الفهرس 
Acknowledgements
Gynecological cancerOnly 14 pages are availabe for public view
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Abstract
Summary
Patients with gynecologic cancer receiving remedy; with curative cause with surgery, chemotherapy, and/or radiation; frequently face many hard troubles in the course in their diseases, starting from physical and psychological symptoms to advance care making plans in mild of a negative prognosis, that make compliance with treatment guidlines hard (Karlin et al, 2018) and can have an impact on negatively on quality of life of women and their relatives (Terzioglu and Sahan, 2016).
Palliative care nurses paintings with individuals and relatives going through a life proscribing illness. Palliative care nurses paintings inside the interdisciplinary group, however will frequently coordinate care in session with patients, their caregivers and different group members. The interest of nursing is a complicated blend of many hands-on capabilities and private characteristics certain together into an eclectic field; this is inherently hard to define. The notion of professional caring, the constructing of therapeutic relationships and also the practice of nursing as a regulated career with definable requirements consist of in imparting palliative care to patients (Mazanec et al., 2019).
The aims of this study were to:
1 -Assess quality of life for gynecological cancer patients managed at Women’s Health Hospital.
2- Assess the need of these patients for palliative care.
Study design:
Study design: Descriptive cross sectional design was applied.
Setting: The setting involved two places, the first place; conducted at in patients’ gynecology oncology′s unit and patients clinic examination on the second floor at Women Health Hospital, Assiut University
Study subject:
A convenient sample was used in this study. The total sample was 50 patients.
Tools
Tool (1):-
Structured interview questionnaire that contained the following:
- Socio-demographic data: such as name, age, educational levels, occupation, residence, marital status and telephone number.
Medical history for any disease: such as hypertension, diabetes mellitus, cardiac disease, and anemia ….etc
-Menstrual history: as age of menarche, menstrual cycle, interval and menstrual rhythm.
-Obstetric and Gynecological history: as gravidity, parity, abortion and any other gynecological diseases as polycystic ovary or uterine fibroid …..etc.
-Family history of cancer
-Current patient gynecological cancer data: which included type of cancer, stage, admission status if the patient inpatient or outpatient and therapeutic status as at diagnosis, in treatment.
-Data regarding palliative care: such as palliative care need and type of palliative care referral as pain management, psychotherapy, physiotherapy, and symptoms control.
Tool (II)
(FACIT-Pal questionnaire) Assessment quality of life and need for palliative care Functional Assessment of chronic Illness Therapy- Palliative Care (FACIT-Pal) questionnaire which included: 46-item measure of self-reported health-related quality of life. It is adapted from (Brady et al 1997).
The questionnaire contained two parts:
I-The Functional Assessment of Cancer Therapy-General (FACT-G) 27-item which measures four domains of quality of life: physical well-being (seven items). Social/ family well-being (seven items) , emotional well-being (six items) and functional well-being (seven items) .
II- included 19 items that provide the palliative subscale.
The main findings of the present study were:
The most important results of the present study were:
Less than two third 60.0% of the studied women’s age ranged between (40-60yrs) with a mean age of 51.02±13.66 and 76.0% are housewives. 84.0% are from rural areas. As for women’s educational level 76.0% are illiterates. About 52.0% and 66.0% are married and inpatient respectively.
Less than three quarters of studied women are multigravida 72.0% of and 64.0% are multipara .About 64.0% of them having a history of abortion and 52% of them their previous mode of delivery were normal vaginal delivery.
About 56.0% of the studied women have ovarian cancer and 52.0% of them are in treatment. About 48% of them have a fourth (stage IV) of cancer.
Less than three quarters of the studied women need palliative referral (68.0%).
Less than half of studied women need palliative care referral to symptoms control 44%. 26% pain management, 16% physiotherapy and 8% psychotherapy
Nearly half of studied women having low quality of life 48.0%, 22%moderte and 30% have high quality of life.
There is highly statistically significant correlation between age and educational level and quality of life p-value are 0.001 for both, and there is not statistically significant correlation between occupation and residence and quality of life p-value are 0 0.591 and 0.245 respectively.
There’s highly statistical significant difference between quality of life and palliative care need p-value 0.002.
Conclusion:
Based on the results of the current study, it was concluded that nearly half of gynecological cancer patients had a low quality of life and more than two thirds of them need palliative care.
Recommendations:
The current study recommended that:
The importance of planning and implementing necessary educational program about the palliative care for gynecological cancer to improve awareness of nurses and women’s and their families through different media.
Training programs and workshops should be conducted for medical staff about how apply palliative care to improve gynecological cancer patients health and improve their quality of life.
Implement a study to assess the effect of palliative nursing care on improvement of health status for gynecological cancer patients with large sample size.
Provision the palliative care for all gynecological cancer patients from the start of diagnosis.