The Effect of Continuous Care Model on Quality of Life of women with Endometriosis: A Quasi -Experimental Study

fatemeh jalalinezhad, Khadijeh Shadjoo, roghieh bayrami, vahid alinezhad
2025 · W7084197068
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A quasi-experimental study found that a continuous care model improved most quality of life dimensions for women with endometriosis, excluding relationships with children and medical attention.

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This quasi-experimental non-parallel study evaluated whether implementing a continuous care model over three months improved health-related quality of life in 60 women with endometriosis recruited from Avicenna Clinic in Tehran using convenience sampling, with the 30-item EHP quality of life questionnaire completed at baseline, two months, and three months. Across these time points, several EHP dimensions—pain, degree of control, emotional and social support, self-perception, job, intercourse, efficiency of existing treatments, and perception of infertility—showed statistically significant improvements between measurements before and after the intervention. The study found no statistically significant changes in the relationship with the child and medical attention dimensions (P=0.085 and P=0.271). This paper is centrally about endometriosis — it tests a continuous care model to improve multiple domains of endometriosis-related quality of life.

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Abstract

Background and Objective: The relatively high prevalence of endometriosis in women of childbearing age and its negative impact on the health related quality of life, requires the use of intervention appropriate to their conditions. The aim of present study was determining the effect of using the continuous care model on the quality of life of women with endometriosis. Materials and Methods: This non-parallel semi-experimental study was conducted from December 2022 to September 2023 on 60 people (30 people in each group) of women with endometriosis with convenience sampling at Avicenna Clinic in Tehran. For the intervention group, the continuous care model was implemented in four stages among three months. The 30-EHP quality of life questionnaire was completed before, two and three months after the end of the intervention. Data were analyzed using chi-square tests, independent t- test and repeated measures analysis of variance in SPSS16 software. Results: The mean scores of pain, degree of control, emotional, social support, self-perception, job, intercourse, efficiency of existing treatments and perception of infertility dimensions were statistically significant in measurements before, two months and three months after the intervention in two groups(P<0.05). However, no statistically significant difference was observed regarding the dimensions of relationship with the child (P=0.085) and medical attention (P=0.271). Conclusion: The continuous care model has improved some aspects of the quality of life, except for the aspects of the relationship with the child and medical attention. It is suggested to use other interventions to improve these aspects along with continues care model.
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مراقبت پرستاری و مامایی ابن سینا (Feb 2025) The Effect of Continuous Care Model on Quality of Life of women with Endometriosis: A Quasi -Experimental Study Abstract Background and Objective: The relatively high prevalence of endometriosis in women of childbearing age and its negative impact on the health related quality of life, requires the use of intervention appropriate to their conditions. The aim of present study was determining the effect of using the continuous care model on the quality of life of women with endometriosis. Materials and Methods: This non-parallel semi-experimental study was conducted from December 2022 to September 2023 on 60 people (30 people in each group) of women with endometriosis with convenience sampling at Avicenna Clinic in Tehran. For the intervention group, the continuous care model was implemented in four stages among three months. The 30-EHP quality of life questionnaire was completed before, two and three months after the end of the intervention. Data were analyzed using chi-square tests, independent t- test and repeated measures analysis of variance in SPSS16 software. Results: The mean scores of pain, degree of control, emotional, social support, self-perception, job, intercourse, efficiency of existing treatments and perception of infertility dimensions were statistically significant in measurements before, two months and three months after the intervention in two groups(P<0.05). However, no statistically significant difference was observed regarding the dimensions of relationship with the child (P=0.085) and medical attention (P=0.271). Conclusion: The continuous care model has improved some aspects of the quality of life, except for the aspects of the relationship with the child and medical attention. It is suggested to use other interventions to improve these aspects along with continues care model.

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