Research Article
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Care Needs of Women with Suspected or Diagnosed with Ovarian Cancer During Hospitalization: A Multicenter Cross-Sectional Study

Year 2025, Volume: 9 Issue: 2, 245 - 257, 31.05.2025

Buse Güler , Samiye Mete

https://doi.org/10.30621/jbachs.1438140

Abstract

Purpose: This study aimed to identify care needs of women with ovarian cancer and suspected ovarian cancer during hospitalization.
Materials and Methods: This cross-sectional and descriptive study was carried out two university hospitals in İzmir, in Turkey. The sample included 100 women with ovarian cancer or suspected ovarian cancer in hospitalized. Care Needs of Women with Ovarian Cancer Questionnaire was used. We used descriptive statistics and content analysis.
Results: The most important physiological needs of women during the hospital process were improving sleep quality, reducing fatigue. In the self concept mode, women’s needs, were getting face to face information about the diagnosis and treatment process and receive information from their doctor. In the role function and interdependence modes, one-third of women stated that the illness and hospital process affected femininity perception,
Conclusion: Nurses who working in gynecologic oncology services should assess the needs of patients with ovarian cancer or suspected ovarian cancer and provide them with individualized, culturally sensitive informational, social, and emotional support from the first admission to hospital.

Keywords

Care needs nursing care Roy Adaptation Model ovarian cancer

Ethical Statement

Research ethics board approval was obtained from Dokuz Eylul University Non-Invasive Research Ethics Committee (Decision No: 2017/02-18, Date: 09.02.2017). The participants gave both oral and written informed consent.

