title: Sleep and fatigue symptoms in women before and 6 weeks after hysterectomy.
abstract: OBJECTIVE
  To compare sleep and fatigue experiences of women before hysterectomy and at 3 and 6 weeks after surgery, to compare symptoms by type of surgical procedure, and to examine the biopsychosocial contextual factors related to symptoms.
  
  
  METHODS
  A descriptive repeated measures study assessed sleep and fatigue using questionnaires and objective wrist actigraphy monitoring for sleep.
  
  
  METHODS
  Data were collected in women's homes at least 2 days before surgery, and at 3 and 6 weeks postoperatively.
  
  
  METHODS
  A convenience sample of 25 women scheduled for hysterectomy.
  
  
  RESULTS
  There was significantly higher self-reported sleep disturbance 3 weeks after surgery compared with baseline. Women who had vaginal hysterectomy continued to experience sleep disturbance and fatigue 6 weeks after surgery, while those who had abdominal hysterectomy reported better sleep and less fatigue at 6 weeks compared with baseline. The number of awakenings recorded with actigraphy increased postoperatively for both groups, and younger women experienced more wake time during the night than older women. Level of education was positively related to preoperative fatigue severity.
  
  
  CONCLUSIONS
  Findings suggested poor sleep and fatigue during the postoperative period should be evaluated in light of women's ages, level of education, and type of surgical procedure.
authors.affiliation: Department of Nursing and Health Sciences, California State University, East Bay, 25800 Carlos Bee Blvd Hayward, CA 94542, USA. kimberly.kim@csueastbay.edu
authors.forename: Kimberly H
authors.initials: KH
authors.lastname: Kim
authors.forename: Kathryn A
authors.initials: KA
authors.lastname: Lee
mesh_terms: D017677:Age Distribution; D015984:Causality; D015897:Comorbidity; D004522:Educational Status; D005221:Fatigue / Q000453:epidemiology*; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000534:rehabilitation / Q000706:statistics & numerical data*; D007045:Hysterectomy, Vaginal / Q000534:rehabilitation / Q000706:statistics & numerical data; D008875:Middle Aged; D011184:Postoperative Period; D011300:Preoperative Care; D011446:Prospective Studies; D044469:Racial Groups / Q000706:statistics & numerical data; D012495:San Francisco / Q000453:epidemiology; D012893:Sleep Wake Disorders / Q000453:epidemiology*; D013223:Statistics as Topic