Effect of continued nursing support on the quality of life of postoperative patients with gynecologic malignancies

Abstract

Objective To evaluate the effect of continued nursing support on the quality of life of postoperative patients with gynecologic malignancies.Methods A total of 125 patients with gynecologic malignancies were randomly divided into two groups according to random number method:63 patients in the intervention group and 62 patients in the control group.All patients received the same preoperative routine nursing following doctors' orders.At the same time,the patients in intervention group received the continued nursing intervention of rehabilitation after discharge.Intervention effects were observed in two groups by using Self-rating Anxiety Scale (SAS) and Trait Coping Style Questionnaire (TCSQ).Results There were not statistically significant difference between the two groups of patients in the scores of anxiety,positive response and negative response before intervention (P ＞ 0.05).The scores of anxiety,positive response and negative response after intervention in the intervention group were (23.52 ±4.15),(47.85 ± 3.52) and (18.15 ± 3.18),which were (38.92 ± 4.22),(33.59 ± 3.57) and (25.70 ± 3.25) in the control group,respectively,and these difference were statistically significant (t =20.570,22.486,13.127,respectively; P ＜0.01).The postoperative recurrence rate in patients in the intervention group was significantly lower than in the control group,1 patient with recurrence in the intervention group and 7 patients in the control group,and the difference was statistically significant (x2 =3.425,P ＜ 0.05).There were statistically significant difference between the two groups of patients in the life quality score at 6 months after operation and the treatment adherence score at one year after operation (P ＜ 0.01).Conclusions The implementation of continued nursing support can promote early recovery of physical function in patients,reduce the recurrence rate,improve the quality of life of postoperative patients,and increase the effect of surgical treatment,which should be worthy of clinical promotion and application. Key words: Malignancy; Gynecology; Radical pelvic surgery; Quality of life; Continued nursing