References

  • GLOBOCAN. [Internet]. Cancer Today. 2022. [Accessed date: 07.02.2024]. Avaliable from: https://gco.iarc.who.int/today/en/dataviz/bars?mode=cancer&key=total&group_populations=1&types=0&sexes=2&sort_by=value0&populations=900&multiple_populations=0&values_position=out&cancers_h=39
  • Muto, M. G. Approach to the patient with an adnexal mass. UpToDate 2020.
  • Beesley VL, Price MA, Webb PM, et al. Changes in supportive care needs after first-line treatment for ovarian cancer: identifying care priorities and risk factors for future unmet needs. Psychooncology 2013;22(7):1565-1571.
  • Adamakidou T, Menti K, Charalambous A, Tsiou C, Vlachou E, Govina O. Changes in unmet care needs, social support and distress from initial diagnosis to post-surgery in patients with gynecological cancer: A longitudinal study. Eur J Oncol Nurs 2023;66:102358.
  • Thomas TH, Nauth-Shelley K, Thompson MA, et al. The Needs of Women Treated for Ovarian Cancer: Results From a #gyncsm Twitter Chat. J Patient Cent Res Rev 2018;5(2):149-157.
  • Pasvanis M, Hegarty S, Russell H, Peate M, Marino JL. Exploring the experiences and priorities of women with a diagnosis of ovarian cancer. Support Care Cancer. 2023;31(7):432.
  • Fitch MI, Steele R. Identifying supportive care needs of women with ovarian cancer. Can Oncol Nurs J 2010:20(2):66-74.
  • Rietveld MJA, Husson O, Vos MCC, van de Poll-Franse LV, Ottevanger PBN, Ezendam NPM. Association between information provision and supportive care needs among ovarian cancer survivors: A cross-sectional study from the PROFILES registry. Psychooncology 2018;27(8):1922-1929.
  • Burles M, Holtslander L. Cautiously optimistic that today will be another day with my disease under control. Cancer Nursing 2013;36(6):436–444.
  • Simacek K, Raja P, Chiauzzi E, Eek D, Halling K. What do ovarian cancer patients expect from treatment? Cancer Nursing 2017;40(5):E17–27.
  • Yıldırım Kocaman N, Kaçmaz N, Özkan M. İleri evre kanser hastalarının karşılanmamış bakım gereksinimleri [Unmet care needs in advanced stage cancer patients]. Journal of Psychiatric Nursing 2013;4(3):153-158.
  • Roy C. Extending the Roy adaptation model to meet changing global needs. Nurs Sci Q 2011;24:345–351.
  • Güler B, Mete S. Feelings, thoughts and experiences of women diagnosed with adnexal mass: A qualitative study. Health Care for Women International 2019;42(7-9):962-975.
  • Güler B, Mete S. Effects of relaxation-focused nursing program in women with ovarian cancer: A randomized controlled trial. Pain Manag Nurs 2023;24(4):e35-e45.
  • Zhou Y, Irwin ML, Ferrucci LM, et al. Health-related quality of life in ovarian cancer survivors: results from the American Cancer Society’s Study of Cancer Survivors-I. Gynecol Oncol 2016;141:543–549.
  • von Gruenigen VE, Huang HQ, Cella D, et al. Quality of life, symptoms and care needs in patients with persistent or recurrent platinum-resistant ovarian cancer: An NRG Oncology/ Gynecologic Oncology Group study. Gynecologic Oncology 2018;150:119–126.
  • Segev Y, Segev L, Schmidt M, Auslender R, Lavie O. Palliative care in ovarian carcinoma patients-a personalized approach of a team work: a review. Arch Gynecol Obstet 2017;296(4):691-700.
  • Ebell MH, Culp MB, Radke TJ. A Systematic review of symptoms for the diagnosis of ovarian cancer. Am J Prev Med 2016;50(3):384-394.
  • Purcell SA, Elliott SA, Kroenke CH, Sawyer MB, Prado CM. Impact of body weight and body composition on ovarian cancer prognosis. Curr Oncol Rep 2016;18(2):8.
  • Balogun N, Forbes A, Widschwendter B, Lanceley A. Noninvasive nutritional management of ovarian cancer patients. Int J Gynecol Cancer 2012;22:1089-1095.
  • Kusuma F, Riani M, Witjaksono F. Association between risk of malnutrition and surgical outcome in ovarian cancer patients. eJournal Kedokteran Indonesia 2021;9(3):203-207.
  • Rinninella E, Fagotti A, Cintoni M, et al. Nutritional interventions to improve clinical outcomes in ovarian cancer: a systematic review of randomized controlled trials. Nutrients 2019;21(11):6. pii: E1404.
  • Martin ML, Halling K, Eek D, Reaney M. "Lower abdominal pains, as if i was being squeezed…in a clamp": a qualitative analysis of symptoms, patient-perceived side effects and impacts of ovarian cancer. Patient 2019;13(2):189-200.
  • Simonelli LE, Pasipanodya E. Health disparities in unmet support needs of women with gynecologic cancer: an exploratory study. Journal of Psychosocial Oncology 2014;32:727-734.
