BODY IMAGE, SELF-ESTEEM AND QUALITY OF SEXUAL LIFE AMONG WOMEN AFTER HYSTERECTOMY

Abd El Gwad, Naglaa Sobhy; Mahmoud, Amal Sobhy; El-Sayad, Sonia Mohamed; Abd El Fatah, Basel

doi:10.21608/pssjn.2020.132005

BODY IMAGE, SELF-ESTEEM AND QUALITY OF SEXUAL LIFE AMONG WOMEN AFTER HYSTERECTOMY

Document Type : Original Article

Authors

¹ M.ScPsychiatric Nursing and Mental Health Department, Faculty of Nursing, Port Said University

² Prof. of Psychiatric and Mental Health Nursing, faculty of nursing,port-said university

³ Assistant ProfessorPsychiatric Nursing and Mental Health Department, Faculty of Nursing, Port Said University

⁴ lecturer of Surgical Oncology Department , Faculty of Medicine, Mansoura University

10.21608/pssjn.2020.132005

Abstract

Background: Hysterectomy is particular type of surgery, which can influence the patient's life. In fact, deciding to undergo hysterectomy is a difficult process for every woman, especially psychologically. Aim: This study aims to investigate the relation between body image, self-esteem and quality of sexual life among women after hysterectomy. Subjects and Method: A descriptive correlational research design was used. The study was conducted at outpatient clinic of Oncology Center of Mansoura University. The study involved 188 women with hysterectomy. Tools of data collection: used four tools; body image scale, self-esteem scale, Quality of sexual life questionnaire and an interviewquestionnaire.The data was collected through an interview questionnaire.Results: Revealed that above half of womenwith hysterectomywas high concern with body image, majority of women with hysterectomy had high level of self-esteem and above three quarters of women reported being satisfied with their sexual life after hysterectomy. Conclusion: There was a strong positive correlation between patient's body image and self-esteem also, positive correlation between patient's self-esteem and quality of their sexual life. The main recommendation:Suggested isinitiating comprehensive health educational programs as well as rehabilitation programs for all women following cancer treatment in outpatient's clinics of oncology department units should be held, including psychological, social and physical related- issues.

Keywords

References

Afshari P., Houshyar Z., Javadifar N., Pourmotahari F., &Jorfi M. (2016). The Relationship between Body Image and Sexual Function in Middle-Aged Women. Electronic physician, 8: 3302-8.

Azadeh-Ghamsari A., Gill R., Moerdyk N., Oberleitner B.&Rademeyer K.(2002).The sexual and psychological implication of hysterectomy.South African medical journal,92:517-8.

Briedite I., Ancane G., Rogovska I., &Lietuviete N. (2014). Quality of Female Sexual Function After Conventional Abdominal Hysterectomy-Three Month' Observation. ActaChirurgicaLatviensis, 14: 26-31.

Brotto L., Heiman J., Goff B., Greer B., Lentz G., Swisher E., Tamimi H. & Van Blaricom A. (2008). A psychoeducational intervention for sexual dysfunction in women with gynecologic cancer. Arch Sex Behav, 37: 317-29.

Cohen S., Linenberger H., Wehry L. &Welz H. (2011). Recovery after Hysterectomy. webmed central research article ,2046-1690.

Danesh M., Hamzehgardeshi Z., Moosazadeh M. &Shabani-Asrami F. (2015). The Effect of Hysterectomy on Women's Sexual Function: a Narrative Review. Medical archives (Sarajevo, Bosnia and Herzegovina), 69: 387-92.

Dragisic K. &Milad M. (2004).Sexual functioning and patient expectations of sexual functioning after hysterectomy. American journal of obstetrics and gynecology, 190: 1416-8.

Eken M., İlhan G. Temizkan O., Çelik E., Herkiloğlu D. &Karateke A. (2016). The impact of abdominal and laparoscopic hysterectomies on women’s sexuality and psychological condition. Turkish journal of obstetrics and gynecology, 13: 196-202.

Flory N., Bissonnette F., &Binik Y. (2005). Psychosocial effects of hysterectomy: literature review. Journal of psychosomatic research, 59: 117-29.

