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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
1Doutoranda, Faculdade de Enfermagem, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, RJ, Brazil. Enfermeiro, Hospital do Câncer III, Instituto Nacional de Câncer, Rio de Janeiro, RJ, Brasil.
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.
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.
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