Abdominal Hysterectomy - Vaginal Hysterectomy - Laparoscopically Assisted Vaginal Hysterectomy

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Scand J Caring Sci.2005 Dec;19(4):330-6.

Women's experiences with short admission in abdominal hysterectomy and their patterns of behaviour.

Authors:

Wagner L,Carlslund AM,Sorensen M,Ottesen B.

Department of Nursing Science, Institute of Public Health, Faculty of Aarhus, Arhus C, Denmark. lw@city.dk The aim of this study was to describe how women experienced short admission in abdominal hysterectomy and to describe patterns of behaviours in short admission. A Short admission is now widely used in Denmark in relation to hysterectomy and involves one to two postoperative days. The diagnostic, prognostic and clinical indicators are well described in the literature. Documentation however, is sparse regarding the experiences of the women involved. This article presents and discusses the women's own experiences and the impact of the short admission. The results are part of a lager evaluation of women and staff experiences overall. The design is exploratory and descriptive. Ten women who underwent a hysterectomy were selected consecutively from August 2001 and were followed from their initial examination to 1 month following hospital discharge. Data were collected by individual interviews. To grasp a complex reality and patterns of behaviour a typical-type methodology were used. As a result three types of women were identified: (i) The intervening type, (ii) the cooperative type and (iii) the unsure type. The women considered dialogue with the staff to be essential in short admissions. Women in this study who described emotional reactions considered it important that staff do not refrain from speaking about sensitive subjects. In conclusion the importance of dialogue creates new demands for the staff, as somatic care in this context has changed to be more oriented towards information and follow-up. The women in this study did not have any physical side effects but reported some psychological areas of importance. An outpatient clinic staffed by nurses could cover the needs of the woman.

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• 1 Are heavy periods a common problem?
• 2 What is in my menstrual flow?
• 3 What range of menstrual cycle length is considered to be normal?
• 4 How can menstrual blood loss be measured?
• 5 How can I tell if my periods are abnormally heavy?
• 6 What could be the cause of my very heavy menstrual periods?
• 7 I have been sterilised. Could this be the cause of my heavy periods?
• 8 Should I have tests to find the reason for my heavy periods?
• 9 How will my heavy period problems be investigated?
• 10 What is meant by anaemia due to heavy periods?
• 11 What is intermenstrual bleeding?
• 12 What is a hysteroscopy and D and C?
• 13 What is cervical cautery?
• 14 What happens after the D and C?
• 15 What treatments are available for my heavy periods?
• 16 What are the medical treatments available for heavy periods?
• 17 How do the various medical treatments for heavy periods work?
• 18 What would be reasonable initial treatment for a teenager or young woman with heavy periods?
• 19 What is a hysterectomy?
• 20 What are the indications for hysterectomy?
• 21 What are the risks (complications) of hysterectomy?
• 22 What is vault granulation?
• 23 What are the different types of hysterectomy?
• 24 Is it essential to remove the neck of the womb at hysterectomy?
• 25 Should my ovaries be removed or conserved during hysterectomy?
• 26 How long will I be in hospital when I have my hysterectomy?
• 27 I have had a hysterectomy. Do I still need to have smear tests?
• 28 What are the other surgical alternatives to hysterectomy?
• 29 How do endometrial ablation and hysterectomy compare?
• 30 Are there any psychological effects following hysterectomy?
• 31 How do we decide the best treatment for my period problems?
• 32 Could I have some recommended hysterectomy support groups?
• 33 Are there any support groups?
• Intermenstrual Bleeding - Bleeding between periods.

 

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