الفهرس 
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Abstract
Uterine diseases in recent years, including uterine fibroids, adenomyoma,and endometrial carcinoma have been increasingly prevalent, with patients showing a trend of a younger age (Bakhsh et al., 2021). Globocan reported the aggregate age-standardized incidence and mortality rates of corpus uteri cancer as 8.2 and 1.8 per 100,000, respectively (Lyon, 2019). According to Aarts et al.,(2015) hysterectomy is one of the most common surgeries for treating many uterine diseases.
According to Fortin et al., (2018), the influences of hysterectomy on maternal health are linked to physical, economic, sexual, and psychological consequences. Dawood, et al., (2019) reported that safe hysterectomy routes depends mainly on either surgeon’s and/or patient’s choice. Inevitably, hysterectomy may affect the physiological integrity of patients (González-Blanch et al., 2018). Berretta et al., (2016) reported that the vast majority of women bear a huge psychological burden as they are anxious about the detrimental effects of hysterectomy on their female characteristics and postoperative quality of life.
The Purpose of the current Study is to study the effect of psychological counseling program on quality of life among post-hysterectomy women.The present study was carried out at obstetric department of Menoufia University and Shibin El- kom Teaching Hospital- Menoufia governrate, Egypt A quasi –experimental design was used to achieve the aim of the study The target populations of this study were women who have fulfilled the
inclusion criteria:The women who undergone hysterectomy.
- The women in child bearing period.
- Free from history of psychiatric disorder or other medical condition. The sample size of this study was 80 consecutive women who undergo hysterectomy divided equally into two groups, control group and studied group 40 women for each group.
Throughout the course of the present study; data were collected using two instruments
• Instrument I: Semi-structured interviewing questionnaire: designed by the researcher and was submitted to validity and reliability tests by five qualified experts (Three experts from the Faculty of Nursing, two physicians from obstetrics and gynecology department at Faculty of Medicine. Including the following parts:
• Part1: Socio demographic data (name, age, address, years of marriage,occupation, couples level of education and income)
• Part2: Medical history (medical history, cause of hysterectomy and previous surgical procedures)
• Part3: Women’s concerns after hysterectomy (complications, concerns of incomplete femininity, lack of love and intimacy, marry another,unsupported and husband’s family calibrating)Instrument II: the World Health Organization Quality of Life Scale(WHOQOL) (adopted from Lin et al., 2017)It was used to measure quality of life. It was translated into Arabic by the researcher and retested for validity and reliability .It consists of 33-items. Divided into six domains: physical health (10 items), personal beliefs (2 items),psychological health (9 items), social relationship (4 items), and environmental health (5 items); and sexual relationship (7 items). Each item of the WHOQOL-BREF was scored from 1 to 5 on a response scale, which is stipulated as a five point ordinal scale. It was modified by the researcher to be scored from 0 to 2.The higher score indicated high quality of life.Approaches to ensure ethical issues were considered in the study.Confidentiality was achieved by the use of locked sheets with the name of participants replaced by numbers. All participants were informed that the information they provided during the study would be kept confidential and used only for statistical purpose and after finishing the study, the findings would be presented as a group data with no personal participant’s information remained.
There was no statistically significant difference between the study and control groups regarding all quality of life domains after hysterectomy before counseling program
After counseling program and follow up there were statistically significant differences between the study and control groups regarding physical, psychological, social and sexual domains. where more than three quarters of studied group had good total quality of life compared to two thirds of the control group.
There were no statistically significant differences between the study and control groups regarding women’s concerns about hysterectomy before counseling program but there were highly statistically significant differences between study and control groups post counseling program and follow-up The current study findings succeeded in testing Research Hypothesis The women-undergoing hysterectomy-who received psychological counseling, had higher quality of life and less concerns about hysterectomy than those who do not receive it