scholarly journals Call for Alleviating Sexual Issues among Cervical Cancer Survivors' Women in Northern Upper Egypt

2021 ◽  
Vol 5 (3) ◽  
pp. 01-11
Author(s):  
Hanan Elzeblawy Hassan ◽  
Ragaa Ali Mohammed ◽  
Soad Abd El Salam Ramadan ◽  
Hagar kamal masaud

Background: Cervical cancer affects all aspects of a patient’s life, including sexual functioning, body image, and intimacy. Aim: The present study aimed to evaluate the impact of a protocol of nursing intervention on sexual dysfunction and body image among cervical cancer survivors' women. Methods; Design: Α quаsi-experimentаl research design was conducted. Setting: out-patient clinic in the oncology unit at Ɓeni-Suef University Hospital. Subjects: A purposive sample of 70 women. Tools: Data was collected through а structured interviewing questionnаire sheet, femаle sexuаl function index, femаle sexuаl distress scаle, and body image scаle. Results: The results of the study reveаled that there was а high statistically significаnt difference in the women's totаl score of knowledge аbout cervical cancer, total scores of female sexuаl function index, female sexual distress scаle, аnd body image scale at post-intervention compared to pre-intervention (р<0.001). Conclusion: The study concluded that educational protocol, which provided to cervical cancer survivors' women, have a positive effect on their own knowledge, body image, and sexual function. Recommendations: disseminate the multidisciplinary collaboration approach for addressing sexual problems related to cervical cancer, and preparing health classes for cervical cancer women regarding sexual dysfunction with cervical cancer.

2021 ◽  
Vol 5 (1) ◽  
pp. 01-15
Author(s):  
Hanan Elzeblawy Hassan ◽  
Ragaa Mohammed ◽  
Soad Ramadan ◽  
Hagar Masaud

Background: Sexuality is an important part of normal human functioning. Gynecological cancer and its treatments can affect one or more phases of the sexual response cycle, through alterations of sexual function. Sexual dysfunction is one of the most distressful symptoms among cervical cancer survivors. Sexual distress is a broad term encompassing any sexual discomfort and dysfunction. Sexual difficulties following cervical cancer can be stressful for couples as it can feel like a core part of the relationship has disappeared. Aim: The study is conducted to evaluate the impact of an educational program on sexual issues (sexual dysfunction & sexual distress) among cervical cancer survivors' women in Northern Upper Egypt. Methods; Design: A quasi-experimental design. Setting: out-patient clinic in the oncology unit at Beni-Suef University Hospital. Subjects: A purposive sample of 70 women. Tools: structured interviewing questionnaire sheet, female sexual function index, and female sexual distress scale. Results: The results of the study revealed regression of all items of women’s sexual distress scores, and progression of all items of women’s sexual items post-program compared to pre-one. Conclusion: The teaching program was very effective in improving sexuality among cervical cancer survivors' women. Recommendations: Disseminate the educational booklet at health centers and oncology outpatients. Integrate psychologist, psychosexual specialist, and social worker in treatment and counseling program for women with cervical cancer in the early stage of their treatment.


2021 ◽  
Vol 2 (2) ◽  
pp. 203-224
Author(s):  
Hagar Kamal Masaud ◽  
Ragaa Ali Mohammed ◽  
Soad Abd El Salam Ramadan ◽  
Hanan Elzeblawy Hassan

2013 ◽  
Vol 48 (4) ◽  
pp. 302-307 ◽  
Author(s):  
Christopher Burrell ◽  
Candy Tsourounis ◽  
David Quan ◽  
Vicki Jue ◽  
Eunice Tam ◽  
...  

