Vloga medicinske sestre pri zagotavljanju dobre spolne funkcije žensk po histerektomiji v rodnem obdobju : diplomsko delo

Nurikić, Edina (author), Mlinar, Suzana (mentor), Zakrajšek Groznik, Mateja (comentor), Mihelič Zajec, Andreja (reviewer)

Uvod: Histerektomija je najpogostejši ginekološki operativni poseg, s katerim se kirurško odstrani maternica, in sicer delno ali v celoti z vaginalnim, abdominalnim ali z laparoskopskim pristopom. Histerektomija pri ženskah v starosti pred menopavzo in po njej lahko negativno vpliva na njihovo psihično in telesno dobro počutje. Zlasti histerektomija v obdobju pred menopavzo ima lahko številne negativne psihološke učinke. Namen: Ugotoviti, kakšen je vpliv histerektomije na telesno samopodobo in spolno funkcijo žensk. Metode dela: V teoretičnih izhodiščih smo uporabili deskriptivno metodo dela s pregledom znanstvene in strokovne literature. Uporabili smo anketni vprašalnik, ki je bil oblikovan v odprtokodni spletni aplikaciji za anketiranje 1ka. V raziskavi so sodelovale 104 ženske. Uporabili smo opisno statistiko in Mann-Whitneyjev U-test. Rezultati: Mann-Whitneyjev U-test je pokazal statistično pomembne razlike med ženskami z opravljeno histerektomijo in tistimi brez ginekološkega kirurškega posega v trditvah telesne samopodobe: »rada bi spremenila nekatere vidike svojega videza« (p = 0,028); »poskušam zakriti nekatere pomanjkljivosti svojega videza« (p = 0,030); »čutim, da so drugi fizično privlačnejši od mene« (p = 0,023) ter v trditvah spolne funkcije v stopnji spolne želje (p = 0,050) in stopnji spolne vzburjenosti med spolnim draženjem ali spolnim odnosom (p = 0,025). Razprava in zaključek: Histerektomija pri ženskah izzove različne fizične, čustvene in spolne odzive. Celostna obravnava ženske v rodnem obdobju po histerektomiji zahteva tesno sodelovanje med vsemi vključenimi (žensko, njeno družino in zdravstvenim osebjem), saj lahko skupaj zagotovimo in omogočimo ženski optimalno okolje za okrevanje, kar pripomore k izboljšanju kakovosti njenega življenja po posegu.

• Language: Slovenian
• Keywords: diplomska dela, zdravstvena nega, rodno obdobje, histerektomija, telesna samopodoba, spolnost
• Work type: Bachelor thesis/paper
• Typology: 2.11 - Undergraduate Thesis
• Organization: ZF - Faculty of Health Sciences
• Place of publishing: Ljubljana
• Publisher: [E. Nurikić]
• Year: 2024
• Number of pages: 29 str., [6] str. pril.
• PID: 20.500.12556/RUL-154754
• UDC: 616-083
• COBISS.SI-ID: 187155971
• Publication date in RUL: 29.02.2024

NURIKIĆ, Edina, 2024, Vloga medicinske sestre pri zagotavljanju dobre spolne funkcije žensk po histerektomiji v rodnem obdobju : diplomsko delo [online]. Bachelor’s thesis. Ljubljana : E. Nurikić. [Accessed 18 May 2025]. Retrieved from: https://repozitorij.uni-lj.si/IzpisGradiva.php?lang=eng&id=154754

Secondary language

• Language: English
• Title: The role of nurses in ensuring the good sexual function of women after hysterectomy during the childbearing period : diploma work

Abstract

Introduction: Hysterectomy is the most common surgical procedure in gynecology worldwide. It is a gynecological operation in which the uterus, cervix and possibly the ovary and fallopian tube are removed. Hysterectomy in premenopausal and postmenopausal women can have a negative impact on their psychological and physical well-being. In particular hysterectomy in the premenopausal period can have a number of negative psychological effects. Purpose: The purpose of the thesis is to describe the impact of hysterectomy on the body self-image and sexual function of women. Work methods: In the theoretical starting points, we used a descriptive method of work with a review of scientific and professional literature. We used a survey questionnaire that was created in the open source online survey application 1KA. 104 women participated in the research. We used descriptive statistics and the Mann-Whitney U test. Results: The Mann Whitney U test showed statistically significant differences between women with a hysterectomy and those without gynecological surgery in the body self-image statements "I would like to change some aspects of my appearance" (p = 0.028), "I try to hide some flaws in my appearance" (p = 0.030) and in "I feel that others are physically more attractive than me" (p = 0.023) and in statements of sexual function in the level of sexual desire (p = 0.050) and in the level of sexual arousal during sexual stimulation or intercourse (p = 0.025). Discussion and conclusion: The comprehensive treatment of a woman in the childbearing period after hysterectomy requires close cooperation between al involved (patient, family and medical staff), as together we can provide and enable the woman an optimal environment for recovery, which helps to improve her quality of life after the procedure.

• Keywords: diploma theses, nursing care, childbearing period, hysterectomy, body image, sexuality