基于EX - PLISSIT模型的性咨询对改善已婚系统性红斑狼疮女性性功能的影响:一项随机对照试验

IF 1.1 4区 医学 Q3 REHABILITATION
Maryam Shami, Ali Montazeri, Seyedeh Tahereh Faezi, Zahra Behboodi Moghadam
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引用次数: 0

摘要

系统性红斑狼疮(SLE)是一种多系统自身免疫性疾病。这种疾病由于生理、认知和精神上的影响而引发性功能障碍。由于这些患者的性功能往往被忽视,本研究旨在探讨基于EX - PLISSIT模型的性咨询对改善已婚SLE女性性功能的影响。本临床试验对居住在德黑兰的101名患有SLE的已婚妇女(18-49岁)进行了研究。随机化是通过在风湿病诊所随机分配6个区块来进行的。采用人口统计学问卷、抑郁、焦虑、压力量表21项(DASS-21)和女性性功能指数进行数据收集。干预组每周接受咨询,对照组(n = 55)接受常规护理。咨询结束后8周和12周,使用独立检验、配对t检验、重复测量和卡方检验比较干预组和对照组之间的结果。干预前两组性功能评分差异无统计学意义(p > 0.05)。在第一次随访中,干预组除性疼痛外的所有性功能领域得分均显著增加,而对照组的所有性功能领域得分均显著降低(p < 0.05)
本文章由计算机程序翻译,如有差异,请以英文原文为准。

The Effect of Sexual Counseling Based on EX‑PLISSIT Model on Improving the Sexual Function of Married Women with Systemic Lupus Erythematosus: A Randomized Controlled Trial.

The Effect of Sexual Counseling Based on EX‑PLISSIT Model on Improving the Sexual Function of Married Women with Systemic Lupus Erythematosus: A Randomized Controlled Trial.

Systemic Lupus erythematosus (SLE) is a multisystem autoimmune disease. This disease triggers sexual dysfunction due to physiological, cognitive and mental effects. Since sexual function is often ignored in these patients, this study aimed to investigate the effect of sexual counseling based on EX‑PLISSIT model on improving the sexual function of married women with SLE. This clinical trial was conducted on 101 married women suffering from SLE (18-49 years) residing in Tehran. Randomization was performed by random block allocation with six blocks in a rheumatology clinic. A demographic questionnaire, the Depression, Anxiety, Stress Scales-21 Items (DASS-21), and the female sexual function index were used to collect the data. The intervention group received counselling sessions every week while the control group (n = 55) received routine care for the disease. Eight and twelve weeks after completion of counselling sessions, outcomes compared between the intervention and control groups, using independent ttest, paired t-test, repeated measures and Chi-squared test. The scores of sexual function in both groups did not differ significantly before the intervention (p > 0.05). At the first follow-up session, the score of all sexual function domains except sexual pain increased significantly in the intervention group while a significant reduction was observed in all domains of sexual function in the control group (p < 0.05). In the second follow-up, sexual function significantly increased in the intervention group whereas it significantly decreased in the control group (p < 0.05). According to the findings of this study, counseling based on EX-PLISSIT model positively affected the sexual function of women with SLE. Therefore, this model can be used as a cost-effective and simple counseling method to improve the sexual functions.

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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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