Application of Continuous Care Model on Pain Coping Strategies and Sexual Quality of Life among Women with Endometriosis related Chronic Pelvic Pain

Document Type : Original Article

Authors

1 Assistant Professor of Obstetrics & Gynecological Nursing, Faculty of Nursing, Benha University, Egypt

2 Lecturer of Obstetrics & Gynecological Nursing, Faculty of Nursing, Benha University, Egypt

3 Assistant Professor of Community Health Nursing, Faculty of Nursing, Benha University, Egypt

4 Lecturer of Maternity and Newborn Health Nursing -Faculty of Nursing-Helwan University

Abstract

Background: Endometriosis is a widespread problem that has devastating effects
on women reproductive health, causing chronic pelvic pain and correlated with
significantly negative impacts on sexual life quality. Improving pain coping
strategies have a substantial influence on chronic pelvic pain management through
continuous care model. Aim: To evaluate the effect of continuous care model on
pain coping strategies and sexual quality of life among women with endometriosis
related chronic pelvic pain. Design: In order to accomplish the aim of this
research, a quasi-experimental research design, specifically a one-group time
series design, was implemented. Setting: The study was carried out at the
Obstetrics & Gynecological Outpatient Clinic within the Qaliobya governorate of
Egypt, which is affiliated with Benha University Hospitals. Sample: 76 women
who were medically diagnosed with chronic pelvic pain associated with
endometriosis were selected as a purposive sample. Tools: A structured self-
administered questionnaire, numerical rating scale, coping strategies
questionnaire and the sexual quality of life-female questionnaire. Results: At the
pre-intervention, one-month, and three-month post-intervention stages, there was
a highly significant difference in the pain coping techniques, pain severity, and
sexual life quality of the women who were evaluated. Conclusion: The
continuous care model application was effective in reducing pelvic pain severity.
This was accomplished by improving pain coping strategies, which resulted in an
improvement in the sexual quality of life for women who experienced chronic
pelvic pain associated with endometriosis. The results supported the research
hypotheses. Recommendations: Using the continuous care model as a standard
nursing intervention to help women with chronic pelvic pain associated with
endometriosis improve their sexual quality of life and pain coping strategies.