Gamal S. (2015).body image, self –esteem and quality of sexual life after mastectomy. Mansoura nursing journal 2.

Gün C. &Kömürcü N. (2013). The relationship between self-esteem and self-care agency in hysterectomy patients. Journal of Research in Nursing and Midwifery, 2: 89-95.

Gutl P., Greimel E., Roth R. & Winter R. (2002). Women's sexual behavior, body image and satisfaction with surgical outcomes after hysterectomy: a comparison of vaginal and abdominal surgery. Journal of psychosomatic obstetrics and gynecology, 23: 51-9

Hammer A., Rositch A., Kahlert J., Gravitt P., Blaakaer J. &Sogaard M. (2015). Global epidemiology of hysterectomy: possible impact on gynecological cancer rates. American journal of obstetrics and gynecology, 213: 23-9.

Hopwood P,. (1993).The Assessment of Body image in cancer patient. Europen Journal of cancer 2 (276-281).

Illiano E., Giannitsas K. &Costantini E. (2016). Hysterectomy and Sexuality. IntUrogynecol Journal, (10):1563-9.

KékesSzabó M. (2015).The relation between body image and self-esteem .European psychiatry, 30:1354.

Kuppermann M., Summitt J., Varner R., McNeeley S., Goodman-G., Learman L., Ireland C.,Vittinghoff E., Richter H., Showstack J., Hulley S.& Washington A. (2005). Sexual functioning after total compared with supra cervical hysterectomy: a randomized trial. Obstetrics and gynecology, 105: 1309-18.

Lonnée-Hoffmann R. &Pinas I. (2014). Effects of hysterectomy on sexual function. Current sexual health reports, 6: 244-51.

Margaret M., Lorraine D.&Roger P. (2018).Psychological aspect of hysterectomy :A prospective study . The British journal of psychiatry,4: 516-522.

Merighi M., Oliveira D., Jesus M., Hoga K., &Pedroso A. (2012). Experiências e expectativas de mulheressubmetidas à histerectomia. Texto&Contexto - Enfermagem, 21: 608-15.

Mokate T., Wright C., &Mander T. (2006). Hysterectomy and sexual function. British Menopause Society Journal, 12: 153-7.

Pinar G., Okdem S., Dogan N., Buyukgonenc L., &Ayhan A. (2012). The effects of hysterectomy on body image, self-esteem, and marital adjustment in Turkish women with gynecologic cancer. Clinical Journal of Oncology Nursing, 16: 99-104.

Ramezani M., Dolatian M., Shams J. &Alavi H. (2011). The relationship between self-esteem and sexual dysfunction and satisfaction in women. Obstetrics and gynecology journal,6:1209-1318

Roovers J., van der Bom J., van der Vaart C. &Heintz A. (2003). Hysterectomy and sexual wellbeing: prospective observational study of vaginal hysterectomy, subtotal abdominal hysterectomy, and total abdominal hysterectomy. BMJ (Clinical research ed), 327: 774-8.

Roussis N., Waltrous L., Kerr A., Robertazzi R., &Cabbad M. (2004). Sexual response in the patient after hysterectomy: total abdominal versus supra cervical versus vaginal procedure. American journal of obstetrics and gynecology, 190: 1427-8.

Solbraekke K., Bondevik H., (2015). Absent organs—Present selves: Exploring embodiment and gender identity in young Norwegian women's accounts of hysterectomy, International Journal of Qualitative Studies in Health and Well-being, 10:10-3402.

Tozo I., Moraes J., Lima S., Gonçalves N., Auge A., Rossi L. & Aoki T. (2009). Sexuality evaluation in women submitted to hysterectomy for the treatment of uterine leiomyoma. Revistabrasileira de ginecologia e obstetricia: revista da FederacaoBrasileira das Sociedades de Ginecologia e Obstetricia, 31: 503-7.

Yen J., Chen Y., Long C., Chang Y., Yen C., Chen C., &Ko C. (2008). Risk factors for major depressive disorder and the psychological impact of hysterectomy: a prospective investigation. Psychosomatics, 49: 137-42.