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Effects of Relaxation-Focused Nursing Program in Women with Ovarian Cancer: A Randomized Controlled Trial
Institution:2. Retired Faculty Member;2. Department of Nursing, Chang Gung University of Science and Technology, Taoyuan city, Taiwan, Republic of China;3. Department of Nursing, Yuanpei University of Medical Technology, Hsinchu, Taiwan, Republic of China;4. Department of Health Care Management, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan, Republic of China;6. College of Nursing, National Yang Ming Chiao Tung University, Taipei, Taiwan, Republic of China;2. The first clinical medical college, Lanzhou University, Lanzhou, Gansu, China;3. Spine minimally invasive orthopedics, Gansu Provincial Hospital of Traditional Chinese Medicine, Lanzhou, Gansu, China;4. School of nursing, Lanzhou University, Lanzhou, Gansu, China;2. Department of Algology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey;3. Faculty of Health Sciences, Department of Nursing, Atlas University, Istanbul, Turkey;2. College of Nursing, Korea University, Seoul, Republic of Korea;2. TOPAZ Geriatric Rehabilitation Center Revitel, Leiden, the Netherlands;3. Department of Primary and Community Care, Radboud university medical center, Nijmegen, the Netherlands;4. University Network for the Care sector Zuid-Holland, Leiden University Medical Center, the Netherlands
Abstract:BackgroundSurgical treatment is a major cause of hospitalization in ovarian cancer. In this process, physical problems, such as pain and changes in respiratory functions, and psychological problems, such as anxiety and stress, may develop.AimThis study aims to investigate the effects of the Relaxation-Focused Nursing Program on pain, anxiety, lung volume, level of knowledge, and nursing care satisfaction in ovarian cancer surgery.MethodA randomized controlled trial in which participants were randomly assigned to either the experimental (preoperative relaxation exercises and education; n = 24) or control (usual nursing care; n =22) groups. The intervention consisted of practicing four sessions of relaxation exercises and education in the hospital for two days before surgery. Data were collected using the Trait and State Anxiety Inventory, Surgical Information Form, and Perioperative Assessment Form. The results were analyzed using the Friedman and Wilcoxon tests.ResultsThe findings showed significant reductions in pain (p = .045) and anxiety scores (p < .001). The level of knowledge means scores were higher in the experimental group, but there was no significant difference between mean scores of spirometer volume and care satisfaction.ConclusionsThe program was more effective than usual nursing care in preoperative anxiety, pain, and level of knowledge. Although there was no difference between the care satisfaction scores of the patients, the reasons for care satisfaction were different in the program. Developing and implementing care that combines stress reduction interventions and preoperative education can improve the preoperative outcomes of patients.
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