The Effect of Hysterectomy Education and Counseling on Stress, Quality of Life, and Dyadic Adjustment

June 13, 2026 updated by: Merve Keser, Hasan Kalyoncu University

The Effect of Counseling and Education Given to Women Undergoing Hysterectomy on Dyadic Adjustment, Perceived Stress, and Quality of Life: A Randomized Controlled Trial

The aim of this study was to evaluate the effects of postoperative education and counseling provided to women undergoing hysterectomy on dyadic adjustment, perceived stress, and quality of life.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

This randomized controlled trial was designed to evaluate the effects of postoperative education and counseling on perceived stress, quality of life, and dyadic adjustment among women undergoing hysterectomy. The study was conducted in the gynecology ward of Çukurova University Balcalı Hospital between September 2024 and February 2025. A total of 60 women were randomly assigned to either an intervention group (n=30) or a control group (n=30) using a simple randomization method. Data were collected using the Sociodemographic Data Questionnaire, the Perceived Stress Scale (PSS), the SF-12 Quality of Life Scale (SF-12 QoL), and the Revised Dyadic Adjustment Scale (RDAS). Women in the intervention group received structured hysterectomy education on the first postoperative day and weekly counseling sessions for four weeks after discharge. Women in the control group received routine postoperative care. Outcome assessments were performed at baseline and five weeks after enrollment.

Study Type

Interventional

Enrollment (Actual)

60

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • Turkey (Türkiye)
    • Şahinbey/gaziantep
      • Gaziantep, Şahinbey/gaziantep, Turkey (Türkiye), 27410
        • Hasan Kalyoncu University, Graduate Education Institute, Department of Nursing

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Adult
  • Older Adult

Accepts Healthy Volunteers

Yes

Description

Inclusion Criteria:

Women undergoing hysterectomy Aged 18 years and older Married and living with their spouse Able to communicate in Turkish

Exclusion Criteria:

Women with diagnosed psychiatric disorders Women with severe postoperative complications requiring intensive care

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Prevention
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Hysterectomy Education and Counseling
Women in this group received structured hysterectomy education on the first postoperative day and weekly counseling sessions for four weeks following discharge, in addition to routine postoperative care.
Behavioral: Postoperative Counseling
Participants received structured hysterectomy education on the first postoperative day and weekly counseling sessions for four weeks after discharge. Education and counseling focused on postoperative recovery, complication prevention, physical activity, sexual health, emotional support, healthy lifestyle behaviors, and adaptation following hysterectomy.
Experimental: control group
Women in this group received routine postoperative care. No structured education or counseling was provided during the study period. Follow-up assessments were conducted five weeks after the pre-test, and an educational booklet was provided after completion of the post-test.
Behavioral: Postoperative Counseling
Participants received structured hysterectomy education on the first postoperative day and weekly counseling sessions for four weeks after discharge. Education and counseling focused on postoperative recovery, complication prevention, physical activity, sexual health, emotional support, healthy lifestyle behaviors, and adaptation following hysterectomy.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Perceived Stress Scale (PSS)
Time Frame: Baseline and 5 weeks after intervention
Change in perceived stress levels measured using the Perceived Stress Scale.
Baseline and 5 weeks after intervention
SF-12 Quality of Life Scale
Time Frame: Baseline and 5 weeks after intervention
Change in physical and mental quality of life measured using the SF-12 Quality of Life Scale.
Baseline and 5 weeks after intervention
Revised Dyadic Adjustment Scale (RDAS)
Time Frame: Baseline and 5 weeks after intervention
Change in dyadic adjustment measured using the Revised Dyadic Adjustment Scale.
Baseline and 5 weeks after intervention

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Hasan Kalyoncu University

Investigators

  • Principal Investigator: merve keser, Hasan Kalyoncu University, Graduate Education Institute, Department of Nursing

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

September 1, 2024

Primary Completion (Actual)

February 1, 2025

Study Completion (Actual)

March 1, 2026

Study Registration Dates

First Submitted

June 10, 2026

First Submitted That Met QC Criteria

June 13, 2026

First Posted (Actual)

June 16, 2026

Study Record Updates

Last Update Posted (Actual)

June 16, 2026

Last Update Submitted That Met QC Criteria

June 13, 2026

Last Verified

June 1, 2026

More Information

Terms related to this study

Keywords

Other Study ID Numbers

  • 2024/98

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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