• Journal of Korean Academy of Nursing
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• v.30 no.3
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• pp.709-719
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• 2000

The purposes of the study was to identify the depression of women after a hysterectomy and to clarify the factors related to depression. This was a cross-sectional descriptive study. The data was collected by a mailed questionnaire that was composed of the Zung Self-Rating Depression Scale(SDS), support scale of husband and socio-demographic variables from 255 women undergoing hysterectomies for any nonmalignant condition in S. University Hospital. They also must have lived with their spouses from 3 months to 2 years after the operation. The results were as follows: 1. The SDS mean was 42.25 and range was 21 to 67. The incidence of clinical depression (over SDS 50) was 20.8% from 3 months to 2 years after a hysterectomy. 2. The depression of women in 18-24 months after surgery (39.80) was lower than that of any other periods such as 3-5 months, 6-12 months, and 13-17 months (p<0.01). 3. The support form husband was negatively correlated with the depression of women after a hysterectomy. 4. Depression among women tho had hysterectomies were associated with lower income, less sexual satisfaction, the feeling of being asexual, and the bias of concept the uterus controlling general health.

• The Journal of Korean Obstetrics and Gynecology
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• v.31 no.3
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• pp.131-140
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• 2018

Objectives: The posthysterectomy syndrome is sequela which occurred after hysterectomy. Even though hysterectomy is one of common surgery in gynecologic operation, the complications of surgery easily occurred. The purpose of this study is to report the effect of traditional Korean medicine on posthysterectomy syndrome, especially anemia. Methods: The patient having treated with hospital management, from January 19th in 2018 until Feburary 8th in 2018, participated. Her chief complaint was dizziness which occurred after hysterectomy. We diagnosed her as anemia based on symptoms and blood test result. We treated the patient with herbal medicine, moxibustion and iron pills. The efficacy of treatment was evaluated with visual analogue scale (VAS) and complete blood cell count. Results: During hospitalization period, the symptoms including dizziness, fatigue, headache, neck pain, abdominal pain were reduced. After discharging, we identified that the level of hemoglobin was normalized. Conclusions: To recover from posthysterectomy syndrome, Korean medicine treatment is considered to be effective.

• Journal of Korean Clinical Nursing Research
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• v.23 no.1
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• pp.30-39
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• 2017

Purpose: The aim of this study was to evaluate the effects of favorite music therapy on the stress response of hysterectomy patients undergoing general anesthesia. Methods: Date were collected from June 29, 2015 to January 18, 2016 and the participants were 79 hysterectomy patients (experimental group 40 and control group 39). The experimental group listened to their favorite music through earphones from the moment they entered the surgical waiting room until they exited from the post anesthesia care unit. Results: There were statistically significant differences in anxiety (F=15.92, p<.001), systolic blood pressure (F=4.23, p=.008), diastolic blood pressure (F=3.07, p=.033), and heart rate (F=19.93, p<.001) between participants in the experimental group and the control group according to measurement times. Conclusion: The study results show that favorite music therapy considering patients' preferences is effective in reducing anxiety among patients undergoing a hysterectomy under general anesthesia, thus leading to a stable change in their blood pressure and heart rate.

• The Journal of Korean Obstetrics and Gynecology
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• v.29 no.3
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• pp.121-131
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• 2016

Objectives: This paper was aim to report the clinical study for five cases received Korean medicine hospital treatment because of hysterectomy sequelae within 5 days after surgery.Methods: The patients having treated with hospital management, from March 1st in 2014 until March 24th in 2015, was enrolled in this study. We collected their age, chief complaint, vice complaint, diagnosis, visit days after surgery, treatment period, and etc. We treated the patients with acupuncture, moxibustion, and herbal medicine.Results: All of the cases treated with Korean medicine in this study revealed the recovery. The vice complaint also had improved.Conclusions: Korean medicine is effective on patients having variable postoperative symptoms following hysterectomy. And it is necessary to conduct an additional treatment about menopause symptoms.

