IMPACT OF TARGETED PSYCHOLOGICAL NURSING COMBINED WITH PHYSICAL ACTIVITY ON SELF-MANAGEMENT EFFICACY AND COMPLIANCE IN PATIENTS WITH OVARIAN CANCER UNDERGOING CHEMOTHERAPY

Abstract

Objective: To explore the effect of targeted psychological nursing, combined with physical activity, on self-management efficacy and compliance in patients with ovarian cancer undergoing chemotherapy, with a specific focus on athletes or physically active individuals. Methods: A total of 90 patients, including athletes and physically active individuals, diagnosed with ovarian cancer and receiving chemotherapy at our hospital from May 2019 to May 2021, were selected for this study. They were randomly divided into a control group and a study group, with 45 cases in each group. The control group received routine nursing care, while the study group was given targeted psychological nursing interventions in conjunction with structured physical activity programs. Self-management efficacy, compliance, mental state, and quality of life were observed and compared between the two groups. Results: After 2 weeks and 3 months of intervention, the level of self-management efficacy in both groups was higher than before the intervention, with the study group showing significantly higher levels than the control group (P <0.05). The complete compliance rate in the study group was 75.55%, significantly higher than the control group’s 44.44% (P<0.05). Post-intervention scores for the Self-Rating Anxiety Scale (SAS), Self-Rating Depression Scale (SDS), and Cancer-Related Fatigue (CRF) were lower in both groups compared to pre-intervention, with the study group showing significantly greater improvements than the control group (P <0.05). Furthermore, the life quality scores, particularly in physical status, emotional status, social and family interactions, and ovarian cancer-specific modules, were significantly higher in the study group compared to the control group (P <0.05). Conclusion: The implementation of targeted psychological nursing measures, coupled with structured physical activity, significantly improves self-management efficacy, treatment compliance, and quality of life in ovarian cancer patients undergoing chemotherapy, particularly among athletes and physically active individuals. These findings suggest positive clinical value in integrating psychological and physical activity interventions for this patient population.