Effect of Roy Adaptation Model on Sexual Function and Spousal Support among Women after Total Hysterectomy.

Entesar Fatouh Abed Elmoneim, Gehan E. Ghonemy, Nagia I. Hassan
In: IOSR Journal of Nursing and Health Science · 2017 · vol. 06(02) , pp. 130–140 · doi:10.9790/1959-060205130140 · W2605889015
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This study found that the Roy Adaptation Model intervention significantly improved sexual function and spousal support in women following a total hysterectomy compared to routine clinical care.

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Abstract

Background: Hysterectomy remains one of the most common major gynecological surgery. Postoperative sexual function is a concern for many women and their partners. In this respect, a beneficial effect of hysterectomy for benign disease independent of surgical techniques or removal of the cervix has been demonstrated in the past decade by the majority of studies Aim: The purpose of this study was to determine the effect of Roy Adaptation Model on sexual function and spousal support among women with total hysterectomy. Method: The study was planned and carried out as quasi-experimental prospective study design. The purposive sample formed of 60 women who had been operated of the total hysterectomy and met the inclusion criteria were recruited .The participated women were randomized as a study group (n=30) and control group (n=30). Women in control group benefited only from the clinical care. Women in Study group encouraged to receive an educational program were interviewed post-operative before discharge to collect the basic data and 4 weeks after hysterectomy to implement the educational program, and after 6 th month of hysterectomy to evaluate the effect of program. Tools: Data were collected with the questionnaire form, Female Sexual Function Index (FSFI) and Educational-Supportive Program. The FSFI was applied two times to the women (first time 4 weeks before hysterectomy and the second times after six months of hysterectomy). Results: In each group, a significant improvement in women's knowledge attitude and sexual function was demonstrated after the intervention (P < 0.001). The mean total of sexual function score increased to a greater extent in the experimental group (difference 16.95 6.33) than in the control group (difference 4.35 1.94; P < 0.001).

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