Women's perceptions of decision‐making about hysterectomy

Skea, Zoë; Harry, Vanessa N.; Bhattacharya, Siladitya; Entwistle, Vikki; Williams, Brian; MacLennan, Graeme; Templeton, Alexander Allan

doi:10.1046/j.1471-0528.2003.00027.x

Cited by 42 publications

(43 citation statements)

References 39 publications

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“…El mejor momento para educar a la mujer es variable y depende de cada situación en particular (9), sin embargo, existe consenso de que las mujeres prefieren recibir la información antes de ingresar al hospital (4). Las mujeres señalan preferencia por ser educadas en forma individual y con utilización de medios audiovisuales (10,14).…”

Section: Metodología: Cuándo Cómo Y Dónde Educarunclassified

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El Proceso De Ser Histerectomizada: Aspectos Educativos a Considerar

2008

Rev. chil. obstet. ginecol.

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RESUMENAntecedentes: La histerectomía es una de las cirugías más frecuente en el mundo entero. La principal patología causante es la miomatosis uterina. A pesar de lo común de la cirugía, existe déficit en torno a la educación otorgada a este grupo de mujeres. Objetivo: El objetivo de la presente revisión bibliográfica es describir los aspectos que deben ser considerados al momento de educar a la mujer histerectomizada, específicamente las características que debiera tener el profesional, los contenidos a abordar, la metodología a utilizar, el lugar y el momento más idóneo para desarrollar la educación. Conclusiones: Una educación centrada en las necesidades de las usuarias es una pieza clave en el cuidado de las mujeres histerectomizadas, e idealmente debiera ser entregada a través de un programa educativo establecido, con contenidos oportunos y atingentes a las reales necesidades de las mujeres y sus parejas. Es necesario que la educación sea dinámica y organizada para de esta forma poder realmente responder a las necesidades de la mujer y su pareja a lo largo del proceso quirúrgico. PALABRAS CLAVE: Mujer, histerectomía, educación SUMMARYBackground: Hysterectomy is one of the most frequent surgeries in the world. Uterine fibroids are the principal cause of the surgery. Although the hysterectomy is a common procedure, there is a deficit related to the education that women receive. Objective: The objective of this literature review is to describe aspects that have to be considered at the time of providing an education to the histerectomized women. Specific aspects related to: characteristics that the professionals should have, contents to provide, methodology to use, place, and the most appropriate moment to develop the education. Conclusions: An education focused in women's care needs is an important piece of the care of the histerectomized women. Ideally this education has to be provided through an established program. This program has to give opportune contents related to the real women's needs and their partner's needs. The education has to be dynamic and organized in steps in order to respond to the women's and their partner's needs during the whole surgical process.

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Section: Metodología: Cuándo Cómo Y Dónde Educarunclassified

“…La histerectomía (HT) es una de las cirugías más frecuente en Estados Unidos (1,2), y a nivel mundial (3)(4)(5). En Chile, se estima que una de cada cinco mujeres será histerectomizada (6).…”

Section: Introductionunclassified

El Proceso De Ser Histerectomizada: Aspectos Educativos a Considerar

2008

Rev. chil. obstet. ginecol.

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“…Several studies have shown different rates of appropriateness for hysterectomy in different countries and regions [4] . This variation may be explained by (i) cultural and regional differences in medical practice or professional attitudes [1,5] , (ii) knowledge about alternative treatments [6] , (iii) ethnic [7] and regional influences on the preferences of patients, (iv) financial incentives [8] and (v) differences in public pressure [1,9,10] . Several studies have attempted to evaluate the appropriateness of indications used for hysterectomy.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of Swiss Guidelines for the Indication for Hysterectomy in Relation to Patient Outcome

