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Advisor(s)
Abstract(s)
Enquadramento: A histerectomia Ă© uma cirurgia irreversĂvel, que resulta na alteração da
integridade corporal da mulher, resultando em diferentes vivĂȘncias e expectativas.
Objetivo: Compreender as vivĂȘncias de mulheres submetidas a histerectomia.
Metodologia: Estudo qualitativo, com recurso ao mĂ©todo fenomenolĂłgico-hermenĂȘutico, e
enfoque transversal, tendo como instrumento de recolha de dados a entrevista
semiestruturada, realizada numa amostra de 10 mulheres submetidas a histerectomia que
se encontravam inscritas numa UCSP do ACES Douro Sul. O estudo foi aprovado pela
ComissĂŁo de Ă©tica da ARS Norte.
Resultados: Emergiram oito categorias de significado. Atitudes da mulher face à condição
de histerectomia, Atitudes dos enfermeiros consideradas pelas mulheres como cuidados
individualizados, Atitudes dos profissionais de saĂșde consideradas pelas mulheres como
negligentes, Desconfortos manifestados pelas mulheres apĂłs a histerectomia, Expectativas
da mulher face Ă histerectomia, Fatores que interferem na vivĂȘncia da sexualidade, Motivos
apresentados pelas mulheres para a histerectomia, Sentimentos vivenciados face Ă
histerectomia. Das expectativas da mulher face Ă histerectomia destacam-se em deixar de
ter problemas, manter uma atitude de esperança, melhorar e voltar a ser a mulher que era.
Dos fatores que interferem na vivĂȘncia da sexualidade realçam-se: ausĂȘncia de prazer no
ato sexual, compreensĂŁo por parte do companheiro, maior desejo sexual, manter a atividade
sexual, menor desejo sexual, sentir-se menos mulher e sentir-se usada pelo companheiro.
Quanto aos motivos apresentados pelas mulheres para a histerectomia sobressaem:
anemia, cancro, dor, hemorragias, prolapso uterino, quistos nos ovĂĄrios, risco de cancro,
sofrimento e tumores. As mulheres relataram sentimentos face Ă histerectomia, antes da
cirurgia, de confiança na mĂ©dica particular, desĂąnimo, insegurança no mĂ©dico de famĂlia e
medo, e apĂłs a mesma: alĂvio, bem-estar, tranquilidade, mas maioritariamente sentimentos
negativos, como: desalento, frustração, perda, revolta, sofrimento inexplicåvel, tristeza, vazio
e vergonha.
ConclusĂŁo: Por um lado Ă© realçado o papel do Enfermeiro Especialista de SaĂșde Materna e
Obstétrica junto das mulheres sujeitas a histerectomia, com respeito pela singularidade de
cada uma, estabelecendo uma relação de ajuda para ultrapassar as inseguranças, os
medos, o sofrimento, a angĂșstia, a frustração, o sentimento de perda e de revolta, na
garantia da promoção de melhor qualidade de vida. Por outro lado emerge uma visão oposta
concretamente nas atitudes dos profissionais de saĂșde consideradas pelas mulheres como
negligentes, desconfortos manifestados pelas mulheres apĂłs a histerectomia, fatores que
interferem na vivĂȘncia da sexualidade. HĂĄ um longo caminho a percorrer por parte dos
profissionais de saĂșde de modo a ser um facilitador da maximização das potencialidades de
cada mulher, apoiando-as na redução das vivĂȘncias e expectativas negativas que possam
emergir da histerectomia.
Palavras-chave: Histerectomia; Mulher; Expetativas; VivĂȘncias.
