الفهرس 
AIM OF THE STUDYOnly 14 pages are availabe for public view
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Abstract
Surgical treatment in general imposes a significant effect on women’s quality of life .Hysterectomy
in specific imposes more effect as it creates a threat to women’s feminine identity. This is based
on the fact that the uterus contributes to a woman’s physical, psychological, spiritual and sexual
well being. It is related to the concepts that physical and psychological dimensions of QOL
deterioration which affects other QOL dimensions social which are spiritual and sexual ones.
Knowledge about fears and the effects of hysterectomy need to be identified to women for their QOL
pre operative and 3&6 months post hysterectomy in order assist her in making a ppositive adjustment
to hysterectomy. So , the present study was conducted to identifY the effects of hysterectomy on
all dimensions of QOL, preoperatively , 48 hours, 3& 6 months post operative This study was
carried out on 40 women who were scheduled for elective hysterectomy over a period of 3 years . The
study was conducted at gynecological unit of Damanhour Medical
Institute.
Tools used in data collection:
1-Socio-Demographic data sheet
2- An adopted Version of Quality of Life Index Scale
3-Sexual pattern data sheet is developed by the investigator after literature reviewing.
The main results obtained from the study were as follows:
-The majority of study group aged 40 year or more (40.0%), and were either illiterate (45 %) or
could just read and write (25% )
-The percentage ofhousewives in study group is(90%)
-The majority ofthe studied women were married (77.0 %) and (30 %) of them, were married since 10
years or more respectively. In addition, (30 %)
of them had 3- 5 parity, (72. 3 %) had have 3- 5 children, and (72.5 %) of
them had children of both gender.
-The finding related to cause of hysterectomy among, (55.0%) was abnormal uterine bleeding.
-Regarding obstetric data, the study findings revealed that one half(SO .o %) had less than one
year under medical treatment before doing hysterectomy.
- Regard in type of hysterectomy, the majority of study sample (57. 5%) had
excision of uterus, ovaries and fallopian tubes.
Highest percentage of sample (32.5%), had taking less than one month for operation decision
-The majority study sample destinated absent information before operation, and (30%) of them had
there felling of approaching death after hearing
hysterectomy decision.
- The studied sample showed (57.7) the presence of physical problems like change in physical
capacity, joints pains, ta?hycardia, palpitation, change in appetite, feeling of advanced age,
change in sleeping pattern with significant change to the better at 6 months.
-The studied sample showed that hysterectomy has dysfunction impact on the biopsychosocial state,
i.e. to the poorest. So certain soicodemographic variables had been found to influence the
perceived QOL among those women
- Psychological diminution during follow up period was affected but there is decrement in
postoperative impact of hysterectomy during 48 h , 3 and 6 months post operative measurement
P(0.002% at 48 , 0.180 % at 3 months,
0.567% at 6 months .
- It was noticed that the social well being was not affected before operation and 48 h, and, 3& 6
months postoperative related to social family support, but it was decreased at 6 months P (1.807 at
3 months, and o.127 at 6 months).
-The study group shows that spiritual well being as in good condition in 3 months and increased in
6 months post operative.
- Also, a noticeable decrease in quality of sexual activity at 3&6 months than preoperative period
..So there was poorest in QOL regarding sexual dimension 3, and 6 months post operative.
-It was noticed that some soicodemographic variable affected some dimension of women’s QOL as age,
parity, number of abortion, number of children, and level of education, marital status, thus, the
finding of this study revealed that hysterectomy operation might represents considerable disruption
in women’s QOL, which with the passage of time was improved on one hand with the exception of the
physical, psychological, and’ spiritual dimensions. The data of the study not noticed improved in
sexual dimension.
The major disturbances following hysterectomy do appear pre dominantly at early
stages pre, post operatively, and start to decline over time.