Endometriosis
Conditions
Keywords
Endometriosis, pelvic pain, quality of life, yoga
Brief summary
Women may experience loss of work/education and disruption in family relationships due to endometriosis-related symptoms. While surgical and medical treatments provide effective results in the management of endometriosis-related pain, the rate of recurrence is high. There is a need for nurse-led studies to identify supportive practices and interventions that can improve the quality of life and comfort of women with endometriosis, as well as to assess the effectiveness of these interventions. Nurses, with their holistic and patient-centered approach, play a crucial role. Therapeutic communication between nurses and patients during the diagnosis, treatment, and follow-up of endometriosis will contribute to disease management. While there are limited studies worldwide examining the effects of yoga on pain and quality of life in women with endometriosis, no studies have been found in our country on the effectiveness of yoga on endometriosis. Therefore, this study was designed to contribute to the literature and evaluate the effects of yoga on pelvic pain and quality of life in women with endometriosis.
Interventions
OTHERyoga group
A total of 50 minutes of hatha yoga practice was performed three times a week for 12 weeks. * In the first week, two days of face-to-face yoga practice with the researcher. * During the eighth week, online yoga practices were held twice a week via Skype with the researcher and one yoga practice per week (a list was made for the group the researcher would create via WhatsApp). The participants were supported with weekly motivation and follow-up information to continue practicing yoga at least twice a week for the next four weeks. All yoga sessions included a 10-minute warm-up and breathing session, 50 minutes of hatha yoga, 15 minutes of relaxation and separation, and 5 minutes of feedback. At the end of the session, the participants received support regarding correct yoga asanas, motivation, and consistency.
Sponsors
Istanbul University - Cerrahpasa
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Intervention model description
It is an experimental study consisting of 2 groups, a randomized controlled experiment and a control group, using a pre-test-post-test design.
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 55 Years
Healthy volunteers
No
Inclusion criteria
* Women over the age of 18 diagnosed with endometriosis * Experiencing pelvic pain for at least 6 months (VAS score ≥4) * Not pregnant * Have not practiced yoga before * Able to participate with internet access * No communication barriers * No health problems that would prevent practicing yoga * No psychiatric health problems
Exclusion criteria
* Becoming pregnant during the study * Developing a health problem that prevents yoga * Failing to participate in at least two of the 8-week yoga program
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Visual Analog Scale for Pelvic Pain | 12 weeks | The Visual Analog Scale is a widely used scale in daily practice to measure perceived pain. It consists of a measured horizontal or vertical line. A value of 0 indicates no pain on a 10 cm neck, a value of 1-4 indicates mild pain, 5-6 indicates moderate pain, and 7-10 indicates severe pain. A value of 10 indicates the most severe pain. |
| McGill Pain Scale Short Form for Pelvic Pain | 12 weeks | The McGill Pain Scale Short Form consists of three sections. The first section contains 15 word groups describing the sensory/perceptual pain dimension (the first 11 words) and the emotional/emotional pain dimension (the last four words). Increasing total pain scores indicate an increase in the individual's perception of pain. The second section of the scale determines the severity of an individual's pain using a VAS. The third section uses a six-point Likert-type scale to determine the severity of the pain. The scale consists of expressive values ranging from 0 = no pain, 1 = mild, 2 = bothersome, 3 = distressing, 4 = excruciating, and 5 = unbearable pain. A low score indicates that the individual's pain intensity is generally low or mild, while a high score indicates high or severe pain. |
| Quality of life (Endometriosis Health Profile Questionnaire-5 score) | 12 weeks | The Endometriosis Health Profile Questionnaire (EHP-5) consists of core (pain, control and powerlessness, emotional well-being, social support, and body image) and modular (work life, relationship with children, sexual life, healthcare professionals, treatment, and infertility) sections. Each item is scored on a four-point scale as 0, 1, 2, 3, and 4, corresponding to never, rarely, sometimes, often, and always. Scores are converted to a scale ranging from 0 to 100, representing best and worst health status, respectively. The total score on the scale increases as the quality of life improves. |
| Psychological well-being (Psychological Well-being Scale score) | 12 weeks | The eight-item Psychological Well-Being Scale describes important elements of human functioning, from positive relationships and feelings of competence to having a meaningful and purposeful life. The scale's items are answered on a scale of 1-7, from strongly disagree (1) to strongly agree (7). All items are worded positively. Scores range from 8 (if all items are answered strongly disagree) to 56 (if all items are answered strongly agree). A higher score indicates a higher level of psychological well-being. |
Countries
Turkey (Türkiye)
Outcome results
None listed