The factors affected women's psychological status and information requirements before and after hysterectomy (original) (raw)
Related papers
International journal of health sciences
Background: Patients who have undergone a hysterectomy should get care that meets both their physical and psychological requirements, and this care must include the patients' relatives. Aim: To evaluate the effect of designed nursing guidelines applying on knowledge and anxiety among women undergoing hysterectomy. Design: A quasi-experimental design was used to accomplish this study (pre/post-test). Setting: The study was conducted at the obstetric outpatient clinic at Mansoura University Hospital. Subject: A convenient sampling technique of 50 women undergoing hysterectomy who were attended in the previously selected setting was used. Tools: two tools were used (I) a structured-interview questionnaire, which consisted of three parts demographic data, obstetric history and history about hysterectomy, and Women's knowledge regarding hysterectomy, and (II) a State-Trait Anxiety Inventory. Results: The current study found that there was a highly statistically significant diffe...
Knowledge of Women on Hysterectomy
Journal of SAFOMS, 2019
Background: Hysterectomy is the surgical removal of the uterus. It may involve removal of the ovaries, fallopian tube, cervix, and the surrounding structures. The objective of the study was to assess the level of knowledge regarding hysterectomy among women attending obstetrics and gynecological area in a tertiary care hospital in Kochi. Materials and methods: A descriptive design was used to select 40 participants from obstetrics and gynaecology area in a tertiary care hospital in Kochi. These subjects were to undergo hysterectomy. The subjects was selected using nonprobability convenience sampling technique. A semi-structured knowledge questionnaire was designed and administered. Results: Of the 40 women who participated in the study, 42.5% woman had poor knowledge, 57.5% had average knowledge, and none of them had good knowledge about hysterectomy. The mean knowledge score obtained by the women was 10.1500 with a standard deviation of 4.04177. About the various aspects of hysterectomy knowledge, majority were having inadequate knowledge regarding exercise (85%), diet (80%), management (75%), investigations (82.5%), and complications (56.25%). However, 52.5% of subjects showed adequate knowledge regarding hysterectomy. Conclusion: The majority of women attending gynecological area were not sufficiently knowledgeable about hysterectomy and its management. This underlines the need for the involvement of health personnel in hysterectomy and care to provide information for women undergoing hysterectomy.
IOSR Journal of Nursing and Health Science
Hysterectomy is the most common surgery done on women and depression is one of the psychological morbidity following this operation.This paper aims to find the influence of patient-education on depression status of women following elective hysterectomy. A quasi experimental study was performed with 184 women in experimental group and 95 in control group. Demographic performa and Beck depression inventory were used to collect data. Depression status was measured at 3 stages: in the preoperative period, at discharge and at 4 months postoperatively. Majority of subjects in both groups had mild mood disturbance in the preoperative period. However in discharge and at 4 months after surgery, subjects in control group presented with mild to moderate level of depression as compared to the experimental group and their mean depression scores revealed statistical significance(p˂0.001). Preoperative level of depression in experimental group had significant association (p˂0.05) with their age and type of surgery undergone. The present study reveals how administering patient-education in planned sessions prove effective in reducing depression status among women who had undergone elective hysterectomy.
Perceptions of Indian women on hysterectomy
International Journal of Reproduction, Contraception, Obstetrics and Gynecology
Background: Women who undergo hysterectomy face a multitude of physical and psychosocial problems. The objective of the study was to assess the impact of pre-operative education on post-operative psychosocial health.Methods: It was an interventional research in 96 women who were randomly divided into two groups; one received pre-operative education about surgery and the other given routine preoperative advice. With the help of a questionnaire the perceptions of women on hysterectomy were assessed.Results: Post-operation, 47 of the intervened patients and all the patients of control group were satisfied with the surgery, statistically insignificant; fisher's exact of 1. For 20 intervened patients and 6 patients of control group were very acceptable with the fact that the uterus was no longer present in the body post-surgery, statistically significant; fisher's exact of 0.001. 45 of the intervened group were not feeling depressed whereas 19 patients of the control group were f...
