สุขภาวะทางเพศในสตรีที่มีปัญหาทางนรีเวชหลังได้รับการผ่าตัดมดลูก Sexual Health in Women with Gynecological Problem after Hysterectomy

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ชุติพันธุ์ เอื้อจิตทวีชัย บัวหลวง สำแดงฤทธิ์ ขนิตฐา หาญประสิทธิ์คำ

Abstract

This descriptive correlational study aimed to examine sexual health and factors related to sexual health in women after hysterectomy with/without oophorectomy. Participants were 65 women with gynecologic problems after surgery from 3 months to 1 year, age between 20-59 years, visited gynecologic out patients department of Ramathibodi Hospital. Data were collected from July to September 2018 by using three instruments. They were 1) The Personal, Disease, and Treatment Questionnaires; 2) The Dyadic Adjustment Scale; and 3) The Sexual Health Questionnaires. Data were analyzed by descriptive statistics, Spearman rank correlation coefficient, and Mann-Whitney U test.


                Results found that the average age of participants was 45.22 years (SD = 5.64) and duration of marriage was 18.42 years (SD = 7.74). Levels of dyadic adjustment of women were in quite well (56.9%) and well (36.9%) whereas levels of sexual health were in moderate (69.2%) and high (12.3%). In addition, there was a positive correlation between dyadic adjustment and sexual health in women with gynecological problem after surgery (r = .472, p <.001) but there was no significant correlation between age, duration of marriage and sexual health. Moreover, there was no significant difference of sexual health between education level and types of surgery.


                Results from this study can be used as evidence based for health care providers to understand sexual health and factors related to sexual health in women with gynecological problem after surgery. Promoting dyadic adjustment should be a focus in marital life in women after hysterectomy with/without oophorectomy as it is necessary for improving their sexual health and quality of life. 

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