Faghani Safieh, Ghaffari Fatemeh
Babol University of Medical Sciences, Babol, Iran. Email:
Asian Pac J Cancer Prev. 2016 Nov 1;17(11):4845-4851. doi: 10.22034/APJCP.2016.17.11.4845.
Background and Objectives: As one of the most common treatments for breast cancer, mastectomy has adverse effects on the quality of sexual life and sexual functioning in the impacted women. Various strategies have therefore been proposed to resolve their sexual problems. The present study was conducted to determine the effect of sexual rehabilitation using the PLISSIT model in post-mastectomy breast cancer survivors. Materials and Methods: The present quasi-experimental study was conducted on a population of post-mastectomy breast cancer survivors and their husbands. Sample size was calculated as 50 each for intervention and non-intervention groups. The former received sexual counseling based on the PLISSIT model consisting of four levels of intervention: permission, limited information, specific suggestion and intensive therapy, presented in four 90-minute sessions. Data were collected using the Sexual Quality of Life-Female (SQOL-F) questionnaire and the Female Sexual Function Index (FSFI). Results: No significant differences were observed in the mean quality of sexual life scores between the intervention and control groups (P>0.05) before the intervention; however, a significant difference emerged between the groups after the intervention (P<0.01). Thus the mean score for sexual functioning in the intervention group was 26.3±3.76 before and30.0±4.38 after the intervention (P<0.0001). In the control group, however, the difference between the pre- and post-intervention mean scores was not statistically significant (P=0.713). Conclusion: The present study showed that nurses can use the PLISSIT model in conjunction with chemotherapy and radiotherapy to teach coping and problem-solving skills to women with breast cancer and their husbands and to encourage their participation in group programs for expressing their feelings and attitudes about their current sex life and thus help enhance quality of sexual life and sexual functioning in this group.
作为乳腺癌最常见的治疗方法之一，乳房切除术会对受影响女性的性生活质量和性功能产生不良影响。因此，人们提出了各种策略来解决她们的性问题。本研究旨在确定使用PLISSIT模型进行性康复对乳房切除术后乳腺癌幸存者的影响。材料与方法：本准实验研究针对乳房切除术后乳腺癌幸存者及其丈夫群体开展。计算得出干预组和非干预组的样本量均为50。干预组接受基于PLISSIT模型的性咨询，该模型包括四个干预级别：允许、有限信息、具体建议和强化治疗，分四个90分钟的疗程进行。使用女性性生活质量问卷（SQOL - F）和女性性功能指数（FSFI）收集数据。结果：干预前，干预组和对照组的平均性生活质量得分无显著差异（P>0.05）；然而，干预后两组之间出现了显著差异（P<0.01）。因此，干预组干预前性功能的平均得分为26.3±3.76，干预后为30.0±4.38（P<0.0001）。然而，在对照组中，干预前后平均得分的差异无统计学意义（P = 0.713）。结论：本研究表明，护士可以在化疗和放疗的同时使用PLISSIT模型，向乳腺癌女性及其丈夫传授应对和解决问题的技能，并鼓励他们参与团体项目，以表达他们对当前性生活的感受和态度，从而有助于提高该群体的性生活质量和性功能。
