The Role of Preventive Nursing Interventions in Reducing Treatment-Related Complications in Ovarian Cancer Patients: A Retrospective Cohort Study.

OBJECTIVE

To evaluate the effectiveness of preventive nursing interventions in reducing treatment-related complications among patients with ovarian cancer.

SETTING

Retrospective cohort study.

PARTICIPANTS

A total of 251 female patients with ovarian cancer were included. They were assigned to either a control group (n=134), receiving standard nursing care, or an observation group (n=117), receiving additional preventive nursing interventions.

INTERVENTIONS

The control group received standard nursing care, including routine health education, pharmacological symptom control, and vital sign monitoring.

PRIMARY AND SECONDARY OUTCOME MEASURES

The primary outcome was the incidence of treatment-related complications. Secondary outcomes included the severity of nausea and vomiting, quality of life, psychological condition, and nursing satisfaction.

RESULTS

The observation group demonstrated a significantly lower incidence of treatment-related complications compared to the control group (P=0.001). Notable reductions in nausea, vomiting, and neuropathy were observed (P=0.015, P=0.035). Both groups showed improvements in psychological conditions post-intervention (P<0.001); however, improvements were more significant in the observation group for depression and quality of life (P=0.004, P=0.007). Nursing satisfaction was also significantly higher in the observation group (P<0.0001). Multivariate logistic regression revealed that preventive nursing interventions significantly reduced complication risks (OR=0.391, 95% CI: 0.228-0.670, P =0.001), and treatment with carboplatin and paclitaxel was significantly related to increased complication risks.

CONCLUSION

Preventive nursing interventions effectively reduce treatment-related complications and enhance clinical and psychological outcomes in patients undergoing ovarian cancer chemotherapy. These findings underscore the importance of personalized, proactive nursing care in oncology settings.