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Gestational trophoblastic neoplasms
Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN
|January 1, 1986
Summary
Gestational trophoblastic neoplasms are now highly curable but cause significant emotional distress. This review covers their causes, spread, and treatment, offering nursing strategies based on crisis theory.
Area of Science:
- Oncology
- Gynecologic Oncology
- Nursing
Background:
- Gestational trophoblastic neoplasms (GTNs) represent a spectrum of pregnancy-related tumors.
- Historically fatal, GTNs are now among the most curable malignancies.
- Despite curability, these conditions inflict profound emotional distress on patients.
Purpose of the Study:
- To provide a comprehensive review of GTNs.
- To discuss nursing implications using crisis theory.
- To outline a nursing care plan for patients with GTNs.
Main Methods:
- Literature review of etiology, epidemiology, pathophysiology, diagnosis, and medical treatment of GTNs.
- Application of crisis theory to understand patient emotional responses.
- Development of a nursing care plan based on nursing diagnoses.
Main Results:
- GTNs have transitioned from rapidly fatal to highly curable conditions.
- Emotional impact on patients is a significant, often overlooked, aspect of GTN care.
- Nursing interventions can effectively address the psychosocial needs of patients using crisis theory.
Conclusions:
- Effective management of GTNs requires addressing both medical and psychosocial aspects.
- A structured nursing care plan is essential for optimizing patient outcomes.
- Nursing interventions grounded in crisis theory can mitigate the emotional burden of GTN.