  • Kitamura Y. Decision-making process of patients with gynecological cancer regarding their cancer treatment choices using the analytic hierarchy process. Japan Journal of Nursing Science 2010;7:148–157.
  • Tariman JD, Berry DL, Cochrane B, Doorenbos A, Schepp KG. Physician, patient, and contextual factors affecting treatment decisions in older adults with cancer and models of decision making: a literature review. Oncol Nurs Forum 2012;39(1):E70.
  • Pozzar R, Baldwin LM, Goff BA, Berry DL. Patient, physician, and caregiver perspectives on ovarian cancer treatment decision making: lessons from a qualitative pilot study. Pilot Feasibility Stud. 2018;4(4):91.
  • Tan JH, Sharpe L, Russell H. The impact of ovarian cancer on individuals and their caregivers: A qualitative analysis. Psycho‐Oncology 2021;30:212–220.
  • Verkissen MN, Ezendam NPM, Fransen MP, et al. The role of health literacy in perceived information provision and satisfaction among women with ovarian tumors: a study from the population‐based PROFILES registry. Patient Educ Couns 2014;95(3):421-428.
  • Kullberg A, Sharp L, Johansson H, Bergenmar M. Information exchange in oncological inpatient care—patient satisfaction, participation, and safety. Eur J Oncol Nurs 2015;19(2):142‐147.
  • Papadakos J, Bussière-Côté S, Abdelmutti N, et al. Informational needs of gynecologic cancer survivors. Gynecol Oncol 2012;124(3):452-7.
  • Angioli R, Plotti F, Capriglione S, et al. The effects of giving patients verbal or written pre-operative information in gynecologic oncology surgery: a randomized study and the medical-legal point of view. Eur J Obstet Gynecol Reprod Biol 2014;177:67-71.
  • Best JT, Musgrave B, Pratt K, Hill R, Evans C, Corbitt D. The impact of scripted pain education on patient satisfaction in outpatient abdominal surgery patients. J Perianesth Nurs 2018;33(4):453-460.
  • Arden-Close E, Mitchell F, Davies G, et al. Mindfulness-Based interventions in recurrent ovarian cancer: A mixed-methods feasibility study. Integr Cancer Ther 2020;19:1534735420908341.
  • Felix MMDS, Ferreira MBG, da Cruz LF, Barbosa MH. Relaxation therapy with guided imagery for postoperative pain management: An integrative review. Pain Manag Nurs. 2019;20(1):3-9.
  • Chow KM, Chan CWH, Choi KC, Siu KY, Fung HKS, Sum WM. A theory-driven psycho-educational intervention programme for gynaecological cancer patients during treatment trajectory: A randomised controlled trial. Psychooncology 2020;29(2):437-443.
  • Arida JA, Bressler T, Moran S, DʼArpino S, Carr A, Hagan TL. Mothering with advanced ovarian cancer: "you've got to find that little thing that's going to make you strong". Cancer Nurs 2019;42(4):E54-E60.
  • Nelson G, Bakkum-Gamez J, Kalogera E, et al. Guidelines for perioperative care in gynecologic/oncology: Enhanced Recovery After Surgery (ERAS) Society recommendations-2019 update. Int J Gynecol Cancer 2019;29(4):651-668.
  • Ronco DA, Manahan KJ, Geisler JP. Ovarian cancer risk assessment: a tool for preoperative assessment. Eur J Obstet Gynecol Reprod Biol 2011;158(2):325-329.
  • Roland KB, Rodriguez JL, Patterson JR, Trivers KF. A literature review of the social and psychological needs of ovarian cancer survivors. Psychooncology 2013;22(11):2408-18.
  • Campos SM, Berlin S, Matulonis UA, et al. Young women diagnosed with early-stage ovarian cancer or borderline malignancy of the ovary: a focus on fertility and sexual function. J Psychosoc Oncol 2012;30(4):387-401.
  • Reis N, Beji NK, Coşkun A. Quality of life and sexual functioning in gynecological cancer patients: results from quantitative and qualitative data. Eur J Oncol Nurs 2010;14(2):137-46.
  • Hagan TL, Donovan HS. Ovarian cancer survivors' experiences of self-advocacy: a focus group study. Oncol Nurs Forum 2013;40(2):140-147.
  • Cosentino, Sgromo D, Merisio C, Berretta R, Pruneti C. Psychophysiological adjustment to ovarian cancer: preliminary study on Italian women condition. Appl Psychophysiol Biofeedback 2018;43(2): 161-168.
  • Holt KA, Hansen HP, Mogensen O. Supportive care needs for women with gynecological cancer and their relatives during the prediagnostic period. Cancer Nurs 2014;37(6):457-67.
  • Uysal N, Gürol Arslan G, Mete S. The feelings and experiences of hospitalized patients regarding informal caregivers: a qualitative study. Soc Work Health Care 2019;58(2):166-181.

