The goal of this clinical trial is to develop perioperative follow-up and evaluation of their effectiveness protocols in women aged 30-65 having pelvic organ prolapse surgery. The main questions it aims to answer are: * Is the perioperative follow up protocol developed for women aged 30-65 having pelvic organ prolapse surgery effective? * Does the developed perioperative follow up protocol for women aged 30-65 having pelvic organ prolapse surgery have an effect on quality of life, pelvic organ symptom score, sexual function, functional health patterns and anxiety?
In order to maintain holistic care, maintaining communication with the individual after discharge and providing individual counseling regarding the problems experienced have an important place in patient follow-up. In this context, perioperative consultancy should be provided under nurse management to make it easier for patients to cope with physical and psychosocial problems, improve quality of life and ensure continuity of care. Therefore, in this research; the aim is to develop perioperative follow up protocols and evaluate their effectiveness for women aged 30-65 who have pelvic organ prolapse surgery. The sample of the research; It is planned to consist of a total of 102 women, 51 in the Follow-up Group and 51 in the Control Group, who meet the inclusion criteria and voluntarily agreed to participate in the research (Calculated using G.Power 3.1.7 program). After informed consent is obtained, full randomization technique will be used to assign participants to follow-up and control groups. Full randomization will be done via the website http://www.randomizer.org/. Two computer-generated randomization sequences will be applied on a one-to-one basis. During the pre-test and post-test data collection phase, it is planned to use the 'Descriptive Characteristics Form', 'Pelvic Organ Prolapse Quality of Life Scale', 'Pelvic Organ Symptom Score', 'Pelvic Organ Prolapse/Urinary Incontinence Sexual Function Questionnaire Form', 'State-Trait Anxiety Inventory Short Version', and 'Functional Health Patterns Assessment Form' in the perioperative period. After preoperative data is collected, the Follow-up Group will be shown a preoperative patient education video. In the postoperative period, Follow-up Group's data will be collected within 24-48 hours and the patient will be shown a postoperative education video before discharge. After discharge; at the 2nd, 6th, 10th and 14th weeks, Follow-up Group's will be followed up by phone and their data will be collected. In addition, a satisfaction form to evaluate the education videos will be applied to the Follow-up Group in the 14th week. The Control Group will not receive any intervention by the researcher and will receive routine perioperative care. Control Group's data will be collected in the preoperative and postoperative period. Additionally, Control Group's data will be collected by phone at the 2nd, 6th, 10th and 14th weeks after discharge and a postoperative education video will be watched after the data is collected at the 14th week.
Showing training videos to patients before and after pelvic organ prolapse surgery and following up after discharge
Gulhane Training and Research Hospital
Ankara, Turkey (Türkiye)
Quality of Life Scale
Evaluation of the quality of life of women who had pelvic organ prolapse surgery before and after the study. The scale was developed to evaluate the general health perceptions of patients with pelvic organ prolapse, the symptoms experienced during prolapse, and the effects and consequences of symptoms on quality of life. The scale consists of eight areas. There is no total score for the areas used in the scale, each area is scored individually.In calculating the score of the areas; a four-point scoring system is used for the expressions; does not affect at all, slightly affects, moderately affects and greatly affects; 1, 2, 3, 4, respectively. Each area of the scale is calculated separately depending on the questions it contains. The scale is scored between 0 and 100. High scores obtained from the scale indicate that the quality of life is impaired, while low scores indicate that the quality of life is better.
Time frame: Baseline and at 2, 6, 10 and 14 weeks postoperatively
Functional Health Patterns
Evaluation of the health patterns of women who had pelvic organ prolapse surgery before and after study. It was developed by researchers in line with the relevant literature according to Gordon's Functional Health Patterns. The form, which is created separately for the preoperative, postoperative and post-discharge periods, covers 11 areas such as health perception, nutrition, excretion, activity, sleep, cognitive-perception style. The preoperative, postoperative and post-discharge health status of the patients, the problems they experience and the complications that may develop are determined. The items in the form are evaluated with yes-no and 0-10 (0 not affected at all, 10 affected a lot) Visual Analog Scale (VAS) and 5-point Likert (very good - good - medium - bad - very bad). There is no total score from the form. Each question is evaluated on its own.
Time frame: Baseline and at 24.-48hours and 2, 6, 10 and 14 weeks postoperatively.
Pelvic Organ Symptom Score
Evaluation of the pelvic organ symptom score of women who had pelvic organ prolapse surgery before and after study. The scale is used to evaluate symptoms of pelvic organ prolapse. There are seven questions in the scale, each with five answers. The answers are formed as never (0 points), a little (1 point), sometimes (2 points), often (3 points) and always (4 points). An increase in the score obtained from the scale indicates an increase in symptoms. In addition, women indicate which of the seven symptoms bother them the most.
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Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
SINGLE
Enrollment
102
Time frame: Baseline and at 2, 6, 10 and 14 weeks postoperatively.
Sexual Function
Evaluation of sexual function of women who had pelvic organ prolapse surgery before and after study. Questionnaire developed to evaluate sexual function specific to the urogynecological field consists of 12 items. Questions 1-4 on the form are scored as 4 points = always and 0 = never, while questions 5-12 are scored as 0 = always and 4 points = never. A minimum of 0 and a maximum of 48 points can be obtained from the questionnaire. As the score of the questionnaire increases, it indicates an improvement in sexual function. The questionnaire is divided into three sub-dimensions: behavioral/emotional status (questions 1-4), physical status (questions 5-9) and partner-related status (questions 10-12).
Time frame: Baseline and after 14 weeks
Anxiety
Evaluation of the anxiety of women who had pelvic organ prolapse surgery before and after study. Two scales measuring state and trait anxiety are used. The scales consist of 5 items and are of 4-point Likert type. Individuals who score 10 and above on State Anxiety Inventory Scale-5 and 14 and above on Trait Anxiety Inventory Scale-5 are considered to be clinically anxious.
Time frame: Baseline and at 2, 6, 10 and 14 weeks postoperatively.
Nursing Diagnosis Checklist
This form prepared by researchers lists nursing diagnoses to identify problems that may develop in patients at 24-48 hours postoperatively and at 2, 6, 10 and 14 weeks after discharge. These diagnoses are systematized in 11 areas according to Gordon's Functional Health Patterns Model. There is no score calculation in this form, and the most frequently used diagnoses will be calculated as percentages.
Time frame: At 2, 6, 10 and 14 weeks postoperatively.
Satisfaction Evaluation Form
This form, developed by the researchers, will be applied to the follow-up group in the 14th week. This form will determine the patients' satisfaction levels regarding the preoperative and postoperative education videos. The form, consisting of 12 items, is evaluated with a 5-point Likert scale (Not satisfied at all = 0 points, not satisfied = 1 point, undecided = 2 points, satisfied = 3 points, very satisfied = 4 points). As the score increases, satisfaction increases.
Time frame: At 14 weeks postoperatively.