Der Einfluss des ärztlichen Aufklärungsgespräches auf die postoperative Zufriedenheit und Lebensqualität von Patientinnen mit Uterus myomatosus nach Myomenukleation oder Hysterektomie

Abstract

The surgical treatment of uterine fibroids represents an important column in the therapy of this disease. Aim of this study was to find out preoperative factors that influence the treatment success of a minimal-invasive surgical -therapy.In a retrospective study 228 patients were assessed. Measures comprised questions on the decision for surgery, satisfaction with the treatment, and the EQ-5D as a measure of QoL.The sample revealed an overall satisfaction with treatment and high QoL. A better postoperative contentment and QoL in patients who felt well informed about the surgical methods and who felt secure with their decision for a specific surgery was found.Regardless of the surgical method, the preoperative consultation and the certainty of the decision turned out to be determinants of the patients' postoperative contentment and QoL. The counseling gynecologist has an essential part in the patients' decision for the treatment.

Satisfaction in parturients receiving epidural analgesia after prenatal shared decision-making intervention: a prospective, before-and-after cohort study

“…Previous study showed once parturients are admitted, “maternal participation in anesthesia decision” is an important key to satisfaction [ 23 ]. According to previous studies, if everything is well explained before surgery, the overall postoperative satisfaction might be higher [ 26 , 37 , 38 ]. In our SDM group, general satisfaction is high.…”

Themen der Psychosomatischen Frauenheilkunde und Geburtshilfe in der PPmP

“…Fragen der Sexualität und Identität behandeln 2 Arbeiten [17,18]. Jeweils eine Arbeit befasst sich mit Pflegenden Frauen [19], Klimakterium [20], Sexuellem Missbrauch [21], Unterleibsoperatio-nen [22] und Borderline-Persönlichkeitsstörungen [23]. Die Anzahl der Arbeiten in der PPmP mit Themen der Psychosomatischen Frauenheilkunde und Geburtshilfe hat deutlich zugenommen.…”

How Does the Patient React After Reading the Informed Consent Form of a Gynecological Surgery? A Qualitative Study

“… 6 Personal motivations are important regarding the decision-making process to undergo a gynecological surgery; 7 therefore, they can influence in the patients' postoperative satisfaction and overall quality of life. 8 However, little is known about the ICF in this kind of procedure and how this fulfils the objectives of signaling partnership. Another topic of concern is the ICF prior to female reconstructive pelvic surgery.…”