Care Needs of Women with Suspected or Diagnosed with Ovarian Cancer During Hospitalization: A Multicenter Cross-Sectional Study

Year 2025, Volume: 9 Issue: 2, 245 - 257, 31.05.2025

Buse Güler , Samiye Mete

https://doi.org/10.30621/jbachs.1438140

Abstract

References

  • GLOBOCAN. [Internet]. Cancer Today. 2022. [Accessed date: 07.02.2024]. Avaliable from: https://gco.iarc.who.int/today/en/dataviz/bars?mode=cancer&key=total&group_populations=1&types=0&sexes=2&sort_by=value0&populations=900&multiple_populations=0&values_position=out&cancers_h=39
  • Muto, M. G. Approach to the patient with an adnexal mass. UpToDate 2020.
  • Beesley VL, Price MA, Webb PM, et al. Changes in supportive care needs after first-line treatment for ovarian cancer: identifying care priorities and risk factors for future unmet needs. Psychooncology 2013;22(7):1565-1571.
  • Adamakidou T, Menti K, Charalambous A, Tsiou C, Vlachou E, Govina O. Changes in unmet care needs, social support and distress from initial diagnosis to post-surgery in patients with gynecological cancer: A longitudinal study. Eur J Oncol Nurs 2023;66:102358.
  • Thomas TH, Nauth-Shelley K, Thompson MA, et al. The Needs of Women Treated for Ovarian Cancer: Results From a #gyncsm Twitter Chat. J Patient Cent Res Rev 2018;5(2):149-157.
  • Pasvanis M, Hegarty S, Russell H, Peate M, Marino JL. Exploring the experiences and priorities of women with a diagnosis of ovarian cancer. Support Care Cancer. 2023;31(7):432.
  • Fitch MI, Steele R. Identifying supportive care needs of women with ovarian cancer. Can Oncol Nurs J 2010:20(2):66-74.
  • Rietveld MJA, Husson O, Vos MCC, van de Poll-Franse LV, Ottevanger PBN, Ezendam NPM. Association between information provision and supportive care needs among ovarian cancer survivors: A cross-sectional study from the PROFILES registry. Psychooncology 2018;27(8):1922-1929.
  • Burles M, Holtslander L. Cautiously optimistic that today will be another day with my disease under control. Cancer Nursing 2013;36(6):436–444.
  • Simacek K, Raja P, Chiauzzi E, Eek D, Halling K. What do ovarian cancer patients expect from treatment? Cancer Nursing 2017;40(5):E17–27.
  • Yıldırım Kocaman N, Kaçmaz N, Özkan M. İleri evre kanser hastalarının karşılanmamış bakım gereksinimleri [Unmet care needs in advanced stage cancer patients]. Journal of Psychiatric Nursing 2013;4(3):153-158.
  • Roy C. Extending the Roy adaptation model to meet changing global needs. Nurs Sci Q 2011;24:345–351.
  • Güler B, Mete S. Feelings, thoughts and experiences of women diagnosed with adnexal mass: A qualitative study. Health Care for Women International 2019;42(7-9):962-975.
  • Güler B, Mete S. Effects of relaxation-focused nursing program in women with ovarian cancer: A randomized controlled trial. Pain Manag Nurs 2023;24(4):e35-e45.
  • Zhou Y, Irwin ML, Ferrucci LM, et al. Health-related quality of life in ovarian cancer survivors: results from the American Cancer Society’s Study of Cancer Survivors-I. Gynecol Oncol 2016;141:543–549.
  • von Gruenigen VE, Huang HQ, Cella D, et al. Quality of life, symptoms and care needs in patients with persistent or recurrent platinum-resistant ovarian cancer: An NRG Oncology/ Gynecologic Oncology Group study. Gynecologic Oncology 2018;150:119–126.
  • Segev Y, Segev L, Schmidt M, Auslender R, Lavie O. Palliative care in ovarian carcinoma patients-a personalized approach of a team work: a review. Arch Gynecol Obstet 2017;296(4):691-700.
  • Ebell MH, Culp MB, Radke TJ. A Systematic review of symptoms for the diagnosis of ovarian cancer. Am J Prev Med 2016;50(3):384-394.
  • Purcell SA, Elliott SA, Kroenke CH, Sawyer MB, Prado CM. Impact of body weight and body composition on ovarian cancer prognosis. Curr Oncol Rep 2016;18(2):8.
  • Balogun N, Forbes A, Widschwendter B, Lanceley A. Noninvasive nutritional management of ovarian cancer patients. Int J Gynecol Cancer 2012;22:1089-1095.
  • Kusuma F, Riani M, Witjaksono F. Association between risk of malnutrition and surgical outcome in ovarian cancer patients. eJournal Kedokteran Indonesia 2021;9(3):203-207.
  • Rinninella E, Fagotti A, Cintoni M, et al. Nutritional interventions to improve clinical outcomes in ovarian cancer: a systematic review of randomized controlled trials. Nutrients 2019;21(11):6. pii: E1404.
  • Martin ML, Halling K, Eek D, Reaney M. "Lower abdominal pains, as if i was being squeezed…in a clamp": a qualitative analysis of symptoms, patient-perceived side effects and impacts of ovarian cancer. Patient 2019;13(2):189-200.
