Особливості формування психоемоційних розладів та кризи ідентичності у хворих із пухлинами репродуктивної системи після гістеректомії

Objective of the study: to evaluate the psychoemotional condition in patients with benign and malignant tumors of the reproductive system after hysterectomy and successfully completed treatment. Materials and methods. The study included 75 women aged 38 to 70 years who had undergone hysterectomy, including 53 women with malignant tumors of the female reproductive system (group 1) and 22 women with benign tumors (group 2). All patients were surveyed using the NCCN Distress Thermometer (Ukrainian version 2.2022) to determine the level of distress and identify psychoemotional disorders before and after surgical treatment. Results. The data obtained during the study allowed to establish that although before the surgical intervention was no statistically significant difference in the level of distress between the groups of women with malignant and benign tumors, after hysterectomy in the group of patients with malignant tumors was noted a significantly higher level of emotional problems (in particular, according to the parameters of the sadness and depression, loss of interest or ability to get pleasure, loneliness and feelings of worthlessness), social problems (relationships with children, family members, friends or colleagues, communication with medical professionals), as well as practical problems. At the same time, according to indicators of physical problems, as well as a number of emotional, social and practical problems, patients with benign tumors demonstrated the same high level of distress as patients with malignant tumors. Conclusions. The results of the study allow us to draw conclusions about the need for active screening to assess the level of distress. The presence of psychoemotional disorders and identity crises after hysterectomies was evident not only in the group of patients with malignant tumors, but also in women with benign tumors of the reproductive system. NCCN Distress Thermometer can be used for the purpose of such screening