effect of self-management intervention on the quality of life among women with endometriosis

In: International journal of health sciences · 2022 · pp. 6405–6416 · doi:10.53730/ijhs.v6ns8.13800 · W4313068220
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This study evaluated a self-management intervention for women with endometriosis, finding that it significantly reduced pain severity among participants.

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This quasi-experimental pre–post study evaluated whether a self-management intervention (physical activity, sleep, exercise, mood, diet choices, and medication) affected quality of life in 40 women with endometriosis recruited from an outpatient obstetrics and gynecology clinic in El Mansoura Health Insurance Hospital, Egypt. Pain severity was assessed with a numerical rating scale, and endometriosis-related wellbeing/quality of life was measured using the Endometriosis Health Profile Questionnaire, alongside socio-demographic and gynecologic history. The results reported that most participants had severe pain before the intervention compared with about one fifth afterward. The study’s main limitation is the small convenience sample and lack of a randomized control group. This paper is centrally about endometriosis — it examines how self-management interventions change endometriosis-related quality of life and pain severity.

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Abstract

Background: Endometriosis is a painful, chronic, and inflammatory disease that is characterized by the growth of endometrial-like tissue outside uterus that affects approximately 190 million women in world. Aim of the study to evaluate the effect of self-management interventions on the quality of life among women with endometriosis. Design: Quasi experimental design was used to achieve the aim of the study (pre- post test). Setting: The current study was conducted at the outpatient clinic for obstetrics and gynecology at El Mansoura Health Insurance Hospital, Dakahlia Governorate, Egypt. Sample: A convenience sample composed of 40 women suffering from endometriosis was included in the study. Tools: four tools for data collection Tool I: A structured interviewing questionnaire included two parts (socio-demographic characteristics –obstetric and gynecological history) Tool II; Numerical rating scale (NRS), to measure the severity of pain symptoms associated with endometriosis. Tool III; Endometriosis Health Profile Questionnaire, to determine wellbeing quality of life of endometriosis female. Tool IV; Self-management interventions, include: (physical activity -sleep -exercise -mood-dietary choices-medication). Results: The majority of the studied women with endometriosis had severe pain at pre intervention in compares to one fifth of studied women post intervention.
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Keywords

self-management interventions, quality of life, endometriosisAbstract

Background

Endometriosis is a painful, chronic, and inflammatory disease that is characterized by the growth of endometrial-like tissue outside uterus that affects approximately 190 million women in world. Aim of the study to evaluate the effect of self-management interventions on the quality of life among women with endometriosis. Design: Quasi experimental design was used to achieve the aim of the study (pre- post test). Setting: The current study was conducted at the outpatient clinic for obstetrics and gynecology at El Mansoura Health Insurance Hospital, Dakahlia Governorate, Egypt. Sample: A convenience sample composed of 40 women suffering from endometriosis was included in the study. Tools: four tools for data collection Tool I: A structured interviewing questionnaire included two parts (socio-demographic characteristics –obstetric and gynecological history) Tool II; Numerical rating scale (NRS), to measure the severity of pain symptoms associated with endometriosis. Tool III; Endometriosis Health Profile Questionnaire, to determine wellbeing quality of life of endometriosis female. Tool IV; Self-management interventions, include: (physical activity -sleep -exercise -mood-dietary choices-medication). Results: The majority of the studied women with endometriosis had severe pain at pre intervention in compares to one fifth of studied women post intervention. Downloads

References

Abd El-Kader, Gonied, A., Mohamed, M., et al. (2019). Impact of Endometriosis-Related Adhesions on Quality of Life among Infertile Women, Zagazig University, Zagazig, Egypt Int J Fertil Steril. 2019; 13(1): 72-76. doi: 10.22074/ ijfs.2019.5572. Armour, M., Sinclair, J., Ng, C.H.M., Hyman, MS, Lawson, K, Smith, C.A & Abbott, J., (2020). Endometriosis and chronic pelvic pain have a similar impact on women, but the time to diagnosis is decreasing: an Australian survey. Sci Rep 10(5), 16253 Armour, M., Sinclair, J., Ng, C.H.M., Hyman, MS, Lawson, K, Smith, C.A & Abbott, J., (2020). Endometriosis and chronic pelvic pain have a similar impact on women, but the time to diagnosis is decreasing: an Australian survey. Sci Rep 10(5), 16253 De Graaff, A.A., D’Hooghe, T.M., Dunselman, G.A., Dirksen, C.D., Hummelshoj, L., & Simoens, S. (2019). The significant effect of endometriosis on physical, mental and social wellbeing: results from an international cross-sectional survey. Hum Reprod, 28(10), 2677-2685. Diana, Dewi Wahyu Ningsih. (2020). Panduan untuk konselor teknik selfmanagement dalam bingkai cognitive behavior untuk meningkatkan kemandirian belajar. Jakarta CV. Sanuh Untung. EL Sayed, H. A. E., & Aboud, S. A. H. H. (2018). Effect of an educational intervention on quality of life and sexual function in women with endometriosis. International Journal of Studies in Nursing, 3(2), 127. Fonseca, A.D, Marlon, D.F.F, Carvalho, A.L, Lilian. A Ventura, S.F, Jose Anacleto, D.D, Peixoto, C.C, (2018). "Interrelationships among endometriosisrelated pain symptoms and their effects on health-related quality of life: a sectional observational study", Obstetrics & Gynecology Science; 61(5): 605-614. Huijs, E. & Nap, A. (2020). The effects of nutrients on symptoms in women with endometriosis: a systematic review. RBMO 41(2), 326. Metwally, H.M.S., and Desoky, M.M.A. (2018). Improving Quality of Life among Women with Endometriosis: An Intervention Study. American Journal of Nursing Research; 6(6): 668-678. Moradi, M., Parker, M., Sneddon, A., Lopez, V., & Ellwood, D. (2018). Impact of endometriosis on women’s lives: a qualitative study. BMC Women's Health, 14, 123. Sayed, H. A. E., & Aboud, S. A. H. H. 2018. Effect of an educational intervention on quality of life and sexual function in women with endometriosis. International Journal of Studies in Nursing. 3(2): 1-`13. Seckin, T. (2020). Endometriosis: A Guide for Girls. Turner Publishing Company, New York, 1st ed, pp: 25-31. Soliman, A. M. et al. (2021). The effect of endometriosis symptoms on absenteeism and presenteeism in the workplace and at home. J. Manag. Care Spec. Pharm. 23, 745–754. Wei, M, Cheng, Y, Bu H, Zhao, Y, Zhao, W.( 2020). Length of menstrual cycle and risk of endometriosis a meta-analysis of 11 case-control studies. Medicine (United States); 95. Published How to Cite Issue Section Copyright (c) 2022 International journal of health sciences This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. Articles published in the International Journal of Health Sciences (IJHS) are available under Creative Commons Attribution Non-Commercial No Derivatives Licence (CC BY-NC-ND 4.0). Authors retain copyright in their work and grant IJHS right of first publication under CC BY-NC-ND 4.0. Users have the right to read, download, copy, distribute, print, search, or link to the full texts of articles in this journal, and to use them for any other lawful purpose. Articles published in IJHS can be copied, communicated and shared in their published form for non-commercial purposes provided full attribution is given to the author and the journal. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal. This copyright notice applies to articles published in IJHS volumes 4 onwards. Please read about the copyright notices for previous volumes under Journal History.

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Outcome instruments

EHP-30 NRS-pain

Condition tags

endometriosis

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