My Husband is My Strength: A Phenomenological Study of Women After Hysterectomy
Abstract
Post-hysterectomy women consider hysterectomy as the loss of femininity which significantly impacts the psychological state of the convalescent. The support and motivation from the family, especially the husband tend to affect the wife's life quality and self-confidence after a hysterectomy. Therefore, this study aims to explore the psychological experiences of post-hysterectomy women in terms of support from their husbands using a qualitative method with a phenomenological approach. The participants were selected through the purposive sampling method with inclusion criteria: (1) Women with the history of hysterectomy, (2) Those at productive age (15-64 years old), and (3) Post-hysterectomy respondents living with their husbands. The data were obtained from in-depth interviews with 6 post-hysterectomy participants, and the analysis was carried out using the Interpretative Phenomenological Analysis Technique. The four themes used were: 1) Fear of being abandoned before the procedure, (2) My husband is my strength, (3) I feel the love of my spouse, (4) Thanks for accompanying me, (5) Accepting what has happened, (6) I wish we always be together, healthy, and happy. The support in the form of providing motivation, encouragement, and affection for post-hysterectomy women strengthens and improve life quality. In conclusion, with partner support, women feel the affection and love, which relatively increase happiness within the family.
Abstrak: Wanita paska histerektomi menganggap histerektomi sama dengan kehilangan kewanitaan yang berdampak pada aspek psikologis. Dukungan dari suami akan berpengaruh terhadap peningkatan kualitas hidup wanita paska histerektomi. Dukungan dan motivasi dari keluarga khususnya suami akan mempengaruhi kepercayaan diri wanita. Penelitian ini bertujuan untuk mengeksplorasi pengalaman psikologis yang dialami oleh wanita paska histerektomi dilihat dari aspek dukungan dari suami menggunakan metode kualitatif dengan pendekatan fenomenologi. Partisipan dalam penelitian ini dipilih dengan metode purposive sampling dengan kriteria inklusi: (1) Wanita yang telah menjalani histerektomi, (2) Wanita usia produktif (15-64 tahun), dan (3) Wanita pascahisterektomi yang masih memiliki suami. Data didapat dari proses wawancara mendalam kepada 6 partisipan pascahisterektomi. Selanjutnya analisis data menggunakan teknik Interpretative Phenomenological Analysis Terdapat 4 tema yang ditemukan pada penelitian ini yaitu; 1) Takut ditinggalkan sebelum prosedur, (2) Suami adalah kekuatan saya, (3) Saya merasakan cinta pasangan saya, (4) Terima kasih telah menemani saya, (5) Menerima apa yang telah terjadi, (6) Saya semoga kita selalu bersama, sehat, dan bahagia. Dukungan berupa pemberian motivasi, pemberian semangat, dan juga sebagai penghibur bagi wanita pascahisterektomi akan menjadikan kekuatan tersendiri bagi wanita pascahisterektomi. Dapat disimpulkan bahwa dengan dukungan dari pasangan, wanita akan merasakan kasih sayang dan merasa dicintai oleh pasangan. Perasaan dicintai akan meningkatkan kebahagiaan bersama keluarga.