Background An internal evaluation of the inpatient pharmacy order entry database ( WORx) at a university hospital revealed that the nature of the reaction was documented for only 47% of patients with reported drug allergies/intolerance. Insufficient documentation of drug allergy/intolerance may result in administration of drugs that should not be prescribed. Similarly, valuable agents that should be used may not be prescribed due to an unnecessary fear of adverse drug reaction. More complete description of drug allergy/intolerance may result in more correct prescribing of medications. Objective Evaluate the impact of a pharmacist-driven protocol on the quality of drug allergy/intolerance documentation. Methods Four pre-intervention evaluations were conducted every 2 weeks documenting the completeness of drug allergy/intolerance information in the pharmacy order entry database. One week following the implementation of a pharmacist-driven protocol intended to improve the completeness of drug allergy/intolerance information, a series of 4 postintervention evaluations was repeated. Proportional analysis of pre- and postinterventional data was performed to evaluate the effectiveness of the intervention. Results A total of 1,686 allergies from 2,174 patients were reviewed pre and post intervention. The frequency of complete drug allergy/intolerance documentation pre intervention was 52% to 62%. Following implementation of the hospitalwide, pharmacist-driven protocol, this rate increased to 60% to 76%. Pediatric services demonstrated the most substantial improvement, increasing from 53% to 79% to 67% to 93%. Blank reaction fields decreased by 10% in both age groups. Conclusion A pharmacy-driven initiative intended to improve the completeness of drug allergy/intolerance documentation was associated with modest success. Other mechanisms, including electronic health record systems with computerized physician order entry and decision support, are needed to improve the completeness of drug allergy/intolerance information.


2019 ◽  
Vol 3 (s1) ◽  
pp. 121-121
Author(s):  
Subhjit Sekhon ◽  
Lindsay Kuroki ◽  
Graham Colditz

OBJECTIVES/SPECIFIC AIMS: To evaluate gaps in knowledge for women who are cancer survivors regarding the impact of comorbidities and lifestyle behaviors on endometrial and cervical cancer risk, and to assess prevalence of established care with a primary care physician (PCP) among patients and evaluate acceptability of referral to a PCP METHODS/STUDY POPULATION: Single institution cross-sectional study examining all women aged 18 or older with a diagnosis of cervical or endometrial cancer who present for care by a gynecologic oncologist at Barnes-Jewish Hospital/Washington University in St. Louis School of Medicine. Patients will be invited to complete a survey specific to cancer diagnosis that includes questions on participant background and sociodemographic information, knowledge of risk factors for their specific cancer site, and whether or not the patient has a primary care provider and the acceptability of referring RESULTS/ANTICIPATED RESULTS: Majority of women will be unaware of how comorbidities affect cancer risk and treatment outcomes. For women without a PCP, we anticipate that they will be accepting towards the notion of being referred to one for establishing care. DISCUSSION/SIGNIFICANCE OF IMPACT: Pilot information from this study will 1. Allow providers to improve cancer survivorship care plans by increasing collaboration between PCPs and oncologists to provide ongoing care, and 2. Afford information for providers on where gaps in knowledge exist so as to better education patients.


2015 ◽  
Vol 24 (4) ◽  
pp. 1679-1687 ◽  
Author(s):  
Willemijn M. Vermeer ◽  
Rinske M. Bakker ◽  
Gemma G. Kenter ◽  
Anne M. Stiggelbout ◽  
Moniek M. ter Kuile

Author(s):  
Hagar Masaud ◽  
Hanan Elzeblawy Hassan ◽  
Ragaa Mohammed ◽  
Soad Ramadan

Background: Sexual distress impacts women’s mental well-being. Anger/aggression, separation, divorce, and depression may be results of sexual distress. It harms woman’s mental health, in turn, impact the relationship between spouses. Aim: The present study aimed to assess women’s sexual distress associated with cervical cancer. Methods; Design: A descriptive design was used for the current study. Setting: out-patient clinic in the oncology unit at Beni-Suef University Hospital. Subjects: A purposive sample of 70 women. Tools: Data was collected through a structured interviewing questionnaire sheet, female sexual distress scale. Results: The results of the study revealed that 35.7% of women were in the 1st degree when diagnosed, 88.6% of the studied women had sexual distress. There was a statistically significant relationship between the educational level of women, marriage age, and their total sexual distress scores, while there was no relationship between age and residence of women and their total sexual distress scores. Conclusion: Sexual distress was more prevalent among older, less educated, urban dwellers, and those whose age of marriage was less than 20 years old. Recommendations: Preparing health classes for cervical cancer women regarding sexual distress following cervical cancer.


