An assessment of nurses' role in early detection and management of gestational trophoblastic diseases at University of Uyo Teaching Hospital
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Background of the Study
Gestational trophoblastic disease (GTD) refers to a group of pregnancy-related tumors that arise from abnormal growth of trophoblastic tissue, which forms part of the placenta. The most common types of GTD include molar pregnancy (complete and partial), invasive mole, choriocarcinoma, and placental site trophoblastic tumors. Though rare, GTD can lead to severe complications, including hemorrhage, metastasis, and even death if not diagnosed and managed appropriately (Udo et al., 2024). Early detection of GTD is essential for reducing morbidity and mortality, and prompt management can prevent life-threatening complications. Nurses are central in the early identification of symptoms, provision of supportive care, and assisting in the administration of medical treatments for GTD patients.
At University of Uyo Teaching Hospital, where obstetric care is provided, nurses play a pivotal role in monitoring patients throughout their pregnancies and after delivery. Nurses are often the first healthcare providers to recognize symptoms of GTD, such as abnormal vaginal bleeding, excessive uterine growth, or persistent high hCG levels. Given that GTD can mimic other pregnancy complications, the timely identification and referral to obstetricians or oncologists are crucial for appropriate management. This study seeks to assess the role of nurses in the early detection and management of GTD at University of Uyo Teaching Hospital and evaluate their preparedness to handle these cases.
Statement of the Problem
Gestational trophoblastic diseases, though rare, can have devastating outcomes if not detected and managed early. Despite the critical role nurses play in identifying potential cases of GTD, there are concerns regarding their knowledge, skills, and preparedness in handling such cases at University of Uyo Teaching Hospital. Nurses may lack adequate training or awareness of the signs and symptoms of GTD, potentially delaying diagnosis and increasing the risk of complications for patients. This study aims to assess nurses’ awareness and their role in the early detection and management of GTD, as well as the challenges they face in providing effective care.
Objectives of the Study
- To assess nurses' knowledge of gestational trophoblastic diseases and their role in early detection.
- To evaluate the management strategies employed by nurses in caring for patients with GTD at University of Uyo Teaching Hospital.
- To identify the challenges nurses face in detecting and managing gestational trophoblastic diseases.
Research Questions
- What is the level of knowledge among nurses regarding gestational trophoblastic diseases at University of Uyo Teaching Hospital?
- How do nurses manage patients with gestational trophoblastic diseases in the hospital?
- What challenges do nurses encounter when detecting and managing gestational trophoblastic diseases at University of Uyo Teaching Hospital?
Research Hypotheses
- Nurses at University of Uyo Teaching Hospital have insufficient knowledge of gestational trophoblastic diseases.
- There is a significant relationship between nurses' knowledge of GTD and the early detection and management of the disease.
- Nurses at University of Uyo Teaching Hospital face significant barriers in managing cases of gestational trophoblastic diseases.
Scope and Limitations of the Study
This study will focus on nurses working in the obstetrics and gynecology units of University of Uyo Teaching Hospital. The study will assess their knowledge and management of gestational trophoblastic diseases, their awareness of early warning signs, and any challenges they face. The study will not include other healthcare providers, such as doctors or medical technicians, although their roles in the management of GTD are important.
Limitations of the study include potential bias in self-reported data and the cross-sectional nature of the study, which may not capture long-term changes in knowledge and practice.
Definitions of Terms
- Gestational Trophoblastic Disease (GTD): A group of pregnancy-related tumors arising from abnormal growth of trophoblastic tissue, including molar pregnancy, invasive mole, and choriocarcinoma.
- Early Detection: The timely identification of abnormal signs and symptoms in pregnant women that could indicate gestational trophoblastic disease.
- Management Strategies: The interventions and care practices employed by nurses to address and manage GTD, including symptom monitoring and patient support.
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