مقایسه استرس پس از سانحه بعد از عمل هیسترکتومی در بیمارستان‌های منتخب دانشگاه علوم پزشکی شیراز سال 1398

نوع مقاله : اصیل پژوهشی

نویسندگان

1 کارشناس ارشد مامایی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی شیراز، شیراز، ایران.

2 استادیار گروه مامایی، مرکز تحقیقات روان جامعه‌نگر، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی شیراز، شیراز، ایران.

3 استادیار گروه مامایی، مرکز تحقیقات مادر و جنین، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی شیراز، شیراز، ایران.

چکیده

مقدمه: هیسترکتومی به‌عنوان یکی از معمول‌ترین عمل‌های جراحی زنان، بر بُعد روحی-روانی زنان تأثیر منفی می‌گذارد. مطالعه حاضر با هدف مقایسه زنان یائسه و غیریائسه هیسترکتومی شده از نظر استرس پس از سانحه انجام شد.
روش‌کار: این مطالعه تحلیلی- مقطعی از مرداد تا اواخر دی ماه سال 1398 بر روی 154 نفر از زنان یائسه و غیریائسه هیسترکتومی شده در بیمارستان‌های حضرت زینب (س) و شهید دکتر فقیهی شیراز انجام شد. گردآوری داده‌های استرس پس از سانحه از طریق پرسشنامه وایس و مارمر انجام شد. تجزیه و تحلیل داده‌ها با استفاده از نرم‌افزار آماری SPSS (نسخه 16) و آمار توصیفی و آزمون‌های تی مستقل و تی زوجی انجام شد. میزان p کمتر از 05/0 معنی‌دار در نظر گرفته شد.
یافته‌ها: میانگین نمره استرس پس از سانحه 1 هفته پس از عمل افزایش و 2 ماه بعد از عمل کاهش یافت (179/0=p). نمره استرس در گروه یائسه (02/6±99/4) کمتر از گروه غیریائسه (72/7±49/6) بود. همچنین بین میانگین نمره استرس پس از سانحه گروه یائسه و غیریائسه، 2 ماه پس از عمل برخلاف 1 هفته پس از عمل، تفاوت معناداری وجود نداشت (05/0<p).
نتیجه‌گیری: اگرچه هیسترکتومی، استرس را در زنان یائسه و غیریائسه و با اختلاف معناداری در گروه غیریائسه افزایش می‌دهد، اما پس از 2 ماه، نمره استرس پس از سانحه کاهش معنی‌داری می‌یابد.

کلیدواژه‌ها

عنوان مقاله [English]

Post-traumatic stress in postmenopausal and non-menopausal women after hysterectomy in selected hospitals of Shiraz University of Medical Sciences in 2019

نویسندگان [English]

  • Zohreh Radmehr 1
  • Mahnaz Zarshenas 2
  • Marzieh Akbarzadeh 3
1 M.Sc. of Midwifery, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran.
2 Assistant professor, Department of Midwifery, Community Based Psychiatric Care Research Center, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran.
3 Assistant professor, Department of Midwifery, Maternal –Fetal Research Center, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran.
چکیده [English]

Introduction: Hysterectomy, as one of the most common gynecological surgeries, has a negative effect on the psychological dimension of women. This study was performed with aim to compare postmenopausal and non-menopausal women who underwent hysterectomy in terms of posttraumatic stress.  
Methods: This analytical-cross-sectional study was performed on 154 postmenopausal and non-menopausal women who underwent hysterectomy in Hazrat Zeinab and Shahid Dr. Faghihi hospitals in Shiraz from August to the end of January 2019. The posttraumatic stress date was collected through Weiss & Marmar questionnaire. Data were also analyzed by SPSS software (version 16) and descriptive statistics and inferential statistics tests of independent t-test and paired t-test. P<0.05 was considered statistically significant.
Results: Mean Post-Traumatic Stress (PTS) score increased one week after the operation and decreased two months after the operation (p= 0.179). The score of stress was lower in the menopausal group (4.99±6.02) than the non-menopausal group (6.49 ± 7.72). Also, there was no significant difference between the mean PTS score of postmenopausal and non- menopausal two months after the surgery (p >0.05).
Conclusion: Although hysterectomy increases stress in postmenopausal and non-menopausal groups with significant differences in the non- menopausal group, but after two months, the PTS score significantly decreased. More attention from midwives and clinic staff on mental health is essential.

