Women have pressing questions of quality of life after hysterectomy

Abstract

DOI: 10.52705/2788-6190-2024-04.2-07
УДК 618.14-089.87-039:303.022:314.47

The objective: to estimate the features of quality of life for women after hysterectomy.
Materials and methods. The complex is conducted clinical-and-laboratory inspection 200 patients, which carried surgical treatment uterine fibroids from which 100 women were inspected prospectively (group A) and 100 – retrospectively (group B). Depending on the volume of operative interference, patient parted on two groups: the І group (basic group) was made by 100 patients after a myomectomy, 100 patients which carried subtotal hysterectomy entered in the ІІ group (group of comparison). In the group of prospective supervision selected two sub-groups: IA a sub-group was made 50 patients which carried a myomectomy and IIA sub-group – 50 women after hysterectomy. In the group of retrospective supervision a to 1 sub-group entered 50 patients after a myomectomy and in a II B sub-group – 50 patients after hysterectomy. In the group of prospective supervision conducted research to the operation, in an early postoperative period and through 3, 6 and 12 months after an operation. In the group of retrospective supervision researches were conducted in 2–10 years after operative treatment. The estimation of quality of life was conducted with the use of questionnaire Nottingham Health Profile (NHP), modified for gynaecological patients.
Results. In all terms of retrospective supervision, quality of life due to emotional reactions was reliable below for women which carried hysterectomy, as compared to patients after a myomectomy. At a retrospective supervision, through 2–4 and 5 and more than years after an operation for patients which carried a myomectomy observed stably high quality of life after a scale a social isolation, that was confirmed by the reliable decline of the collected points as compared to a preoperative level. At the same time, after hysterectomy there was the reliable deterioration of quality of life after a scale a social isolation in 2–4 years after an operation and through 5 and more than years. In remote terms after an operation, quality of life after a scale a social isolation was reliable below for women after hysterectomy, what in those which carried a organ-preserving operation. At the study of quality of life after a scale physical activity was found out a reliable improvement, beginning from 6 month after a myomectomy and from 3 months after hysterectomy. A sum of points on this scale was stably low along the whole length of prospective and retrospective
supervision after both types of operative treatment and did not have reliable intergroup differences.
Conclusions. The results of the conducted researches testify that the indexes of quality of life have a substantial value at the estimation of psychological status of women to surgical treatment, and also in the different terms of postoperative period. The got results must be taken into account at development of algorithm of diagnostic, treatment-and-prophylactic and
rehabilitation measures.