• Journal of Sasang Constitutional Medicine
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• v.30 no.4
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• pp.59-66
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• 2018

Objectives This case reports the effect of Modified Hyeongbangjiwhang-tang for essential tremor after total vaginal hysterectomy. Methods The patient was treated with Modified Hyeongbangjiwhang-tang three times a day. To differentiate other diseases, we took her medical history. And, we used the Verbal Numerical Rating Scale (VNRS) and Gastrointestinal Symptom Rating Scale (GSRS) to assess tremor and gastrointestinal symptoms. Results Treatment with modified Hyeongbangjiwhang-tang resulted in a decrease in the patient's complaints of symptoms. Also, VNRS and GSRS scale were improved. Adverse effects were not observed. Conclusions Modified Hyeongbangjiwhang-tang may be effective for essential tremor after total vaginal hysterectomy.

• Asian Pacific Journal of Cancer Prevention
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• v.14 no.4
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• pp.2515-2519
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• 2013

The standard surgery for early-stage endometrial cancer is total abdominal hysterectomy (TAH), while total laparoscopic hysterectomy (TLH) is less invasive and assumed to be associated with lower morbidity. This meta-analysis was performed to investigate the effects of TLH versus TAH in women with early-stage endometrial cancer. We searched the PubMed, EMBASE, CBM and Cochrane Review databases for randomized trials assessing the effects of TLH versus TAH in women with early-stage endometrial cancer. The relative risks (RR) with 95% confidence intervals (CIs) from each study were pooled using meta-analysis. In our study, 9 randomized trials with a total of 1,263 patients were included. Meta-analyses showed that TLH was associated with lower risks of major complications (RR = 0.53, 95%CI 0.29-0.98, P = 0.042), total complications (RR = 0.59, 95%CI 0.42-0.82, P = 0.002) and postoperative complications (RR = 0.57, 95%CI 0.40-0.83, P = 0.003). However, there were no obvious differences in risks of intra-operative complications (RR = 0.98, 95%CI 0.62-1.55, P = 0.919) and mortality (RR = 0.96, 95%CI 0.66-1.40, P = 0.835). In conclusion, our results provide new evidence of a benefit for TLH over TAH in terms of major complications, total complications and postoperative complications in endometrial cancer patients.

• Radiation Oncology Journal
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• v.15 no.3
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• pp.251-254
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• 1997

Purpose : Simple hysterectomy is not a standard surgery for invasive cervical carcinoma. This study was performed to investigate the efficacy of radiotherapy following simple hysterectomy in the invasive cervical cancer. Materials and Methods : Retrospective analysis was done for 19 patients with invasive cervical carcinoma who were treated with radiotherapy following simple hysterectomy from April 1989 to December 1993 The median a9e of patients was 47 years old. Patients were treated with external beam radiation therapy alone (17) or external beam radiation therapy plus intra vaginal ovoid irradiation (2). The median follow up period was 46 months. Results : The 4 year overall survival rate was $75\%$. The 4 rear local control rate was $89\%$. Two patients had recurred at the locoregional and distant sites, and another two patients at distant sites. Conclusion : We confirmed that radiotherapy is the adequate treatment modality for patients with invasive cervical cancer who underwent simple hysterectomy.

• Asian Pacific Journal of Cancer Prevention
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• v.15 no.14
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• pp.5811-5814
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• 2014

Background: To investigate abnormal cervical histopathology (ACH) from hysterectomy specimens with normal preoperative Papanicolaou (Pap) smears. Materials and Methods: Medical records from May 2009 to April 2012 were retrospectively reviewed of subjects from whom hysterectomy specimens were taken in Thammasat University Hospital. All had normal preoperative Pap smears. ACH was the primary outcome. A p-value less than 0.05 was considered significant. A total of 483 subjects with an average age of 50.5 years were recruited. Benign cases of enlarged uterus and pelvic mass were present in 94% (430/483). Endometrial and ovarian cancer were found at 6.2 and 4.7%, respectively. In hysterectomy specimens there were 19 (4%) cases of ACH. Silent ACH with benign disease, endometrial and ovarian cancers were 1.2% (5/430), 33.3% (10/30) and 17.4% (4/23), respectively. The negative predictive value (NPV) and false negative rate of Pap smears were 96 and 4%, respectively. ACH in malignant cases were 27.9% (12/43) and 20% (2/10) in adequate (APS) and inadequate (IPS) Pap collection groups, respectively. ACH in benign condition were 0.68% (2/292) and 2.2% (3/138) in APS and IPS, respectively. ACH was more often found in hysterectomy specimens with indication of malignancy than benign conditions with statistical significance. One third of preoperative stage I endometrial cancer cases had cervical involvement. Conclusions: Silent ACH in normal preoperative Pap smear was 4 %. Inadequate Pap smear collection is still the major problem in this study. Reducing inadequate Pap smear collection could reduce the false negative rate.

