Effect of Instructional Supportive Guidelines on Quality of Life among Women with Endometriosis

Alasser, A. M. F.; Eshra, D. KH.; Saleh, S.A.A.; Ashour, E. S. S.

doi:10.21608/ejhc.2022.228813

Effect of Instructional Supportive Guidelines on Quality of Life among Women with Endometriosis

Document Type : Original Article

Authors

¹ Assistant Lecturer in Maternal and Newborn Health Nursing, Faculty of Nursing, Menoufia University

² Professor of Maternal and Newborn Health Nursing, Faculty of Nursing, Menoufia University

³ Professor of Obstetrics and gynecology, Faculty of Medicine - Menoufia University

⁴ Assistant Professor of Maternal and Newborn Health Nursing, Faculty of Nursing, Menoufia University

10.21608/ejhc.2022.228813

Abstract

Background: Pain and infertility are hallmarks of endometriosis, a complex illness that, if left
untreated, may have a devastating influence on a patient's life and health. The purpose of the study
was to investigate the effect of instructional supportive guidelines on the quality of life among
women with endometriosis. Design: The investigation was conducted using a design that was
classified as quasi-experimental (non-equivalent group). Sample: 100 women diagnosed with
endometriosis were selected as a convenience sample from a larger pool of women with the disease.
Settings: Both Menoufia University Hospital and Shebin El-Kom Teaching Hospital (both in Egypt)
participated in the research by providing access to their affiliated obstetrics and gynecology
outpatient clinics. Instruments: A structured interviewing questionnaire, a numerical rating scale,
and an endometriosis health profile questionnaire were used as the instruments in this study. Results:
Total endometriosis knowledge ratings were drastically different of both groups, and this difference
seemed extremely clinically meaningful after implementing the guidelines. In comparison to the
control group, the pain associated with endometriosis was significantly less severe in the study
group. This difference was statistically significant. The mean scores of the total endometriosis
health profile showed impairment in quality of life in the study and control groups before the
intervention. One and two months after the instructional supportive guidelines’ implementation, the
study group had a significantly lower mean total score of the endometriosis health profile than the
control group, indicating improved quality of life. Conclusion: Increases in overall knowledge and
decreases in endometriosis-related pain symptom severity were shown to be statistically significant
outcomes of the instructional supporting guidelines. In addition, the women in the study group had a
markedly better quality of life across all dimensions than those in the control group.
Recommendations: It is vital to provide health education programs for women who have
endometriosis to enhance their quality of life and expand understanding of the guidelines that may
be followed in order to lessen the pain symptoms that are associated with endometriosis. It is also
recommended that regular follow-up be performed in order to assess the level of health-related
quality of life and identify any potential health issues at an early stage.

Keywords