A home-based, nurse-led health program for postoperative patients with early-stage cervical cancer: A randomized controlled trial

A systematic literature review of trials of survivorship interventions for women with gynaecological cancer and their caregivers

“…One study including women with all gynaecological cancers found that two post‐discharge home visits by a nurse in the 1st and 12th weeks after discharge, delivered within a nursing care plan framework (including addressing physical, psychological and social problems, nutrition and medication management), were effective in improving quality of life compared to usual care (Aktas & Terzioglu, ). Another trial including post‐operative women with early‐stage cervical cancer found women randomised to a home‐based, nurse‐led health promotion programme (including addressing family‐care team provision, physical, psychological and social support and follow‐up monitoring) experienced improved quality of life, sexual function and family function, whereas no significant changes were found for the control group except for a worsening of sexual function (Li & Huang., ). A third study including women with ovarian cancer pilot‐tested a 10‐month nurse‐led telephone follow‐up that included patient‐led discussions (about feelings of anxiety or depression, fear of disease recurrence, social/sexual/family/work/financial concerns).…”

“…Another trial including post-operative women with early-stage cervical cancer found women randomised to a home-based, nurse-led health promotion programme (including addressing family-care team provision, physical, psychological and social support and follow-up monitoring) experienced improved quality of life, sexual function and family function, whereas no significant changes were found for the control group except for a worsening of sexual function (Li & Huang., 2016). A third study including women with ovarian cancer pilot-tested a 10-month nurse-led telephone follow-up that included patient-led discussions (about feelings of anxiety or depression, fear of disease recurrence, social/sexual/family/work/financial concerns).…”

A Systematic Review of Interventions for Sexual Well-Being in Women With Gynecologic, Anal, or Rectal Cancer

“…Two studies focused on women treated for colon or rectal cancer (Barsky Reese et al, 2014;Barsky Reese, Porter, Somers, & Keefe, 2012), and one focused on women treated for rectal or anal cancer (DuHamel et al, 2016). Two studies were of women treated for cervical cancer (Li, Huang, Zhang, & Li, 2016;Schroder et al, 2005), two reported combined results for breast and gynecologic cancers Scott et al, 2004), and the remainder involved a mix of gynecologic cancers. Sample sizes ranged from 9 couples (4 of whom were women with male partners) to 226 women.…”

“…Continued on the next page practice nurses, or clinical psychologists; many had training specifically in sex therapy. Combination: Three studies combined genitourinary rehabilitation with psychoeducation (Bakker et al, 2017;Li et al, 2016;Yang, Lim, Rah, & Kim, 2012). In the Yang et al (2012) study, women treated for cervical or endometrial cancer participated in a pelvic floor rehabilitation program.…”

“…Participants received weekly abdominopelvic exercise sessions with biofeedback and lifestyle counseling sessions to prepare them for home-based exercise. In the Li et al (2016) study, postoperative patients with cervical cancer received a multifaceted home-based health program that included a tailored interprofessional care team who provided advice, pelvic floor muscle training, yoga, education, support for the creation of an informal social support system, and follow-up monitoring with online and telephone communications. In the Bakker et al (2017) study, women undergoing radiation therapy for gynecologic cancer received a nurse-led sexual rehabilitation intervention targeting sexual recovery and vaginal dilatation.…”