{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T01:48:19Z","timestamp":1784684899672,"version":"3.55.0"},"reference-count":48,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2022,4,25]],"date-time":"2022-04-25T00:00:00Z","timestamp":1650844800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100012245","name":"Science and Technology Planning Project of Guangdong Province","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100012245","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Med."],"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Hysterectomy is one of the most frequently performed operations worldwide. However, postoperative complications and body image changes may induce psychological distress after hysterectomy. The study aimed to evaluate the effect of psychological intervention on pelvic floor function and psychological outcomes following hysterectomy among patients with benign indications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Ninety-nine patients underwent hysterectomy were randomly divided into intervention group (<jats:italic>n<\/jats:italic> = 50) and control group (<jats:italic>n<\/jats:italic> = 49). Patients in the control group received routine postoperative nursing care, while extra psychological intervention was provided to patients in the intervention group, including psychological support, regular lectures and family support. After 6 months, patient's psychological statuses were assessed by Generalized Anxiety Disorder scale (GAD-7) and Patient Health Questionnaire-9 (PHQ-9). The pelvic floor function of patients was evaluated using Pelvic Floor Impact Questionnaire (PFIQ-7) and Pelvic Organ Prolapse\/Urinary Incontinence Sexual Questionnaire (PISQ-12). Furthermore, the incidence of postoperative complications, including uracratia, pelvic organ prolapses, sexual dysfunction and chronic pelvic pain, was evaluated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>After 6-month intervention, the GAD-7 and PHQ-9 scores were significantly decreased in the intervention group (<jats:italic>p<\/jats:italic> &amp;lt; 0.001 and <jats:italic>p<\/jats:italic> = 0.018 respectively). Both scored were significantly lower than that in the control group (<jats:italic>p<\/jats:italic> &amp;lt; 0.001 and <jats:italic>p<\/jats:italic> &amp;lt; 0.001). Compared with control group, the incidence of uracratia, pelvic organ prolapse, sexual dysfunction and chronic pelvic pain for intervention group was significantly lower (<jats:italic>p<\/jats:italic> = 0.003, <jats:italic>p<\/jats:italic> = 0.027, <jats:italic>p<\/jats:italic> = 0.001, <jats:italic>p<\/jats:italic> = 0.002 respectively) and the pelvic floor muscle strength was significantly stronger (<jats:italic>p<\/jats:italic> = 0.001). Besides, the postoperative Urinary Incontinence Impact Questionnaire (UIQ-7), Pelvic Organ Prolapse Impact Questionnaire (POPIQ-7), and Colorectal-Anal Impact Questionnaire (CRAIQ-7) scores were significantly lower (<jats:italic>p<\/jats:italic> = 0.025, <jats:italic>p<\/jats:italic> = 0.04, <jats:italic>p<\/jats:italic> &amp;lt; 0.001) and PISQ-12 score was significantly higher in intervention group (<jats:italic>p<\/jats:italic> &amp;lt; 0.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Psychological intervention could effectively improve the psychological condition of patients with hysterectomy, which may facilitate patients' postoperative recovery in pelvic floor function. These findings emphasized the necessity of psychological intervention in routine postoperative nursing care.