Abstract Background: Hysterectomy is an irreversible surgery, which results in the alteration of the woman's body integrity, resulting in different experiences and expectations. Objective: To understand the experiences of women undergoing hysterectomy. Methodology: A qualitative study, using a phenomenological-hermeneutic method, and a cross-sectional approach. The semi-structured interview was performed in a sample of 10 women undergoing hysterectomy who were enrolled in a UCSP of ACES Douro Sul. The study was approved by ARS Ethics Committee. Results: Eight categories of meaning emerged. Women's attitudes towards hysterectomy, Attitudes of nurses considered by women as individualized care, Attitudes of health professionals considered by women as negligent, Discomforts manifested by women after hysterectomy, Women's expectations of hysterectomy, Factors that interfere with the experience of sexuality, Reasons presented by women for hysterectomy, Experiences experienced in the face of hysterectomy. From women's expectations of hysterectomy they stand out from having problems, maintaining an attitude of hope, improving and returning to being the woman that she was. The factors that interfere in the experience of sexuality are: absence of pleasure in the sexual act, understanding on the part of the partner, greater sexual desire, to maintain the sexual activity, less sexual desire, to feel less woman and to feel used by the companion. As for the reasons presented by women for hysterectomy stand out: anemia, cancer, pain, hemorrhages, uterine prolapse, ovarian cysts, cancer risk, suffering and tumors. Women reported feelings about hysterectomy, prior to surgery, confidence in the private physician, dismay, insecurity in the family doctor and fear, and after the same: relief, well-being, tranquility but mostly negative feelings such as: frustration, loss, revolt, inexplicable suffering, sadness, emptiness and shame. Conclusion: On the one hand, the role of the Specialist Maternal and Obstetrical Health Nurse in women subjected to hysterectomy is highlighted, with respect for the singularity of each one, establishing an aid relationship to overcome insecurities, fears, suffering, distress, the frustration, the feeling of loss and revolt, in guaranteeing the promotion of a better quality of life. On the other hand, there emerges an opposite view concretely in the attitudes of the health professionals considered by the women as negligent, discomforts manifested by the women after the hysterectomy, factors that interfere in the experience of the sexuality. There is a long way for health professionals to be a facilitator of maximizing the potential of each woman, supporting them in reducing the negative experiences and expectations that may emerge from the hysterectomy. Keywords: Hysterectomy; Woman; Expectations; Experiences.
Abstract Background: Hysterectomy is an irreversible surgery, which results in the alteration of the woman's body integrity, resulting in different experiences and expectations. Objective: To understand the experiences of women undergoing hysterectomy. Methodology: A qualitative study, using a phenomenological-hermeneutic method, and a cross-sectional approach. The semi-structured interview was performed in a sample of 10 women undergoing hysterectomy who were enrolled in a UCSP of ACES Douro Sul. The study was approved by ARS Ethics Committee. Results: Eight categories of meaning emerged. Women's attitudes towards hysterectomy, Attitudes of nurses considered by women as individualized care, Attitudes of health professionals considered by women as negligent, Discomforts manifested by women after hysterectomy, Women's expectations of hysterectomy, Factors that interfere with the experience of sexuality, Reasons presented by women for hysterectomy, Experiences experienced in the face of hysterectomy. From women's expectations of hysterectomy they stand out from having problems, maintaining an attitude of hope, improving and returning to being the woman that she was. The factors that interfere in the experience of sexuality are: absence of pleasure in the sexual act, understanding on the part of the partner, greater sexual desire, to maintain the sexual activity, less sexual desire, to feel less woman and to feel used by the companion. As for the reasons presented by women for hysterectomy stand out: anemia, cancer, pain, hemorrhages, uterine prolapse, ovarian cysts, cancer risk, suffering and tumors. Women reported feelings about hysterectomy, prior to surgery, confidence in the private physician, dismay, insecurity in the family doctor and fear, and after the same: relief, well-being, tranquility but mostly negative feelings such as: frustration, loss, revolt, inexplicable suffering, sadness, emptiness and shame. Conclusion: On the one hand, the role of the Specialist Maternal and Obstetrical Health Nurse in women subjected to hysterectomy is highlighted, with respect for the singularity of each one, establishing an aid relationship to overcome insecurities, fears, suffering, distress, the frustration, the feeling of loss and revolt, in guaranteeing the promotion of a better quality of life. On the other hand, there emerges an opposite view concretely in the attitudes of the health professionals considered by the women as negligent, discomforts manifested by the women after the hysterectomy, factors that interfere in the experience of the sexuality. There is a long way for health professionals to be a facilitator of maximizing the potential of each woman, supporting them in reducing the negative experiences and expectations that may emerge from the hysterectomy. Keywords: Hysterectomy; Woman; Expectations; Experiences.
Description
Keywords
Histerectomia Mulher Psicologia Hysterectomy Psychology Women