The Effect of Sexual Counseling Based on the PLISSIT Model on Family Functioning and Sexual Quality of Life of Women with Multiple Sclerosis

IF 1.1 4区 医学 Q3 REHABILITATION
Fatemeh Sohrabi, Batool Tirgari, Sajjad Alizadeh, Shila Salehi
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Abstract

Sexual dysfunction is a common and significant issue for patients with multiple sclerosis (MS), adversely affecting their overall quality of life. Proper sexual counseling can be beneficial for these women. This study aimed to evaluate the impact of a counseling intervention based on the PLISSIT model on family functioning and sexual quality of life in women with MS. This interventional study was conducted in 2020 at the largest center for special diseases in southeast Iran. Sixty women with MS were selected through convenience sampling and randomly assigned to either an intervention group or a control group. The intervention group participated in four 90-minute individual counseling sessions based on the PLISSIT model over four weeks, while the control group received routine training. Data were collected using a demographic information form and questionnaires on family functioning and sexual quality of life, both before and after the intervention. Results showed no significant differences between the two groups in terms of family functioning and sexual quality of life scores before the intervention (p > 0.05). However, after the intervention, the intervention group exhibited significant improvements in both family functioning and sexual quality of life scores (P < 0.0001). Specifically, there was a notable increase in the mean scores for family functioning and sexual quality of life in the intervention group post-intervention (P = 0.001 and P = 0.0001, respectively). In contrast, the control group showed no significant change in family functioning (P = 0.79) and a significant decrease in sexual quality of life (P = 0.014) during the second assessment. The results suggest that sexual counseling based on the PLISSIT model can effectively enhance family functioning and sexual quality of life in women with multiple sclerosis.

基于 PLISSIT 模型的性咨询对多发性硬化症女性患者家庭功能和性生活质量的影响
性功能障碍是多发性硬化症(MS)患者常见的一个重要问题,对他们的整体生活质量产生了不利影响。适当的性咨询可为这些女性带来益处。本研究旨在评估基于 PLISSIT 模型的咨询干预对多发性硬化症女性患者的家庭功能和性生活质量的影响。这项干预研究于 2020 年在伊朗东南部最大的特殊疾病中心进行。研究人员通过便利抽样选出了 60 名患有多发性硬化症的妇女,并将她们随机分配到干预组或对照组。干预组在四周内参加了四次 90 分钟的基于 PLISSIT 模型的个人咨询课程,而对照组则接受常规培训。干预前后的数据均通过人口信息表以及家庭功能和性生活质量调查表收集。结果显示,在干预前,两组在家庭功能和性生活质量评分方面没有明显差异(p > 0.05)。然而,干预后,干预组的家庭功能和性生活质量得分均有明显改善(P < 0.0001)。具体来说,干预后,干预组的家庭功能和性生活质量的平均得分明显提高(P = 0.001 和 P = 0.0001)。相比之下,对照组在第二次评估中的家庭功能无明显变化(P = 0.79),性生活质量明显下降(P = 0.014)。结果表明,基于 PLISSIT 模型的性咨询可有效提高多发性硬化症女性患者的家庭功能和性生活质量。
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来源期刊
Sexuality and Disability
Sexuality and Disability REHABILITATION-
CiteScore
2.70
自引率
20.00%
发文量
47
期刊介绍: Sexuality and Disability is an international forum for the publication of peer-reviewed original interdisciplinary scholarly papers that address the psychological and medical aspects of sexuality in relation to rehabilitation. Publishing timely research articles, review articles, case studies, clinical practice reports, brief research reports, survey data reports, and book and film reviews, the journal offers the latest developments in the area of sexuality as it relates to a wide range of disabilities and conditions. Contributions address: clinical and research progress; community programs; independent-living programs; guidelines for clinical practice; special grand-rounds topics; consumer issues; and contemporary developments in special programs in sex education and counseling for people with disabilities. The journal features special issues with internationally renowned guest editors focusing on current topics in sexual health. By publishing research, best-practice, evidence-based, and educational articles, the journal seeks to contribute to the field''s knowledge base and advancement. Sexuality and Disability is an essential resource for the exchange of new knowledge, issues, techniques, and available modalities for researchers and other professionals addressing the psychological and medical aspects of sexuality in rehabilitation, medical, academic, and community settings.
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