Effect of Nursing Instructional Guideline on Women’s Quality of Life after Hysterectomy

Abstract

Hysterectomy is the most common gynecological surgical procedure among women, many complications with serious consequences may occur. The aim of this study was to evaluate the effect of nursing instructional guideline on Women’s Quality of Life after Hysterectomy. Research design: A quasi-experimental design was used. Setting: This study was carried out at the outpatient clinics of Ain Shams University Maternity Hospital. Sampling: A purposive sample of 160 women with hysterectomy was conducted. Tools: First Tool: Structured Interviewing Questionnaire: Part I: Socio-demographic characteristics of the women, Part II: Part II: Designed to collect data of obstetric history of the women & Medical history of the related cause of hysterectomy, Part III: Assessment of the predisposing factors which were related to hysterectomy, Part IV: Designed to collect data about women's health complaints after hysterectomy, Part V: Assessment of the studied women's knowledge related to hysterectomy(pre and post intervention), Second Tool: Quality of Life Assessment. Results: the result of the study revealed that statistically significant differences in all items (vasomotor, sexual, social & psychological complaints) between pre/post implementation of instructional guideline, studied women’ total knowledge indicated that 22.50% of them had satisfactory level pre-implementation compared to 74.30% of them post implementation and statistically significant difference (X2 =68.19 at p<0.05) between pre/post, moreover improvement of total quality of life after hysterectomy, where 10 % of studied women had good quality of life pre implementation compared to 41.80 % of them post implementation also showed statistically significant differences, also study showed statistically significant difference between the total knowledge and their health complaints of the studied women and statistical significant difference between the total knowledge score and their total quality of life. Conclusion: Based on the results of the current study, it can be concluded that, the research hypothesis is justified since the implementation of the instructional guideline led to significant improvements in women’ knowledge and their quality of life after hysterectomy. Recommendation: Further studies should be conducted on application of Nursing Instructional Guideline women undergoing to hysterectomy operation.