# Bridging Clinical Care and Self-Management: Impact of Nursing Module Based on WHO’s Universal Self-Care Framework in Women with Endometriosis

## TL;DR

A nursing-led self-care program based on WHO guidelines significantly improved self-care and reduced symptoms in women with endometriosis.

## Contribution

This study introduces a structured, nursing-led self-care module based on WHO’s framework for endometriosis management.

## Key findings

- The study group showed significantly higher self-care scores than the control group at one and three months.
- Improved self-care was strongly associated with reduced symptom severity over time.
- Nursing-led self-care interventions can enhance self-management and quality of life for women with endometriosis.

## Abstract

What are the main findings?
At one month, the study group showed significantly higher self-care scores than the control group (69.2 ± 11.6 vs. 58.3 ± 8.83; p = 0.001).At three months, self-care practices further improved in the study group compared with the control group (76.4 ± 16.5 vs. 61.5 ± 12.2; p = 0.001).A strong negative correlation was observed between self-care and symptom severity at one month (r = −0.70, p < 0.001).This negative correlation was even stronger at three months (r = −0.83, p < 0.001), indicating that better self-care was associated with reduced symptoms.

At one month, the study group showed significantly higher self-care scores than the control group (69.2 ± 11.6 vs. 58.3 ± 8.83; p = 0.001).

At three months, self-care practices further improved in the study group compared with the control group (76.4 ± 16.5 vs. 61.5 ± 12.2; p = 0.001).

A strong negative correlation was observed between self-care and symptom severity at one month (r = −0.70, p < 0.001).

This negative correlation was even stronger at three months (r = −0.83, p < 0.001), indicating that better self-care was associated with reduced symptoms.

What are the implications of the main findings?
The findings will address inadequate self-care compliance and persistent pain among women with endometriosis, alongside the limited use of structured, nursing-led self-care interventions in routine care.The findings will impact gynecological and nursing practice settings, particularly benefiting women with endometriosis by enhancing self-management, pain control, and quality of life through nursing-led care models.

The findings will address inadequate self-care compliance and persistent pain among women with endometriosis, alongside the limited use of structured, nursing-led self-care interventions in routine care.

The findings will impact gynecological and nursing practice settings, particularly benefiting women with endometriosis by enhancing self-management, pain control, and quality of life through nursing-led care models.

Aims: This study aims to assess the effect of a structured universal self-care practices module on improving self-care compliance and health maintenance behaviors among women with endometriosis, and to determine if it reduces pain severity. Design: A quasi-experimental design was used. Methods: A total of 90 women confirmed a diagnosis of endometriosis, who were free from any chronic medical or gynecological comorbidities, and who had not received any pain relief pharmacological interventions. Results: The study and control groups were comparable at baseline regarding socio-demographic and clinical characteristics (p > 0.05). Following the intervention, the study group demonstrated significant improvements in universal self-care practices compared to the control group at one month (M = 69.2 ± 11.6 vs. 58.3 ± 8.83; t = −4.93, p = 0.001) and three months (M = 76.4 ± 16.5 vs. 61.5 ± 12.2; t = −4.89, p = 0.001). A strong negative correlation was found between self-care and symptom severity at one month (r = −0.70, p < 0.001) and three months (r = −0.83, p < 0.001), indicating that improved self-care was associated with reduced symptoms. Conclusions: This study highlights the vital role of nursing-led, WHO-based self-care interventions in improving compliance and reducing pain among women with endometriosis. Integrating such programs into routine care can enhance self-management and overall quality of life. Patient or Public Contribution: Integrating individualized, nursing-led self-care programs into routine endometriosis management can improve symptom control through ongoing education and follow-up. Nurses play a pivotal role in empowering women’s self-management, while adopting the WHO Universal Self-Care Framework can strengthen gynecological care policies and practices.