Application of self-management intervention based on the law of Ebbinghaus forgetting curve in hospitalized patients with gynecologic malignancies

Abstract

Objective To investigate the value of self-management intervention based on the law of Ebbinghaus forgetting curve in hospitalized patients with gynecologic malignancies .Methods From October 2012 to March 2014 , 128 cases of gynecologic cancer patients admitted to our hospital were randomly divided into the observation group and the control group , with 64 cases in each group .The control group was treated with＆amp;nbsp;conventional self-management education .The observation group was taught by the self-management intervention according to the Ebbinghaus forgetting curve .The postoperative abdominal distention , nausea and vomiting and other symptoms were observed between the two groups seven days later after the operation .The time eating solid food, hospital stays, quality of life and patients satisfaction were compared .Results In the observation group , 10 patients （15.63%） had postoperative abdominal distention , 12 patients （18.75%） had postoperative nausea and vomiting, and the incidence and analgesic drug usage was 17.19%, which were significantly lower than those in the control group （χ^2 =11.094, 10.152, 13.227, respectively;P〈0.05）.In the observation group, patients’ first time out of bed were （33.58 ±7.07） hours, the first flatus time was （39.79 ±1.22） hours, the first time eating solid food was （49.51 ±8.48） hours, and the length of hospital stay was （10.55 ±3.62） days, which were significantly lower than those in the control group （t=2.261, 7.411, 9.584, 2.019, respectively;P〈0.05）.The score of QOL-BREF one month after surgery in the observation group was （66.88 ±5.61）, which was significantly higher than （49.64 ±5.54） in the control group （t =8.146,P 〈0.05）.The patients satisfaction in the observation group was （91.08 ±3.63）, which was significantly higher than （63.52 ±4.05） in the control group （t=11.521,P〈0.05）.Conclusions Based on the Ebbinghaus forgetting curve regular self-management interventions for patients with gynecological malignancies can significantly reduce the incidence of postoperative chemotherapy and adverse events , and promote functional recovery of patients and improve their quality of life .And the self-management education with scientific guidance can help consolidate the effect of self -management education . Key words: Genital neoplasms,female; Ebbinghaus forgetting curve law; Quality of life; Satisfaction; Self-management intervention