Jue Li1, Jiliang Huang2, Jun Zhang3, Yajie Li4. 1. Department of Nursing Teaching and Research, Shantou University Medical College, Shantou, Guangdong, PR China. Electronic address: smc_lijue@126.com. 2. Reproductive Center, Department of Obstetrics and Gynecology, The First Affiliated Hospital, Shantou University, Shantou, Guangdong, PR China. Electronic address: frank_whuang@126.com. 3. Department of Obstetrics and Gynecology, Nanfang Hospital, South Medical University, Guangzhou, Guangdong, PR China. Electronic address: gz_junzhang@126.com. 4. Department of Nursing Teaching and Research, Nanfang Hospital, South Medical University, Guangzhou, Guangdong, PR China. Electronic address: Yajieli001@sina.com.
Abstract
PURPOSE: To investigate the effect of a home-based, nurse-led health program on quality of life and family function for postoperative patients with early-stage cervical cancer. METHOD:226 cervical cancer patients, from two hospitals between December 2012 and April 2014, were randomly divided into intervention and control groups. Patients in the intervention group received an individual home-based, nurse-led health program (family-care team provision, physiological rehabilitation, emotion-release management, informal social support system, and follow-up monitoring), in addition to conventional nursing education. Patients in the control group only received conventional nursing education. The Functional Assessment Cancer Therapy-Cervix, Female Sexual Function Index, and the Family Adaptability and Cohesion Scale were used for assessment before and after the intervention. RESULTS: After the intervention, significant improvements were found for the quality of life total scores (t=-7.650, p=0.000), sexual function scores (t=-6.465, p=0.000), cohesion scores (t=-8.417, p=0.001) and adaptability scores (t=-10.735, p=0.000) in the intervention group. Moreover, proportions of family types were also improved (χ2 = 17.77, p=0.000). However, for the control group, no significant differences were found except for a decrease in sexual function scores (t = -4.035, p=0.000). Significant differences in change scores between groups were also found for quality of life (F=41.980, p=0.000), Sexual function (F=37.380, p=0.000), cohesion (F=15.268, p=0.000) and adaptability (F=16.998, p=0.000). CONCLUSION: A home-based, nurse-led health promotion program improves the quality of life, sexual function and family function in postoperative patients with early-stage cervical cancer.
RCT Entities:
PURPOSE: To investigate the effect of a home-based, nurse-led health program on quality of life and family function for postoperative patients with early-stage cervical cancer. METHOD: 226 cervical cancerpatients, from two hospitals between December 2012 and April 2014, were randomly divided into intervention and control groups. Patients in the intervention group received an individual home-based, nurse-led health program (family-care team provision, physiological rehabilitation, emotion-release management, informal social support system, and follow-up monitoring), in addition to conventional nursing education. Patients in the control group only received conventional nursing education. The Functional Assessment Cancer Therapy-Cervix, Female Sexual Function Index, and the Family Adaptability and Cohesion Scale were used for assessment before and after the intervention. RESULTS: After the intervention, significant improvements were found for the quality of life total scores (t=-7.650, p=0.000), sexual function scores (t=-6.465, p=0.000), cohesion scores (t=-8.417, p=0.001) and adaptability scores (t=-10.735, p=0.000) in the intervention group. Moreover, proportions of family types were also improved (χ2 = 17.77, p=0.000). However, for the control group, no significant differences were found except for a decrease in sexual function scores (t = -4.035, p=0.000). Significant differences in change scores between groups were also found for quality of life (F=41.980, p=0.000), Sexual function (F=37.380, p=0.000), cohesion (F=15.268, p=0.000) and adaptability (F=16.998, p=0.000). CONCLUSION: A home-based, nurse-led health promotion program improves the quality of life, sexual function and family function in postoperative patients with early-stage cervical cancer.
Authors: Atun Raudotul Ma'rifah; Yati Afiyanti; Mega Hasanul Huda; Roselyn Chipojola; Yelmi Reni Putri; M A Tantawi Nasution Journal: Support Care Cancer Date: 2022-07-12 Impact factor: 3.359