The Effect of Humanistic Care on Gynecological Tumor Patients

Objective: To evaluate effect of humanistic care on gynecological tumor patients. Methods: 112 patients diagnosed as gynecological tumor from January 2017 to June 2018 in hospital. The participants were randomly assigned to control group and intervention group. We use new nursing of humanistic care for the patients of intervention group. In control, the patients had traditional nursing services. The data was collected by medical history, Visual Analogue Scale (VAS), Pittsburgh sleep quality index (PSQI) and Newcastle Satisfaction with Nursing Scales (NSNS). Result: Most of participants had cervical cancer [34 (30.4%) & 41 (36.6%)]. Besides, nursing measure of intervention group had better influence than traditional nursing measure of control group (Pain level, 1.21±0.33 vs 3.04±0.44; sleep quality, 13.74±2.34 vs 10.49±2.51). In assessment of patients satisfaction, the assessments of very well were made by 88 (71.4%) people in intervention group. Conclusion: humanistic care can be effectively improved the outcome of treatment on gynecological tumor patients. The nursing measure of humanistic care made not only pain level of patient in treatment process was reduce but also sleep quality of patient was improved. However, the improvement effect was not strong for the outcome of nursing so that the new nursing measure had low effective rate in the treatment process.


Introduction
Nursing was identify as a profession that is closely related to human health and human life, with emphasis on caring and caring for the patients [1]. As increased patients need spiritual and psychological comfort, treatment participation, and comprehensive services, the services which included the value of the individual, care, warmth and compassion were required to add to the the daily nursing work [2,3]. This presents that humanistic caring is a important part of nursing in treatment process [4,5]. The humanistic care make the better daily nursing, it not only provide effective clinical practice and offer high quality of care in hospitals but also contributes to improvement on metrics such as higher patients' satisfaction, less work pressure and better doctor-patient relationship [6].
Although Chinese nursing service was improved continuously, the patients were not satisfied with the Chinese care provided in most cases. Because some nurses still ignore the psychological and social care of patients in clinical work, which may lead to a lower overall humanistic care ability of nurses in China [7,8]. Watson, Fernandezabascal and Martindiaz think that nursing humanistic care was the nurses' externalization of humanistic literacy into the clinical work and abilities to serve the patients consciously and creatively [9,10]. Following to some reports, high emotional intelligence was good for nurses communicate well with patients in treatment process [11 -13]. Our study aim was that assess the effect of humanistic care on gynecological tumor patients.

Participants Enrollment and Survey Methods
The patients (n = 224) were diagnosed as gynecological tumor which included ovarian cancer, cervical cancer, fallopian tube malignant tumor, endometrial cancer and other, they were investigated to join our study. The data of patient was collected from January 2017 to June 2018. In study beginning step, the participants were randomly assigned to a control group (n = 112) and a intervention group (n = 112). For participants of control group, we use the traditional nursing care for them in treatment process [14]. The participants of another group, they were receipted extra humanistic care in treatment process. The humanistic care included that new communication skills, psychological assessment of patients and new nursing measure. Our researchers collected the result which included the participants character, the satisfaction of patients, pain status and sleep quality by medical history, Visual Analogue Scale (VAS), Pittsburgh sleep quality index (PSQI) and Newcastle Satisfaction with Nursing Scales (NSNS) [15][16][17].
Their inclusion criteria were: (1) the patients were diagnosed as gynecological tumor; (2) Patients volunteered to participate in postoperative follow-up; (3) Cognitively and mentally were normal. Their withdraw criteria were: (1) Survival is expected to be less than 90 days; (2) Patients with severe vital organ dysfunction or related mental illness.

Statistical Analysis
Survey responses were analyzed using descriptive statistics. Sample proportions, means, and standard deviation (SD) are reported. All analyses were performed in SPSS 25.

Result
The data associated with participants characteristics was collected by search patient record as the participants join into our study ( We collected the result of Pain level and sleep quality by VAS and PSQI, they completed the questionnaires after treatment ( Table 2). The pain status and sleep quality were improved on participants of both of groups. But Nursing measure of intervention group had better influence than traditional nursing measure of control group (Pain level, 1.21±0.33 vs 3.04±0.44; sleep quality, 13.74±2.34 vs 10.49±2.51). The satisfaction of Patients was collected by NSNS, we collected them after treatment (Table 3). In result of satisfaction, participants preferred the new nursing measures of intervention group, the assessments of very well were made on 88 (71.4%) people in intervention group.

Discussion
Looking into Watson's theory, humanistic caring is a fundamental belief in the internal power of the care process to produce growth and change for people [18]. In the 21st century, health professionals are expected to provide more than medical care, going more in the direction of holistic care. Medicine can be not only a science but can also be more humanistic by assisting people to seek their own value of life and achieve self-actualization and self-healing.
Following to outcome of collection, the nursing measure of humanistic care had better improvement than traditional nursing measure. The patients require more new nursing measure about mental. In pain level and sleep quality, the intervention group had lower pain level than control group, the humanistic care can relieve pain in the treatment process. Additionally, the patients of intervention group had better sleep in the treatment process. But the influence of the new nursing measure was non-ideal in the outcome, its improvement had not strong to changed the pain level and the sleep quality as the new nursing measure require more cost in process. As the result of satisfaction of patients, the participants was more satisfied with new nursing measure of humanistic care. Although the satisfaction data was sample for the result, it had significant trend in satisfaction improvement.

Conclusion
In conclusion, humanistic care can be effectively improved the outcome of treatment on gynecological tumor patients. The nursing measure of humanistic care made not only pain level of patient in treatment process was reduce but also sleep quality of patient was improved. However, the improvement effect was not strong for the outcome of nursing so that the new nursing measure had low effective rate in the treatment process. In addition, patients had higher satisfaction for new the nursing measure associated with humanistic care.