Effectiveness of Nurse-Led Education on Knowledge and Self-Care Practices Among Women Undergoing Hysterectomy
DOI:
https://doi.org/10.65761/pjcr.2026.293Keywords:
Nurse-led education, hysterectomy, knowledge, self-care practices, quasi-experimental study, PakistanAbstract
Background: Hysterectomy is one of the most commonly performed gynecological surgeries worldwide, yet women often lack adequate knowledge regarding postoperative self-care, which can compromise recovery outcomes and quality of life. Nurse-led educational interventions have emerged as a promising strategy to bridge this knowledge gap and promote self-care practices. To evaluate the effectiveness of a nurse-led educational intervention on knowledge and self-care practices among women undergoing hysterectomy at Nishtar Hospital, Multan.
Methods: A quasi-experimental single-group pre-test post-test design was employed. A total of 66 women undergoing hysterectomy were recruited from the gynecology department of Nishtar Hospital, Multan, using purposive sampling. Data were collected using a structured knowledge questionnaire and a self-care practice checklist before and four weeks after the nurse-led educational intervention. The intervention comprised a comprehensive face-to-face teaching session covering preoperative preparation, postoperative care, wound care, activity restrictions, dietary guidelines, and warning signs of complications. Data were analyzed using SPSS version 26.0, employing descriptive statistics and paired t-test.
Results: The mean pre-test knowledge score was 11.42 ± 3.87, which significantly increased to 24.68 ± 4.12 at post-test (t = 23.14, p < 0.001). Similarly, the mean self-care practice score improved from 15.36 ± 4.51 pre-intervention to 31.82 ± 3.96 post-intervention (t = 21.87, p <0.001). The educational intervention demonstrated a highly statistically significant improvement in both knowledge and self-care practices among the study participants.
Conclusion: Nurse-led education significantly enhances knowledge and self-care practices among women undergoing hysterectomy. Integrating structured nurse-led educational programs into routine postoperative care is recommended to improve recovery outcomes and reduce complications.
References
1. Ali SM, Ali M, Abdelati IH, Abd Allah IM, Abou Shabana KR. Impact of preoperative education on relieving postoperative discomforts and improving quality of life after hysterectomy. Egypt J Hosp Med. 2026;102(1):652. doi:10.21608/ejhm.2026.483369.
2. Chen X, Tang P, Ma C, Su M, Sun J, Chang W, et al. Research progress on discharge readiness service practices for patients undergoing endometrial cancer surgery. Front Oncol. 2026;15:1664064. doi:10.3389/fonc.2025.1664064.
3. Choi AR, Choi SH, Choi JH, Park SJ, Park SJ, Park SY. A systematic study of nursing interventions for the gynecologic cancer among women. Eur J Gynaecol Oncol. 2026;47(2):11-21. doi:10.22514/ejgo.2026.013.
4. Guan M, Feng X. Correlation between quality of discharge teaching, readiness for hospital discharge and health outcomes of hysterectomy patients: a structural equation model analysis. Nurs Open. 2023;10(6):3817-3827. doi:10.1002/nop2.1640.
5. Ibitoye OF, Muliira JK, Lazarus ER, Anyango JF, Matua GA. Nurse-led interventions for cervical cancer patients: a scoping review with an emphasis on East Asian contexts. Belitung Nurs J. 2026;12(4):424-437. doi:10.33546/bnj.4650.
6. Kang EP. The development and feasibility testing of a patient-centred discharge education intervention to improve the postoperative recovery of general surgery patients [dissertation]. Gold Coast (AU): Griffith University; 2022. doi:10.25904/1912/4501.
7. Korkor S, Abdullah IM, Aboshabana KR. Impact of a structured educational program on knowledge and attitudes of women undergoing hysterectomy in Ismailia Governorate. Trends Nurs Health Care J. 2026;10:86-102. doi:10.21608/tnhcj.2026.463095.1088.
8. Allam SME, Elsaadany SAA, Girgis TKG, Elnabawey MGAEA, Soliman MSS. Efficacy of educational sessions on venous thromboembolism prevention and emotional status among women having major abdomino-pelvic surgery. Egypt J Health Care. 2024;15(4):530-547. doi:10.21608/ejhc.2024.388888.
9. Motakef HI, Bani Hani S, Abu Aqoulah EA, Basyouni N, Alshammari L, Mahmoud SKM, et al. Nursing-led education and its impact on knowledge, self-care practices, and pain intensity in women with endometriosis. Front Public Health. 2026;14:1795899. doi:10.3389/fpubh.2026.1795899.
10. Noor H, Sarwar H, Khawaja Q, Azam S, Khalid H. Effects of nurse led base education for prevention of complications undergoing thyroidectomy. J Health Wellness Community Res. 2025. doi:10.61919/wwfqhw77.
11. Osman YM, El-Kest HRA, Alanazi MA, Shaban M. I'm still quite young: women's lived experience of precocious or premature menopause: a qualitative study among Egyptian women. BMC Nurs. 2025;24:612. doi:10.1186/s12912-025-03133-6.
12. Raisi S, Hojat M, Jahromi MK. Investigating impact of a comprehensive support program on death anxiety among women with breast cancer: a clinical trial. Support Care Cancer. 2026;34(9):877. doi:10.1007/s00520-026-11119-6.
13. Rehman S, Sarwar H, Fatima E, Hussain K, Batool A. Effect of nurse-led educational intervention on knowledge and practice of self-care during the intrapartum and postpartum period in a private hospital. J Health Wellness Community Res. 2025. doi:10.61919/72pcm920.
14. Sezgin I, Kartal EI, Kayis A, Dogan I. Investigation of the effect of education given to chemotherapy patients on knowledge level. In: 2nd International Oncology Nursing Association Congress; 2026; [place unknown]. Abstract book. p. 173.
15. Tümkaya MN, Seven M. Interventions for prevention and management of gynecological cancer-related lower limb lymphedema: a systematic scoping review. Semin Oncol Nurs. 2025;41(1):151781. doi:10.1016/j.soncn.2024.151781.
16. Xiang J, Li C, Zhu X. The impact of Rosenthal effect-based psychological nursing on psychological state, self-efficacy, and quality of life in patients undergoing total hysterectomy for uterine fibroids: a randomized controlled trial. Int J Womens Health. 2026;18:598690. doi:10.2147/IJWH.S598690.
17. Winata IGS, Pramana IG. Various hysterectomy approach for benign gynecological disease: a review. Bali Obstet Gynecol J. 2025;1(1):1-3.
18. Mahmoud NSA, Kandeel HAMA, Abaza SEA. Effects of implementing an enhanced recovery after surgery pathway on hysterectomy postoperative outcomes. Egypt J Health Care. 2025;16(4):511-528. doi:10.21608/ejhc.2025.466388.
19. Alarslan G, Mennes R, Kieft R, Heinen M. Patients involvement in the discharge process from hospital to home: a patient's journey. J Adv Nurs. 2024;80(6):2462-2474. doi:10.1111/jan.15984.
20. Ali FK, Salama AM, Elmordy ZRA. Effect of applying Bandura's theory of self-efficacy on anxiety, disease uncertainty and quality of life among women undergoing hysterectomy. Egypt J Health Care. 2023;14(3):361-380. doi:10.21608/ejhc.2023.317089.
Downloads
Published
Issue
Section
License
Copyright (c) 2026 Tasmia Atta, Rizwana Tabasum, Noor Ul Eman
This work is licensed under a Creative Commons Attribution 4.0 International License.
This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (CC BY 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author(s) and source are credited.
