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Woman experiencing gynecologic surgery: coping with the changes imposed by surgery.

Carolina de Mendonça Coutinho E Silva1, Octavio Muniz da Costa Vargens2

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Women undergoing gynecologic surgery perceive their bodies and identities differently, grappling with feelings of mutilation. Multidimensional nursing care is crucial to address these profound psychosocial impacts beyond the physical.

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Area of Science:

  • Gynecologic Oncology
  • Psychosocial Oncology
  • Qualitative Health Research

Background:

  • Gynecologic surgeries significantly alter a woman's body and sense of self.
  • Understanding women's subjective experiences is vital for holistic patient care.

Purpose of the Study:

  • To explore women's feelings and perceptions following gynecologic surgery.
  • To analyze how women experience bodily and personal changes post-surgery.

Main Methods:

  • Qualitative, descriptive, and exploratory study using Symbolic Interactionism and Grounded Theory.
  • Individual interviews conducted with 13 women who underwent various gynecologic surgeries.
  • Grounded Theory's comparative analysis technique used for data interpretation.

Main Results:

  • Two emergent categories: 'Perceiving a different body and feeling as a different person' and 'building the meaning of mutilation'.
  • Women developed new meanings, altering self-perception and social interactions.
  • Surgery-induced changes prompted reflection on relationships, body function, and identity.

Conclusions:

  • Participants felt like different women, experiencing mutilation concretely (organ loss) and abstractly (social identity, female functionality).
  • Multidimensional nursing care is essential to identify needs extending beyond the physical.
  • Addressing psychosocial needs is critical for recovery and well-being after gynecologic procedures.