Roy Adaptation Model improves psychological well-being and postoperative pain intensity in elderly patients with benign prostatic hyperplasia

A recent study found that there was improvement in psychological well-being, enhancement in health-related quality of life (HRQoL), and reduction in postoperative pain intensity due to Roy Adaptation Model (RAM) in older patients with benign prostatic hyperplasia (BPH) undergoing transurethral resection of the prostate (TURP). This study was published in the journal, BMC Urology.

In this study 160 BPH patients scheduled for TURP procedures were randomly assigned to routine care groups or RAM groups (80 patients each). RAM group was administered standard care based on the RAM model, supplemented with interventions. At the preoperative visit (T0), at 30 days (T1), and at 3 months of follow-up (T2), negative emotions were measured using pain intensity by the Visual Analog Scale (VAS), Hospital Anxiety and Depression Scale (HADS), and HRQoL by the 36-Item Short Form Health Survey (SF-36).

It was observed from repeated measures ANOVA that both the routine care and RAM group had significant differences in psychological well-being, postoperative pain intensity, and HRQoL across the three time points. The RAM group revealed significant reduction in depression and anxiety levels, improvements in various HRQoL domains at T1 and T2, and alleviation of postoperative pain intensity when compared to the routine care group.

From the above results, it can be concluded that RAM model may be incorporated into perioperative care for elderly patients undergoing TURP for BPH as it may enhance HRQoL, improve psychological well-being, and reduce postoperative pain intensity.