The Effect of Pain on Self-Esteem and Self-Care Agency in Hysterectomy: A Cross-Sectional Study

Year 2024, Volume: 13 Issue: 2, 346 - 353, 28.08.2024

Burcu Küçükkaya , Hatice Merve Alptekin

https://doi.org/10.53424/balikesirsbd.1318280

Abstract

Objective: The study aimed to determine the effect of pain on self-esteem and self-care agency in patients with hysterectomy. Materials and Methods: A total of 486 female patients who underwent hysterectomy were included in this cross-sectional study. Patient Identification Form, Rosenberg’s Self-Esteem Scale, Self-Care Agency Scale and VAS were used to collect data. Since the patients experienced severe pain on the 1st postoperative day and their communication could not be maintained in a healthy manner, the data were collected face-to-face in the patient's room on the 2nd postoperative day. The data were analyzed in SPSS 23.0 using descriptive statistics and correlation analysis. Results: The mean scores of the patients the pain, self-care agency, and self-esteem levels were 3.58 ± 1.42, 117.40 ± 26.67, and 11.74 ± 2.99, respectively. A negative correlation was found between postoperative pain and self-care agency, self-esteem scores, while a positive correlation between self-care agency and self-esteem scores. Conclusion: High postoperative pain is negatively correlated with self-care agency and self-esteem in patients with hysterectomy. Self-esteem increase when self-care agency increase in patients with hysterectomy.

Keywords

Hysterectomy, pain, patient, self-care agency, self-esteem.

