The Efficacy of Evidence-Based Nursing Interventions in Postoperative Care for Cervical Cancer Patients: A Retrospective Evaluation

循证护理干预在宫颈癌患者术后护理中的疗效:一项回顾性评估

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Abstract

BACKGROUND: Cervical cancer patients often face complex physical and psychological challenges following surgery. Evidence-based nursing (EBN) interventions, tailored to meet these needs, may enhance postoperative recovery, but their specific effects on patient outcomes in cervical cancer care have been less explored. This study evaluates the impact of EBN on awareness, psychological well-being, quality of life (QoL), and nursing satisfaction in postoperative care for cervical cancer patients. METHODS: This retrospective study (January 2021-December 2023) included adult cervical cancer patients undergoing primary surgery, divided into a control group (n=80, standard care) and an observation group (n=76, EBN interventions). Outcomes were disease/surgery awareness, treatment knowledge, and intraoperative cooperation (100-point scales); psychological distress using the Symptom Checklist-90-Revised (SCL-90-R); QoL using the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (EORTC QLQ-C30); perioperative patient satisfaction (100-point questionnaire). RESULTS: The observation group demonstrated significantly higher scores in cervical cancer awareness (95.82 ± 5.34 vs 84.38 ± 5.21, p < 0.001), surgical knowledge (96.26 ± 7.12 vs 88.03 ± 6.43, p < 0.001), and cooperation (92.13 ± 8.15 vs 82.10 ± 7.82, p < 0.001). Post-intervention reductions in anxiety, depression, and other emotional symptoms were significantly greater in the observation group (p < 0.05). QoL scores improved across all functional domains, especially physiological (86.66 ± 13.05 vs 64.85 ± 9.80, p < 0.001). Total nursing satisfaction was higher in the observation group (96.05% vs 83.75%, χ² = 6.409, p = 0.011). CONCLUSION: EBN interventions in postoperative care for cervical cancer patients might be associated with notable benefits, including enhanced patient awareness, improved psychological well-being, better QoL, and higher nursing satisfaction. These findings suggest that EBN could be a valuable approach for improving outcomes in postoperative cervical cancer care.

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