Login Register Cart 0
Generic placeholder image

Current Women`s Health Reviews

Editor-in-Chief

ISSN (Print): 1573-4048
ISSN (Online): 1875-6581

Back
Journal Home About Journal Editorial Board Journal Insight Current Issue Volumes/Issues
Subscribe
Research Article

Comparison of the Quality of Life and Post-traumatic Stress in Postmenopausal and Non-menopausal Women after Hysterectomy in Selected Hospitals of Shiraz University of Medical Sciences in 2020

Author(s): Zohreh Radmehr, Mahnaz zarshenas, Maryam keshavarz and Marzieh Akbarzadeh*

Volume 19, Issue 2, 2023

Published on: 02 August, 2022

Article ID: e050522204348 Pages: 8

DOI: 10.2174/1573404818666220505154823

Price: $65

Abstract

Background: Hysterectomy is one of the most common gynecological surgeries that affect women's mental health and quality of life.

Objective: This study aimed to investigate the correlation between the quality of life and posttraumatic stress in hysterectomized postmenopausal and non-menopausal women.

Materials and Methods: This cross-sectional analytical study was conducted from August to December 2019 on hysterectomies postmenopausal and non-menopausal women. There were 77 subjects in each group with a mean age of 52.55 ± 1.098. They were selected via convenience sampling at Hazrat Zeinab (PBUH) and Shahid Dr. Faghihi Hospitals in Shiraz. They were evaluated in a two-month follow-up using the Impact of Event Scale-Revised (Weiss & Marmar, 1997) and WHO Quality of Life-BREF (WHOQOL-BREF) questionnaires. Data were analyzed in SPSS-16 software using descriptive and inferential statistics (independent t-test, paired t-test, and Pearson or Spearman correlation coefficients).

Results: Unlike the first stage of the study (before and a week after the surgery, P = 0.289), there was a significant negative relationship in the quality of life and post-traumatic stress between postmenopausal and non-menopausal women (P = 0.001) in the second stage (two months after the surgery). Hysterectomy increased the mean score of post-traumatic stress in postmenopausal and nonmenopausal women after the surgery (P = 0.179), while the quality of life improved and stress decreased two months later (P = 0.0001).

Conclusion: Hysterectomy improved the quality of life in postmenopausal and significantly in nonmenopausal women. Hence, due to the correlation and significant negative relationship between post-traumatic stress and quality of life, midwives, families, and society need to pay attention to women’s quality of life.

Keywords: Hysterectomy, quality of life, post-traumatic stress, menopause, non-menopause, mental health, Iranian.