  • Simonelli LE, Pasipanodya E. Health disparities in unmet support needs of women with gynecologic cancer: an exploratory study. Journal of Psychosocial Oncology 2014;32:727-734.
  • Kitamura Y. Decision-making process of patients with gynecological cancer regarding their cancer treatment choices using the analytic hierarchy process. Japan Journal of Nursing Science 2010;7:148–157.
  • Tariman JD, Berry DL, Cochrane B, Doorenbos A, Schepp KG. Physician, patient, and contextual factors affecting treatment decisions in older adults with cancer and models of decision making: a literature review. Oncol Nurs Forum 2012;39(1):E70.
  • Pozzar R, Baldwin LM, Goff BA, Berry DL. Patient, physician, and caregiver perspectives on ovarian cancer treatment decision making: lessons from a qualitative pilot study. Pilot Feasibility Stud. 2018;4(4):91.
  • Tan JH, Sharpe L, Russell H. The impact of ovarian cancer on individuals and their caregivers: A qualitative analysis. Psycho‐Oncology 2021;30:212–220.
  • Verkissen MN, Ezendam NPM, Fransen MP, et al. The role of health literacy in perceived information provision and satisfaction among women with ovarian tumors: a study from the population‐based PROFILES registry. Patient Educ Couns 2014;95(3):421-428.
  • Kullberg A, Sharp L, Johansson H, Bergenmar M. Information exchange in oncological inpatient care—patient satisfaction, participation, and safety. Eur J Oncol Nurs 2015;19(2):142‐147.
  • Papadakos J, Bussière-Côté S, Abdelmutti N, et al. Informational needs of gynecologic cancer survivors. Gynecol Oncol 2012;124(3):452-7.
  • Angioli R, Plotti F, Capriglione S, et al. The effects of giving patients verbal or written pre-operative information in gynecologic oncology surgery: a randomized study and the medical-legal point of view. Eur J Obstet Gynecol Reprod Biol 2014;177:67-71.
  • Best JT, Musgrave B, Pratt K, Hill R, Evans C, Corbitt D. The impact of scripted pain education on patient satisfaction in outpatient abdominal surgery patients. J Perianesth Nurs 2018;33(4):453-460.
  • Arden-Close E, Mitchell F, Davies G, et al. Mindfulness-Based interventions in recurrent ovarian cancer: A mixed-methods feasibility study. Integr Cancer Ther 2020;19:1534735420908341.
  • Felix MMDS, Ferreira MBG, da Cruz LF, Barbosa MH. Relaxation therapy with guided imagery for postoperative pain management: An integrative review. Pain Manag Nurs. 2019;20(1):3-9.
  • Chow KM, Chan CWH, Choi KC, Siu KY, Fung HKS, Sum WM. A theory-driven psycho-educational intervention programme for gynaecological cancer patients during treatment trajectory: A randomised controlled trial. Psychooncology 2020;29(2):437-443.
  • Arida JA, Bressler T, Moran S, DʼArpino S, Carr A, Hagan TL. Mothering with advanced ovarian cancer: "you've got to find that little thing that's going to make you strong". Cancer Nurs 2019;42(4):E54-E60.
  • Nelson G, Bakkum-Gamez J, Kalogera E, et al. Guidelines for perioperative care in gynecologic/oncology: Enhanced Recovery After Surgery (ERAS) Society recommendations-2019 update. Int J Gynecol Cancer 2019;29(4):651-668.
  • Ronco DA, Manahan KJ, Geisler JP. Ovarian cancer risk assessment: a tool for preoperative assessment. Eur J Obstet Gynecol Reprod Biol 2011;158(2):325-329.
  • Roland KB, Rodriguez JL, Patterson JR, Trivers KF. A literature review of the social and psychological needs of ovarian cancer survivors. Psychooncology 2013;22(11):2408-18.
  • Campos SM, Berlin S, Matulonis UA, et al. Young women diagnosed with early-stage ovarian cancer or borderline malignancy of the ovary: a focus on fertility and sexual function. J Psychosoc Oncol 2012;30(4):387-401.
  • Reis N, Beji NK, Coşkun A. Quality of life and sexual functioning in gynecological cancer patients: results from quantitative and qualitative data. Eur J Oncol Nurs 2010;14(2):137-46.
  • Hagan TL, Donovan HS. Ovarian cancer survivors' experiences of self-advocacy: a focus group study. Oncol Nurs Forum 2013;40(2):140-147.
  • Cosentino, Sgromo D, Merisio C, Berretta R, Pruneti C. Psychophysiological adjustment to ovarian cancer: preliminary study on Italian women condition. Appl Psychophysiol Biofeedback 2018;43(2): 161-168.
  • Holt KA, Hansen HP, Mogensen O. Supportive care needs for women with gynecological cancer and their relatives during the prediagnostic period. Cancer Nurs 2014;37(6):457-67.
  • Uysal N, Gürol Arslan G, Mete S. The feelings and experiences of hospitalized patients regarding informal caregivers: a qualitative study. Soc Work Health Care 2019;58(2):166-181.
There are 46 citations in total.

