The study of psychological intervention for improvement of quality of life among women post-total hysterectomy

Objective To investigate the effect of psychological intervention on quality of life among patients who were younger than 45 years old and underwent total hysterectomy for uterine leiomyoma. Methods According to the selective standard, 90 women were randomly divided into the psychological intervention group (46) and the control group (44). The intervention group received both total hysterectomy and psychological intervention including supportive therapy, health education, individual psychotherapy, and family and social supportive therapy during hospitalization. The control group only received total hysterectomy. All women were evaluated by WHO-QOL-100 on the first day of hospitalization and in half a year after operation. Variations in quality of life were observed for both groups. Results Obvious mood disturbances were found among patients who were younger than 45 years old and underwent total hysterectomy for uterine leiomyomas. Half a year after operation, some facets in quality of life, sex, human relations, etc. got worse. Psychological intervention can ameliorate women's anxiety and depression significantly, improve the quality and satisfaction of sex markedly, and other facets in quality of life, e.g. self-esteem, bodily appearance, human relations, social support, and overall health status. Conclusions It is important for gynecologists to realize and find out patient's psychiatric disorders associated with hysterectomy for uterine leiomyomas. Psychological intervention is needed in the clinical gynecology to improve patient's quality of life.