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Effect of Instructional Nursing Strategies on Endometriosis Symptoms

Context:  Endometriosis is a  chronic and incurable condition associated with debilitating pain and sub-fertility that affects approximately 176 million women worldwide. 
Aim: To measure the effect of instructional nursing strategies on endometriosis symptoms. 
Methods: A quasi-experimental (pre/post-test) design was utilized. The study was conducted at gynecological clinics at Ain shams University Maternity Hospital. A purposive sample of sixty women who meet the criteria of the study. Data were collected through three tools; endometriosis structured interviewing questionnaire, endometriosis health profile questionnaire, in addition to women compliance follow up record. 
Results: The study sample age was 32.47±5.24. There was a highly statistically significant improvement in women's knowledge regarding endometriosis after implementing instructional nursing strategy and at follow-up time compared to their knowledge before it at p-value ≥0.001. Also, there was a highly statistically significant improvement in women's practices to alleviate endometriosis symptoms after three months of implementing instructional nursing strategy compared to their self-care practices before it at p-value 0.001. Moreover, women who followed instructional nursing strategies had highly statistically significant improvement on endometriosis-related symptoms, pain, and fatigue after implementing the instructional nursing strategy at p-value ≥0.001. 
Conclusion: Women with endometriosis who follow instructional nursing strategies will have fewer symptoms, better knowledge, and improved self-care practices. An awareness program should be developed to upraise women's knowledge regarding endometriosis, and self-care management is recommended.