The impact of a symptomics-based transitional care program on mental health and quality of life in perimenopausal women after total hysterectomy: A retrospective study

Abstract

Objective: To explore the impact of a symptomics-based transitional care program on mental health and quality of life in perimenopausal women after total hysterectomy.

Methodology: This retrospective study was conducted at Huzhou Maternal and Child Health Hospital and included clinical data of 133 perimenopausal women who underwent total hysterectomy between May 2024 and August 2025. The participants were divided into an observation group (n=69) receiving the symptomics-based transitional care program and a control group (n=64) receiving the conventional care program, based on the postoperative nursing regimen. The two groups were compared in terms of scores on the modified Kupperman Index, the Self-Rating Anxiety Scale (SAS), the Self-Rating Depression Scale (SDS), the Pelvic Floor Distress Inventory-20 (PFDI-20), and the Female Sexual Function Index (FSFI). Nursing satisfaction was assessed in both groups.

Results: At six months after intervention, the scores of the modified Kupperman Index, SAS, SDS, and PFDI-20 in the observation group were significantly lower, while the FSFI score was significantly higher than that in the control group (P<0.05). There was no significant difference in the nursing satisfaction between the two groups (p>0.05).

Conclusion: The symptomics-based transitional care program can significantly improve postoperative mental health and quality of life in perimenopausal women undergoing total hysterectomy.