Keywords
References
Afiyah, R. K., Umbul Wahyuni, C., Prasetyo, B., Qomaruddin, M. B., Yunita Sari, R., Faizah, I., Rusdianingseh, R., Nisa, F., & Rahman, F. S. (2021). Self-acceptance Affects Attitudes in Caring for Sexual Function after Hysterectomy. Open Access Macedonian Journal of Medical Sciences, 9(G), 293–296. https://doi.org/10.3889/oamjms.2021.7568
Alshawish, E., Qadous, S., & Yamani, M. A. (2020). Experience of Palestinian Women After Hysterectomy Using a Descriptive Phenomenological Study. The Open Nursing Journal, 14(1). https://doi.org/10.2174/1874434602014010074
Askew, J. C., & Zam, M. (2013). In Sickness and in Health: The Effects of Hysterectomy on Women’s Partners and Intimate Relationships. Journal of Couple & Relationship Therapy, 12(1), 58–72. https://doi.org/10.1080/15332691.2013.750078
Baral, R., Sherpa, P., & Gautam, D. (2017). Histopathological analysis of hysterectomy specimens: One year study. Journal of Pathology of Nepal, 7(1), 1084–1086. https://doi.org/10.3126/jpn.v7i1.16942
Berli, C., Schwaninger, P., & Scholz, U. (2021). “We Feel Good”: Daily Support Provision, Health Behavior, and Well-Being in Romantic Couples. Frontiers in Psychology, 11. https://www.frontiersin.org/article/10.3389/fpsyg.2020.622492
Borstelmann, N. A., Rosenberg, S. M., Ruddy, K. J., Tamimi, R. M., Gelber, S., Schapira, L., Come, S., Borges, V., Morgan, E., & Partridge, A. H. (2015). Partner support and anxiety in young women with breast cancer. Psycho-Oncology, 24(12), 1679–1685. https://doi.org/10.1002/pon.3780
Bossick, A. S., Sangha, R., Olden, H., Alexander, G. L., & Wegienka, G. (2018). Identifying What Matters to Hysterectomy Patients: Postsurgery Perceptions, Beliefs, and Experiences. Journal of Patient-Centered Research and Reviews, 5(2), 167–175. https://doi.org/10.17294/2330-0698.1581
Bougie, O., Suen, M. W., Pudwell, J., MacGregor, B., Plante, S., Nitsch, R., & Singh, S. S. (2020). Evaluating the Prevalence of Regret With the Decision to Proceed With a Hysterectomy in Women Younger than Age 35. Journal of Obstetrics and Gynaecology Canada: JOGC = Journal d’obstetrique et Gynecologie Du Canada: JOGC, 42(3), 262-268.e3. https://doi.org/10.1016/j.jogc.2019.08.006
Elmir, R. (2014). Finding Meaning in Life Following Emergency Postpartum Hysterectomy: What Doesn’t Kill Us Makes Us Stronger. Journal of Midwifery & Women’s Health, 59(5), 510–515. https://doi.org/10.1111/jmwh.12169
Engward, H., & Goldspink, S. (2020). Lodgers in the house: Living with the data in interpretive phenomenological analysis research. Reflective Practice, 21(1), 41–53. https://doi.org/10.1080/14623943.2019.1708305
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. https://doi.org/10.4103/ijnmr.IJNMR_146_20
Goudarzi, F., Khadivzadeh, T., Ebadi, A., & Babazadeh, R. (2022). Women’s interdependence after hysterectomy: A qualitative study based on Roy adaptation model. BMC Women’s Health, 22(1), 40. https://doi.org/10.1186/s12905-022-01615-2
Jeli?, M., Kamenov, Ž., & Hui?, A. (2014). Perceived Spouse’s Affectionate and Antagonistic Behaviours and Marital Satisfaction. Drustvena Istrazivanja, 23(1), 87–107. https://doi.org/10.5559/di.23.1.05
Joeng, J. R., & Turner, S. L. (2015). Mediators between self-criticism and depression: Fear of compassion, self-compassion, and importance to others. Journal of Counseling Psychology, 62(3), 453–463. https://doi.org/10.1037/cou0000071
Knoll, N., Wiedemann, A. U., Schrader, M., Felber, J., Burkert, S., Daig, I., & Heckhausen, J. (2015). Calibrating Independence Goals and Partner Support: Couples Adjust to Functional Limitations after Tumor Surgery. Applied Psychology: Health and Well-Being, 7(2), 167–187. https://doi.org/10.1111/aphw.12043
Malyam, V., Parameshwaraiah, S. T., Gopalkrishna, V., Sannappa, A. C., & Kumar, V. (2018). QUALITY OF LIFE, SEXUAL SATISFACTION AND PSYCHIATRIC CO-MORBIDITY IN WOMEN POSTED FOR HYSTERECTOMY. Journal of Evolution of Medical and Dental Sciences, 7(26), 2989–2994. https://doi.org/10.14260/jemds/2018/673
