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首页> 外文期刊>BMC Women s Health >The effect of written information and counselling by an advanced practice nurse on resilience in women with vulvar neoplasia six months after surgical treatment and the influence of social support, recurrence, and age: a secondary analysis of a multicenter randomized controlled trial, WOMAN-PRO II
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The effect of written information and counselling by an advanced practice nurse on resilience in women with vulvar neoplasia six months after surgical treatment and the influence of social support, recurrence, and age: a secondary analysis of a multicenter randomized controlled trial, WOMAN-PRO II

机译:先进的实践护士对外科治疗后六个月的外阴肿瘤患者的妇女的恢复能力的效果,以及社会支持,复发和年龄的影响:多中心随机对照试验的二级分析,女士专业

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Women with vulvar neoplasia often complain about physical and psychological distress after surgical treatment. Lack of information and support can influence resilience. Whether an information-related intervention through an advanced practice nurse supports resilience and which other factors affect resilience in women with vulvar neoplasia has never been investigated. The aims of this study were (a) to analyse whether counselling based on the WOMAN-PRO II program causes a significant improvement in the resilience scores of women with vulvar neoplasia compared to written information and (b) to identify the potential predictors of resilience. A randomized controlled trial was conducted in women with vulvar neoplasia (n?=?49) 6 months after surgical treatment in four Swiss hospitals and one Austrian hospital. Analyses of resilience and its predictors were performed using a linear mixed model. Thirty-six women (intervention I, n?=?8; intervention II, n?=?28) completed the randomized controlled trial. In total, 13 women (26.5%) dropped out of the trial. The resilience score did not differ significantly between the two interventions three and six months after randomisation (p?=?0.759). Age (b?=?.04, p?=?0.001), social support (b?=?.28, p?=?0.009), counselling time (b?=?.03, p?=?0.018) and local recurrence (b?=??.56, p?=?0.009) were identified as significant predictors of resilience in the linear mixed model analyses. The results indicate that the WOMAN-PRO II program as single intervention does not cause a significant change in the resilience scores of women with vulvar neoplasia 6 months after surgery. Predictors that promote or minimise resilience have been identified and should be considered when developing resilience programs for women with vulvar neoplasia. A repetition of the study with a larger sample size is recommended. The WOMAN-PRO II program was registered in ClinicalTrials.gov NCT01986725 on 18 November 2013.
机译:外科治疗后,外阴肿瘤的女性经常抱怨身体和心理困扰。缺乏信息和支持可以影响弹性。无论是通过高级实践护士的信息相关的干预,都支持恢复力,并从未调查过外阴肿瘤的女性对妇女影响的其他因素。本研究的目的是(a)分析基于女性专业人选的咨询,与书面资料和(b)相比,与书面资料和(b)相比,对外阴瘤形成的妇女的复原性评分进行了重大改善,以确定弹性的潜在预测因子。在四个瑞士医院和一名奥地利医院的手术治疗后6个月内,在外阴肿瘤(N?= 49)中进行随机对照试验。利用线性混合模型进行弹性及其预测器的分析。三十六名女性(干预I,N?=?8;干预II,N?= 28)完成了随机对照试验。总共有13名女性(26.5%)退出审判。随机化三六个月的两个干预措施之间的弹性得分没有显着差异(P?= 0.759)。年龄(B?= 04,p?= 0.001),社会支持(b?=Δ.28,p?= 0.009),咨询时间(b?=Δ.03,p?= 0.018)和局部复发(B?= ??。56,p?= 0.009)被鉴定为线性混合模型分析中的重新抵抗能力的显着预测因子。结果表明,女性专业II计划作为单一干预的计划不会导致手术后6个月内患有外阴肿瘤的妇女的复原性评分的重大变化。促进了促进或最大限度地促进了韧性的预测因素,并且应在为具有外阴肿瘤的妇女的恢复性计划中审议。建议使用更大的样品大小重复研究。 2013年11月18日在Clinicaltrials.gov NCT01986725中注册了​​女性专业版。

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