Öz
Objective: Avoidance of
sexual intercourse is one of the recommendations for optimal healing after gynaecological
operations. There are few studies about patient compliance to recommendations.
With this study we aimed to assess patients’ compliance to sexual intercourse
avoidance.
Material and Methods: One hundred and fourty-four women with
history of gynaecological operation in Gynaecology clinic of Zekai Tahir Burak
Women’s Health Education and Research Hospital were included in the study.
Patients, whose files were assessed retrospectively, were interviewed by
telephone. A questionairre about beginning of sexual activity was done.
Patients with first sexual activity within the next 2 weeks of recommended time
were included in the compliant group. Patients who had sexual activity earlier
or more than 2 weeks later than the recommended abstinence period were
considered as noncompliant.
Results: Mean age of patients was 49.7 (±0.7),
mean time of recommended avoidance from sexual activity was 4weeks (2-8 wks),
mean passed time to first sexual activity was 12 weeks (2-20wks). Compliant
group included 54 patients (37.2%), and noncompliant group included 90 patients
(62.1%). Of 90 patients, 11 (12%) had early and 79 (88%) had lately started
sexual activity.
Conclusion: Most patients lately started sexual
activity. During both preoperative and postoperative visits this subject needs
to be discussed with the patient and her spouse and in order to relieve their
concerns, informing them thoroughly about the course is crucial.
Anahtar Kelimeler
Gynaecology postoperative care sexual activity recommendation compliance
Kaynakça
- 1. Bradshaw C, Pritchett C, Bryce C, Coleman S, Nattress H. Information needs of general day surgery patients. Ambulatory Surg. 1999;7(1):39-44.
- 2. Ottesen M, Moller C, Kehlet H, Ottesen B. Substantial variability in postoperative treatment, and convalescence recommendations following vaginal repair. A nationwide questionnaire study. Acta Obstet Gynecol Scand. 2001;80(11):1062-8.
- 3. Nygaard IE, Hamad NM, Shaw JM. Activity restrictions after gynecologic surgery: Is there evidence? Int Urogynecol J. 2013;24(5):719-24.
- 4. Murphy M, Olivera C, Wheeler T, Casiano E, Siddiqui N, Gala R et al. Postoperative management and restrictions for female pelvic surgery: A systematic review. Int Urogynecol J. 2013;24(2):185-93.
- 5. Naidu M, Sultan AH, Thakar R. Convalescence advice following gynaecological surgery. J Obstet Gynaecol. 2012;32(6):556-9.
- 6. Iaco PD, Ceccaroni M, Alboni C, Roset B, Sansovini M, D'Alessandro L et al. Transvaginal evisceration after hysterectomy: Is vaginal cuff closure associated with a reduced risk? Eur J Obstet Gynecol Reprod Biol. 2006;125(1):134-8.
- 7. Kikuchi I, Takeuchi H, Shimanuki H, Kitade M, Kumakiri J, Kuroda K et al. Questionnaire analysis of recovery of activities of daily living after laparoscopic surgery. J Minim Invasive Gynecol. 2008;15(1):16-9.
- 8. Geynisman-Tan J, Kenton K, Komar A, Collins S, Lewicky-Gaupp C, Mueller MG. Recovering sexual satisfaction after prolapse surgery: A secondary analysis of surgical recovery. Int Urogynecol J. 2018;29(11):1675-80.
- 9. Dragisic KG, Milad MP. Sexual functioning and patient expectations of sexual functioning after hysterectomy. Am J Obtet Gynecol. 2004;190(5):1416-8.
- 10. Bouwsma EVA, Anema JR, Vonk Noordegraaf A, de Vet HCW, Huirne JAF. Using patient data to optimize an expert-based guideline on convalescence recommendations after gynecological surgery: A prospective cohort study. BMC surgery. 2017;17(1):129. Doi:10.1186/s12893-017-0317-8.
- 11. Minig L, Trimble EL, Sarsotti C, Sebastiani MM, Spong CY. Building the evidence base for postoperative and postpartum advice. Obstet Gynecol. 2009;114(4):892-900.
JİNEKOLOJİK HASTALARIN POSTOPERATİF BAKIMDA TAVSİYE EDİLEN CİNSEL AKTİVİTE YASAĞINA YÖNELİK UYUMLARININ DEĞERLENDİRİLMESİ
Öz
Amaç: Jinekolojik
operasyonlardan sonra optimal iyileşme için verilen tavsiyelerden biri cinsel
ilişki yasağıdır. Hastaların önerilere uyma oranlarıyla ilgili literatürde az
sayıda çalışma vardır. Bu çalışma ile jinekolojik operasyon yapılan hastaların
cinsel ilişki yasağına uyumlarını ortaya çıkarmayı amaçladık.
