الفهرس 
Abstract
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Abstract
The uterus is a particularly important organ for many women because, in addition to serving reproductive purposes, it also has associations with femininity and sexuality. For women, uterine excision has a particular meaning and has a tremendous impact on cultures, beliefs, and attitudes. Each woman has a different gynaecological surgery experience. Loss of feminine organs, whether apparent to others or not, affects one’s social structure directly in addition to their specific function, which causes significant alterations in self-concept. Physical and functional changes, health issues, and significant input from others are the key causes of the formation of a positive or negative self-concept ( Goudarzi et al ., 2021).
The surgical removal of the uterus and the tissue around it is known as a hysterectomy. The most prevalent gynaecological operation today is the hysterectomy, which helps to alleviate a number of gynaecological issues. ( IHO., 2021 ).
Significance of the study
Worldwide, hysterectomy affects females during her lifetime and is the most frequently performed non obstetric procedure in women. Nationally, 62,364 inpatient hysterectomies were performed for non-obstetric indications in adult women. Most (84.9%) were performed for benign indications, with uterine fibroids (50.0%), menstrual disorders (48.0%), and genital prolapse (2.0%) as the leading diagnoses for benign hysterectomies while hysterectomies for gynecologic malignancies represents 15.1% (Madueke ., 2021).
Hysterectomy incidence in Egypt was estimated to be 165,107 per year throughout all governorates, divided between upper and lower Egypt. This indicates that there are a considerable number of women in the Egyptian population who are affected by the condition. ( Thorn & Lisbeth ., 2020).
Women who have had hysterectomies reported worry about losing their femininity, capacity for reproduction, and sexual function. ( Shirinkam et al ., 2018 ).
The main cause of these concerns and anxieties is the ineffective provision of information to women prior to and following hysterectomy. These doubts and fears were also exacerbated by women’s pre-hysterectomy beliefs about which organs would be removed, their fear of not waking up following hysterectomy, and the inadequate care and attention they received from medical staff. and that appropriate treatments, such as sufficient social support, effective communication, and behavioural approaches, are not applied. (Bossick et al ., 2018).
The aim of this study was to:
Assess required information and self-perceptions of women undergoing hysterectomy at women’s health hospital , Assiut university.
Research design
A descriptive, cross sectional design that was used to assess required information and self-perceptions of women undergoing hysterectomy.
The study sample
The sample size was 114 women and was chosen as convenient.
Tools of data collection
A structured interview questionnaire was adopted from Gercek et al., 2016 to assess required information and self-perceptions of women undergoing hysterectomy at Assiut women’s health hospital.
This questionnaire consisted of three parts.
Part 1:
Included Personal data such as: -age, educational level, marital status, income, employment status, people with whom women live, obstetric history (number of pregnancy), gynecological history (type of surgery) and menopausal status.
Part2: Included 13 questions regarding required information before and after hysterectomy such as : ( I know what type of surgery was performed, .I know why do I need hysterectomy, I know when I have to come to hospital for follow-up and I know when the sutures will be removed).
Part3: - Included 10 questions regarding self-perceptions of women undergoing hysterectomy such as:( I feel as I were a man and I am upset about not having a child any more).
The main findings of the study:
1- Total information required before surgery were fulfilled in more than half of the studied women 64.0%.
2- Total information required after surgery weren’t fulfilled in more than two- thirds of the studied women 71.1%.
3- The current study showed highly statistically significant difference between information required before surgery and information required after surgery (p= 0.001**).
4- Self – perception of women undergoing hysterectomy had affected negatively on half of the studied women in varying degrees 50%.
Conclusion and recommendations