A brief package of tele-sexual counseling based on Islamic emotion-focused therapy versus tele-sexual health education on sexual intimacy in pregnant women: A randomized clinical trial.

IF 1.4 Q3 EDUCATION, SCIENTIFIC DISCIPLINES
Journal of Education and Health Promotion Pub Date : 2024-10-28 eCollection Date: 2024-01-01 DOI:10.4103/jehp.jehp_1094_23
Zahra Masaeli, Tahmineh Farajkhoda, Mahdi Khanabadi, Alireza Khorasani
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引用次数: 0

Abstract

Background: Physical and emotional changes in pregnancy may reduce sexual intimacy. Pregnant women need empowerment through short-term cultural-based interventions regarding sexual intimacy for better expression of sexual beliefs and expectations. Since studies are limited regarding Islamic emotion-focused therapy (IEFT), this study was conducted to compare the effect of tele-sexual counseling (IEFT) versus tele-sexual health education on sexual intimacy in pregnant women.

Materials and methods: A parallel randomized clinical trial was conducted among 52 pregnant women with gestational age at least 20-24 weeks through convince sampling referred to Amir Social Welfare Clinic, who were randomly assigned into two groups (each group = 26 women). The intervention group received online six weekly IEFT, and the control group participated in online sexual health education. Primary outcome sexual intimacy was measured via Botlani's sexual intimacy questionnaire at baseline, end of intervention at week 6, and follow-up at week 10. Secondary outcome satisfaction was assessed via a satisfaction scale at weeks 6 and 10 of the intervention. Data were analyzed using Mann-Whitney, the T-test, the analysis of variance, and repeated measures in SPSS.

Results: Sexual intimacy was not significantly different between the two groups at baseline. Sexual intimacy was significantly high in the intervention group in weeks 6 (intervention group: 83.12 ± 5.22 versus control group: 70.62 ± 4.42) (P < 0.001) and 10 (intervention group: 84.08 ± 5.03 versus control group: 70.54 ± 4.37) (P < 0.001). Satisfaction in week 6 was 52.38 ± 10.48 in the intervention group versus 42.69 ± 10.98 in the control group (P = 0.001), and at week 10, it was 55.58 ± 10.71 in the intervention group versus 45.12 ± 11.56 in the control group (P = 0.001), with more satisfaction in the intervention group.

Conclusion: Both short-term tele-interventions, IEFT or sexual health, improved sexual intimacy and satisfaction, but Islamic EFT was significantly superior. It seems women need cultural-religious-based interventions such as IEFT to facilitate positive sexual relationship changes, assertiveness in sexual emotion expression, and compassion through the sharing of skills with the husband that can continue individually even after intervention. The study findings can be applied to midwifery education, prenatal care booklets, couple and sex counselors and therapists, and other health care providers.

基于伊斯兰情绪疗法的远程性咨询与孕妇性亲密行为远程性健康教育:一项随机临床试验。
背景:怀孕期间身体和情绪的变化可能会降低性亲密度。孕妇需要通过短期的基于文化的性亲密干预来增强权能,以便更好地表达性信仰和性期望。由于关于伊斯兰情绪治疗(IEFT)的研究有限,本研究旨在比较远程性咨询(IEFT)与远程性健康教育对孕妇性亲密行为的影响。材料与方法:采用平行随机临床试验的方法,对52例转至阿米尔社会福利诊所就诊的孕周在20-24周以上的孕妇进行信服抽样,随机分为两组,每组26例。干预组每周接受6次在线IEFT,对照组参加在线性健康教育。主要结果性亲密度在基线、干预第6周结束和第10周随访时通过Botlani性亲密度问卷进行测量。在干预的第6周和第10周通过满意度量表评估次要结果满意度。数据分析采用Mann-Whitney、t检验、方差分析和SPSS重复测量。结果:两组性亲密行为在基线时无显著性差异。干预组在第6周(干预组:83.12±5.22比对照组:70.62±4.42)和第10周(干预组:84.08±5.03比对照组:70.54±4.37)的性亲密度显著高于对照组(P < 0.001)。第6周,干预组满意度为52.38±10.48,对照组为42.69±10.98 (P = 0.001);第10周,干预组满意度为55.58±10.71,对照组为45.12±11.56 (P = 0.001),干预组满意度更高。结论:短期远程干预、EFT或性健康均能提高性亲密度和性满意度,但伊斯兰EFT显著优于前者。女性似乎需要基于文化和宗教的干预,比如IEFT,来促进积极的性关系变化,在性情感表达上的自信,以及通过与丈夫分享技巧而产生的同情心,这些技巧即使在干预之后也可以继续单独进行。研究结果可以应用于助产教育、产前护理手册、夫妻和性顾问和治疗师以及其他卫生保健提供者。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
2.60
自引率
21.40%
发文量
218
审稿时长
34 weeks
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