Effects of a nursing intervention on quality of life outcomes in post-surgical women with gynecological cancers
Article first published online: 20 JUN 2008
Copyright © 2008 John Wiley & Sons, Ltd.
Volume 18, Issue 1, pages 62–70, January 2009
How to Cite
McCorkle, R., Dowd, M., Ercolano, E., Schulman-Green, D., Williams, A.-l., Siefert, M. L., Steiner, J. and Schwartz, P. (2009), Effects of a nursing intervention on quality of life outcomes in post-surgical women with gynecological cancers. Psycho-Oncology, 18: 62–70. doi: 10.1002/pon.1365
- Issue published online: 18 DEC 2008
- Article first published online: 20 JUN 2008
- Manuscript Accepted: 22 FEB 2008
- Manuscript Revised: 15 FEB 2008
- Manuscript Received: 5 OCT 2007
- gynecological cancers;
- advanced practice nurse;
- tailored intervention;
- quality of life
Objective: Women with gynecological cancers have reported poor health-related quality of life (QOL), with complex physical and psychological needs post-surgery and during chemotherapy treatment. There are no studies reporting interventions addressing these needs post-hospital discharge in this population.
Methods: Patients were randomized into two groups. The intervention group received 6 months of specialized care by an Advanced Practice Nurse (APN); in addition, women with high distress were evaluated and monitored by a psychiatric consultation–liaison nurse (PCLN). The attention control group was assisted with symptom management by a research assistant. The effects of the 6-month intervention were evaluated using self-report questionnaires at baseline (24–48 h after surgery), 1, 3, and 6 months post- surgery. QOL assessments included the Center for Epidemiological Studies–Depression Scale , the ambiguity subscale of the Mishel Uncertainty in Illness Scale , the Symptom Distress Scale, and the Short-Form Health Survey (SF-12). The sample for the longitudinal analysis included 123 who completed QOL outcome measures across three occasions post-surgery.
Results: The APN intervention resulted in significantly less uncertainty than the attention control intervention 6 months after surgery. When the sub-group who received the APN plus PCLN intervention was compared with the total attention control group, the sub-group had significantly less uncertainty, less symptom distress, and better SF-12 mental and physical QOL over time.
Conclusion: Nurse tailored interventions that target both physical and psychological aspects of QOL in women recovering from cancer surgery and undergoing chemotherapy produce stronger outcomes than interventions that target solely one QOL aspect. Copyright © 2008 John Wiley & Sons, Ltd.