Schilling

Hadeed

Fink

et al. 2009

Gynäkol Geburtshilfliche Rundsch

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Background:The application of national guidelines which specify the appropriateness for hysterectomy is believed to lead to improved patient outcomes. However, there was no evidence to support this assumption by outcome data. Goals: To evaluate adherence to guidelines and the validity of the 1997 Swiss guidelines for the appropriateness of hysterectomy based on changes in patients’ functional and psychosocial status. Method: Multicentre study of 370 consecutive cases from 18 public hospitals assessing data on appropriateness and changes in patient status following hysterectomy. Data on appropriateness were obtained before the procedure (n = 286). Changes in patient status following hysterectomy were assessed using an adapted and weighted score. Baseline data were collected up to 8 weeks prior to hysterectomy. Outcome data were obtained 16–32 weeks after surgery (n = 237). Patients for whom appropriateness data were available (n = 286) were categorized into three groups: (1) 214 patients (74.82%) with an indication for hysterectomy, (2) 36 patients (12.58%) classified as having an indication with regard to their preference, and (3) 36 patients (12.58%) classified as not being appropriate for surgery according to national guidelines. Results: In 87% the indication for hysterectomy was judged as appropriate according to the guidelines. The status of all three groups of patients after hysterectomy was found to be significantly improved compared to baseline levels. Patients with an appropriate indication tended to profit more from hysterectomy. Conclusion: The appropriateness rating found may be interpreted as an example of justified use of medical procedural intervention. There was a positive correlation between appropriateness and outcome. The 1997 guidelines still seem to be valid.

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“…Cada año un gran número de mujeres en el mundo se ve enfrentada a la extracción del útero (1)(2)(3)(4)(5), siendo la histerectomía (HT) una de las cirugías más frecuente después de la cesárea (6,7). La patología benigna del útero es la principal causa de la HT, y en la mayoría de los casos es una cirugía programada (1,3).…”

Section: Introductionunclassified

Significado De La Histerectomía Para Un Grupo De Mujeres Chilenas

2009

Rev. chil. obstet. ginecol.

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RESUMENAntecedentes: La histerectomía por patología benigna del útero, es una de las cirugías más frecuente después de la operación cesárea. Objetivo: Evaluar el significado que tiene la histerectomía para mujeres chilenas, beneficiarias de un hospital público de la Región Metropolitana de Santiago, Chile. Método: Estudio transversal descriptivo, de tipo cualitativo, sobre el significado que 120 mujeres histerectomizadas asigna a esa cirugía. Se describen 3 temas que reflejan el significado de la extracción del útero: pérdida, tristezadolor, y mejoría de una enfermedad. Resultados: El promedio de edad fue 56 ± 11,9 años, y de escolaridad de 7,8 ± 4,3 años. El 63% de las mujeres fue histerectomizada por patología ginecológica benigna. El significado que la mujer atribuye a la extracción del útero se encuentra relacionado a una experiencia de pér-dida, que si bien conlleva un alivio de la enfermedad, también implica dolor, tristeza y soledad. Conclusión: Sensibilizar a los profesionales de la salud, que trabajan con mujeres histerectomizadas, a comprender y respetar el significado que para ellas tiene la histerectomía y propiciar el ambiente adecuado para contenerlas y educarlas pre y pos cirugía. PALABRAS CLAVES: Histerectomía, educación, calidad de vida SUMMARYBackground: Elective hysterectomy, after caesarian section, is one of the most frequent surgeries. Objective: To evaluate the significance that the hysterectomy has for Chilean women from a public hospital of the Metropolitan Region of Santiago, Chile. Method: Qualitative and cross-sectional design study of the significance of hysterectomy for 120 women. Three themes were derived from interviews: loss, sadness -sorrow, recovery from illness. Results: The mean of age was 56 ± 11.9 years; the educational level was 7.8 ± 4.3 years. A total of 63% of women had planned elective hysterectomy preformed. The significance that the women attribute to the hysterectomy is related to the experience of loss, and although it includes recovery from illness, it also signifies sorrow, sadness, and loneliness. Conclusion: The health care providers, who work with these women, need to be respectful and understanding of the significance that the women give to this surgery, and to give them the best setting for supporting and educating them before and after the surgery.

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Women's perceptions of decision‐making about hysterectomy

Cited by 42 publications

References 39 publications

El Proceso De Ser Histerectomizada: Aspectos Educativos a Considerar

El Proceso De Ser Histerectomizada: Aspectos Educativos a Considerar

Evaluation of Swiss Guidelines for the Indication for Hysterectomy in Relation to Patient Outcome

Significado De La Histerectomía Para Un Grupo De Mujeres Chilenas

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