Post-hysterectomy women consider hysterectomy as the loss of femininity which significantly impacts the psychological state of the convalescent. The support and motivation from the family, especially the husband tend to affect the wife's life quality and self-confidence after a hysterectomy. Therefore, this study aims to explore the psychological experiences of posthysterectomy women in terms of support from their husbands using a qualitative method with a phenomenological approach. The participants were selected through the purposive sampling method with inclusion criteria: (1) Women with the history of hysterectomy, (2) Those at productive age (15-64 years old), and (3) Post-hysterectomy respondents living with their husbands. The data were obtained from in-depth interviews with 6 post-hysterectomy participants, and the analysis was carried out using the Interpretative Phenomenological Analysis Technique. The four themes used were: 1) Fear of being abandoned before the procedure, (2) My husband is my strength, (3) I feel the love of my spouse, (4) Thanks for accompanying me, ( 5) Accepting what has happened, (6) I wish we always be together, healthy, and happy. The support in the form of providing motivation, encouragement, and affection for post-hysterectomy women strengthens and improve life quality. In conclusion, with partner support, women feel the affection and love, which relatively increase happiness within the family.
Background: Family communication can become a support system for adolescents. Ineffective communication in the family causes emotional problems and poor psychological well-being in adolescents. Purpose: This study aimed to analyze the determinant factor of effective family communication in adolescents. Methods: This was a cross-sectional multi-centre design with 357 participants aged 15-16 from fve high schools in Indonesia. We used the convenience sampling method to select participants. Communication in the family questionnaire, Rosenberg Self Esteem Instrument, Depression Anxiety Stress Scale (DASS-21), and the Scale for Suicide Ideation (SSI) questionnaires were used to measure communication within the family, selfesteem, stress, anxiety, depression, and suicide ideation, respectively. Data were analyzed using Chi-square and binary logistics regression. Results: Most of the adolescents were male (52.1%), had harmonious families (96.6%), had economic status above the minimum wage (65.5%), had high self-esteem (88.5%), and had high social support (67.8%). However, in terms of mental health problems, as many as 47.3%, 74.2%, 72%, and 30.5% of adolescents experienced stress, anxiety, depression, and suicidal ideation, respectively. The multivariate analysis concluded that gender (AOR: 0.499; 95% CI: 0.294-0.847) and socioeconomic status (AOR: 0.2.162; 95% CI: 1.296–3.608) were signifcantly correlated with family communication. Conclusion: Males adolescents are more likely to have ineffective family communication than female adolescents. Also, adolescents with a family socioeconomic status below the minimum wage have a greater risk of ineffective family communication. Therefore, it is essential to improve family communication through assertive communication training in adolescents and families in the educational and community setting.
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