References

• Abadi, M. N., & Husain, A. A. A. (2022). Postoperative pain management total hysterectomy with intravenous patient-controlled analgesia oxycodone: a case series. Journal of Anesthesiology and Clinical Research, 3(2), 336-341.
• Burma, E., & Kavlak, O. (2021). The effect of anxiety, pain and social support on recovery quality in women undergoing hysterectomy. Balıkesir Journal of Health Sciences, 10(3), 325-333. https://doi.org/10.53424/balikesirsbd.940627
• Can, A. A., Buldum, A., Değirmenci, F., & Yilmaz, D. V. (2022). The relationship between body perception and self-esteem of women with total abdominal hysterectomy bilateral salfingoopherectomy surgery. Mersin University Journal of Health Sciences, 15(2), 225-233. https://doi.org/10.26559/mersinsbd.1057848
• Caraceni, A., & Shkodra, M. (2019). Cancer pain assessment and classification. Cancers, 11(4), 510.
• Chacko, B. L., Viswanath, L., & Joy, J. (2016). Assessment of knowledge and practıce of self-care among women undergone hysterectomy. The Offıcıal Journal Of Traıned Nurses’ Assocıatıon Of Indıa, Kerala Branch, 11(4).
• Chen, J., You, H., Liu, Y., Kong, Q., Lei, A., & Guo, X. (2021). Association between spiritual well-being, quality of life, anxiety and depression in patients with gynaecological cancer in China. Medicine, 100(1), e24264. https://doi.org/10.1097/MD.0000000000024264.
• Cibula, D., Raspollini, M. R., Planchamp, F., Centeno, C., Chargari, C., Felix, A., & Lindegaard, J. (2023). ESGO/ESTRO/ESP Guidelines for the management of patients with cervical cancer–Update 2023. Virchows Archiv, 482, 935-966. https://doi.org/10.1007/s00428-023-03552-3
• Cuhadaroğlu, F. (1986). Self-esteem in adolescents. (dissertation) Ankara: Hacettepe Univ.
• Darvishi, A., Otaghi, M., & Mami, S. (2020). The effectiveness of spiritual therapy on spiritual well-being, self-esteem and self-efficacy in patients on hemodialysis. Journal of Religion and Health, 59(1), 277-288.
• Eken, M. K., İlhan, G., Temizkan, O., Çelik, E. E., Herkiloğlu, D., & Karateke, A. (2016). The impact of abdominal&laparoscopic hysterectomies on women's sexuality and psychological condition. Turkish Journal of Obstetrics and Gynecology, 13(4), 196-202. https://doi.org/10.4274/tjod.71245
• García-Monasterio, E. I., Alvárez-Vázquez, J. C., Morado-Quiñoá, P., Pena-Pena, A., Mazón, M. F., Bouso, A. M., & et al. (2019). Post-operative pain management among surgical trauma patients in an acute ward: a best practice implementation project. JBI Evidence Synthesis, 17(9), 1941-1953.
• Giusti, E. M., Lacerenza, M., Manzoni, G. M., & Castelnuovo, G. (2021). Psychological and psychosocial predictors of chronic postsurgical pain: a systematic review and meta-analysis. Pain, 162(1), 10-30.
• Global Cancer Observatory. Cancer tomorrow. https://gco.iarc.fr/tomorrow/home. Accessed May 15, 2023.
• Goudarzi, F., Khadivzadeh, T., Ebadi, A., & Babazadeh, R. (2021). Iranian women's self-concept after hysterectomy: a qualitative study. Iranian Journal of Nursing and Midwifery Research, 26(3), 230.
• Gun, Ç., & Komurcu, N. (2013). The relationship between self-esteem and self-care agency in hysterectomy patients. Journal of Research in Nursing and Midwifery, 2(7), 89-95. https://doi.org/10.14303/JRNM.2013.059.lk
• Gunduz, N., Usen, A., & Atar, E. A. (2019). The impact of perceived social support on anxiety, depression and severity of pain and burnout among Turkish females with fibromyalgia. Archives of Rheumatology, 34(2), 186.
• Harorani, M., Noruzi Zamenjani, M., Golitaleb, M., Davodabady, F., Zahedi, S., Jadidi, A., & Rezaei, M. (2020). Effects of relaxation on self-esteem of patients with cancer: a randomized clinical trial. Supportive Care in Cancer, 28, 405-411.
• Janggo, W. O., Msen, Y., Rantetampang, A. L., & Mallongi, A. (2018). The factors affecting pain intensity to patient post operative fracture at Jayapura public hospital. International Journal of Science & Healthcare Research, 3(4), 81-90.
• Kanmaz, Z., & Osman, T. A. (2019). The effects of mastectomy and post-mastectomy reconstructive surgery of breast-cancer patients on their depression, self-esteem and self-efficacy beliefs. Psychiatry and Behavioral Sciences, 9(3), 119.
• Keskin, G., & Gumus, A. B. (2011). Turkish hysterectomy and mastectomy patients-depression, body image, sexual problems and spouse relationships. Asian Pacific Journal of Cancer Prevention, 12(2), 425-32.
• Kocarnik, J. M., Compton, K., Dean, F. E., Fu, W., Gaw, B. L., Harvey, J. D., & Dhimal, M. (2022). Cancer incidence, mortality, years of life lost, years lived with disability, and disability-adjusted life years for 29 cancer groups from 2010 to 2019: a systematic analysis for the global burden of disease study 2019. JAMA Oncology, 8(3), 420-444.
• Kucukkaya, B. & Erçel, Ö. (2019). The effect of disease perception on self-care power in gynecologic cancer patients. Journal of Ege University Faculty of Nursing, 35(3), 137-145
• Langford, R., Morte, A., Sust, M., Cebrecos, J., Vaqué, A., Ortiz, E., & et al. (2022). Efficacy and safety of co‐crystal of tramadol‐celecoxib (CTC) in acute moderate‐to‐severe pain after abdominal hysterectomy: A randomized, double‐blind, phase 3 trial (STARDOM2). European Journal of Pain, 26(10), 2083-2096.
• Lunde, S., Petersen, K. K., Søgaard-Andersen, E., & Arendt-Nielsen, L. (2020). Preoperative quantitative sensory testing and robot-assisted laparoscopic hysterectomy for endometrial cancer: can chronic postoperative pain be predicted?. Scandinavian Journal of Pain, 20(4), 693-705.
• Lynch, K. M., & LeFort, S. M. (2016). Standardized discharge information after short-stay hysterectomy and relationships with self-care confidence, perceived recovery, and satisfaction. Journal of Obstetric, Gynecologic & Neonatal Nursing, 45(5), 41-54. https://doi.org/10.1016/j.jogn.2016.05.003
• Nahcıvan, N. (1993). The effect of self care power and family environment on healthy young people.(dissertation) Istanbul: Istanbul Univ.
• Ong-Artborirak, P., & Seangpraw, K. (2019). Association between self-care behaviors and quality of life among elderly minority groups on the border of Thailand. Journal of Multidisciplinary Healthcare, 1049-1059.
• Ozdemiroglu, F., Memis, C. O., Meydan, N., Dogan, B., Kilic, S. M., Sevincok, L., & Karakus, K. (2017). Self-Esteem, Pain and Suicidal Thoughts in a Sample of Cancer Patients. Journal of Mood Disorders, 7(3), 156. https://doi.org/10.5455/jmood.20170804091851
• Price, D. D., McGrath, P. A., Rafii, A., & Buckingham, B. (1983). The validation of visual analogue scales as ratio scale measures for chronic and experimental pain. Pain, 17(1), 45-56. https://doi.org/10.1016/0304-3959(83)90126-4
• Scheel, J., Sittl, R., Griessinger, N., Strupf, M., Parthum, A., Dimova, V., & Lautenbacher, S. (2017). Psychological predictors of acute postoperative pain after hysterectomy for benign causes. The Clinical Journal of Pain, 33(7), 595-603. https://doi.org/10.1097/AJP.0000000000000442
• Sharma, S., Ferreira-Valente, A., de C. Williams, A. C., Abbott, J. H., Pais-Ribeiro, J., & Jensen, M. P. (2020). Group differences between countries and between languages in pain-related beliefs, coping, and catastrophizing in chronic pain: a systematic review. Pain Medicine, 21(9), 1847-1862.
• Sharma, B. D., & Sitaula, J. (2021). Assessment of postoperative pain and analgesic use in patients undergoing orthopedic surgery. Journal of Chitwan Medical College, 11(3), 53-57.
• Teskereci, G., Arslan, Ü. Ö., & Öncel, S. (2022). The awareness levels of women for gynecologic cancer in Turkey: A cross‐sectional study. International Journal of Gynecology & Obstetrics, 156(3), 539-545.
• Turkay, U., Yavuz, A., Hortu, I., Terzi, H., & Kale, A. (2020). The impact of chewing gum on postoperative bowel activity and postoperative pain after total laparoscopic hysterectomy. Journal of Obstetrics and Gynaecology, 40(5), 705-709. https://doi.org/10.1080/01443615.2019.1652891.
• Türkiye Cancer Statistics. 2018. https://hsgm.saglik.gov.tr/depo/birimler/kanser-db/istatistik/2014-RAPOR_uzuuun.pdf. Accessed November May 15, 2023.