子宫切除术后住院患者心理感受的质性研究

Qualitative research of the psychological experience in female inpatients with hysterectomy

目的 了解因良性疾病而实施子宫切除术后住院患者心理感受.方法 采用目的抽样法,选取某三级综合医院妇科病房因妇科非恶性疾病行子宫全切手术后住院治疗期间的患者,进行开放性访谈.结果 共提炼出四个主题,包括患者第一反应、有解脱或无奈;患者内心隐藏的各种担心,包括对患者自身并发痘、衰老加快以及对夫妻生活的担心等;患者自我概念的改变,主要体现在“是否还是完整女人”的矛盾中;家人、朋友、同事是患者重要的信息来源,也是重要的社会支持系统,与医务人员共同影响患者的心理状态.结论 医护人员应重视针对性的患者教育,深入地与患者及家属沟通,为其提供有效的情感支持和身心整体护理.

Objective To elicit the perceptions of women who have had hysterectomy for benign conditions,Methods Qualitative design,individual interviews were conducted in women patients with hysterectomy for benign conditions.Results Four common themes emerged：the first response to hysterectomy was positive or unexpected.The inner space of these women was full of worrying about the impact on themselves and the sexual life with the partner.The perception of whether she was integral as a woman makes up the main part of the self-concept changing.Family members,friends,colleagues were significant resources of information and supportive system that impacted the psychological conditions together with the health-care providers.Conclusions Women undergoing hysterectomy need greater support and information from health care professionals.Doctors and nurses should provide further health education and information,facilitating the women＇s integral health.