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fmed.2022.878815","type":"journal-article","created":{"date-parts":[[2022,4,25]],"date-time":"2022-04-25T05:51:36Z","timestamp":1650865896000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":10,"title":["Effect of Psychological Intervention on Pelvic Floor Function and Psychological Outcomes After Hysterectomy"],"prefix":"10.3389","volume":"9","author":[{"given":"Meilian","family":"Xie","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xin","family":"Huang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shan","family":"Zhao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yingtong","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiuqun","family":"Zeng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2022,4,25]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"Cd003677","DOI":"10.1002\/14651858.CD003677.pub5","article-title":"Surgical approach to hysterectomy for benign gynaecological disease","volume":"2015","author":"Aarts","year":"2015","journal-title":"Cochrane Database Syst Rev."},{"key":"B2","doi-asserted-by":"publisher","first-page":"242","DOI":"10.3238\/arztebl.2016.0242","article-title":"Hysterectomy for benign uterine disease","volume":"113","author":"Neis","year":"2016","journal-title":"Dtsch Arztebl Int."},{"key":"B3","doi-asserted-by":"publisher","first-page":"333","DOI":"10.1016\/j.ejogrb.2013.09.011","article-title":"Hysterectomy in denmark 1977-2011: changes in rate, indications, and hospitalization","volume":"171","author":"Lykke","year":"2013","journal-title":"Eur J Obstet Gynecol Reprod Biol."},{"key":"B4","doi-asserted-by":"publisher","first-page":"18","DOI":"10.1016\/j.jmig.2015.08.003","article-title":"Robotic versus laparoscopic hysterectomy for benign disease: a systematic review and meta-analysis of randomized trials","volume":"23","author":"Albright","year":"2016","journal-title":"J Minim Invasive Gynecol."},{"key":"B5","doi-asserted-by":"publisher","DOI":"10.1002\/ijgo.14089.","article-title":"Impact of nerve-sparing posterolateral parametrial excision for deep infiltrating endometriosis on postoperative bowel, urinary, and sexual function","author":"Ianieri","year":"2022","journal-title":"Int J Gynaecol Obstet."},{"key":"B6","doi-asserted-by":"publisher","first-page":"428","DOI":"10.1016\/j.ajog.2017.05.057","article-title":"Trends in hysterectomy rates among women veterans in the us department of veterans affairs","volume":"217","author":"Katon","year":"2017","journal-title":"Am J Obstetr Gynecol."},{"key":"B7","doi-asserted-by":"publisher","first-page":"277","DOI":"10.1016\/j.ajog.2013.01.022","article-title":"Hysterectomy surgery trends: a more accurate depiction of the last decade?","volume":"208","author":"Turner","year":"2013","journal-title":"Am J Obstet Gynecol."},{"key":"B8","doi-asserted-by":"publisher","first-page":"775","DOI":"10.1007\/s00192-020-04572-2","article-title":"The effectiveness of surgical procedures to prevent post-hysterectomy pelvic organ prolapse: a systematic review of the literature","volume":"32","author":"Carlin","year":"2021","journal-title":"Int Urogynecol J."},{"key":"B9","doi-asserted-by":"publisher","first-page":"654","DOI":"10.1097\/AOG.0b013e3182841594","article-title":"Complications of hysterectomy","volume":"121","author":"Clarke-Pearson","year":"2013","journal-title":"Obstet Gynecol."},{"key":"B10","doi-asserted-by":"publisher","first-page":"519","DOI":"10.4293\/108680812X13462882736736","article-title":"Costs and outcomes of abdominal, vaginal, laparoscopic and robotic hysterectomies","volume":"16","author":"Wright","year":"2012","journal-title":"JSLS."},{"key":"B11","doi-asserted-by":"publisher","first-page":"212","DOI":"10.1016\/j.ejogrb.2017.07.015","article-title":"Vaginal and laparoscopic hysterectomy as an outpatient procedure: a systematic review","volume":"216","author":"Dedden","year":"2017","journal-title":"Eur J Obstet Gynecol Reprod Biol."