Xavier University Ateneo de Cagayan

College of Nursing
3rd year, 2nd semester

Journal Reading: Hospital Duty

In partial fulfillment of the requirements for
NCM 117 RLE

Submitted by:
Neri, Anamarcel B.
BSN- 3C

Submitted to:
Ma’am Rodesa Shaira B. Cornito, RN, LPT, MAN
Clinical Instructor

March 9, 2022
SUMMARY
The degree or degree of sexual function refers to the full typical sexual
response cycle. Men and women have the same sexual drive (sexual desire), which
is impacted by sex hormones, psychological variables, sexual stimuli received, and
past sexual experiences. The sexual desire looks to be in good shape when these
characteristics are positive. A hysterectomy is the surgical removal of the uterus, which
can be done vaginally, abdominally, or laparoscopically. The whole uterus and cervix
are removed with a complete hysterectomy, whereas the uterine corpus is removed
solely during a partial hysterectomy. Hysterectomy has been investigated extensively
to see how it affects and causes changes in women's sexual activity at various stages,
whether physical, hormonal, or psychological.

Randomized clinical trials were done at the outpatient clinic Obstetrics and
Gynecological wards of Dr. Muhammad Hoesin General Hospital in Palembang. The
inclusion criteria were satisfied by 40 samples of women who had a complete
hysterectomy. The Wilcoxon test was used to compare sexual function before and
after hysterectomy. SPSS version 22.0 was used to analyze the data. After a complete
hysterectomy, this study found decreased desire, decreased stimulation, decreased
orgasm, increased lubrication, higher sexual pleasure, and increased dyspareunia
samples. The study's limitations include a small number of participants and a short
period of time. Some aspects were not investigated in this study, such as psychological
issues, the quality of home harmony, and the length of the vagina, which impacts
sexual satisfaction. This study also did not look at oncology patients who were given
chemotherapy. Another element to examine is the bias of responding to culture and
customs in Indonesia, where sexual disorders are still considered taboo. Sexual
function scores after complete hysterectomy revealed lower desire, lower stimulation,
lower orgasm, higher lubrication, higher sexual satisfaction, and higher sexual pain.

There was no statistically significant difference in the impact of sexual function

between hysterectomy surgeries that removed only the uterus and those that removed
both the uterus and the ovary. Alternative studies on post-hysterectomy sexual
function employed more detailed subject characteristics, other hysterectomy surgical
procedures approaches, assessed study subjects' hormone levels, or conducted
extensive vaginal inspections of research subjects before and after hysterectomy.
REACTION/REFLECTION

Upon reading the article, I find the case related to the nursing problem of
disturbed body image, as well as anxiety, inability to cope with the condition, or altered
body function. This study made a dive with the problem if a person experiences
hysterectomy, and the aftermath of its sexual function. Although I wasn’t able to fully
comprehend the specific differences of such changes to the human body, I am much
more worried of how it will affect the patient mentally with all the potential changes on
the levels of hormones, and leading to also potential changes in the sex drive of the
person.

Upon further reading though, I found out that there was no statistically
significant difference in the impact of sexual function between hysterectomy surgeries
that removed only the uterus and those that removed both the uterus and the ovary.
This means that the overall study leads to that conclusion that it has no difference,
therefore no impact. Moving on, this can be a positive sign for those who are already
affected psychologically, or those experiencing other physiological changes in their
body that are more related to the scarring of their skin. Still, this study shows some
limitations and I would be much more interested if they, or any of the researchers
conduct more studies about it. Although I only have such a short reaction because the
article does not affect me one bit, I do find it more alarming on how the patient or
former patient would perceive herself after the surgery when it comes to her sexual
function as a woman and as a sexual being. Us student nurses, and also those who
are already in the field should really provide a thorough teaching about such case
since it is important that the patient, her family, especially her partner should know
about the concept and aftermaths of the patient’s condition. Since the organs removed
were relevant to sexual reproduction, it is really important to thoroughly discuss it too
with the patient, and provide brighter ideas that will give the patient a positive outlook
in life.

So far those are what I can say and to conclude my reaction, again it is really important
that the patient, her family, especially her partner should know about the concept and
aftermaths of the patient’s condition. After all, we are aiming for health promotion and
this includes the full, wellbeing of the patient in all dimensions of her life.
BIBLIOGRAPHY

Zuitasari, A., Yusrizal, F., Basir, F., & Theodorus. (2022). Influence Total
Hysterectomy against Function Sexual. Indonesian Journal of Obstetrics and
Gynecology, 1–7.