Correlates of anxiety in patients posted for hysterectomy
IP Innovative Publication Pvt. Ltd, 2017
Patients undergoing hysterectomy are susceptible to develop anxiety and other psychiatric morbidities. This study was conducted to assess the presence of anxiety symptoms and their correlations with various socio-demographic variables in patients posted for hysterectomy surgery. This is a cross-sectional, single interview study conducted on 30 consecutive patients posted for hysterectomy surgery. Each patient was individually interviewed using a semi-structured proforma. To assess various domains of anxiety, Hamilton Anxiety Rating Scale (HAM–A) was administered. The mean age of the participants was 46.16 years (S.D. 5.91), all of them were married, majority of them being housewives, with good educational background and from urban area. Majority of participants had gynaecological diagnosis of Abnormal Uterine Bleeding. The mental status examination in some (37%) of them revealed anxious mood, and preoccupation with worries. Pain symptoms were present in 67% of the participants. None of the participants had diagnosable anxiety disorder. The mean HAM-A score was 16.5 (SD=5.04) with mild anxiety in 30% and moderate anxiety in 37%. Correlation with age, education, residence, duration of symptoms and gynaecological diagnosis were not significant. Significantly higher anxiety (on HAM A) was found in those with pain symptoms. Women posted for hysterectomy surgery have anxiety which correlates with pain symptoms. They should be evaluated for anxiety symptoms which can help in early diagnosis and treatment and help reduce further morbidity in them.
JPMA. The Journal of the Pakistan Medical Association, 2015
Hysterectomy is a frequently performed gynaecological procedure in Pakistan. This surgical procedure is a very stressful event for Pakistani women suffering from severe gynecological diseases and complications. It is also associated with a high incidence of anxiety and depression. Several studies in the West have reported an improvement in symptoms of depression and anxiety in patients undergoing hysterectomy. But this situation might be different in low resource countries like Pakistan where it is usually associated with myths, life threatening complications and obstetric abnormalities. Psychiatric support for these women is almost non-existent in general surgical settings.
Women's Hysterectomy Experiences and Decision-Making
Women & Health, 2003
The goal of the study was to examine women's experiences with gynaecologic symptoms and how they decided to undergo hysterectomy. For this purpose, twenty-nine women were interviewed in hospital within three days of undergoing hysterectomy. The interviews elicited information about the nature of the problem that caused the women to seek medical help, actions taken to solve their problem, their relationship with their gynaecologist, information seeking patterns and decision-making about hysterectomy. Although findings revealed that the symptoms women suffered had a negative impact on their lives, most women delayed seeking medical help and attributed their symptoms to factors other than a physical problem in their reproductive system. Most of the participants' information about the symptoms and possible treatments came from their consulting other women with similar problems. The women reported that their gynaecologist did not initiate a comprehensive discussion about other treatments and their advantages and dis-Ayse K. Uskul is PhD Candidate,
The Lived Experience of Hospitalized Women Undergoing Hysterectomy: A Phenomenological Study
Tanta Scientific Nursing Journal
Background: Hysterectomy is one of the main gynecological procedures which affect a woman's life in numerous ways, including physically, psychologically, socially, and sexually. Following hysterectomy, these effects on the women's physical and mental health are contradictory, despite improvements in their biopsychosocial function. The aim of the current study is to explore the lived experience of hospitalized women undergoing hysterectomy. Design: A phenomenological qualitative research design was utilized to achieve the aim of the study. Sample: A purposive sample of fifteen women who had a hysterectomy. Tools for data collection: three tools were used for data collection; a structured interviewing questionnaire; an unstructured interviewing questionnaire; the digital voice recorder and field notes. Setting: The interview was conducted at the high-risk pregnancy unit and gynecological inpatient department at Obstetrics and Gynecological Hospital which is affiliated with Cairo University Hospitals. Results: The overall experience as perceived by the participants could be described, within a framework of time sequences, as the following: 1) The immediate reaction towards hysterectomy was reflected by different feelings such as acceptance of the diagnosis, shock, sadness, and depression; 2) Early post-procedure suffering due to physical and psychological factors; 3) Expected later concerns and actual needs such as concern about family and children, sexual concern, need for affections and support from husband, needs for education; 4) Late post-procedures complaints due to fatigability, weight loss, social effects, loss feminine role, anxiety, altered sexual behavior and excitement. Conclusion: The current study concluded that hysterectomy has negative physical, psychological, and social impacts on women's lives in this study sample. Recommendation: Before women are discharged from the hospital, healthcare professionals in postoperative departments must address these potentially distressing psychological and physical consequences of hysterectomy.
2017
Introduction: Women who have an abdominal hysterectomy, typically experience significant physical and psychological problems, like fear and anxiety of the surgical outcomes, post-operative pain, effect on their daily activities, and sexual relationships. Providing pre-operative information on surgery is an effective measure to promote positive post-operative outcomes. Objectives: The objectives of the study were to evaluate the effectiveness of pre-operative instruction in terms of gain in knowledge, reduction of postoperative pain and improvement in selected post-operative behaviors and to find the association between knowledge score and pain score with selected baseline variables. Methods: A quasi-experimental pre-test and post-test control group designed with non-random assignment was used with sample size of 60 women, who were assigned to two groups: experimental and control with 30 women in each group. Study was conducted in Gynecological ward of Multispecialty Hospital. Experi...