The Development of an Individualized Supportive Care Model to Reduce Psychological Distress and Enhance Quality of Life Among Gynecologic Cancer Patients
Keywords:
Gynecologic Cancer, Supportive care, Individualized needs, Psychological distress, Quality of lifeAbstract
The objectives of this research and development were to: 1) investigate the situation of supportive care needs, psychological distress, and quality of life among gynecologic cancer patients; 2) develop an individualized supportive care model; and 3) examine the effectiveness of the developed model. The study was conducted in three phases. Phase 1 involved a sample of 53 gynecologic cancer patients. The research instruments consisted of a personal data form, a supportive care needs questionnaire, a psychological distress assessment, and a quality of life assessment. Phase 2 involved model development through interviews with 10 medical personnel and survivors. Phase 3 examined the effectiveness of the model in a sample of 30 patients. Data were analyzed using descriptive statistics and Paired t-test.
The results revealed that patients had high supportive care needs in the psychological domain, followed by the health system and information domain. Patients experienced moderate levels of psychological distress, with fatigue and anxiety being the most common problems. Overall quality of life was at a high level. The developed model consisted of four steps: individual assessment, individual analysis and planning, supportive nursing action, and follow-up and evaluation. After receiving care based on the developed model, the patients’ mean psychological distress scores significantly decreased, and mean overall quality of life scores significantly increased (p < .05).
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