Psychological Distress during Ovarian Cancer Treatment: Improving Quality by Examining Patient Problems and Advanced Practice Nursing Interventions

Table 2

Mean total problems per contact and within each Omaha System Problem Domain, by intervention phase and subsample.

Mean problems per contact per intervention phase and domain
Intervention phase	High Distress/APN plus PCLN; N = 18	High Distress/APN only/Refused PCLN; N = 6	Low Distress/APN only; N = 8	Significance; (𝑃<.05)*
Problems/contact: all domains
Mean (standard deviation)
Initiation	5.11 (0.28)	3.67 (0.49)	6.87 (0.42)	<.0001
Stabilization	1.05 (0.28)	1.21 (0.49)	1.42 (0.42)	.7708
Adjustment	1.27 (0.28)	1.12 (0.49)	1.12 (0.42)	.9402
Termination	2.13 (0.29)	2.18 (0.49)	2.04 (0.42)	.9772
Problems/contact: environmental domain
Mean (standard deviation)
Initiation	0.00 (0.01)	0.00 (0.02)	0.00 (0.01)	1.0000
Stabilization	0.00 (0.01)	0.04 (0.02)	0.00 (0.01)	.0994
Adjustment	0.01 (0.01)	0.03 (0.02)	0.01 (0.01)	.5169
Termination	0.02 (0.01)	0.02 (0.02)	0.00 (0.01)	.5636
Problems/contact: psychological domain
Mean (standard deviation)
Initiation	1.00 (.07)	0.83 (0.12)	1.12 (0.10)	.1854
Stabilization	0.15 (0.07)	0.23 (0.12)	0.23 (0.10)	.7772
Adjustment	0.22 (0.07)	0.27 (0.12)	0.20 (0.10)	.9101
Termination	0.42 (0.07)	0.39 (0.12)	0.50 (0.10)	.7772
Problems/contact: physiological domain
Mean (standard deviation)
Initiation	3.00 (0.24)	2.17 (0.41)	4.50 (0.36)	.0001
Stabilization	0.65 (0.24)	0.69 (0.41)	0.78 (0.36)	.9574
Adjustment	0.76 (0.24)	0.53 (0.41)	0.56 (0.36)	.8433
Termination	1.19 (0.24)	1.23 (0.44)	0.99 (0.36)	.8788
Problems/contact: health related behavior domain
Mean (standard deviation)
Initiation	1.11 (0.10)	0.67 (0.17)	1.25 (0.15)	.0305
Stabilization	0.24 (0.10)	0.25 (0.17)	0.40 (0.15)	.6389
Adjustment	0.28 (0.10)	0.29 (0.17)	0.34 (0.15)	.9494
Termination	0.49 (0.10)	0.53 (0.18)	0.55 (0.15)	.9444

*Significance determined by repeated measures ANOVA mixed effect model, SAS version 9.1.