Application Value of Targeted Nursing Based on Risk Assessment Strategies in the Treatment of Patients With Gynecological Endocrine Disorders

Obstetrics and Gynecology Hospital of Fudan University-Huangpu Campus

Status: Completed

Conditions: Risk Assessment; Gynecological Endocrine Disorders; Quality of Life; Targeted Nursing Care; Psychological Support

Treatments: Other: Structured Risk Assessment-Based Targeted Nursing Intervention

Study type: Interventional

Funder types: Other

Identifiers

NCT07004062

No.20230815

Details and patient eligibility

About

Risk-based targeted nursing significantly enhances clinical outcomes, quality of life, and mental health in patients with gynecological endocrine disorders, supporting its broader clinical application.

Full description

To evaluate the clinical value of targeted nursing care based on risk assessment in patients with gynecological endocrine disorders.

A prospective controlled study was conducted to analyze the clinical data of 84 patients with endocrine disorders and 89 healthy women, focusing on identifying risk factors associated with endocrine disorders and designing corresponding personalized nursing interventions. A total of 154 patients with gynecological endocrine disorders, treated between December 2023 and June 2024, were randomly assigned into a control group (n = 77) and an observation group (n = 77) using a random number table method. The control group received routine nursing care, while the observation group received targeted nursing interventions based on risk assessment strategies in addition to routine care. Nursing outcomes, patient satisfaction, quality of life scores, and psychological status-including Self-Rating Anxiety Scale (SAS) and Self-Rating Depression Scale (SDS) scores-were compared between the two groups.

Enrollment: 154 patients

Sex: Female

Volunteers: No Healthy Volunteers

Inclusion criteria

Clinical diagnosis of gynecological endocrine disorder

Aged 18-45 years

Complete clinical data available

Willing and able to provide informed consent

Exclusion criteria

Severe systemic or psychiatric illness

Recent major surgery or hormonal/fertility treatment (within 3 months)

Known hypersensitivity to study medications

Currently pregnant or breastfeeding

Participation in another clinical trial within 6 months

Trial design

Primary purpose: Other

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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154 participants in 2 patient groups

control group

Other group

Description:

In the control group, patients received routine nursing care, which primarily involved regular monitoring of vital signs such as blood pressure, temperature, pulse, and respiration. Basic health education was provided, focusing on lifestyle guidance including dietary control and daily routine recommendations. General psychological support was offered through emotional soothing and communicative care to alleviate anxiety. Medication management was strictly implemented in accordance with medical orders to ensure accurate drug administration. In addition, basic daily nursing operations were performed, including assistance with personal hygiene, regular turning to prevent pressure sores, and therapeutic massage when necessary.

Treatment:

Other: Structured Risk Assessment-Based Targeted Nursing Intervention

observation group

Experimental group

Description:

Patients in the observation group, on the other hand, received targeted nursing interventions based on a structured risk assessment strategy in addition to routine care. This included a comprehensive individualized health assessment that evaluated the patient's lifestyle, dietary habits, stress levels, sleep quality, medical history, and level of social support, leading to the formulation of a personalized nursing plan. Emotional and psychological support was intensified for patients experiencing emotional instability, employing interventions such as cognitive-behavioral therapy, relaxation training, and stress management techniques. Lifestyle interventions were also enhanced by guiding patients to establish regular routines, adopt low-sugar and high-fiber diets rich in vitamins, and engage in appropriate physical activity. Professional nursing interventions were applied to patients with menstrual irregularities or fertility-related needs, including ovulation monitoring and reproducti

Treatment:

Other: Structured Risk Assessment-Based Targeted Nursing Intervention