Effect of Application of Health Promotion Model on Lifestyle of Women with Endometriosis

Abstract

Background: Endometriosis is a life-threatening gynecological health problem in women during the reproductive age that cause chronic pelvic pain, infertility, dysmenorrhea, dyspareunia, dysuria and dyschezia. Aim: The study aimed to evaluate the effect of application of health promotion model on lifestyle of women with endometriosis. Design: Quasi-experimental study design (preposttest). Setting: The study was conducted at Obstetric and Gynecological out -patient clinic in Benha University hospital. Sample: A purposive sample consisted of 146 women with endometriosis. They divided control group comprised 73 women and study group comprised 73 women. Tools: Structured self-administered questionnaire, health promotion lifestyle profile-II and patient s satisfaction sheet. Results: 65.8% of study group were highly satisfied of health promotion model compared to only 7.2% of control group, total health promotion lifestyle profile-II improved from 20% before program implementation to 64.4% after program implementation among study group while there was no improvement in the control group, nearly three quarters of both study and control groups respectively had poor knowledge score about endometriosis before program implementation. Meanwhile, more than three quarters of study group had good knowledge score about endometriosis. Conclusion: The present study showed that there was a highly statistical significant difference regarding all health promotion lifestyle profile-II items (health responsibility, physical activity, nutrition, spiritual growth, interpersonal relations and stress management) between study and control groups after program implementation (P< 0.001). Application of health promotion model has positive effect on lifestyle of women with endometriosis therefore, the study hypothesis was supported. Recommendation: A simplified and comprehensive booklet should be available for all patients with endometriosis which include a clear, brief and simple explanation about non pharmacological modalities to reduce endometriosis related pain. ______________________________________________________________________________