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Original Research

Open Access

Application of health education based on the integrated theory of health behavior change in the pelvic floor rehabilitation of patients with cervical cancer after radical surgery

  • Qing Sun1
  • Xuan Wang2,*,
  • Chunxia Yan1
  • Huimiao Huang1
  • Lvzhong Hu3

1Department of gynecological clinic, the First Affiliated Hospital of Soochow University, 215000 Suzhou, Jiangsu, China

2Department of Advanced specialist clinic, the First Affiliated Hospital of Soochow University, 215000 Suzhou, Jiangsu, China

3Department of gynecology, the First Affiliated Hospital of Soochow University, 215000 Suzhou, Jiangsu, China

DOI: 10.22514/ejgo.2023.062 Vol.44,Issue 4,August 2023 pp.102-109

Submitted: 28 April 2023 Accepted: 30 May 2023

Published: 15 August 2023

*Corresponding Author(s): Xuan Wang E-mail: xwang3053@163.com

Abstract

To analyze the effect of applying health education based on the integrated theory of health behavior change in the pelvic floor rehabilitation of patients with cervical cancer after radical surgery. We recruited 130 patients with cervical cancer who underwent gynecological surgery in our hospital between the 01 February 2021 and the 01 March 2022. According to the random number table method, the patients were divided into a control group and an observation group (65 cases per group). The control group received routine health education, while the observation group received health education based on the integrated theory of health behavior change. We compared the two groups with regards to pelvic floor function, quality-of-life, and psychological status before and after intervention by analyzing PFDI-20 (Pelvic Floor Distress Inventory Questionnaire-20), PFIQ-7 (Pelvic Floor Impact Questionnaire-7), HAMA (Hamilton Anxiety Scale) and HAMD (Hamilton Depression Scale) questionnaires, treatment compliance and nursing satisfaction. After intervention, the PFDI-20 scores and total scores of patients in the observation group were lower than those in the control group (p < 0.05). The PFIQ-7 scores and total scores of patients in the observation group were lower than those in the control group (p < 0.05). The HAMA and HAMD scores in the observation group were significantly lower than those in the control group (p < 0.05). The treatment compliance and nursing satisfaction rate of patients in the observation group were higher than those in the control group (p < 0.05). Health education based on the integrated theory of health behavior change can improve pelvic floor muscle strength, the quality-of-life, and the treatment compliance of patients after radical surgery for cervical cancer. In addition, this strategy can alleviate anxiety and depression, and improve nursing satisfaction and is worthy of wider clinical application.


Keywords

Cervical cancer; Integrative theory of health behavior change; Health education; Pelvic floor rehabilitation; Quality-of-life


Cite and Share

Qing Sun,Xuan Wang,Chunxia Yan,Huimiao Huang,Lvzhong Hu. Application of health education based on the integrated theory of health behavior change in the pelvic floor rehabilitation of patients with cervical cancer after radical surgery. European Journal of Gynaecological Oncology. 2023. 44(4);102-109.

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