Pre-Operative Prehabilitation Program Women With Gynecological Cancer

Study Overview
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Brief Summary
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The aim of this study is to determine the effect of the prehabilitation program applied to postmenopausal women diagnosed with gynecological cancer before surgery on postoperative recovery, planned as a randomized study with an experimental design with a pre-test post-test control group.

Detailed Description
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The aim of prehabilitation programs is to eliminate intraoperative complications by increasing the functional capacity and metabolic reserves of patients before surgical treatment and to accelerate recovery in the postoperative period. In addition, it helps the patient to maximize the existing capacity of the patient before the surgery, to know what will happen at each stage of the treatment to be applied to the patient, to feel better physically and spiritually and to understand the roles and responsibilities of the individual care of the patient, as well as making a significant contribution to the positive results of the operation. It is to provide exercise, psychological support, nutritional counseling and optimization of the underlying conditions by stopping negative health behaviors. There are non-eliminable criteria such as age, gender, comorbid diseases before surgery, as well as modifiable factors such as the regulation of the patients nutrition, ensuring psychological well-being, quitting smoking. In particular, some factors directly affect the state of well-being during the perioperative period. Thus, surgeries become safer.As a practice, the prehabilitation program (according to the surgery program) is planned in the preoperative period between 2-4 weeks Dec. Participants who do not comply with the program will be excluded from the sample

Official Title
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The Effect of Pre-Operative Prehabilitation Program on Postoperative Recovery in Women With Gynecological Cancer

Conditions
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Gynecologic Cancer, Prehabilitation

Intervention / Treatment
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* Other: Prehabilition program


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients who are not stage 4 in preoperative evaluation Who volunteered to participate in the study 6 months have passed since the last treatment (Chemoretapy, Radiotherapy) Women who do not have Turkish literacy problems Women aged 50 and older who are in the postmenopausal period Patients who are scheduled for abdominal surgery Exclusion Criteria: High-risk comorbid diseases such as COPD, heart failure Physical and mental conditions that will interfere with nutrition and exercise Those with orthopedic and neuromuscular diseases Those who are scheduled for surgery by laparoscopic/laparotomic method Those who cannot adapt to the program during the preoperative period Women who are too depressed during preoperative evaluation

Ages Eligible for Study
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Minimum Age: 50 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: a randomized trial with experimental design with pre-test post-test control group
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: the experimental group<br>a prehabilitation program will be applied before the surgery. | Other: Prehabilition program<br>* this program includes nutrition, physical activity, medical optimization and psychological support interventions.As a practice, the prehabilitation program (according to the surgery program) is planned in the preoperative period between 2-4 weeks Dec. it will be applied for 4 weeks before surgery. the first meeting is scheduled for 40 minutes. the program compliance process will be monitored by phone weekly. postoperative recovery and functional capacity measurements will be performed.<br>|
| No Intervention: The Control Group<br>he will receive standard nursing care procedure. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| the Quality of Recovery QoR-15 | The scale is based on the assumption that the higher the score, the better the quality of improvement when measuring between 0 and 150 points. The scale is based on the assumption that the higher the score, the better the quality of Deceleration. | 6 weeks | 
| functional capacity 6MWT | 6MWT has also been used to determine the functional status of patients . During the test, a standardized protocol is followed by walking on a flat floor for 6 minutes. It is a self-paced test and is a repeatable, cheap and easy test (unlike the increasingly brisk walking tests that require intervention). | 10 weeks | 
| day of hospital stay | the length of hospital stay | 1 weeks | 
| the WHODASS proficiency scale | the WHODASS proficiency scale will be used. It is useful for a brief assessment of the overall functionality. | 1 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Prehabilitation, cancer, Gynecologic cancer, nursing