Research of psychophysiological status of women after hysterectomy

E. I. Kakhiani; V. N. Tsygan; L. I. Chaava; D. I. Svyatov; N. S. Safina; S. N. Zchulev

Bulletin of the Russian Military Medical Academy ›› 2017, Vol. 19 ›› Issue (1) :68 -71.

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Research of psychophysiological status of women after hysterectomy

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Abstract

The changes of psychological women’s state in the earliest rehabilitation period are considered after the fulfilment of hysterectomy in connection with myoma of uteri. The psycho-physiological status (one hundred and four) 104 of gynecological sickly women was examined from ten till fourteen days after the fulfilment of hysterectomy. The psychological state of examined patients was determined by the creation of meanings hypochondriatic, trouble-depressed, hysterics, negative and troubled nervous displays and autization. The high level of realization their problems are peculiared (the following peculiarities) through the dissatisfaction and pessimism in the valuation their perspectives, inertness, strongly expressed emotions, skepticism, uncertainty diffidence, affiliative need in understanding, love and friendly attitude. This type shows the depressive reaction in the limits of adaptational syndrome and is connected with the illness, which disturbed the usual way of life and perspective plans. There are three types of personalities: asthenic-neurosis, epilepticoidny-excited and hyperthymic. The part of other personal types (sensitive, labile, hysteroid and unstable) turned up very few and put together from four till seven present. Emotional-will sphere of patients was characterized by deeply development of reactional trouble and personal trouble, showing the lower emotional stability, development of neuropathic state and desadaptational disorders. The growth levels of troubles for the patients who felt hysterectomy was deeply shown of situational character: the situation is endured by them as psychotraumatic, their state is characterized the distinctness feeling of physiological discomfort, inside trouble, tensity, nervous, unsatisfied of actual life situation, troubled mark of perspective. Under the influence of negative facts of operative interference and losing reproductive function begins the changing of functional state of nervous system, appearing the growth of trouble, low activity and growth number of patients with the symptoms of social physiological disadaptation. The women who endured hysterectomy need in the course medical and physiological rehabilitation in order to correct the physiological desadaptation.

Keywords

hysterectomy / hysteromyoma / surgical menopause / posthysterectomic syndrome / hypoestrogenemia / physiological status / personality profile / reactive and personal anxiety (troubled)

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E. I. Kakhiani, V. N. Tsygan, L. I. Chaava, D. I. Svyatov, N. S. Safina, S. N. Zchulev. Research of psychophysiological status of women after hysterectomy. Bulletin of the Russian Military Medical Academy, 2017, 19(1): 68-71 DOI:

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