Psychological Aspects of Hysterectomy &amp; Postoperative Care

Majumdar, Amitabha; Saleh, Sepeedeh

doi:10.5772/31227

Cited by 6 publications

(6 citation statements)

References 82 publications

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“…Emergency peripartum hysterectomy (EPH) is the surgical removal of the uterus within 24 hours of delivery in order to control haemorrhage after failure of conservative means the sole purpose of saving the woman's life (4) (5, 6). However EPH can induce pronounced emotional responses, such as anxiety, depression, denial, anger, marital disruption, and a sense of loss and inadequacy (7)(8)(9). These feelings are contrary to the ones of joy and gratitude which the women had hoped to experience following the birth of their children (10).…”

Section: Introductionmentioning

confidence: 99%

Women’s Experiences following Emergency Peripartum Hysterectomy at St. Francis Hospital Nsambya. A Qualitative study.

Pilli

Sekweyama

Kayira

2020

Preprint

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Background Women who undergo emergency peripartum hysterectomy (EPH) are at greater risk of experiencing severe negative psychosocial sequelae. However at St. Francis Hospital Nsambya and much of Sub-Saharan Africa, these women are not routinely followed up to explore these experiences. This study sought to explore women’s experiences and coping strategies following EPH St. Francis Hospital Nsambya, Kampala, Uganda. Methods This qualitative study was based on in-depth interviews of women who had undergone EPH at St. Francis Hospital Nsambya EPH between January 2015 to August 2018. Out of 66 women who had undergone EPH during this period, 18 were purposively selected and interviewed between August to December 20018. All the information obtained was audio-recorded, transcribed and then analyzed in three phases of pre-analysis of intense reading, exploration and comparison and then interpretation. Results These women disclosed feelings of loss of womanhood, Uncertainty about the future, Joy for being Alive, and professional abandonment. Their coping strategies were living in denial, believing in God and acceptance. Conclusion Women experience severe negative psychosocial sequelae following EPH therefore routine ongoing psychotherapy should be offered to these women until full acceptance is achieved.

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Section: Introductionmentioning

confidence: 99%

Women’s Experiences following Emergency Peripartum Hysterectomy at St. Francis Hospital Nsambya. A Qualitative study.

Pilli

Sekweyama

Kayira

2020

Preprint

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“…Anxiety enhances sympathetic activity, which can increase cardiac workload, myocardial oxygen demand, heart and respiratory rates, blood pressure, and cardiac arrhythmias 16. In hysterectomy surgery, anxiety may be experienced more because of the meaning attached to the reproductive organs of women 12,17. Pain-induced anxiety increases oxygen consumption and lactic acid production in the muscles, which can cause problems such as pain or cramping.…”

Section: Introductionmentioning

confidence: 99%

“…Abdominal hysterectomy is still the choice of procedure for a majority of hysterectomies 8–10. The most common complaint after total abdominal hysterectomy (TAH) is pain during the postoperative period 2,4,5,8,11,12. Postoperative pain, which usually lasts 24 to 48 hours, is seen by patients as an inevitable consequence of every surgery that must be tolerated.…”

Section: Introductionmentioning

confidence: 99%

Effect of Reflexology on Decreasing Postoperative Pain and Anxiety After Total Abdominal Hysterectomy

Avcı

Öskay

2023

Holistic Nursing Practice

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Surgical patients experience both postoperative pain and anxiety, as they try to cope with pain. Despite technological advances, pharmacological methods are inadequate for decreasing postoperative pain and anxiety. Reflexology has been implemented and considered effective in these areas in many countries. The aim of this study was to determine the effect of reflexology on decreasing postoperative pain and anxiety after a hysterectomy. The study was an intervention randomized study. The population of the investigation is all patients who had a hysterectomy between February 2012 and December 2014 in the Istanbul University Obstetrics and Gynecology service. The sample was 100 women chosen after a power analysis (minimum: 74) (experimental: 54, control: 46) within the population of the investigation who agreed to participate in the study. Using a table of random numbers, patients in the sample were divided into groups. Data was collected using the patient information and vital signs form, State-Trait Anxiety Inventory (STAI-I), Visual Analog Scale (VAS) Pain and Anxiety Scales, and BRIEF pain inventory. All women in the groups had similar sociodemographic, obstetric, and pain characteristics, past experience of illness, and characteristics related to their hysterectomy. All of the patients in the reflexology group stated that reflexology helped them feel better. The reflexology group compared with the control group had lower than the average VAS pain and VAS and STAI anxiety at all assessment times. Reflexology is effective in reducing anxiety and pain.

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“…Over the years, although it is a highly developed field of clinical research, not much has been written about the more exquisitely psychological aspects of hysterectomy surgery [1][2][3][4][5][6].…”

Section: Introductionmentioning

confidence: 99%

Gynecological surgical interventions (conservative and non-conservative): Clinical psychological variables and symptomatology pertaining to perioperative period

Pruneti¹,

Mortilla²,

Masellis³

et al. 2022

Arch Clin Obs Gyn Res

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Objective: After considering great inter-individual variability of subjective experience and clinical course in reference to conservative and non-conservative gynecological surgical interventions, an attempt was made to evaluate potential role of several clinical and psychological variables with respect to perioperative symptomatology course and illness behaviour. Materials and methods: The sample consists of 58 women (mean age 41.4 ± 8.7) undergoing gynecological surgical interventions (conservative and non-conservative ones) for benign pathologies. The anamnestic and clinical data (psychological anamnesis, clinical history, indications, methods and typology of the intervention) were collected using a specifically designed summary form. For the evaluation of pre-and post-operative symptomatology course and illness behaviour, the following psychological tests were respectively used: The Symptom Questionnaire (SQ), with 3 planned administrations (respectively 15 days before the intervention, a day before the intervention and at discharge) and the Illness Behavior Questionnaire (IBQ), completed before discharge. Non-parametric tests (Mann-Whitney and Kruskal-Wallis) were used to compare performances on independent samples. Results: Results show that perioperative course and illness behaviour in the cases of gynecological surgical interventions for benign pathologies depend on clinical variables, that is, typology and methods of the intervention, clinical history, psychopathological anamnesis. Conclusion: Findings suggest the importance of clinical-anamnestic inquiry oriented towards the evaluation of variables that emerged as risk factors, with the goal of planning personalized support interventions for preventing and/or reducing distress and impact on psychophysical wellbeing arising after gynaecological surgical interventions.

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Psychological Aspects of Hysterectomy & Postoperative Care

Cited by 6 publications

References 82 publications

Women’s Experiences following Emergency Peripartum Hysterectomy at St. Francis Hospital Nsambya. A Qualitative study.

Women’s Experiences following Emergency Peripartum Hysterectomy at St. Francis Hospital Nsambya. A Qualitative study.

Effect of Reflexology on Decreasing Postoperative Pain and Anxiety After Total Abdominal Hysterectomy

Gynecological surgical interventions (conservative and non-conservative): Clinical psychological variables and symptomatology pertaining to perioperative period

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