Iranian Women's Self-concept after Hysterectomy

Fatemeh Goudarzi, Talat Khadivzadeh, Abbas Ebadi, Raheleh Babazadeh
In: Iranian Journal of Nursing and Midwifery Research · 2021 · vol. 26(3) , pp. 230–237 · doi:10.4103/ijnmr.ijnmr_146_20 · PMID:34277374 · W3161113605
article OA: gold CC0 ⤵ 6 in-corpus citations
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Abstract

BACKGROUND: The loss of female organs leads to profound changes in one's perception of oneself. There is limited information about the impact of hysterectomy on women's self-concept and culture. Therefore, this study was conducted with the aim to deepen our understanding of the self-concept of Iranian women after hysterectomy. MATERIALS AND METHODS: This qualitative study was conducted using directed content analysis approach. The participants included 30 women with a history of hysterectomy who were selected through purposive sampling method. Data were collected from August 2018 to November 2019 using in-depth and semi-structured interviews based on the self-concept mode of the Roy Adaptation Model (RAM) in Mashhad, Iran. Data analysis was performed using the deductive approach of Elo and Kyngäs in MAXQDA software. RESULTS: As a result of the analysis of the interviews, the main category of "incoherent cognition of self-concept" emerged, which included the two generic categories of "heterogeneous feelings toward and imaginations of the body" and "changed self-perception", and five subcategories. CONCLUSIONS: Women's self-concept changed after hysterectomy in both its physical and psychological aspects. Therefore, counseling before and after hysterectomy is recommended to improve women's self-concept after hysterectomy.

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