Monin, J. K., Poulin, M. J., Brown, S. L., & Langa, K. M. (2017). Spouses’ Daily Feelings of Appreciation and Self-Reported Well-Being. Health Psychology : Official Journal of the Division of Health Psychology, American Psychological Association, 36(12), 1135–1139. https://doi.org/10.1037/hea0000527
Obermair, A., Asher, R., Pareja, R., Frumovitz, M., Lopez, A., Moretti-Marques, R., Rendon, G., Ribeiro, R., Tsunoda, A., Behan, V., Buda, A., Bernadini, M. Q., Zhao, H., Vieira, M., Walker, J., Spirtos, N. M., Yao, S., Chetty, N., Zhu, T., … Ramirez, P. T. (2020). Incidence of adverse events in minimally invasive vs open radical hysterectomy in early cervical cancer: Results of a randomized controlled trial. American Journal of Obstetrics and Gynecology, 222(3), 249.e1-249.e10. https://doi.org/10.1016/j.ajog.2019.09.036
Pilli, P., Sekweyama, P., & Kayira, A. (2020). Women’s experiences following emergency Peripartum hysterectomy at St. Francis hospital Nsambya. A qualitative study. BMC Pregnancy and Childbirth, 20(1), 729. https://doi.org/10.1186/s12884-020-03428-3
Schiavon, C. C., Marchetti, E., Gurgel, L. G., Busnello, F. M., & Reppold, C. T. (2017). Optimism and Hope in Chronic Disease: A Systematic Review. Frontiers in Psychology, 7, 2022. https://doi.org/10.3389/fpsyg.2016.02022
Schmidt, A., Sehnem, G. D., Cardoso, L. S., Quadros, J. S. de, Ribeiro, A. C., & Neves, E. T. (2019). Sexuality experiences of hysterectomized women. Escola Anna Nery, 23(4), e20190065. https://doi.org/10.1590/2177-9465-ean-2019-0065
Schwenk, R. (n.d.). Seeing Our Spouse as a Gift From God. The Better Mom. Retrieved June 29, 2022, from https://www.thebettermom.com/blog/2016/7/14/seeing-our-spouse-as-a-gift-from-god
Selcuk, S., Cam, C., Asoglu, M. R., Kucukbas, M., Arinkan, A., Cikman, M. S., & Karateke, A. (2016). Effect of simple and radical hysterectomy on quality of life—Analysis of all aspects of pelvic floor dysfunction. European Journal of Obstetrics, Gynecology, and Reproductive Biology, 198, 84–88. https://doi.org/10.1016/j.ejogrb.2016.01.008
Shirinkam, F., Jannat-Alipoor, Z., Shirinkam Chavari, R., & Ghaffari, F. (2018). Sexuality after hysterectomy: A qualitative study on women’s sexual experience after hysterectomy. International Journal of Women’s Health and Reproduction Sciences, 6(1), 27–35.
Silva, C. de M. C. E., & Vargens, O. M. da C. (2016). Woman experiencing gynecologic surgery: Coping with the changes imposed by surgery. Revista Latino-Americana De Enfermagem, 24, e2780. https://doi.org/10.1590/1518-8345.1081.2780
Tabong, P. T.-N., & Adongo, P. B. (2013). Infertility and childlessness: A qualitative study of the experiences of infertile couples in Northern Ghana. BMC Pregnancy and Childbirth, 13, 72. https://doi.org/10.1186/1471-2393-13-72
Talukder, S. I., Haque, M. A., Huq, M. H., Alam, M. O., Roushan, A., Noor, Z., & Nahar, K. (2007). Histopathological analysis of hysterectomy specimens. Mymensingh Medical Journal: MMJ, 16(1), 81–84. https://doi.org/10.3329/mmj.v16i1.254
Theunissen, M., Peters, M. L., Schepers, J., Schoot, D. C., Gramke, H.-F., & Marcus, M. A. (2017). Prevalence and predictors of depression and well-being after hysterectomy: An observational study. European Journal of Obstetrics, Gynecology, and Reproductive Biology, 217, 94–100. https://doi.org/10.1016/j.ejogrb.2017.08.017
Weisfeld, G. E., Nowak, N. T., Lucas, T., Weisfeld, C. C., Imamo?lu, E. O., Butovskaya, M., Shen, J., & Parkhill, M. R. (2011). Do women seek humorousness in men because it signals intelligence? A cross-cultural test. Humor - International Journal of Humor Research, 24(4). https://doi.org/10.1515/humr.2011.025
Article Statistic
Abstract view : 138 timesPDF (Bahasa Indonesia) views : 50 times
Dimensions Metrics
How To Cite This :
Refbacks
- There are currently no refbacks.
Copyright (c) 2022 Ridwan Sofian, Kumboyono Kumboyono, Retno Lestari

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.