Investigation of the patients diagnoised with precancerous cervical lesion, modes of adaptation in view of roy adaptation model

Objective: The objective was to examine the adaptive or ineffective behaviours of the patients diagnoised with precancerous cervical lesion and their spouses with Roy Adaptation Model. Method: The research was conducted qualitatively. The conceptual framework of the research consisted of Roy Adaptation Model. The data were collected by means of "in-depth interview" method by "Individual Identification Form" and "Semi-Structured Interview Form" studies. The research sample consisted of the patients with precancerous cervical lesion (n:23) and their spouses (n:5). The data were evaluated with "a content analysis". Findings: The patients and their spouses, involved in the scope of the research, experienced adaptive or ineffective behaviours in four modes of Roy Adaptation Model. In adaptive group, the themes related to patients' with precancerous cervical lesion and their spouses' physiologic- physical mode in Roy Adaptation Model are" Feeling About Self", "Taking Precautions". The themes related to self concept mode are "Hope", "Determinist Approach". The themes related to role function mode is "Continue Primary Roles". The theme related to interdependence mode is " Getting Social Support". In non-adaptive group, the theme related to physiologic- physical mode is "Uneasiness". The themes related to self concept mode are "Perception of cancer", "Fear", "Self-Determination" and "Perception of Sex". The themes related to role function mode are "Not Being Able To Continue Primary Roles" and "Deterioration of Motherhood ".The The themes related to interdependence mode are "Having Issues with Their Spouses", "Insufficiency of Social Support", "Social Isolation", "The Need for Information" and "Suggestions for Women". Result: After a diagnosis, the important data about the adaptation process were obtained from the explanations of the patients' experiences. It was stated that at precancerous cervical lesion diagnosis and treatment process, besides the patients all the family members especially their spouses were affected. In this regard, health professionals should provide patients with information and support, care and counselling services as well. Thus the patients' and spouse's negative experiences, maladaptive behaviours can be prevented. Key Words: Precancerous Cervical Lesion, Nursing, Roy Adaptation Model, Qualitative Research