},{"key":"B12","doi-asserted-by":"publisher","first-page":"299","DOI":"10.1007\/s00192-009-1033-4","article-title":"An estimation of the frequency of surgery for posthysterectomy vault prolapse","volume":"21","author":"Aigmueller","year":"2010","journal-title":"Int Urogynecol J."},{"key":"B13","doi-asserted-by":"publisher","first-page":"496","DOI":"10.1016\/j.ajog.2020.11.008","article-title":"Pelvic organ prolapse after 3 modes of hysterectomy: long-term follow-up","volume":"224","author":"Gabriel","year":"2021","journal-title":"Am J Obstet Gynecol."},{"key":"B14","doi-asserted-by":"publisher","first-page":"320","DOI":"10.23736\/s0026-4806.19.06080-4","article-title":"Sexual function and quality of life of patients affected by ovarian cancer","volume":"110","author":"Cianci","year":"2019","journal-title":"Minerva Med."},{"key":"B15","doi-asserted-by":"publisher","first-page":"81","DOI":"10.23736\/s0026-4806.20.07081-0","article-title":"Quality of life and sexual functioning of patient affected by endometrial cancer","volume":"112","author":"Cianci","year":"2021","journal-title":"Minerva Med."},{"key":"B16","doi-asserted-by":"publisher","first-page":"588","DOI":"10.1016\/j.ajog.2019.11.1285","article-title":"Pelvic organ prolapse surgery and quality of life-a nationwide cohort study","volume":"222","author":"Mattsson","year":"2020","journal-title":"Am J Obstet Gynecol."},{"key":"B17","doi-asserted-by":"publisher","first-page":"314","DOI":"10.1097\/GME.0000000000001006","article-title":"Depressive symptoms screening in postmenopausal women with symptomatic pelvic organ prolapse","volume":"25","author":"Ai","year":"2018","journal-title":"Menopause."},{"key":"B18","doi-asserted-by":"publisher","first-page":"5","DOI":"10.1016\/j.ejogrb.2013.12.017","article-title":"Psychological outcomes after hysterectomy for benign conditions: a systematic review and meta-analysis","volume":"174","author":"Darwish","year":"2014","journal-title":"Eur J Obstet Gynecol Reprod Biol."},{"key":"B19","doi-asserted-by":"publisher","first-page":"572","DOI":"10.1111\/jocn.13910","article-title":"A Psychological intervention programme for patients with breast cancer under chemotherapy and at a high risk of depression: a randomised clinical trial","volume":"27","author":"Kim","year":"2018","journal-title":"J Clin Nurs."},{"key":"B20","doi-asserted-by":"publisher","first-page":"58","DOI":"10.1080\/00332747.2019.1672440","article-title":"Effect of psychological intervention on quality of life and psychological outcomes of colorectal cancer patients","volume":"83","author":"Zhang","year":"2020","journal-title":"Psychiatry."},{"key":"B21","doi-asserted-by":"publisher","first-page":"3882","DOI":"10.1002\/cncr.30904","article-title":"Psychological distress associated with cancer screening: a systematic review","volume":"123","author":"Chad-Friedman","year":"2017","journal-title":"Cancer."},{"key":"B22","doi-asserted-by":"publisher","first-page":"2899","DOI":"10.1200\/JCO.19.00572","article-title":"Effect of psychological intervention on fear of cancer recurrence: a systematic review and meta-analysis","volume":"37","author":"Tauber","year":"2019","journal-title":"J Clin Oncol."},{"key":"B23","doi-asserted-by":"crossref","first-page":"336","DOI":"10.1007\/BF02765592","article-title":"Vaginal topography does not correlate well with visceral position in women with pelvic organ prolapse","volume":"8","author":"Kenton","year":"1997","journal-title":"Int Urogynecol J Pelvic Floor Dysfunct."},{"key":"B24","doi-asserted-by":"publisher","first-page":"1092","DOI":"10.1001\/archinte.166.10.1092","article-title":"A brief measure for assessing generalized anxiety disorder: the gad-7","volume":"166","author":"Spitzer","year":"2006","journal-title":"Arch Intern Med."},{"key":"B25","doi-asserted-by":"publisher","first-page":"606","DOI":"10.1046\/j.1525-1497.2001.016009606.x","article-title":"The Phq-9: validity of a brief depression severity measure","volume":"16","author":"Kroenke","year":"2001","journal-title":"J Gen Intern Med."