The Effects of Self-Regulation Program on Anxiety, Pain and Postoperative Self-Practice of Patients with Abdominal Hysterectomy, Nursing Work Group for Obstetrics and Gynecology patients Lamphun Hospital

Abstract

Hysterectomy affects women physically, mentally, and sexually. Therefore, to accept the situation, a woman must adapt and find ways to meet her and society’s needs for a better quality of life. This quasi-experimental research aimed to compare mean anxiety scores, mean pain scores, and mean self-management scores between an experimental group receiving a self-regulation program and a control group receiving standard nursing care. The sample is patients who have been diagnosed with an abnormal pathology of the uterus and need to be treated by abdominal hysterectomy, Nursing Work Group for Obstetrics and Gynecology patients Lamphun Hospital. Between January 1 and April 30, 2025, 60 subjects were simple random sampling and divided into an experimental group of 30 subjects and a control group of 30 subjects. The research tools used were:
1) self-regulation program 2) personal data recording and treatment forms 3) anxiety assessments 4) pain assessments and 5) postoperative behavior assessments. The data were analyzed using descriptive statistics such as frequency, percentage, mean, standard deviation, and inferential statistics, including Fisher’s exact probability test and independent t-test.

The results showed that after receiving the self-regulation program, the experimental group had statistically significantly lower mean anxiety scores than the control group at the level of p<0.001 Mean postoperative pain score showed that at 24 hours, there was no difference in mean postoperative pain score between the experimental group and the control group. However, at 48 hours and 72 hours, the experimental group had a statistically significantly lower mean pain score than the control group at a level of 0 p<0.001. Postoperative behavior was found to be statistically significantly better than the control group at a level of p<0.001. In summary, this self-adjustment program effectively reduces anxiety, pain, and strengthens good postoperative behavior for patients undergoing abdominal hysterectomy.