| Objective:1.To study the status and influential factors of pelvic floor dysfunction in patients undergoing chemoradiotherapy after cervical cancer surgery,and to analyse its correlation with demoralization,self-management and quality of life.2.To explore the effectiveness of an empowerment theory-based yoga intervention programme on pelvic floor dysfunction,demoralization and quality of life in patients undergoing post-operative chemoradiotherapy for cervical cancer.Method:1.210 post-operative chemoradiotherapy patients with cervical cancer admitted to a tertiary level A oncology hospital in Xinjiang from January 2022 to April 2022 were selected for the study.General information questionnaire,pelvic floor dysfunction short form(PFDI-20),short demoralization scale(DS-II),self-management assessment scale for cancer patients,and functional assessment of cancer therapy-generic(FACT-G)were administered.2.84 post-operative chemoradiotherapy patients with cervical cancer admitted to a tertiary level A oncology hospital in Xinjiang from May 2022 to August 2022 were selected,with patients in the second ward of the gynaecological radiotherapy department as the control group and patients in the first ward as the intervention group,42 cases in each group.Patients in the control group received conventional care,while patients in the intervention group received conventional care + yoga intervention based on empowerment theory.Patients’ pelvic floor dysfunction,demoralization,self-management and quality of life levels were measured before and 3 months after the intervention.Results:1.204 post-operative chemoradiotherapy patients with cervical cancer completed the cross-sectional survey,and the total score of PFDI-20 was 29.20(21.10,38.50),with 193 patients(94.61%)had a total score >0;The total self-management score(148.54±11.73),the total demoralization score15.00(9.00,18.00)and the total quality of life score(69.24±7.20),all at an intermediate level.2.Spearman’s correlation analysis showed that pelvic floor dysfunction was significantly negatively correlated with self-management and quality of life(P<0.01)and positively correlated with demoralization(P<0.01).3.The results of the intermediary effects analysis show that demoralization partially mediated the relationship between pelvic floor dysfunction and quality of life,with a mediating effect value of-0.127 [95%CI(-0.174,-0.086)],accounting for 37.35% of the total effect size.4.The results of multiple linear regression analysis showed that age,education level,occupation and surgical modality were the influential factors for pelvic floor dysfunction in patients undergoing post-operative chemoradiotherapy for cervical cancer.5.79 patients completed the interventional study.After 3 months of the yoga intervention based on empowerment theory,patients in the intervention group had lower total PFDI-20 scores and lower total demoralization scores than the control group(P<0.05),and higher total self-management scores and higher total quality of life scores than the control group(P<0.05).Conclusions:1.The incidence of pelvic floor dysfunction is high in patients undergoing post-operative chemoradiotherapy for cervical cancer.Pelvic floor dysfunction is closely related to demoralization,self-management and quality of life level.2.Age,education level,occupation and surgical modality are influential factors in pelvic floor dysfunction.3.Demoralization plays a part in mediating the relationship between pelvic floor dysfunction and quality of life,and by reducing the level of demoralization,pelvic floor dysfunction can be improved and quality of life improved.Clinical practitioners can develop intervention programme to improve pelvic floor dysfunction in conjunction with the patient’s psychological state.4.Yoga interventions based on empowerment theory can effectively improve self-management,reduce the level of demoralization,improve pelvic floor dysfunction and enhance the quality of life of patients undergoing chemoradiotherapy after cervical cancer surgery. |
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