The self-acceptance model improves the behavior of maintaining the quality of life after a hysterectomy

In: Bali Medical Journal · 2023 · vol. 12(2) , pp. 1264–1268 · doi:10.15562/bmj.v12i2.4325 · W4396728254
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This study found that the self-acceptance model significantly improved the behavior of maintaining quality of life in women after a hysterectomy compared to a control group.

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This paper studied whether a “self-acceptance model” improves behaviors related to maintaining quality of life after hysterectomy, using an experimental design with two groups assessed over 4 weeks in May–June 2022. Twelve respondents (6 control, 6 treatment) were recruited via non-probability purposive sampling, and outcomes were analyzed with Wilcoxon and Mann–Whitney tests (p<0.05) using a questionnaire with reported validity and reliability (Cronbach alpha 0.86). In the treatment group, behavior scores related to caring for sexual function after hysterectomy increased significantly after the intervention (p=0.027), while the control group did not show a significant change; pre-intervention scores did not differ between groups (p=0.591). The authors report that the self-acceptance model affected behavior of maintaining quality of life after hysterectomy in both groups (p=0.006), but the small sample size and short duration limit generalizability. This paper does not explicitly discuss endometriosis or adenomyosis; it was included in the corpus via a keyword match in the upstream search index.

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Abstract

Background: The loss of the uterus means the loss of one of the functions of a woman's life, namely the reproductive function. The impact of a hysterectomy will have a major influence on the quality of life; this can be seen in how to carry out life, such as activities, social relations and interactions with the environment. All of these things can lead to changes in daily behavior, namely changes in self-image that will lead to insecurity, withdrawn behavior, distrust of God and ultimately, self-injury behavior. This study analyzes the self-acceptance model's effect on maintaining the quality of life after a hysterectomy. Methods: This type of research is an experiment to compare 2 design groups. This research was conducted for 4 weeks in May-June 2022, with a total sample of 12 respondents, with details of 6 respondents in the control group and 6 in the treatment group. The type of sampling used is non-probability sampling with a purposive sampling method. Data analysis used the Wilcoxon, and Mann Whitney marked rank test with a significance value of p < 0.05. The questionnaire used in this study was designed using a reference and behavioral theory approach with a reliability of 0.89 and a validity test that obtained a Cronbach alpha value of 0.86. Results: The value of behavior of caring for sexual function after hysterectomy before intervention in the control group was 29.00±1.789, and after being given the intervention, the value changed to 29.33±0.816 (p=0.564). In the treatment group, the value of behavior of caring for sexual function after hysterectomy before the intervention was 28.50±1.225 and after the intervention was 33.83±2.639 (p=0.027). Behavioral analysis of caring for sexual function after hysterectomy before intervention in the control and treatment groups showed no difference (p=0.591). The self-acceptance model affects the behavior of maintaining the quality of life after hysterectomy in the control and treatment groups (p=0.006). Conclusion: This study proves that the self-acceptance model affects the behavior of maintaining the quality of life after a hysterectomy.
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Background

The loss of the uterus means the loss of one of the functions of a woman's life, namely the reproductive function. The impact of a hysterectomy will have a major influence on the quality of life; this can be seen in how to carry out life, such as activities, social relations and interactions with the environment. All of these things can lead to changes in daily behavior, namely changes in self-image that will lead to insecurity, withdrawn behavior, distrust of God and ultimately, self-injury behavior. This study analyzes the self-acceptance model's effect on maintaining the quality of life after a hysterectomy.

Methods

This type of research is an experiment to compare 2 design groups. This research was conducted for 4 weeks in May-June 2022, with a total sample of 12 respondents, with details of 6 respondents in the control group and 6 in the treatment group. The type of sampling used is non-probability sampling with a purposive sampling method. Data analysis used the Wilcoxon, and Mann Whitney marked rank test with a significance value of p < 0.05. The questionnaire used in this study was designed using a reference and behavioral theory approach with a reliability of 0.89 and a validity test that obtained a Cronbach alpha value of 0.86.

