Psychische Operationsverarbeitung nach verschiedenen Formen der Hysterektomie

F. Wierraní, E. Hlawka, B. Hlawka, W. Grin, Margit A. Huber, W Grünberger
In: Geburtshilfe und Frauenheilkunde · 1997 · vol. 57(03) , pp. 163–166 · doi:10.1055/s-2007-1023062 · W1981078954
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This study evaluated psychological processing after hysterectomy, finding significantly better self-esteem and reduced grief work at three months for the CASH technique compared to other methods.

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This study evaluated psychological processing and “stress response syndrome” after different hysterectomy techniques in 41 premenopausal, sexually active women with benign disease, assessed 3, 6, 9, and 12 months postoperatively. Women underwent vaginal, abdominal, laparoscopy-assisted, or pelviscopic intrafascial (CASH) hysterectomy, and outcomes were measured using a standardized, prospectively randomized questionnaire with a scoring system plus multiple psychological interviews and the 16-Personality Factor test to support data reliability. The CASH group showed significantly better personal self-image in five comparisons and significantly less grief work related to uterine loss in eight comparisons versus extrafascial techniques, while there were no significant differences among VH, AH, and LAVH. 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

Ziel unserer Studie war es, die psychische Verarbeitung der Hysterektomie (HE) nach verschiedenen Techniken der Uterusexstirpation 3. 6, 9 und 12 Monate postoperativ (p.a.) zu evaluieren. Insgesamt haben wir 41 Frauen mittels vaginaler HE (VH), abdominaler HE (AH), laparoskopisch assistierten HE (LAVH) und pelviskopischer, intrafaszialer HE (CASH) operiert und nachuntersucht. In unseren dreimonatlichen Kontrollen konnten wir hierbei 5mal ein signifikant besseres p.o. weibliches Selbstwertgefühl und 8mal eine signifikant verringerte Trauerarbeit in der CASH-Gruppe anderen extrafaszialen Operationsmethoden gegenüber evaluieren. Zwischen VH. AH und LAVH haben wir keine signifikanten Unterschiede gefunden. Alle Daten wurden mittels eigens entwickelter Fragen innerhalb eines standardisierten Fragebogens prospektiv randomisiert erhoben (Test für die Differenz zweier Anteilswerte, p<0,05). Multiple psychologische Interviews und der 16-Persönlichkeitsfaktorentest (16 PF) sicherten die Datenzuverlässigkeit.
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Subscribe to RSS DOI: 10.1055/s-2007-1023062 © Georg Thieme Verlag Stuttgart · New York Psychische Operationsverarbeitung nach verschiedenen Formen der Hysterektomie „Stress Response Syndrome“ Following Various Forms of HysterectomyPublication History Publication Date: 18 June 2008 (online) Zusammenfassung Ziel unserer Studie war es, die psychische Verarbeitung der Hysterektomie (HE) nach verschiedenen Techniken der Uterusexstirpation 3. 6, 9 und 12 Monate postoperativ (p.a.) zu evaluieren. Insgesamt haben wir 41 Frauen mittels vaginaler HE (VH), abdominaler HE (AH), laparoskopisch assistierten HE (LAVH) und pelviskopischer, intrafaszialer HE (CASH) operiert und nachuntersucht. In unseren dreimonatlichen Kontrollen konnten wir hierbei 5mal ein signifikant besseres p.o. weibliches Selbstwertgefühl und 8mal eine signifikant verringerte Trauerarbeit in der CASH-Gruppe anderen extrafaszialen Operationsmethoden gegenüber evaluieren. Zwischen VH. AH und LAVH haben wir keine signifikanten Unterschiede gefunden. Alle Daten wurden mittels eigens entwickelter Fragen innerhalb eines standardisierten Fragebogens prospektiv randomisiert erhoben (Test für die Differenz zweier Anteilswerte, p<0,05). Multiple psychologische Interviews und der 16-Persönlichkeitsfaktorentest (16 PF) sicherten die Datenzuverlässigkeit. Abstract The objective of the present study was to assess the „stress response Syndrome“ following established types of hysterectomy in cases of benign disease, 3, 6, 9 and 12 months postoperatively. A total of 41 premenopausal, sexually active women were hysterectomised using the conventional vaginal (VH), abdominal (AH), laparoscopy-asssisted (LAVH) and pelviscopic intrafascial (CASH) surgical techniques. Those who had had the CASH procedure showed a more positive personal basic seif image (5 times significant differences within one year) and less grief over the loss of the uterus (8 times significant differences within one year) than those on whom any extrafascial surgical technique had been perform ed. We found no significant differences in these parameters between VH, AH, and LAVH. Indices were evaluated according to our own scoring system, consisting of a standardised questionnaire for examining the patients in a prospective, randomised study (two-sample percentage test, p<0.05). Multiple psychological interviews and 16-Personality Factors Test (16 PF) ensured the reliability of the data.

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