|
KMID : 0378019900330100107
|
|
New Medical Journal
1990 Volume.33 No. 10 p.107 ~ p.116
|
|
|
A Study of the Related Factors to the Menopause Symptoms of Women who have had a Hysterectomy
|
|
|
|
|
Abstract
|
|
|
This study was done to identify the factors related to the menopause symptoms of women who have had a hysterectomy in order to give better nursing care at the time of discharge from the hospital.
The design of this study was a cross sectional survey.
The subjects were 156 women who have had a hysterectomy at two educational hospitals and were from one month to 18 month post surgery, had no complications, lived with their spouse, and were menstruating before their surgery.
The tool for this study consisted of 118 items related to general characteristics, characteristics of the surgery, and psychosocial characteristics.
The level of internal consistency of the tool was from .5208 to .9462.
Data collection was done with a mailed questionnaire between July 10 and Aug. 20, 1990. The questionnaire was mailed 309 women, of which 177 replied. Of these replies only 156 were complete and therefore used in the analysis.
Data analysis was done using frequency, ratio, mean and S.D. for the general characteristics and score for the level of menopause symptoms.
T-test or ANOVA was applied to test the difference between the general and surgery related characteristics and the menopause symptom scores.
Pearson Correlation was used to test the menopause score and the level for the psychosocial variables.
The results of this study were as follows ;
1. The mean age of the subjects was 44 yrs, 91.7% of the subjects were graduates of middle school or higher, the mean level of income was 1,150,000 won.
60.3% of the subjects had not been given the proper information by the health personnel before the surgery and 57.7% answered that they did not have adequate information from health professionals at the time of discharge but 64.7% of the subjects received some positive information from lay persons.
The mean and possible score for husband´s support was 43 out of 65, for body image 16 out of 30, for positive emotion 41 out of 80, for emotional status(negative emotional score subtracted from positive score) 10, for sexual attitude 25 out of 40, for sexual behavior 16 out of 30, and for sexual satisfaction 33 out of 50.
2. The mean score for menopause symptoms was 45.4, the range was 20-87.
There were no respondents who had no menopause symptoms even though there were 88(56.4%) women in whom the ovaries were preserved.
For the psychological symptoms, the highest respondent rate was 43.6% for the item `nervousness´. For the metabolic symptoms, 40.4% of the respondents checked `pain in the extremities´, and for the symptoms of hypothalamic origin, 35.2%, checked ´perspiration´.
3. The group who had their ovaries removed had a higher menopause symptom score (48.4) than the group(43.1) who only had a hysterectomy (t=-2.16, p=.03). The group who had negative information from lay persons showed a higher menopause symptom score(52.6) than the group(44.8) who received positive information(F=3.74, p=.02). The group who responded that they did not get information from health personnel before or at the time of discharge from hospital showed a higher menopause symptom score(47.9) than the group(42.1) who responded that they did get information(t=-2.47, p=.01).
4. There was a significant correlation between the score of menopause symptoms with the score for husband´s support(r=-.23, p=.003), sexual behavior(r=-.27, p=.000), positive emotion(r=-.33, p=.000), negative emotion(r=.63, p=.000), emotional status (r=-.62, p=.000) and sexual satisfaction(r=-.21, p=.007).
In summary, it was found that the content of general information related to the hysterectomy, giving professional information at the time of discharge, the preservation of the woman´s ovaries, support from the husband, sexual knowledge, sexual behavior, emotional status, and sexual satisfaction were significantly related to the level of menopause symptoms.
Therefore, it can be concluded that nurses have to be concerned about those factors in planning nursing care to alleviate or prevent menopause symptoms in women who have had a hysterectomy.
|
|
|
KEYWORD
|
|
|
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
|
|
|