Changes and Factors Influencing Health-related Quality of Life After Hysterectomy in Premenopausal Women with Benign Gynecologic Conditions

A hysterectomy affects a woman's health. This study was performed to identify the factors that affect health-related quality of life (HRQoL) before and after hysterectomy in premenopausal women. Methods: This prospective follow-up study recruited 38 women (age range, 33-52 years) who underwent...

Full description

Bibliographic Details
Main Authors: Ya-Ling Yang, Yueh-Chih Chen
Format: Article
Language:English
Published: Elsevier 2006-01-01
Series:Journal of the Formosan Medical Association
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S0929664609602011
_version_ 1818547280300474368
author Ya-Ling Yang
Yueh-Chih Chen
author_facet Ya-Ling Yang
Yueh-Chih Chen
author_sort Ya-Ling Yang
collection DOAJ
description A hysterectomy affects a woman's health. This study was performed to identify the factors that affect health-related quality of life (HRQoL) before and after hysterectomy in premenopausal women. Methods: This prospective follow-up study recruited 38 women (age range, 33-52 years) who underwent abdominal hysterectomy for nonmalignant causes. SF-36 and self-rated health status were used to assess HRQoL before and after hysterectomy. Data were analyzed using descriptive statistics, nonparametric tests and the generalized estimating equation method for modeling the repeatedly measured responses. Results: Patients' attitudes toward hysterectomy and subsequent sexual activity were influenced by the surgery. All patients showed significant improvements in the physical component summary (PCS) of SF-36 (mean, 42.1-51.0), but there was no significant difference in the mental component summary (MCS). The significant improvements were found from the five repeated measurements of the self-rated health status (mean, 6.0-7.3). Hemoglobin level was the most important predictor of HRQoL before surgery. Women in employment, with more years of education and previous blood transfusion had high MCS scores after surgery. Conclusion: The overall self-rated health status and PCS showed significant improvements after hysterectomy. Having had a blood transfusion, being educated and employed were positively associated with MCS score after surgery. These findings are vital for preoperative counseling for women undergoing hysterectomy.
first_indexed 2024-12-12T08:04:39Z
format Article
id doaj.art-8b6a3e3694a949c9a20f93e2ba42eaed
institution Directory Open Access Journal
issn 0929-6646
language English
last_indexed 2024-12-12T08:04:39Z
publishDate 2006-01-01
publisher Elsevier
record_format Article
series Journal of the Formosan Medical Association
spelling doaj.art-8b6a3e3694a949c9a20f93e2ba42eaed2022-12-22T00:32:00ZengElsevierJournal of the Formosan Medical Association0929-66462006-01-01105973174210.1016/S0929-6646(09)60201-1Changes and Factors Influencing Health-related Quality of Life After Hysterectomy in Premenopausal Women with Benign Gynecologic ConditionsYa-Ling YangYueh-Chih ChenA hysterectomy affects a woman's health. This study was performed to identify the factors that affect health-related quality of life (HRQoL) before and after hysterectomy in premenopausal women. Methods: This prospective follow-up study recruited 38 women (age range, 33-52 years) who underwent abdominal hysterectomy for nonmalignant causes. SF-36 and self-rated health status were used to assess HRQoL before and after hysterectomy. Data were analyzed using descriptive statistics, nonparametric tests and the generalized estimating equation method for modeling the repeatedly measured responses. Results: Patients' attitudes toward hysterectomy and subsequent sexual activity were influenced by the surgery. All patients showed significant improvements in the physical component summary (PCS) of SF-36 (mean, 42.1-51.0), but there was no significant difference in the mental component summary (MCS). The significant improvements were found from the five repeated measurements of the self-rated health status (mean, 6.0-7.3). Hemoglobin level was the most important predictor of HRQoL before surgery. Women in employment, with more years of education and previous blood transfusion had high MCS scores after surgery. Conclusion: The overall self-rated health status and PCS showed significant improvements after hysterectomy. Having had a blood transfusion, being educated and employed were positively associated with MCS score after surgery. These findings are vital for preoperative counseling for women undergoing hysterectomy.http://www.sciencedirect.com/science/article/pii/S0929664609602011abdominal hysterectomygeneralized estimating equation modelinghealth-related quality of lifeSF-36
spellingShingle Ya-Ling Yang
Yueh-Chih Chen
Changes and Factors Influencing Health-related Quality of Life After Hysterectomy in Premenopausal Women with Benign Gynecologic Conditions
Journal of the Formosan Medical Association
abdominal hysterectomy
generalized estimating equation modeling
health-related quality of life
SF-36
title Changes and Factors Influencing Health-related Quality of Life After Hysterectomy in Premenopausal Women with Benign Gynecologic Conditions
title_full Changes and Factors Influencing Health-related Quality of Life After Hysterectomy in Premenopausal Women with Benign Gynecologic Conditions
title_fullStr Changes and Factors Influencing Health-related Quality of Life After Hysterectomy in Premenopausal Women with Benign Gynecologic Conditions
title_full_unstemmed Changes and Factors Influencing Health-related Quality of Life After Hysterectomy in Premenopausal Women with Benign Gynecologic Conditions
title_short Changes and Factors Influencing Health-related Quality of Life After Hysterectomy in Premenopausal Women with Benign Gynecologic Conditions
title_sort changes and factors influencing health related quality of life after hysterectomy in premenopausal women with benign gynecologic conditions
topic abdominal hysterectomy
generalized estimating equation modeling
health-related quality of life
SF-36
url http://www.sciencedirect.com/science/article/pii/S0929664609602011
work_keys_str_mv AT yalingyang changesandfactorsinfluencinghealthrelatedqualityoflifeafterhysterectomyinpremenopausalwomenwithbenigngynecologicconditions
AT yuehchihchen changesandfactorsinfluencinghealthrelatedqualityoflifeafterhysterectomyinpremenopausalwomenwithbenigngynecologicconditions