Effect of bio-psychosocial nursing intervention on emotional status, body image, and quality of life of women with polycystic ovarian syndrome: a quasi-experimental study

BMC Nurs. 2025 Jul 8;24(1):887. doi: 10.1186/s12912-025-03483-1.

ABSTRACT

BACKGROUND: Polycystic ovarian syndrome (PCOS), which is a significant cause of infertility, has a significant impact on more than just physical health. It frequently results in emotional stress, a low quality of life, and body image issues. The purpose of this study was to determine how a nursing program that considers social, emotional, and physical factors would benefit women with PCOS.

METHODS: A quasi-experimental research design was conducted from February 2023 to May 2024 on 60 PCOs patients distributed as study and control groups at the obstetric and gynecological outpatients’ clinics department of Shebin Elkom, Teaching Hospital, Menoufia Governorate, Egypt. Four tools were used for data collection: A structured interview questionnaire, the Depression, Anxiety, and Stress Scale (DASS-21), the Body Self-Image Questionnaire-Short Form (BSIQSF), and the Modified Polycystic Ovary Syndrome Health-Related Quality of Life Questionnaire (MPCOSQ). Numbers and percentages were used to represent Categorical data. The chi-squared test was used to compare variables with categorical data. Data analysis was conducted using SPSS v20 software.

RESULTS: There was a highly statistically significant difference (P < 0.001) between the two groups pre- and post-intervention regarding body image and quality of life for women with PCO. There was a statistically significant difference between women in the studied groups at follow-up after 12 months regarding FSH level and anthropometric (P = 0.007). Also, there was a highly statistically significant difference between the study and control group regarding depression, anxiety, and stress at follow-up after 12 months (P < 0.001).

CONCLUSION: Biopsychosocial nursing intervention had a significant effect on improving body image, depression, anxiety, stress, and the overall quality of life in women with PCOS.

RECOMMENDATIONS: Women with PCOS should be managed based on a holistic, multidisciplinary approach that incorporates not only physical and medical needs but also psychological and educational needs to enhance awareness, promote early recognition, improve psychological well-being, and health-related quality of life.

CLINICAL TRIAL NUMBER: Not applicable.

PMID:40629296 | DOI:10.1186/s12912-025-03483-1