Prospective Study of Psychiatric Morbidity and Evaluation of Quality of Life in Patients Undergoing Hysterectomy

Abstract

Background: Hysterectomy is the most common gynecological operation in the world, secondary to caesarian section. However, women undergoing hysterectomy face a multitude of psychosocial problems both before and after hysterectomy. Aims: To study and compare psychiatric morbidity, quality of life in patients on admission and after about 6 weeks post hysterectomy. Methods and Methodology: A total number of 100 women undergoing hysterectomy were included after they satisfied the eligibility criteria. Written informed consent was taken from all the study participants. After being evaluated by the inpatient Department of Obstetrics and Gynecology, such cases along with records of hospitalization and treatment were evaluated for any psychiatric morbidity and quality of life was assessed. Instruments used for assessment include WHOQOL-BREF, M.I.N.I, and Semi structured proforma. Results: There was overall improvement in psychiatric morbidity (30% to 12%). There was improvement in all domains of quality of life (p<0.0001). Conclusion: Most patients undergo hysterectomy to relieve symptoms and to improve their quality of life. Further research should be done to assess long term impact of hysterectomy.