• Women's Health Nursing
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• v.7 no.1
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• pp.18-29
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• 2001

The purpose of this study was to provide basic data from confirming factors that could help nurses tailor counseling program for married couples who were facing the prospect of a hysterectomy. A descriptive design was used to study a total of 81 married couples(total of 162 subjects) between 2 to 18 months after hysterectomy, due to a benign gynecology disease at a University Hospital in Daegu by questionnaires from March, 1999 to June, 2000. This study used Sexual Knowledge Measurement of Koo, Ja-sung(1996), Sexual Attitude Scales of Hudson, Murphy and Nurius(1994), Sexual Attitude Measurement of Jang, Soon-bok(1989), Sexual Activity Questionnaires of Thiriaway, Fallowfield and Cuzick(1996) modified and supplemented by advice of experts in order to measure sexual knowledge, sexual attitude and sexual activity, and Sexual Function Inventory of Derogatis(1979) translated by Jang, Soon-bok(1984) was used to measure sexual satisfaction of the subjects. For data analysis, the study executed $x^2$-test, t-test, ANOVA, Pearson correlation and multiple regression in accordance with the purpose of study by SPSS/PC+ WIN 10.0 program. Also this study obtained Cronbach's alpha for examination of reliability. The results are as follows : 1) The sexual knowledge of the husband was higher than that of the wife after hysterectomy by showing the mean 11.27(${\pm}2.72$) in case of the wife and the mean 11.57(${\pm}2.28$) in case of the husband, but there was no statistically significant difference(t=.681, p=.497). 2)The sexual attitude of the husband was more liberal than that of the wife after hysterectomy by showing the mean 3.25(${\pm}.48$) in case of the wife and the mean 3.42(${\pm}.48$) in case of the husband, and there was statistically significant difference(t=2.399, p=.018). 3)There was no statistically significant difference between the score of sexual activity of wife and husband by period elapsed after hysterectomy. 4)There was no statistically significant difference between the score of sexual satisfaction of wife and husband by period elapsed after hysterectomy. 5)The wife subjects showed positive correlation among sexual knowledge, sexual attitude, sexual activity and sexual satisfaction. The husband subjects showed positive correlation only between sexual knowledge and sexual activity, sexual activity and sexual satisfaction, sexual attitude and sexual satisfaction, sexual knowledge and sexual satisfaction. There was a positive correlation between the sexual knowledge, sexual attitude, sexual activity and sexual satisfaction of the wife and husband. 6)Only the variable of sexual activity among factors of sexual satisfaction of the wife subjects showed the statistical significance(F=52.452, p<0.001), while variables of sexual attitude (F=20.360, p<0.001) and sexual activity (F=14.142, p<0.05) among factors of sexual satisfaction of the husband subjects showed a statistical significance.

• Women's Health Nursing
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• v.13 no.4
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• pp.262-271
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• 2007

Purpose: This study aimed to examine the relationship between pre and post operative sexual condition, differences in sexual attitude through post operational periods, and the relationship between sexual attitude and satisfaction. Method: Data was collected with questionares from 119 women registered in the gynecology department of a general hospital in Seoul who had undergone a hysterectomy. Result: There was a significant difference between the condition of pre and post operation coital frequency, sexual satisfaction, and spouse's attitude toward the extraction of the partner's uterus. There was a significant difference between their views of the operation. Twelve months after the operation sexual attitude of sexual aspects changed, but not in physical and psychological aspects. There was a significant difference between sexual attitude and satisfaction on sexual, psychological aspects, but not physical aspects. Conclusion: The findings suggest that a preliminary sexual condition be identified before surgery, scheduling the operation after helping a spouse gain a positive attitude about the hysterectomy, and couples in their 50's and older get counselling. Increased sexual satisfaction will develop with a belief in positive changes of sexual aspects, but a rapid change should not be expected.