},{"key":"B26","first-page":"136","article-title":"Pelvic muscle exercises: physiotherapy for the pelvic floor","volume":"14","author":"Laycock","year":"1994","journal-title":"Urol Nurs."},{"key":"B27","doi-asserted-by":"publisher","first-page":"103","DOI":"10.1016\/j.ajog.2004.12.025","article-title":"Short forms of two condition-specific quality-of-life questionnaires for women with pelvic floor disorders (Pfdi-20 and Pfiq-7)","volume":"193","author":"Barber","year":"2005","journal-title":"Am J Obstet Gynecol."},{"key":"B28","doi-asserted-by":"publisher","first-page":"164","DOI":"10.1007\/s00192-003-1063-2","article-title":"A short form of the pelvic organ prolapse\/urinary incontinence sexual questionnaire (Pisq-12)","volume":"14","author":"Rogers","year":"2003","journal-title":"Int Urogynecol J Pelvic Floor Dysfunct."},{"key":"B29","doi-asserted-by":"publisher","first-page":"387","DOI":"10.5455\/medarh.2015.69.387-392","article-title":"The effect of hysterectomy on women's sexual function: a narrative review","volume":"69","author":"Danesh","year":"2015","journal-title":"Med Arch."},{"key":"B30","doi-asserted-by":"publisher","first-page":"8247207","DOI":"10.1155\/2020\/8247207","article-title":"Comparison of the effects of total laparoscopic hysterectomy and total abdominal hysterectomy on sexual function and quality of life","volume":"2020","author":"Beyan","year":"2020","journal-title":"Biomed Res Int."},{"key":"B31","doi-asserted-by":"publisher","first-page":"527","DOI":"10.1007\/s00192-014-2490-y","article-title":"Pelvic organ prolapse (pop) surgery among danish women hysterectomized for benign conditions: age at hysterectomy, age at subsequent pop operation, and risk of pop after hysterectomy","volume":"26","author":"Lykke","year":"2015","journal-title":"Int Urogynecol J."},{"key":"B32","doi-asserted-by":"publisher","first-page":"841","DOI":"10.1007\/s00192-020-04591-z","article-title":"Pelvic organ prolapse after laparoscopic hysterectomy compared with vaginal hysterectomy: the pop-up study","volume":"32","author":"Vermeulen","year":"2021","journal-title":"Int Urogynecol J."},{"key":"B33","doi-asserted-by":"publisher","first-page":"1155","DOI":"10.1007\/s13304-020-00812-8","article-title":"The robotic single-port platform for gynecologic surgery: a systematic review of the literature and meta-analysis","volume":"73","author":"Capozzi","year":"2021","journal-title":"Updates Surg."},{"key":"B34","doi-asserted-by":"publisher","first-page":"e032331","DOI":"10.1136\/bmjopen-2019-032331","article-title":"Laparoendoscopic single-site surgery compared with conventional laparoscopic surgery for benign ovarian masses: a systematic review and meta-analysis","volume":"10","author":"Lin","year":"2020","journal-title":"BMJ Open."},{"key":"B35","doi-asserted-by":"publisher","first-page":"487","DOI":"10.1007\/s00737-017-0745-6","article-title":"Psychiatric outcomes after hysterectomy in women with uterine myoma: a population-based retrospective cohort study","volume":"20","author":"Lee","year":"2017","journal-title":"Arch Womens Ment Health."},{"key":"B36","doi-asserted-by":"publisher","first-page":"595","DOI":"10.1097\/ajp.0000000000000442","article-title":"Psychological predictors of acute postoperative pain after hysterectomy for benign causes","volume":"33","author":"Scheel","year":"2017","journal-title":"Clin J Pain."},{"key":"B37","doi-asserted-by":"publisher","first-page":"181","DOI":"10.1016\/j.sxmr.2020.03.001","article-title":"Sexual life after hysterectomy: still a neglected topic?","volume":"8","author":"Aerts","year":"2020","journal-title":"Sex Med Rev."