2021 ◽  
Vol 2 (1) ◽  
pp. 594-607
Author(s):  
Neha Mishra ◽  
Nilanchali Singh ◽  
Mohini Sachdeva ◽  
Prafull Ghatage

2020 ◽  
Vol 1 (2) ◽  
pp. p22
Author(s):  
Hanan Elzeblawy Hassan ◽  
Galal Ahmed EL-Kholy ◽  
Aziza Ahmed Ateya ◽  
Amal Ahmed Hassan

Background: Breast engorgement is defined as enlarged & filling of breast with milk. It is one of the most significant problems confronting nursing women, especially primiparous, in the first week of motherhood. The aim of the study was to investigate the impact of nursing intervention on relieve of breast engorgement among women with caesarean section. Design and setting an interventional study was conducted in postnatal unit of Beni-Suef University hospital. Sample was simple random sample comprised a total of 90 Primiparae’s cesarean section mothers; 45 in the interventional group & 45 in the control group. Tools of Data Collection were interview questionnaire sheet, knowledge assessment sheet and observational & Engorgement assessment scale. The study revealed that, the nursing intervention was more effective and contributed rapid recovery from breast engorgement especially among the older, educated, housewives, high social class's women and those who were rural dwellers. The study recommended that Prevention is a key element in reducing breast engorgement potentially among nursing mothers. So, primiparous mothers should learn about preventive measures for breast engorgement. Teaching mother how to express both breasts simultaneously to yield the most volume and to decrease time spend pumping each consecutively is the responsibility of health care providers.


2020 ◽  
Author(s):  
Kwabena Amo Antwi ◽  
Ramatu Agambire ◽  
Thomas Opkoti Konney ◽  
Yvonne Nartey ◽  
Adu-Appiah Kubi ◽  
...  

Abstract BackgroundCervical cancer survivors often experience significant diminution in health-related quality of life (HRQoL). We aimed to investigate the overall HRQoL, determine the role of the stage of disease and type of treatment received on HRQoL, and evaluate predictors of HROoL among cervical cancer survivors in Ghana.MethodsA hospital-based cross-sectional study was conducted in 153 cervical cancer patients who completed curative treatment between January 2004 and December 2018 at Komfo Anokye Teaching Hospital. The European Organization for Research and Treatment of Cancer core questionnaire (EORTC QLQ C-30) supplemented with the cervical cancer-specific (EORTC QLQ-CX24) module was used. The Kruskal-Wallis test was used to determine the effect of the stage of cervical cancer and the type of treatment received on mean scores of the different domains of HRQoL. Multivariate logistic regression was performed to identify predictors of HRQoL.ResultsThe mean global health status (GHS) was 79.7 (+/-16.2), and it differed significantly with FIGO stage, with 84.1 76.2, and 79.9, for stages I, II and III respectively (p=0.012). Financial burden was higher in participants with FIGO stage II compared to stage I disease (45.4 vs 20.8, p=0.012.). The mean GHS scores for surgery, chemoradiation and radiation only were 85.2, 75.9, and 82.1 respectively (p=0.027). Compared to participants who were treated with Chemoradiation, those treated with surgery had lower financial difficulties (12.1 vs 41.6 , p=0.019), better body image (95.7vs 79.5, p =0.039) and better symptom experience (5.9 vs 12.0, p =0.043).The likelihood that survivors’ HQROL is affected is decreased with illiteracy (AOR = 0.30, 95% CI=0.09–1.00), and increased with complaints of pain (AOR=5.50, 95%CI=1.68-18.29), loss of appetite (AOR=13.24, 95% CI=2.71– 64.67) and diminution in body image perception (AOR = 6.04, 95% CI=1.67–21.83). ConclusionCervical cancer survivors in Ghana have overall satisfactory HRQoL. Surgical treatment is associated with improved HRQoL and less financial burden. Efforts to enhance HRQoL should also be focused on maximizing survivors’ body image and managing pain and loss of appetite. Educating women about expected impacts on their quality of life, and strategies to manage and mitigate these impacts, is essential.


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