Abstract
Objective: To assess effects of treatment environment and intensive nursing intervention on gynecological oncology patients. Methods: 108 patients diagnosed as gynecological oncology from July 2015 to July 2018. They were randomly assigned to control group and intervention group, the participant had the different nursing measure and new treatment environment in two groups. We collected the result that included quality of life, pain level, immune function and participants characteristics by completing questionnaires, collecting medical records and flow cytometer. In addition, the participants were asked to complete the questionnaires, such as Short Form-36 (SF-36) and Self-report questionnaires. We use flow cytometer (FCM) to assess immunity function of patient. Result: The participants of intervention group had higher increasing in CD8+ (19.88±2.40 vs 17.32±2.88). Additionally, most participants had mild pain in treatment process [30 (50.66%) & 42 (73.24%)] and few participants had severe pain. In addition, few participants had severe pain, very few participants had very pain experience and painless experience in treatment process. In four domains of quality of life, all participants were improved in all domains. Conclusion: Treatment environment and intensive nursing intervention improve the outcome of gynecologic cancer treatment. But the improvement was not significant in the treatment process.
Highlights
Optimal treatment and care of women with gynaecological cancers requires a multidisciplinary team, such as gynaecological oncologists; medical oncologists; radiation oncologists; nurses with specialist gynaecological expertise; pathologists; radiologists; general practitioners; gynaecologists; specialist allied health professionals; palliative care providers; sexual health counsellors; geneticists; dieticians; and genetic counsellors [1, 2]
The patients (n = 108) were investigated to join our study who were diagnosed as gynaecological cancers, their age were Journal of Gynecology and Obstetrics 2020; 8(1): 28-31 between 20 and 50
We changed the treatment environment and nursing measure to the participants, our researchers would record the outcome of treatment
Summary
Optimal treatment and care of women with gynaecological cancers requires a multidisciplinary team, such as gynaecological oncologists; medical oncologists; radiation oncologists; nurses with specialist gynaecological expertise; pathologists; radiologists; general practitioners; gynaecologists; specialist allied health professionals; palliative care providers; sexual health counsellors; geneticists; dieticians; and genetic counsellors [1, 2]. Gynecologic oncologists' daily practice involves situations that require complex communication skills, including disclosing serious news and discussion of prognosis, treatment decisions, and goals of care [5, 6]. Compared to other female surgical patients, women with gynecologic cancers are more likely older and obese, they need complex care, they had higher risk for hospital readmission after surgery [7,8,9,10]. This study aim was evaluate effects of treatment environment and intensive nursing intervention on gynecological oncology patients, to reduce readmission rate and to improve the outcome of gynaecological oncologists treatment
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