Factors that Affect Coping Mechanisms in Chemotherapy Patients with the Approach of Callista Roy Adaptation Theory

Abstract

Chemotherapy can cause pain and emotional stress in the patient. This con- dition will make the patient delay the therapy. Strong coping mechanism is required to maintain good conditions. One of the empirical evidence of conceptual model theory is “Holistic Adaptive System” conceptual model theory, proposed by Callista Roy. This model is used in chronic diseases which undergone treatment. This study aimed to analyze factors which influence coping mechanisms in chemotherapy patients by using the Callista Roy adaptation

theory approach. The study used cross sectional design. The population was 95 chemotherapy patients at the SumberGlagah Hospital in Mojokerto. The sampling technique used simple random sampling and the sample was 78 respondents. The instrument used coping and adaptation processing scale (CAPS) with an adaptation theory approach. The results of logistic regression showed educational factors (p value 0.031) and work (p value 0.023) had an effect on coping mechanisms, while the chemotherapy cycle factor (p value 0.688) had no effect on coping mechanisms with the theoretical approach of Callista Roy adaptation to chemotherapy patients. The higher the level of education, the better tolerance and control of stressors, the workplace environment will provide social support so that coping mechanisms become adaptive.