Results

The value of behavior of caring for sexual function after hysterectomy before intervention in the control group was 29.00±1.789, and after being given the intervention, the value changed to 29.33±0.816 (p=0.564). In the treatment group, the value of behavior of caring for sexual function after hysterectomy before the intervention was 28.50±1.225 and after the intervention was 33.83±2.639 (p=0.027). Behavioral analysis of caring for sexual function after hysterectomy before intervention in the control and treatment groups showed no difference (p=0.591). The self-acceptance model affects the behavior of maintaining the quality of life after hysterectomy in the control and treatment groups (p=0.006).

Conclusion

This study proves that the self-acceptance model affects the behavior of maintaining the quality of life after a hysterectomy. - Afiyah RK, Wahyuni CU, Prasetyo B, Dwi Winarno D. Recovery time period and quality of life after hysterectomy. J Public health Res. 2020;9(2):1837. Available from: https://pubmed.ncbi.nlm.nih.gov/32728576 - Nur’aini, Afiyanti Y, Setyowati. Sexual self-efficacy: Affection, sexual communication, and self-acceptance as significant factors related to sexual function on menopausal women in Indonesia. Enfermería Clínica. 2019;29:551–5. Available from: http://dx.doi.org/10.1016/j.enfcli.2019.04.085 - Chae Y-J, Kim Y-R, Lee O-S, Kim B-R, Ko Y-S, Han S-M, et al. The Relationship between Stress Coping, Spouse Support, Intentional Rumination and Post-traumatic Growth in Women with Hysterectomy. J Korea Converg Soc. 2020;11(8):237–45. - Chou C-C, Lee T-Y, Sun C-C, Lin S-S, Chen L-F. Husbands' Experiences Before Wives' Hysterectomy. J Nurs Res. 2006;14(2):113–22. 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Open Access Maced J Med Sci. 2021;9(G):293–6. Available from: http://dx.doi.org/10.3889/oamjms.2021.7568 - Plotti F, Terranova C, Capriglione S, Crispino S, Li Pomi A, de Cicco Nardone C, et al. Assessment of Quality of Life and Urinary and Sexual Function After Radical Hysterectomy in Long-Term Cervical Cancer Survivors. Int J Gynecol Cancer. 2018;28(4):818–23. Available from: http://dx.doi.org/10.1097/igc.0000000000001239 - Fortin C, Hur C, Falcone T. Impact of Laparoscopic Hysterectomy on Quality of Life. J Minim Invasive Gynecol. 2019;26(2):219–32. Available from: http://dx.doi.org/10.1016/j.jmig.2018.08.019 - Humalajärvi N, Aukee P, Kairaluoma M V, Stach-Lempinen B, Sintonen H, Valpas A, et al. Quality of life and pelvic floor dysfunction symptoms after hysterectomy with or without pelvic organ prolapse. Eur J Obstet & Gynecol Reprod Biol. 2014;182:16–21. 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Available from: http://dx.doi.org/10.1007/s00404-014-3318-1 - Moshki M, Mohammadzadeh F, Dehnoalian A. The effectiveness of a group-based educational program on the self-efficacy and self-acceptance of menopausal women: A randomized controlled trial. J Women & Aging. 2017;30(4):310–25. Available from: http://dx.doi.org/10.1080/08952841.2017.1366753 Afiyah, R. K., Umamah, F., Handayani, N., Rusdianingseh, & Prasetyo, B. (2023). The self-acceptance model improves the behavior of maintaining the quality of life after a hysterectomy. Bali Medical Journal, 12(2), 1264–1268. https://doi.org/10.15562/bmj.v12i2.4325 Raden Khairiyatul Afiyah Google Scholar Pubmed BMJ Journal Faridah Umamah Google Scholar Pubmed BMJ Journal Nanik Handayani Google Scholar Pubmed BMJ Journal Rusdianingseh Google Scholar Pubmed BMJ Journal Budi Prasetyo Google Scholar Pubmed BMJ Journal - Bali Medical Journal, Bali-Indonesia - +62 812-3999-2269 - +62 812-3999-2269 - [email protected] Copyright © DiscoverSys Inc

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