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
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