Graphical Abstract

[1]
Danesh, M.; Hamzehgardeshi, Z.; Moosazadeh, M.; Shabani-Asrami, F. The effect of hysterectomy on women’s sexual function: A narrative review. Med. Arh., 2015, 69(6), 387-392.
[http://dx.doi.org/10.5455/medarh.2015.69.387-392] [PMID: 26843731]
[2]
Ozdemir, F.; Pasinlioglu, T. The effects of training and progressive relaxation exercises on anxiety level after hysterectomy. N. J. Med., 2009, 25, 102-107.
[http://dx.doi.org/10.1/1545.1728]
[3]
Clarke-Pearson, D.L.; Geller, E.J. Complications of hysterectomy. Obstet. Gynecol., 2013, 121(3), 654-673.
[http://dx.doi.org/10.1097/AOG.0b013e3182841594] [PMID: 23635631]
[4]
Skorupska, K.A. Miota, P.; Kubik-Komar, A.; Rechberger, E.; Adamiak-Godlewska, A.; Rechberger, T. Are there any differences in quality of life and sexual functions after various types of hysterectomy - does prophylactic salpingectomy matter? Ginekol. Pol., 2016, 87(1), 26-31.
[http://dx.doi.org/10.17772/gp/60554] [PMID: 27306465]
[5]
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(1), 38.
[http://dx.doi.org/10.1186/1477-7819-9-38] [PMID: 21477315]
[6]
Theofilou, P. Quality of life: Definition and measurement. Eur. J. Psychol., 2013, 9(1), 150-162.
[http://dx.doi.org/10.5964/ejop.v9i1.337]
[7]
Wodlin, N.B.; Nilsson, L. Kjøّlhede, P. Health-related quality of life and postoperative recovery in fast-track hysterectomy. Acta Obstet. Gynecol. Scand., 2011, 90(4), 362-368.
[http://dx.doi.org/10.1111/j.1600-0412.2010.01058.x] [PMID: 21306322]
[8]
Lee, C.F.; Wen, F.H.; Lin, S.S.; Lin, H.M. Changing quality of life in hysterectomized women. J. Formos. Med. Assoc., 2009, 108(5), 414-422.
[http://dx.doi.org/10.1016/S0929-6646(09)60086-3] [PMID: 19443296]
[9]
Sukgen, G.; Kaya, A.E. Effect of laparoscopic hysterectomy on sexual function and quality of life: 12-month follow-up results. Cukurova Med. J 2018, 43(Ek 1), 216-221.
[http://dx.doi.org/10.17826/cumj.442973]
[10]
Radha, K.; Devi, G.P.; Chandrasekharan, P.; Swathi, P.; Radha, G. Epidemiology of hysterectomy-a cross sectional study among Piligrims of Tirumala. OSR-JDMS, 2015, 1(14), 1-5.
[11]
El-Sayed, H.E. Effect of preoperative counseling on anxiety and satisfaction among women undergoing hysterectomy. Int. J. Nurs. Didact., 2017, 7(5), 7-15.
[12]
de la Cruz, C.Z.; Coulter, M.; O’Rourke, K.; Mbah, A.K.; Salihu, H.M. Post-traumatic stress disorder following emergency peripartum hysterectomy. Arch. Gynecol. Obstet., 2016, 294(4), 681-688.
[http://dx.doi.org/10.1007/s00404-016-4008-y] [PMID: 26781263]
[13]
Goktas, S.B.; Gun, I.; Yildiz, T.; Sakar, M.N.; Caglayan, S. The effect of total hysterectomy on sexual function and depression. Pak. J. Med. Sci., 2015, 31(3), 700-705.
[PMID: 26150871]
[14]
Jelovsek, J.E.; Barber, M.D. Women seeking treatment for advanced pelvic organ prolapse have decreased body image and quality of life. Am. J. Obstet. Gynecol., 2006, 194(5), 1455-1461.
[http://dx.doi.org/10.1016/j.ajog.2006.01.060] [PMID: 16647928]
[15]
Cooper, R.; Mishra, G.; Hardy, R.; Kuh, D. Hysterectomy and subsequent psychological health: Findings from a British birth cohort study. J. Affect. Disord., 2009, 115(1-2), 122-130.
[http://dx.doi.org/10.1016/j.jad.2008.08.017] [PMID: 18835497]
[16]
Khan, S.; Khan, S.; Channa, S.R.; Bawany, M.A. Depression and anxiety post total abdominal hysterectomy with bilateral salpingo-oophorectomy. Prof. Med. J., 2020, 27(02), 217-224.
[http://dx.doi.org/10.29309/TPMJ/2020.27.02.2338]
[17]
(a) Barim-Nezhad, L.; Mohades-Ardebili, F.; Joz-Kabiri, F.; Haghani, H. Comparison of quality of life in menopause and nonmenopause women after hystrectomy. Iran. J. Obstet. Gynecol. Infertil., 2011, 13(6), 39-45.
[http://dx.doi.org/10.22038/IjOGI.2011.5801];
