Effect of Instructional Nursing Strategies on Endometriosis Symptoms

Asmaa M. Mohamed, Shadia Hamido Mehaseb, Randa M. Ibrahim
In: Evidence-Based Nursing Research · 2021 · vol. 3(4) , pp. 9 · doi:10.47104/ebnrojs3.v3i4.224 · W3205925671
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⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-09 ⓘ

Instructional nursing strategies significantly improved endometriosis patients' knowledge, self-care practices, and reduced symptoms of pain and fatigue.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-09 · read from full text ⓘ

The paper studied whether instructional nursing strategies affect endometriosis-related knowledge, practices, and symptoms in a quasi-experimental pre/post-test design at gynecological clinics of Ain Shams University Maternity Hospital. Using a purposive sample of 60 women, the authors collected data with structured endometriosis interviewing and health profile questionnaires plus a compliance follow-up record. After implementation, women showed highly statistically significant improvements in knowledge (p≥0.001), in practices for alleviating symptoms after three months (p=0.001), and in endometriosis-related symptoms including pain and fatigue (p≥0.001). The study’s main limitation is its quasi-experimental design without a randomized control group, and the abstract does not specify long-term follow-up beyond the three-month assessment. This paper is centrally about endometriosis — it evaluates the effect of instructional nursing strategies on endometriosis symptoms and related knowledge and self-care practices.

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Abstract

Context: Endometriosis is a chronic and incurable condition associated with debilitating pain and sub-fertility that affects approximately 176 million women worldwide. Aim: To measure the effect of instructional nursing strategies on endometriosis symptoms. Methods: A quasi-experimental (pre/post-test) design was utilized. The study was conducted at gynecological clinics at Ain shams University Maternity Hospital. A purposive sample of sixty women who meet the criteria of the study. Data were collected through three tools; endometriosis structured interviewing questionnaire, endometriosis health profile questionnaire, in addition to women compliance follow up record. Results: The study sample age was 32.47±5.24. There was a highly statistically significant improvement in women's knowledge regarding endometriosis after implementing instructional nursing strategy and at follow-up time compared to their knowledge before it at p-value ≥0.001. Also, there was a highly statistically significant improvement in women's practices to alleviate endometriosis symptoms after three months of implementing instructional nursing strategy compared to their self-care practices before it at p-value 0.001. Moreover, women who followed instructional nursing strategies had highly statistically significant improvement on endometriosis-related symptoms, pain, and fatigue after implementing the instructional nursing strategy at p-value ≥0.001. Conclusion: Women with endometriosis who follow instructional nursing strategies will have fewer symptoms, better knowledge, and improved self-care practices. An awareness program should be developed to upraise women's knowledge regarding endometriosis, and self-care management is recommended.
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Abstract

Context: Endometriosis is a chronic and incurable condition associated with debilitating pain and sub-fertility that affects approximately 176 million women worldwide. Aim: To measure the effect of instructional nursing strategies on endometriosis symptoms.

Methods

A quasi-experimental (pre/post-test) design was utilized. The study was conducted at gynecological clinics at Ain shams University Maternity Hospital. A purposive sample of sixty women who meet the criteria of the study. Data were collected through three tools; endometriosis structured interviewing questionnaire, endometriosis health profile questionnaire, in addition to women compliance follow up record.

Results

The study sample age was 32.47±5.24. There was a highly statistically significant improvement in women's knowledge regarding endometriosis after implementing instructional nursing strategy and at follow-up time compared to their knowledge before it at p-value ≥0.001. Also, there was a highly statistically significant improvement in women's practices to alleviate endometriosis symptoms after three months of implementing instructional nursing strategy compared to their self-care practices before it at p-value 0.001. Moreover, women who followed instructional nursing strategies had highly statistically significant improvement on endometriosis-related symptoms, pain, and fatigue after implementing the instructional nursing strategy at p-value ≥0.001.

Conclusion

Women with endometriosis who follow instructional nursing strategies will have fewer symptoms, better knowledge, and improved self-care practices. An awareness program should be developed to upraise women's knowledge regarding endometriosis, and self-care management is recommended. This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License. Copyright (c) 2021 Evidence-Based Nursing Research

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Outcome instruments

EHP-30

Condition tags

endometriosis

Citation neighborhood (2-hop)

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

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