Anxiety, depression and coping strategies in post‐hysterectomy Chinese women prior to discharge

X.Q. Wang, Clinton E. Lambert, Vicky Lambert
In: International Nursing Review · 2007 · vol. 54(3) , pp. 271–279 · doi:10.1111/j.1466-7657.2007.00562.x · PMID:17685911 · W1971508740
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This study examined anxiety, depression, and coping strategies in 105 Chinese women post-hysterectomy, finding low prevalence but identifying self-blame, medical payment, and employment status as key predictors.

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Abstract

OBJECTIVE: This survey investigated the relationships among anxiety, depression, coping strategies and demographic characteristics of post-hysterectomy Chinese women before discharge and further determined the best predictors of anxiety and depression among this group. METHODS: The sample consisted of 105 women who were administered, 1-2 days prior to discharge, via one-to-one interview, the Zung Self-rating Anxiety Scale, the Zung Self-rating Depression Scale, the Brief COPE Scale and a demographic questionnaire. RESULTS: Only 1.9% of the participants experienced anxiety, while 4.8% experienced depression after having a hysterectomy. Active coping, positive reframing, planning, emotional support and venting were the most frequently used coping strategies. Significant positive and negative correlations were found among anxiety, depression, coping strategies and the demographic characteristics of the subjects. The best predictors of anxiety were self-blame, venting and medical payment. The best predictors of depression were self-blame and employment status. CONCLUSION: Self-blame was the predictor of both anxiety and depression. It implied that a patient's negative self-evaluation may influence both psychological status and mental health. The ways of medical payment and employment status were predictors of anxiety and depression respectively, both of which reflected the economic stress that affected the psychological status and quality of life of the Chinese women, post-hysterectomy, before discharge. The findings of this study indicate that care for Chinese women post-hysterectomy, before discharge, should address their physical, psychological, social and economic well-being.

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