Gereç ve Yöntemler:
Çalışmaya, Zekai Tahir
Burak Kadın Sağlığı Eğitim ve Araştırma Hastanesi Jinekoloji Kliniğinde çeşitli
jinekolojik operasyonlar yapılmış 144 hasta dahil edildi. Retrospektif olarak
dosyaları incelenen bu hastalara telefonla ulaşıldı. Hastalara cinsel aktivite
başlangıcına ait soruların bulunduğu bir anket uygulandı. Öneri zamanından
sonraki 2 hafta içerisinde ilk cinsel aktivitenin gerçekleşmesi, tavsiyeye uyan
hasta grubunu, 2 haftadan daha geç ya da tavsiye edilen haftadan daha erken
olması durumunda tavsiyelere uymayan hasta grubunu oluşturdu.
Bulgular: Hastaların ortalama yaşı 49.7(±0.7), cinsel
aktiviteden tavsiye edilen kaçınma süresi 4 hafta (2-8 hafta), ilk cinsel
aktivitenin gerçekleşme zamanı ortalama 12 hafta (2-20 hafta) olarak saptandı. Tavsiyelere
uyan hasta grubunu 54 (%37.2) hasta, tavsiye uymayan hasta grubunu 90 (%62.1)
hasta oluşturdu. 90 hastanın 11’inin (%12) tavsiye edilen zamandan önce, 79’unun
(%88) tavsiye edilen zamandan daha geç aktiviteye başladığı tespit edildi.
Sonuç: Hastaların çoğu cinsel aktiviteye geç başladı.
Hem preoperatif hem postoperatif vizitlerde bu konu ile ilgili hasta ve eşi ile tartışılmalı, hastaların bu süreçteki korkularını
gidermeye yönelik detaylı bir bilgilendirme yapılmalıdır.
Anahtar Kelimeler
Kaynakça
- 1. Bradshaw C, Pritchett C, Bryce C, Coleman S, Nattress H. Information needs of general day surgery patients. Ambulatory Surg. 1999;7(1):39-44.
- 2. Ottesen M, Moller C, Kehlet H, Ottesen B. Substantial variability in postoperative treatment, and convalescence recommendations following vaginal repair. A nationwide questionnaire study. Acta Obstet Gynecol Scand. 2001;80(11):1062-8.
- 3. Nygaard IE, Hamad NM, Shaw JM. Activity restrictions after gynecologic surgery: Is there evidence? Int Urogynecol J. 2013;24(5):719-24.
- 4. Murphy M, Olivera C, Wheeler T, Casiano E, Siddiqui N, Gala R et al. Postoperative management and restrictions for female pelvic surgery: A systematic review. Int Urogynecol J. 2013;24(2):185-93.
- 5. Naidu M, Sultan AH, Thakar R. Convalescence advice following gynaecological surgery. J Obstet Gynaecol. 2012;32(6):556-9.
- 6. Iaco PD, Ceccaroni M, Alboni C, Roset B, Sansovini M, D'Alessandro L et al. Transvaginal evisceration after hysterectomy: Is vaginal cuff closure associated with a reduced risk? Eur J Obstet Gynecol Reprod Biol. 2006;125(1):134-8.
- 7. Kikuchi I, Takeuchi H, Shimanuki H, Kitade M, Kumakiri J, Kuroda K et al. Questionnaire analysis of recovery of activities of daily living after laparoscopic surgery. J Minim Invasive Gynecol. 2008;15(1):16-9.
- 8. Geynisman-Tan J, Kenton K, Komar A, Collins S, Lewicky-Gaupp C, Mueller MG. Recovering sexual satisfaction after prolapse surgery: A secondary analysis of surgical recovery. Int Urogynecol J. 2018;29(11):1675-80.
- 9. Dragisic KG, Milad MP. Sexual functioning and patient expectations of sexual functioning after hysterectomy. Am J Obtet Gynecol. 2004;190(5):1416-8.
- 10. Bouwsma EVA, Anema JR, Vonk Noordegraaf A, de Vet HCW, Huirne JAF. Using patient data to optimize an expert-based guideline on convalescence recommendations after gynecological surgery: A prospective cohort study. BMC surgery. 2017;17(1):129. Doi:10.1186/s12893-017-0317-8.
- 11. Minig L, Trimble EL, Sarsotti C, Sebastiani MM, Spong CY. Building the evidence base for postoperative and postpartum advice. Obstet Gynecol. 2009;114(4):892-900.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Konular | Sağlık Kurumları Yönetimi |
| Bölüm | Makaleler |
| Yazarlar | |
| Yayımlanma Tarihi | 31 Ağustos 2019 |
| Gönderilme Tarihi | 26 Aralık 2018 |
| Yayımlandığı Sayı | Yıl 2019 Cilt: 21 Sayı: 2 |
Kaynak Göster
Bu Dergi, Kırıkkale Üniversitesi Tıp Fakültesi Yayınıdır.