},{"key":"B38","doi-asserted-by":"publisher","first-page":"80","DOI":"10.1016\/j.ejogrb.2020.01.047","article-title":"Hysterectomy and sexual (Dys)function: an analysis of sexual dysfunction after hysterectomy and a search for predictive factors","volume":"247","author":"Dedden","year":"2020","journal-title":"Eur J Obstet Gynecol Reprod Biol."},{"key":"B39","doi-asserted-by":"publisher","first-page":"981","DOI":"10.1080\/01443615.2019.1678574","article-title":"Effect of psychological care given to the women who underwent hysterectomy before and after the surgery on depressive symptoms, anxiety and the body image levels","volume":"40","author":"Erdogan","year":"2020","journal-title":"J Obstet Gynaecol."},{"key":"B40","doi-asserted-by":"publisher","first-page":"978","DOI":"10.1016\/j.injury.2020.02.038","article-title":"Psychological morbidity and functional impairment following traumatic pelvic injury","volume":"51","author":"McMinn","year":"2020","journal-title":"Injury."},{"key":"B41","doi-asserted-by":"publisher","first-page":"189","DOI":"10.1016\/s2468-1253(16)30206-0","article-title":"Effect of psychological therapy on disease activity, psychological comorbidity, and quality of life in inflammatory bowel disease: a systematic review and meta-analysis","volume":"2","author":"Gracie","year":"2017","journal-title":"Lancet Gastroenterol Hepatol."},{"key":"B42","doi-asserted-by":"publisher","first-page":"1134","DOI":"10.1002\/pon.5068","article-title":"Attachment styles, self-compassion, and psychological adjustment in long-term breast cancer survivors","volume":"28","author":"Arambasic","year":"2019","journal-title":"Psychooncology."},{"key":"B43","doi-asserted-by":"publisher","first-page":"2349","DOI":"10.1007\/s00520-017-3693-9","article-title":"A systematic review of psychosocial interventions for colorectal cancer patients","volume":"25","author":"Mosher","year":"2017","journal-title":"Support Care Cancer."},{"key":"B44","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1016\/j.breast.2017.11.005","article-title":"Psychosocial interventions in breast cancer survivorship care","volume":"38","author":"Gudenkauf","year":"2018","journal-title":"Breast."},{"key":"B45","doi-asserted-by":"publisher","first-page":"16","DOI":"10.1016\/j.ctrv.2017.03.012","article-title":"Psychotherapy for depression among advanced, incurable cancer patients: a systematic review and meta-analysis","volume":"56","author":"Okuyama","year":"2017","journal-title":"Cancer Treat Rev."},{"key":"B46","doi-asserted-by":"publisher","first-page":"2750","DOI":"10.1016\/j.injury.2020.02.071","article-title":"Psychological outcomes affect functional outcomes in patients with severe pelvic ring fractures","volume":"52","author":"Martin","year":"2021","journal-title":"Injury."},{"key":"B47","doi-asserted-by":"publisher","first-page":"172","DOI":"10.1007\/s11886-020-01424-9","article-title":"Psychological preparation for cardiac surgery","volume":"22","author":"Salzmann","year":"2020","journal-title":"Curr Cardiol Rep."},{"key":"B48","doi-asserted-by":"publisher","first-page":"587","DOI":"10.1188\/13.onf.587-594","article-title":"Stressors relating to patient psychological health following stoma surgery: an integrated literature review","volume":"40","author":"Ang","year":"2013","journal-title":"Oncol Nurs Forum."}],"container-title":["Frontiers in Medicine"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fmed.2022.878815\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,4,25]],"date-time":"2022-04-25T05:51:40Z","timestamp":1650865900000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fmed.2022.878815\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,4,25]]},"references-count":48,"alternative-id":["10.3389\/fmed.2022.878815"],"URL":"https:\/\/doi.org\/10.3389\/fmed.2022.878815","relation":{},"ISSN":["2296-858X"],"issn-type":[{"value":"2296-858X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,4,25]]},"article-number":"878815"}}