and depression scores compared to the usual care group at 1 month post intervention.

• HADS-Anxiety (HADS-A) effect size η² = 0.12
• HADS-Depression (HADS-D) effect size η² = 0.11
• Mental health was measured using the Hospital Anxiety and Depression Scale (HADS)
• Analysis of covariance controlling for baseline scores confirmed significant main effect of treatment

The RAM group showed significantly higher life satisfaction scores compared to the usual care group at 1 month post intervention.

• Life Satisfaction Index A (LSI-A) effect size η² = 0.12
• Life satisfaction was a secondary outcome measure
• Analysis of covariance controlling for baseline scores confirmed significant main effect of treatment
• Measurement was conducted at 1 month post intervention

The study used a pretest-posttest randomized clinical trial design comparing RAM-based patient education plus usual care versus usual care alone in elderly gastric cancer patients.

• Total sample size was 160 patients (n = 80 per group)
• Primary outcome measures were physiologic-physical, self-concept, role function, and interdependence adaptation levels measured by FACT-Ga subscales
• Secondary outcomes included mental health (HADS) and life satisfaction (LSI-A)
• The RAM (Roy Adaptation Model) guided the patient education intervention in the experimental group