Details

Primary Language English
Subjects Health Services and Systems (Other)
Journal Section Research Article
Authors

Buse Güler 0000-0003-3053-5105

Samiye Mete 0000-0002-3777-2456

Publication Date May 31, 2025
Submission Date February 16, 2024
Acceptance Date March 13, 2025
Published in Issue Year 2025 Volume: 9 Issue: 2

Cite

APA Güler, B., & Mete, S. (2025). Care Needs of Women with Suspected or Diagnosed with Ovarian Cancer During Hospitalization: A Multicenter Cross-Sectional Study. Journal of Basic and Clinical Health Sciences, 9(2), 245-257. https://doi.org/10.30621/jbachs.1438140
AMA Güler B, Mete S. Care Needs of Women with Suspected or Diagnosed with Ovarian Cancer During Hospitalization: A Multicenter Cross-Sectional Study. JBACHS. May 2025;9(2):245-257. doi:10.30621/jbachs.1438140
Chicago Güler, Buse, and Samiye Mete. “Care Needs of Women With Suspected or Diagnosed With Ovarian Cancer During Hospitalization: A Multicenter Cross-Sectional Study”. Journal of Basic and Clinical Health Sciences 9, no. 2 (May 2025): 245-57. https://doi.org/10.30621/jbachs.1438140.
EndNote Güler B, Mete S (May 1, 2025) Care Needs of Women with Suspected or Diagnosed with Ovarian Cancer During Hospitalization: A Multicenter Cross-Sectional Study. Journal of Basic and Clinical Health Sciences 9 2 245–257.
IEEE B. Güler and S. Mete, “Care Needs of Women with Suspected or Diagnosed with Ovarian Cancer During Hospitalization: A Multicenter Cross-Sectional Study”, JBACHS, vol. 9, no. 2, pp. 245–257, 2025, doi: 10.30621/jbachs.1438140.
ISNAD Güler, Buse - Mete, Samiye. “Care Needs of Women With Suspected or Diagnosed With Ovarian Cancer During Hospitalization: A Multicenter Cross-Sectional Study”. Journal of Basic and Clinical Health Sciences 9/2 (May 2025), 245-257. https://doi.org/10.30621/jbachs.1438140.
JAMA Güler B, Mete S. Care Needs of Women with Suspected or Diagnosed with Ovarian Cancer During Hospitalization: A Multicenter Cross-Sectional Study. JBACHS. 2025;9:245–257.
MLA Güler, Buse and Samiye Mete. “Care Needs of Women With Suspected or Diagnosed With Ovarian Cancer During Hospitalization: A Multicenter Cross-Sectional Study”. Journal of Basic and Clinical Health Sciences, vol. 9, no. 2, 2025, pp. 245-57, doi:10.30621/jbachs.1438140.
Vancouver Güler B, Mete S. Care Needs of Women with Suspected or Diagnosed with Ovarian Cancer During Hospitalization: A Multicenter Cross-Sectional Study. JBACHS. 2025;9(2):245-57.
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