Hysterectomy is the most common gynecological surgery in the world.
Hysterectomy is a surgical removal of the uterus, which can be done by vaginal, abdominal or
laparoscopic routes. Aim of study: The study aimed to evaluate the effect of Roy's Adaptation Model on
sexual function for women after total hysterectomy. Study design: A quasi-experimental study design
(pre-posttest) was utilized Setting: The study was conducted at the gynecological inpatient's ward and
the outpatient clinics at in Benha University hospital. Sample: A purposive sample of women who
undergo hysterectomy, they divided into control group comprised women and study group comprised
women. Tools of data collection: A self-administered questionnaire, Female Sexual Function Index,
Roy's Adaptation Model Construct Scale and patient's satisfaction sheet. Results: The result of current
study showed that nearly two thirds of study group were highly satisfied of Roy's Adaptation Model
compared to less than one fifth of control group, total Roy's Adaptation Model improved from tenth at pre
intervention phase to more than three fifths at post intervention phase among study group while there was
no improvement in the control group., nearly three quarters of both study and control groups respectively
had poor knowledge score about hysterectomy at pre intervention phase. Meanwhile, nearly two thirds of
study group had good knowledge score about hysterectomy and only one quarter of control group had
good knowledge score about hysterectomy at post intervention phase and there was a negative significant
correlation between total knowledge score and total score of sexual function and adaptation in control
group at pre intervention phase. While there was a positive significant correlation between total
knowledge score and total score of sexual function (P < ) in control group at post intervention phase.
On the other hand there was a negative significant correlation between total knowledge score and total
score of sexual function and adaptation in study group at pre intervention phase. While there was a highly
positive significant correlation between total knowledge score and total score of sexual function and
adaptation in study group at post intervention phase. Conclusion: The present study showed that there was
a highly statistical significant difference regarding all Roy's Adaptation Model modes (physiologic, selfconcept,
role function and interdependence mode) between control and study groups at post intervention
phase (P < ). Application of Roy's Adaptation Model had a positive effect on sexual function for
women after total hysterectomy, therefore, the study hypothesis was supported. Recommendation: A
simplified and comprehensive booklet and posters as methods to increase women sexual awareness in
outpatient clinics which include a clear, brief and simple explanation about post-hysterectomy sexual life
to reduce hysterectomy related sexual problems. |
