Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Histerektomi Ameliyatı Öncesi ve Sonrasında Kadınların Ruhsal Durumları ve Benlik Saygılarının Değerlendirilmesi
Evaluation of Women's Mental Health and Self-Esteem Before and After Hysterectomy Surgery
Şükran ERTEKİN PINARa, Demet GÜNEYb
aSivas Cumhuriyet Üniversitesi Sağlık Bilimleri Fakültesi, Ebelik Bölümü, Sivas, TÜRKİYE
bKastamonu Üniversitesi Fazıl Boyner Sağlık Bilimleri Fakültesi, Ebelik Bölümü, Kastamonu, TÜRKİYE
Turkiye Klinikleri J Nurs Sci. 2021;13(3):704-10
doi: 10.5336/nurses.2020-80073
Article Language: TR
Full Text
ÖZET
 Amaç: Araştırmada, histerektomi ameliyatı öncesi ve sonrasında kadınların ruhsal durumları ve benlik saygılarının değerlendirilmesi amaçlanmıştır. Gereç ve Yöntemler: Tanımlayıcı araştırmanın örneklemini, Dr. Zekai Tahir Burak Kadın Sağlığı Eğitim ve Araştırma Hastanesi'nin Jinekoloji Servisi'nde histerektomi ameliyatı nedeni ile yatan 101 kadın oluşturmuştur. Veriler Kişisel Bilgi Formu, Kısa Semptom Envanteri (KSE) ve Rosenberg Benlik Saygısı Ölçeği (RBSÖ) ile toplanmıştır. Formlar kadınlara ameliyat öncesinde ve ameliyat sonrasında 2 kez uygulanmıştır. Veriler yüzdelik dağılım, ortalama ve t-testi ile değerlendirilmiş, p<0,05 anlamlı olarak alınmıştır. Bulgular: Kadınların yaş ortalaması 48,41±6,17'dir (minimum: 29; maksimum: 72). Ameliyat öncesi ve ameliyat sonrasında KSE'nin alt boyutlarından anksiyete (p=0,001), depresyon (p=0,001), olumsuz benlik (p=0,003) ve hostilite puanları (p=0,005) ve RBSÖ (p=0,001) puanları arasında istatistiksel olarak anlamlı fark saptanmıştır. Ameliyat öncesi hastaların benlik saygıları %64,4 düzeyinde yüksek iken, ameliyat sonrasında %74,3 düzeyinde yüksek saptanmıştır. Sonuç: Kadınların ameliyat öncesi döneme göre ameliyat sonrasında benlik saygıları artmış, anksiyete, depresyon, olumsuz benlik ve hostilite düzeyleri düşmüştür. Ameliyat öncesi dönemde, benlik saygılarını artıracak ve ruhsal durumlarını destekleyecek yaklaşımların yapılması önerilmektedir.

Anahtar Kelimeler: Histerektomi; ruh sağlığı; benlik saygısı; izlem çalışması
ABSTRACT
 Objective: This study aimed to evaluate women's mental health and self-esteem before and after hysterectomy surgery. Material and Methods: The sample of this descriptive study consisted of 101 women who were hospitalized due to hysterectomy in the gynecology service of Dr. Zekai Tahir Burak Women's Health Training and Research Hospital. Data were collected using the Personal Information Form, the Brief Symptom Inventory (BSI) and the Rosenberg Self-Esteem Scale (RSES). Forms were applied to women twice before and after the surgery. Data were evaluated by percentage distribution, mean and t test, p<0.05 was accepted significant. Results: The mean age of women was 48.41±6.17 (minimum: 29; maximum: 72). Before and after the surgery, a statistically significant difference was found between the subscales of the BSI, anxiety (p=0.001), depression (p=0.001), negative self (p=0.003), hostility (p=0.005) scores, and the RSES (p=0.001). While the self-esteem of the patients before the surgery was high at 64.4%, it was found to be high at the level of 74.3% after the surgery. Conclusion: While women's selfesteem increased after the surgery, their anxiety, depression, negative self and hostility levels decreased. Performing approaches that will increase women's self-esteem and support their mental health are recommended in the period before the surgery.

Keywords: Hysterectomy; mental health; self-esteem; follow-up study
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