School of Nursing, Chang Gung University, Tao-Yuan, Taiwan School of Nursing, Chang Gung University, Tao-Yuan, Taiwan.
J Sex Med. 2012 Apr;9(4):986-96. doi: 10.1111/j.1743-6109.2011.02419.x. Epub 2011 Aug 3.
Postpartum sexual health education was once routinely administered to postpartum women, but few interventions were specifically described or clearly based on theory, and few sexual interventions affected women's sexual behaviors.
To evaluate the effectiveness of a refined theory-based interactive postpartum sexual health education program (IPSHEP) in enhancing postpartum women's sexual behavior and health.
For this prospective, randomized controlled trial, 250 participants were randomized to three groups. Experimental group A received our refined theory-based IPSHEP. Experimental group B received only an interactive, self-help pamphlet. The control group received routine education (a 10- to 15-minute educational talk and a sexual health pamphlet without an interactive design). Data were collected at baseline, 3 days, 2 months, and 3 months postpartum.
Postpartum women's sexual self-efficacy (SSE), diversity of sexual activity (DSA), return to sexual activity, and sexual satisfaction (SS).
Women who received our theory-based postpartum sexual health education program had significantly greater SSE (P < 0.05) and greater DSA (P < 0.05), and tended to resume their sexual life earlier than women in the routine teaching and interactive pamphlet-only groups (P < 0.05). However, the SS levels of postpartum women who received our program did not differ significantly from those of women who received routine teaching or the interactive pamphlet only.
Our findings suggest that a theory-based postpartum sexual health education program improved women's sexual health and sexual behavior and that the transtheoretical model can be translated into practice, supporting its use to enhance the sexual health of postpartum women. Despite the lack of a significant effect on SS, women who received our theory-based postpartum sexual health education program tended to maintain their prepregnancy level of SS in early postpartum.
产后性健康教育曾经是产后女性的常规护理项目，但很少有干预措施被具体描述或明确基于理论，而且很少有性干预措施能够影响女性的性行为。
评估基于改进的理论的互动式产后性健康教育方案（IPSHEP）在增强产后女性性行为和健康方面的有效性。
在这项前瞻性、随机对照试验中，将 250 名参与者随机分为三组。实验组 A 接受我们基于改进理论的 IPSHEP。实验组 B 仅接受互动式自助小册子。对照组接受常规教育（10-15 分钟的教育谈话和没有互动设计的性健康小册子）。数据在基线、产后 3 天、2 个月和 3 个月时收集。
产后女性的性自我效能（SSE）、性行为多样性（DSA）、恢复性行为和性满意度（SS）。
接受我们基于理论的产后性健康教育方案的女性的 SSE（P < 0.05）和 DSA（P < 0.05）显著增加，并且比接受常规教学和互动小册子的女性更早恢复性生活（P < 0.05）。然而，接受我们方案的产后女性的 SS 水平与接受常规教学或仅接受互动小册子的女性没有显著差异。
我们的研究结果表明，基于理论的产后性健康教育方案改善了女性的性健康和性行为，而跨理论模型可以转化为实践，支持其用于增强产后女性的性健康。尽管对 SS 没有显著影响，但接受我们基于理论的产后性健康教育方案的女性在产后早期往往保持与孕前相同的 SS 水平。
