Published: 2017-02-10

Effect of structured discharge teaching after hysterectomy

Kshetrimayum Nalini Devi, Poonam Sheoran, Jyoti Sarin


Background: Hysterectomy is the most common major surgical procedure underwent by women. And there is no proper discharge planning for women underwent hysterectomy.  The aim of the study was to assess and compare the self-care ability score of women underwent hysterectomy after implementation of structured discharge teaching in experimental and comparison group.

Methods: The study was quantitative research approach using non-equivalent control group, post-test only design with 60 women underwent hysterectomy selected by purposive sampling technique from gynae ward of Maharishi Markandeshwar Institute of Medical Science & Research Hospital, Mullana. The post test data was collected by interview technique as 1st follow up visit of operation.

Results: The mean score of self-care ability in experimental group (103.63 ± 4.327) was higher than mean score of comparison group (71.67 ± 4.737). The computed ‘t’ value was found to be statistically significant at 0.05 level of significant except personal hygiene and exercise. There was significant association of self-care ability score with days of postoperative stay which was found significant at 0.05 level of significant indicating that self-care ability score was dependent on days of postoperative stay >12 days.

Conclusions: The findings revealed that the structured discharge teaching on self-care ability was effective on prevention of complication after hysterectomy. Therefore, it is recommended to develop a proper discharge planning protocol regarding self-care after hysterectomy for prevention of complication.


Effectiveness, Discharge planning, Self-care ability, Hysterectomy

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Kazemi A, Homayuni M, Hassanzahraie R, Marufi M. Quality of life in physical and sexual dimensions among women understanding hysterectomy and hormone-therapy because of abnormal uterine bleeding. IJNMR. 2008;13(4):161-5.

World Health Organization. Constitution of the World Health Organization –Basic Documents, Forty-fifth edition, Supplement, October 2006.

Gun C, Komurcu N. The relationship between self-esteem and self-care agency in hysterectomy patients. Journal of Research in Nursing and Midwifery. 2013;2(7):89-95.

Hysterectomy available from:

Bharatnur S. Comparative Study Of Abdominal Versus Vaginal Hysterectomy In Non- Descent Cases. The Internet Journal of Gynecology and Obstetrics. 2010;15(2).

Vomvolaki E, Kalmantis K, Kioses E, Antsaklis A. The effect of hysterectomy on sexuality and psychological changes. The European Journal of Contraception and Reproductive Health Care. 2006;11(1):23–7.

McPherson K, Metcalfe M, Herbert A, Maresh M, Casbard A, Hargreaves J, et al. Severe complications of hysterectomy: the value study. BJOG: an international Journal of Obstetrics and Gynecology. 2004; 111:688–94.

Wong E, Yam C, Cheung A, Leung M, Chan F, Yeoh E. Barriers to effective discharge planning: a qualitative study investigating the perspectives of frontline healthcare professionals. BMC Health Services Research. 2011;11:242.

Bradford A, Meston C. Sexual Outcomes and Satisfaction with Hysterectomy: Influence of Patient Education. International Society for Sexual Medicine. 2007;4:106-14.

Ozdemir F, Pasinlioglu T. The effects of training and progressive Relaxation exercises on Anxiety Level after Hysterectomy. The New Journal of Medicine. 2009;26:102-7.

Williams B, supporting self-care of patients following general abdominal surgery, Journal of Clinical Nursing. 2008;17(5):584-92.

Easton K, Woodman NM. Influence of early discharge after discharge after hysterectomy on patient outcome and GP workloads. Journal of Obstetrics and Gynaecology. 2005;23(3):271-5.