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Cited by 144Cancer survivorship and careWomen's cancer prevention and managementPalliative and Oncologic Care

Effects of a nursing intervention on quality of life outcomes in post-surgical women with gynecological cancers

Open access
McCorkle, Ruth, Dowd, Michael, Ercolano, Elizabeth, Schulman‐Green, Dena, Williams, Anna‐leila, Siefert, Mary Lou, Steiner, Jeanne, Schwartz, Peter·2009·Psycho-Oncology
DOI 10.1002/pon.1365PMC PMC4186244
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Abstract

Objective: Women with gynecological cancers have reported poor health‐related quality of life (QOL), with complex physical and psychological needs post‐surgery and during chemotherapy treatment. There are no studies reporting interventions addressing these needs post‐hospital discharge in this population. Methods: Patients were randomized into two groups. The intervention group received 6 months of specialized care by an Advanced Practice Nurse (APN); in addition, women with high distress were evaluated and monitored by a psychiatric consultation–liaison nurse (PCLN). The attention control group was assisted with symptom management by a research assistant. The effects of the 6‐month intervention were evaluated using self‐report questionnaires at baseline (24–48 h after surgery), 1, 3, and 6 months post‐ surgery. QOL assessments included the Center for Epidemiological Studies–Depression Scale , the ambiguity subscale of the Mishel Uncertainty in Illness Scale , the Symptom Distress Scale, and the Short‐Form Health Survey (SF‐12). The sample for the longitudinal analysis included 123 who completed QOL outcome measures across three occasions post‐surgery. Results: The APN intervention resulted in significantly less uncertainty than the attention control intervention 6 months after surgery. When the sub‐group who received the APN plus PCLN intervention was compared with the total attention control group, the sub‐group had significantly less uncertainty, less symptom distress, and better SF‐12 mental and physical QOL over time. Conclusion: Nurse tailored interventions that target both physical and psychological aspects of QOL in women recovering from cancer surgery and undergoing chemotherapy produce stronger outcomes than interventions that target solely one QOL aspect. Copyright © 2008 John Wiley & Sons, Ltd.

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  • Given et al. developed a nurse-delivered intervention to reduce severity of 15 prevalent physical and psychological symptoms for patients with solid tumors receiving first-line chemotherapy.

    “Given et al.16 built on previous psychoeducational and behavioral interventions for specific cancers and specific symptoms to develop a nurse-delivered intervention to reduce the severity of 15 prevalent physical and psychological symptoms for patients with a variety of solid tumors receiving chemotherapy for the first time.”

    From Self-management: Enabling and empowering patients living with cancer as a chronic illness (2011) · cites this paper as [16]

  • The Given et al. study found decreased symptom severity for patients who entered the intervention with higher symptom severity (p=.01).

    “The study found decreased symptom severity for patients who entered the intervention with higher symptom severity (p=.01) 16.”

    From Self-management: Enabling and empowering patients living with cancer as a chronic illness (2011) · cites this paper as [16]

  • In cancer care, randomized trials have shown that clinicians with good communication skills and extra training in counseling methods such as motivational interviewing or cognitive behavioral therapy perform these functions well.

    “In cancer care, several randomized trials have demonstrated that clinicians with good communication skills and additional training in counseling methods, methods such Motivational Interviewing (MI) or Cognitive Behavioral Therapy (CBT), perform these functions well16,17.”

    From Self-management: Enabling and empowering patients living with cancer as a chronic illness (2011) · cites this paper as [16]

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Research works printed but not linked: 1

  1. [13]Schulman-Green D McCorkle R Ercolano E Dowd M Schwartz P Psychological distress among women after gynecological cancer surgery Palliative and Supportive Care 2008 6 324 344 PMC3648854 18662417

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Authors
McCorkle, R., Dowd, M., Ercolano, E., Schulman‐Green, D., Williams, A., Siefert, M. L., Steiner, J., & Schwartz, P.
Affiliations
  • Yale University (US)
  • Yale New Haven Hospital (US)
Corresponding author
McCorkle, Ruth
ORCID
Venue
Psycho-Oncology
Publisher
Wiley
Published
2008-06-20
Volume
18
Issue
1
Pages
62-70
ISSN
  • 1057-9249 (ISSN-L)
  • 1099-1611
DOI
10.1002/pon.1365
PMC
PMC4186244
OpenAlex
W2075604461
Cited by
144
References
32
Citations by year
2026: 2 · 2025: 2 · 2024: 5 · 2023: 5 · 2022: 7 · 2021: 8 · 2020: 8 · 2019: 7 · 2018: 6 · 2017: 17 · 2016: 9 · 2015: 15 · 2014: 7 · 2013: 12 · 2012: 10
FWCI
4.22
Type
journal article
Language
en
Open access
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations
  • Psycho-Oncology (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • Yale University
  • National Institutes of Health
  • National Institute of Nursing Research (R01NR007778, 1R01 NR07778)
Topics
  • Health Sciences › Medicine › Oncology › Cancer survivorship and care
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Women's cancer prevention and management
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative and Oncologic Care
Keywords
gynecologic cancer, health-related quality of life, nursing interventions, advanced practice nurses, postoperative recovery, chemotherapy, illness uncertainty, symptom distress, depression, post-discharge care
MeSH terms
Aftercare, Mental Disorders, Connecticut, Female, Health Status, Humans, Middle Aged, Nurse Practitioners, Ovarian Neoplasms, Postoperative Care, Psychiatric Nursing, Quality of Life, Regression Analysis, Single-Blind Method, Chemotherapy, Adjuvant

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