Evidence map›Paper›PMID 42282877›Full record

ArticleInternational journal of women's health2026

The Impact of Rosenthal Effect-Based Psychological Nursing on Psychological State, Self-Efficacy, and Quality of Life in Patients Undergoing Total Hysterectomy for Uterine Fibroids: A Randomized Controlled Trial.

Juan Xiang, Caihong Li, Xiaoqing Zhu

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Article in International journal of women's health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Juan XiangGynecology Department, The First College of Clinical Medical Science, China Three Gorges University (Yichang Central People's Hospital), Yichang City, Hubei Province, 443003, People's Republic of China.
Caihong LiGynecology Department, The First College of Clinical Medical Science, China Three Gorges University (Yichang Central People's Hospital), Yichang City, Hubei Province, 443003, People's Republic of China.
Xiaoqing ZhuGynecology Department, The First College of Clinical Medical Science, China Three Gorges University (Yichang Central People's Hospital), Yichang City, Hubei Province, 443003, People's Republic of China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Patients undergoing hysterectomy for uterine fibroids often experience significant psychological distress that impairs recovery and quality of life. While psychological support is recognized as important, structured and feasible nurse-led interventions remain underutilized. Objective: To evaluate the efficacy of a structured psychological nursing intervention based on the Rosenthal effect in reducing self-perceived burden and improving psychological state, self-efficacy, and quality of life in patients undergoing total hysterectomy for uterine fibroids. Methods: A prospective, single-blind, randomized controlled trial was conducted with 160 patients scheduled for total hysterectomy. Participants were randomly assigned to either the intervention group (n=80), which received two structured sessions of Rosenthal effect-based psychological nursing in addition to routine care, or the control group (n=80), which received routine care only. The primary outcome was the change in Self-Perceived Burden Scale (SPBS) scores from baseline to 3-month follow-up. Secondary outcomes included anxiety (SAS), depression (SDS), self-esteem (RSE), self-efficacy (GSES), quality of life (SF-36), physiological stress markers (serum cortisol, HRV), postoperative recovery indicators, and patient satisfaction (NSNS). Results: The intervention group showed a significantly greater reduction in SPBS scores over time compared to the control group (group × time interaction, p < 0.001). Significant improvements were also observed in secondary outcomes, including anxiety, self-esteem, self-efficacy, and quality of life at 3-month follow-up (all p < 0.01). Physiological stress markers (cortisol and HRV) improved more in the intervention group. The intervention group also demonstrated earlier ambulation, shorter hospital stays, lower pain scores, and higher nursing satisfaction and treatment adherence (all p < 0.05). Conclusion: A Rosenthal effect-based psychological nursing intervention was associated with reduced self-perceived burden and more favorable psychological, physiological, and selected clinical recovery outcomes in patients undergoing hysterectomy for uterine fibroids. This feasible, nurse-led model may provide a practical strategy for strengthening expectation-oriented psychological support within routine perioperative nursing care.

Indexed as

hysterectomylife qualitynursing intervention based on the rosenthal effectpsychological stateuterine fibroids

Identifiers

PMID42282877
PMCPMC13251770

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.