Department of Obstetrics and Gynaecology, University College Hospital, Ibadan, Nigeria.
Int J Ment Health Syst. 2009 Jul 30;3(1):18. doi: 10.1186/1752-4458-3-18.
to compare the pre and post hysterectomy mental ill health (MIH) status and also, to determine whether there is any association with the surgical indication.
An observational study, conducted among women scheduled for hysterectomy at the University College Hospital, Ibadan from January till June 2005. The MIH morbidities were assessed using a validated general health questionnaire (GHQ) before and after the surgery by trained research assistant. The score of 4 and above was used as the cut off. Cross tabulations were performed to detect any association and also to compare pre and post hysterectomy mental health status. The level of statistical significance was set at P < 0.05.
Of the 50 women recruited, 45 participated in the study. The age range of the participants was 35 to 63 years with a mean of 48.6 (SD = 0.6) years. Anxiety related disorder was present in 20 (44.4%), and depression in 3 (6.7%) before hysterectomy. Post surgery, there was significant increase in those with anxiety by 6.8% and a reduction in the proportion of depressive illness by 2.3%. Uterine fibroid as a preoperative diagnosis, had significant association among those with anxiety related disorder (68.4%) and depression (10.5%).
This study suggests that mental ill health may complicates hysterectomy for benign uterine pathology among Nigerian women, and that anxiety related disorders increases after operation with the highest proportion in those with clinical diagnosis of Uterine Fibroid. We recommend adequate preoperative counseling using properly trained psychologists when affordable to minimize these morbidities.
比较子宫切除术前和术后心理健康不良（MIH）状况，并确定其与手术指征是否存在关联。
这是一项在 2005 年 1 月至 6 月于伊巴丹大学教学医院接受子宫切除术的女性中进行的观察性研究。使用经过验证的一般健康问卷（GHQ）在手术前后由经过培训的研究助理评估 MIH 发病率。使用 4 分及以上作为截断值。进行交叉表分析以检测任何关联，并比较子宫切除术前和术后的心理健康状况。统计显著性水平设为 P < 0.05。
在招募的 50 名女性中，有 45 名参与了研究。参与者的年龄范围为 35 至 63 岁，平均年龄为 48.6（SD = 0.6）岁。术前有焦虑相关障碍 20 例（44.4%），抑郁 3 例（6.7%）。手术后，焦虑症患者增加了 6.8%，抑郁症患者减少了 2.3%。术前诊断为子宫肌瘤与焦虑相关障碍（68.4%）和抑郁（10.5%）之间存在显著关联。
本研究表明，心理健康不良可能会使尼日利亚女性良性子宫疾病的子宫切除术复杂化，并且手术后焦虑相关障碍会增加，其中以临床诊断为子宫肌瘤的患者比例最高。我们建议在负担得起的情况下，使用经过适当培训的心理学家进行充分的术前咨询，以尽量减少这些发病率。
