Husbands' Experiences before Wives' Hysterectomy

先生面對妻子接受子宮切除手術前的生活經驗

周承珍(Cheng-Chen Chou)；李從業(Tsorng-Yeh Lee)；孫吉珍(Chi-Chen Sun)；林淑珊(Shu-Shan Lin)；陳麗芳(Li-Fang Chen)

先生 ； 子宮切除 ； 生活經驗 ； husband ； hysterectomy ； life experiences

The Journal of Nursing Research

14卷2期（2006 / 06 / 01）

113 - 122

英文

子宮切除僅次於剖腹產，是女性最常發生的手術，伴侶的支持比其他人更形重要，目前探討伴侶在婦女面對子宮切除的經驗之研究仍缺乏。本研究目的為瞭解先生在面對妻子接受子宮切除手術前的生活經驗。本研究採用現象學研究法，採立意取樣(purposive sampling)，於台灣北部三所教學醫院進行收案，共訪談20位個案，並依Colazzi的現象學研究法的原則分析資料。研究結果共歸納出六個主要概念，包括對手術有限的認知、體諒與調適性生活的轉變、支持勢在必行的抉擇、難以獲得子宮問題的資訊、確保妻子手術的安全、期待醫護人員充分溝通。本研究探討台灣男性在面對妻子接受子宮切除手術前的生活經驗，可提供醫護人員在婦女面對子宮切除的決策中，主動將先生或伴侶納入諮詢對象，提供完整的訊息與溝通，以滿足其需求。

After Caesarean section, hysterectomy ranks as the surgical procedure most frequently performed on women. To most women, the partner's support is vital. Currently, there is a lack of research on the experiences of husbands facing their wife's hysterectomy. The aim of this study was to understand husbands' experiences when their wives were to undergo a hysterectomy. The study used a phenomenological approach and purposive sampling; data were collected at three teaching hospitals in northern Taiwan. Twenty participants were interviewed and data were analyzed by Colaizzi's method. The findings demonstrated that, when their wives were to undergo a hysterectomy, six major themes emerged among the husbands, as follows: (1) limited knowledge about the surgical process; (2) considerations about and adjustments to changes in one's sex life; (3) support in making necessary decisions; (4) difficulty in acquiring information on uterine disorders; (5) ensuring the wife's safety during the operation; and (6) expecting full communication with medical personnel. The findings from this study should contribute significantly to advances in practice, education and research concerning Taiwanese males' experiences as they face their wife's hysterectomy. These findings highlight the significance of the husband's involvement in meeting his wife's needs as regards providing information and communicating. Implications for nursing practice and further research are discussed.

1. Bernhard, L. A.(1992).Men's views about hysterectomy and women who have them.IMAGE: Journal of Nursing Scholarship,24(3),177-181.
2. Bernhard, L. A.,Harris, C. R.,Caroline, H. A.(1997).Partner communication about hysterectomy.Health Care for Women International,18(1),73-83.
3. Carlson, K. J.,Miller, B. A.,Fowler, F. J.(1994).The Maine women's health study: Outcomes of hysterectomy.Obstetrics & Gynecology,83(4),556-565.
4. Chang, C. H.,Hu, Y. H.,Chang, C.(1998).The study of inform content by doctor before hysterectomy.Journal of Women and Gender Studies,9,115-144.
5. Chang, C. T.(1996).Correlates of hysterectomy in Taiwan.Taipei:National Science Council.
6. Colaizzi, P. F.,R. S. Valle (Eds.),M. King (Eds.)(1978).Existential-phenomenological alternatives for psychology.New York:Oxford University Press.
7. Corney, R.,Everett, H.,Howells, A.,Crowther, M.(1992).The care of patients undergoing surgery for gynaecological cancer: The need for information, emotional support and counselling.Journal of Advanced Nursing,17,667.
8. Groff, J. Y.,Dolan, P. M.,Byrd, T. N.,Shelton, A. J.,Lees, E. D.,Goode, J. H.(2000).Decision making, beliefs, and attitudes toward hysterectomy: A focus group study with medically underserved women in Texas.Journal of Women's Health & Gender-Based Medicine,2(9),39-50.
9. Helstrom, L.(1994).Sexuality after hysterectomy: A model based on quantitative and qualitative analysis of 104 women before and after subtotal hysterectomy.Journal of Psychosomatic Obstetrics & Gynecology,15(4),219-229.
10. Helstrom, L.,Sorbom, D.,Backstrom, T.(1995).Influence of partner relationship on sexuality after subtotal hysterectomy.Acta Obstetrica et Gynecologicia Scandinavica,74,142-146.
11. Hsu, C. W.(2003).Unpublished master's thesis, National Taipei University.
12. Kozak, L.,Lawrence, L.(1999).National hospital discharge survey: Annual summary, 1997.Vital and Health Statistics,13(144),1-46.
13. Kramer, M. C.,Reiter, R. C.(1997).Hysterectomy: Indications, alternatives and predictors.American Family Physician,55(3),827-834.
14. Lalos, A.,Lalos, O.(1996).The partner's view about hysterectomy.Journal of Psychosomatic Obstetrics & Gynecology,17(2),119-124.
15. Lincoln, Y. S.,Guba, E. G.(1985).Naturalistic inquiry.Beverly Hills, CA:Sage.
16. Lindberg, C. E.,Nolan, L. B.(2001).Women's decision making regarding hysterectomy.Journal of Gynecologic, Obstetric, and Neonatal Nursing,30(6),607-616.
17. Mo, L. L.,Wang, S.(1996).Family values of married male in the Chinese families.Soochow Journal of Social Work,2,57-114.
18. Oiler, C.(1982).The phenomenological approach in nursing research.Nursing Research,31(3),171-181.
19. Richter, D. L.,McKeown, R. E.,Corwin, S.,Rheaume, C.,Fraser, J.(2000).The role of male partners in women's decision making regarding hysterectomy.Journal of Women's Health & Gender-Based Medicine,2(9),51-61.
20. Tai, K. Y.,Yip, Y. L.(1996).Epidemiology of hysterectomy from the National Health Insurance data.Research report to the National Health Insurance Bureau.
21. Uskul, A. K.,Ahmad, F.,Leyland, N. A.,Stewart, D. E.(2003).Women's hysterectomy experiences and decision-making.Women & Health,38(1),53-67.
22. Webb, C.,Wilson-Barnett, J.(1983).Hysterectomy: Dispelling the myth-1.Nursing Times,79(47),44-46.
23. Weng, C. Z.(1997).Sexual assessment after hysterectomy.Medical Digest,24(5),423-426.
24. Williams, R. D.,Clark, A. J.(2000).A qualitative study of women's hysterectomy experience.Journal of Women's Health & Gender-based Medicine,2(9),15-25.
25. Yu, Y. M.,Tseng, T. C.,Su, C. H.,Chien, L. Y.(2005).Appropriateness of hysterectomy in Taiwan.Journal of the Formosa Medical Association,104(2),107-112.

1. 賴玉敏,黃愛珍,張慧蘭,秦玉琳,林麗珠,王秀禾(2016)。手術全期護理措施對子宮切除婦女焦慮與憂鬱之改變。若瑟醫護雜誌，10(1)，6-15。