کلیدواژه‌ها [English]

  • Hysterectomy
  • Menopause
  • Non-menopausal
  • Post-Traumatic
  • Stress

مراجع

  1. Banovcinova L, Jandurova S. Subjective perceptions of life among women after hysterectomy. InSHS Web of Conferences 2018 (Vol. 51, p. 02009). EDP Sciences.
  2. Radha K, Devi GP, Chandrasekharan PA, Swathi P, Radha G. Epidemiology of hysterectomy-a cross sectional study among Piligrims of Tirumala. IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) 2015; 1(14):1-5.
  3. Javidi H, Yadollahie M. Post-traumatic stress disorder. Int J Occup Environ Med (The IJOEM) 2012; 3(1 January).
  4. Bahri N, Tohidinik HR, Najafi TF, Larki M, Amini T, Sartavosi ZA. Depression following hysterectomy and the influencing factors. Iranian Red Crescent Medical Journal 2016; 18(1).
  5. Goktas SB, Gun I, Yildiz T, Sakar MN, Caglayan S. The effect of total hysterectomy on sexual function and depression. Pak J Med Sci 2015; 31(3):700-5.
  6. Pinar G, Kurt A, Gungor T. The efficacy of preopoerative instruction in reducing anxiety following gyneoncological surgery: a case control study. World J Surg Oncol 2011; 9:38.
  7. de la Cruz CZ, Coulter M, O'Rourke K, Mbah AK, Salihu HM. Post-traumatic stress disorder following emergency peripartum hysterectomy. Arch Gynecol Obstet 2016; 294(4):681-8.
  8. Cooper R, Mishra G, Hardy R, Kuh D. Hysterectomy and subsequent psychological health: findings from a British birth cohort study. Journal of affective disorders 2009; 115(1-2):122-30.
  9. Elweley M, Sabra AI. Psychological problems, Concerns and beliefs in women undergoing hysterectomy. IOSR Journal of Nursing and Health Science 2015; 4(6):48-57.
  10. Zahra M, Zahara F, Javed S, Atiq M, Hussain A. Outcomes of total hysterectomy. World J Pharmaceut Res 2018; 7(11):1524-35.
  11. Borimnejad L, Mohadeth Ardebili F, Jozee Kabiri F, Haghani H. Comparison of quality of life after hysterectomy in pre and post menopause period in iranian women. Iran J Obstet Gynecol Infertil 2011; 13(6):39-45.
  12. Panaghi L, Mogadam JA. Persian version validation in impact of event Scale-Revised. Tehran Univ Med J 2006; 64(3):52-60.
  13. Alhusen JL, Lucea MB, Bullock L, Sharps P. Intimate partner violence, substance use, and adverse neonatal outcomes among urban women. J Pediatr 2013; 163(2):471-6.
  14. Stang A, Kluttig A, Moebus S, Völzke H, Berger K, Greiser KH, et al. Educational level, prevalence of hysterectomy, and age at amenorrhoea: a cross-sectional analysis of 9536 women from six population-based cohort studies in Germany. BMC Womens Health 2014; 14:10.
  15. Liu F, Pan Y, Liang Y, Zhang C, Deng Q, Li X, et al. The epidemiological profile of hysterectomy in rural Chinese women: a population-based study. BMJ Open 2017; 7(6):e015351.
  16. Daugbjerg SB, Cesaroni G, Ottesen B, Diderichsen F, Osler M. Effect of socioeconomic position on patient outcome after hysterectomy. Acta Obstet Gynecol Scand 2014; 93(9):926-34.
  17. Li Y, Wang N, Li L, Li J. Psychological Statuses of Premenopausal Women Before and After Hysterectomy. Clinical Medicine Research 2017; 6(4):143-8.
