Iranian Journal of Nursing and Midwifery Research1735-906626320210519230237EN1.Ph.D.Candidate in Reproductive Health, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran,2.Student Research Committee, Mashhad University of Medical Sciences, Mashhad, Iran1.Associate Professor in Reproductive Health,Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran,2.Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran,1.Professor in Nursing Sciences, Baqiyatallah Sciences Research Centre, Life Style Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran,2.Nursing Faculty,Baqiyatallah University of Medical Sciences, Tehran, Iran1.Assistant Professor in Reproductive Health, Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran,2.Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran20210501<p><strong>Background: </strong>The loss of female organs leads to profound changes in one’s perception of oneself. There is limited information about the impact of hysterectomy on women’s self‑concept and culture. Therefore, this study was conducted with the aim to deepen our understanding of the self‑concept of Iranian women after hysterectomy.</p><p><strong>Materials and Methods: </strong>This qualitative study was conducted using directed content analysis approach. The participants included 30 women with a history of hysterectomy who were selected through purposive sampling method. Data were collected from August 2018 to November 2019 using in‑depth and semi‑structured interviews based on the self‑concept mode of the Roy Adaptation Model (RAM) in Mashhad, Iran. Data analysis was performed using the deductive approach of Elo and Kyngäs in MAXQDA software.</p><p> <strong>Results: </strong>As a result of the analysis of the interviews, the main category of “incoherent cognition of self‑concept” emerged, which included the two generic categories of “heterogeneous feelings toward and imaginations of the body” and “changed self‑perception”, and five subcategories.</p><p> <strong>Conclusions: </strong>Women’s self‑concept changed after hysterectomy in both its physical and psychological aspects. Therefore, counseling before and after hysterectomy is recommended to improve women’s self‑concept after hysterectomy. <em></em></p>http://ijnmr.mui.ac.ir/index.php/ijnmr/article/view/1799http://ijnmr.mui.ac.ir/index.php/ijnmr/article/download/1799/70707373