(b) Nedjat, S.; Naieni, K.H.; Mohammad, K.; Majdzadeh, R.; Montazeri, A. Quality of life among an Iranian general population sample using the World Health Organization's quality of life instrument (WHOQOL-BREF). Int. J. Public Health. 2011, 56(1), 55-61.
[http://dx.doi.org/10.1007/s00038-010-0174-z] [PMID: 20680655];
(c) Panaghi, L.; Shooshtari, M.H.; Mogadam, J.A. Persian version validation in impact of event Scale-Revised. Tehran Univ. Med.J., 2006, 64(3), 52-60. Available from: https://tumj.tums.ac.ir/browse.php?a_id=974&sid=1&slc_ lang=en
[18]
Majkusiak, W.; Horosz, E.; Tomasik, P.; Zwierzchowska, A. Wielgoś M.; Barcz, E. Quality of life assessment in women after cervicosacropexy with polypropylene mesh for pelvic organ prolapse: A preliminary study. Przegl. Menopauz., 2015, 14(2), 126.
[http://dx.doi.org/10.5114/pm.2015.52153]
[19]
Krishnasamy, K.T.; Vaidyanathan, R. Does quality of life improve in women following hysterectomy? AJNER,, 5(1), 108-112.
[http://dx.doi.org/10.5958/2349-2996.2015.00023.3]
[20]
Collaris, R.; Sidhu, K.; Chan, J.M. Prospective follow-up of changes in menopausal complaints and hormone status after surgical menopause in a Malaysian population. Menopause, 2010, 17(2), 351-358.
[http://dx.doi.org/10.1097/gme.0b013e3181bcd6f8] [PMID: 19890223]
[21]
Bhattacharya, S.M.; Jha, A. A comparison of Health-Related Quality Of Life (HRQOL) after natural and surgical menopause. Maturitas, 2010, 66(4), 431-434.
[http://dx.doi.org/10.1016/j.maturitas.2010.03.030] [PMID: 20434859]
[22]
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), 1101-1106.
[http://dx.doi.org/10.1007/s00404-013-2865-1] [PMID: 23625334]
[23]
Ferianec, V. Fülöp, M.; Ježovičová, M.; Radošinská, J.; Husseinová, M.; Feriancová, M.; Radošinská, D.; Barančík, M.; Muchová, J.; Hȍgger, P.; Ďuračková, Z. 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.
[http://dx.doi.org/10.3390/nu12040913] [PMID: 32230721]
[24]
Sehlo, M.G.; Ramadani, H. Depression following hysterectomy. Curr. Psychiatr., 2010, 17(2), 1-6.
[25]
Zahra, M.; Zahara, F.; Javed, S.; Atiq, M.; Hussain, A. Outcomes of total hysterectomy. World J. Pharm. Res., 2018, 7(11), 1524.
[26]
Gibson, C.J.; Joffe, H.; Bromberger, J.T.; Thurston, R.C.; Lewis, T.T.; Khalil, N.; Matthews, K.A. Mood symptoms after natural menopause and hysterectomy with and without bilateral oophorectomy among women in midlife. Obstet. Gynecol., 2012, 119(5), 935-941.
[http://dx.doi.org/10.1097/AOG.0b013e31824f9c14] [PMID: 22525904]
[27]
Sözeri-Varma, G.; Kalkan-Oğuzhanoğlu, N.; Karadağ F.; Özdel, O. The effect of hysterectomy and/or oophorectomy on sexual satisfaction. Climacteric, 2011, 14(2), 275-281.
[http://dx.doi.org/10.3109/13697137.2010.532251] [PMID: 21226659]
[28]
Chandana, J.; Asanka, G.; Champika, G. Post-operative quality of life assessment after total abdominal hysterectomy. J. Gynecol. Reprod. Med., 2017, 1(3), 1-4.
[29]
Kipyegon, C.A.; Philliph, T.K.; Joseph, L.M. Quality of life after hysterectomy for benign gynecological diseases at MOI teaching and referral hospital (MTRH), Kenya. Gynecol. Reprod. Health, 2019, 3(3), 1-7.
[30]
Sánchez-Rodríguez M.A.; Castrejóَn-Delgado, L.; Zacarías-Flores, M.; Arronte-Rosales, A.; Mendoza-Núñez, V.M. Quality of life among post-menopausal women due to oxidative stress boosted by dysthymia and anxiety. BMC Womens Health, 2017, 17(1), 1.
[http://dx.doi.org/10.1186/s12905-016-0358-7] [PMID: 28049464]
[31]
Theunissen, M.; Peters, M.L.; Schepers, J.; Maas, J.W.; Tournois, F.; van Suijlekom, H.A. Recovery 3 and 12 months after hysterectomy: Epidemiology and predictors of chronic pain, physical functioning, and global surgical recovery. Medicine , 2016, 95(26)e3980
[http://dx.doi.org/10.1097/MD.0000000000003980]

Rights & Permissions Print Cite
Article Metrics
27
1
© 2024 Bentham Science Publishers | Privacy Policy