  18. Bostancı Ergen E, Akpak YK, Kılıççı Ç, Abide Yayla Ç, Ayas S. Does minimally invasive surgery reduce anxiety? J Turk Ger Gynecol Assoc 2019; 20(3):142-146.
  19. Sehlo MG, Ramadani H. Depression following hysterectomy. Current psychiatry 2010; 17(2):1-6.
  20. Helmy YA, Hassanin IM, Abd Elraheem T, Bedaiwy AA, Peterson RS, Bedaiwy MA. Psychiatric morbidity following hysterectomy in Egypt. International Journal of Gynecology & Obstetrics 2008; 102(1):60-4.
  21. Persson P, Brynhildsen J, Kjølhede P; Hysterectomy Multicentre Study Group in South-East Sweden. A 1-year follow up of psychological wellbeing after subtotal and total hysterectomy--a randomised study. BJOG 2010; 117(4):479-87.
  22. Kürek Eken M, İlhan G, Temizkan O, Çelik EE, Herkiloğlu D, Karateke A. The impact of abdominal and laparoscopic hysterectomies on women's sexuality and psychological condition. Turk J Obstet Gynecol 2016; 13(4):196-202.
  23. Kjerulff KH, Rhodes JC, Langenberg PW, Harvey LA. Patient satisfaction with results of hysterectomy. Am J Obstet Gynecol 2000; 183(6):1440-7.
  24. Spilsbury K, Hammond I, Bulsara M, Semmens JB. Morbidity outcomes of 78 577 hysterectomies for benign reasons over 23 years. BJOG: An International Journal of Obstetrics & Gynaecology 2008; 115(12):1473-83.
  25. Rannestad T. Hysterectomy: effects on quality of life and psychological aspects. Best Pract Res Clin Obstet Gynaecol 2005; 19(3):419-30.
  26. Silva-Filho AL, Werneck RA, de Magalhães RS, Belo AV, Triginelli SA. Abdominal vs vaginal hysterectomy: a comparative study of the postoperative quality of life and satisfaction. Arch Gynecol Obstet 2006; 274(1):21-4.
  27. Ganbari S, Parvaneh Sayar D. Comparison of sexual satisfaction after total and subtotal abdominal hysterectomy. Article in Parsian]. J Fac Med Tehran Uni Med Sci 2007; 65(9):31.
  28. Chen X, Guo T, Li B. Influence of prophylactic oophorectomy on mood and sexual function in women of menopausal transition or postmenopausal period. Arch Gynecol Obstet 2013; 288(5):1101-6.
  29. Ferianec V, Fülöp M, Ježovičová M, Radošinská J, Husseinová M, Feriancová M, et al. The Oak-wood Extract Robuvit® Improves Recovery and Oxidative Stress after Hysterectomy: A Randomized, Double-blind, Placebo-controlled Pilot Study. Nutrients 2020; 12(4):913.
  30. Judd FK, Hickey M, Bryant C. Depression and midlife: are we overpathologising the menopause? J Affect Disord 2012; 136(3):199-211.
  31. Gibson CJ, Joffe H, Bromberger JT, Thurston RC, Lewis TT, Khalil N, et al. Mood symptoms after natural menopause and hysterectomy with and without bilateral oophorectomy among women in midlife. Obstet Gynecol 2012; 119(5):935-41.
  32. Cohen SM, Linenberger HK, Wehry LE, Welz HK. Recovery after hysterectomy: a year-long look.
  33. Sözeri-Varma G, Kalkan-Oğuzhanoğlu N, Karadağ F, Özdel O. The effect of hysterectomy and/or oophorectomy on sexual satisfaction. Climacteric 2011; 14(2):275-81.

مجله زنان، مامایی و نازایی ایران
دوره 23، شماره 10
دی 1399
صفحه 43-51

فایل ها

هم رسانی

ارجاع به این مقاله

آمار