Babakhani Narges, Taravati Masumeh, Masoumi Zahra, Garousian Maryam, Faradmal Javad, Shayan Arezoo
Department Midwifery, Faculty of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran.
Department Midwifery, Mother and Child Care Research Center, Hamadan University of Medical Sciences, Hamadan, Iran.
J Caring Sci. 2018 Jun 1;7(2):83-88. doi: 10.15171/jcs.2018.013. eCollection 2018 Jun.
Sexual dysfunction is one of the most common causes of family breakdowns. In recent years, various approaches have been proposed to resolve this issue. The present study was carried out in order to examine the effect of cognitive-behavioral consultation on sexual function among women who had referred to health centers in Hamadan. A randomized clinical trial was conducted in two groups. It focused on 198 qualified women who had referred to selected health centers of Hamadan in 2016. The participants were selected by simple random sampling (99 people in each group).The intervention group received four 2-hour sessions of cognitive-behavioral group consultation. The required data were collected using a questionnaire of demographic characteristics and Female Sexual Function Index (FSFI). For ethical considerations, by the end of the study, sexual counseling for the control group was provided. To analyze the collected data, SPSS 13 was employed; t-test was used for independent samples. ANCOVA was also utilized. The significance level was set at 0.05. The results showed that the two groups were not significantly different in terms of mean pretest scores in all domains, except for sexual satisfaction and total sexual function. However, after cognitive-behavioral consultation sessions, the intervention group experienced a significant increase in all behavioral domains and total sexual function as compared to the control group. Cognitive-behavioral consultation among women can play a positive and effective role in improving sexual relationships. Therefore, the effectiveness of this type of consultation can be confirmed with more certainty.
性功能障碍是家庭破裂最常见的原因之一。近年来,人们提出了各种方法来解决这个问题。本研究旨在探讨认知行为咨询对哈马丹地区前往健康中心就诊的女性性功能的影响。研究采用随机临床试验,分为两组。研究对象为198名符合条件的女性,她们于2016年前往哈马丹地区选定的健康中心就诊。通过简单随机抽样选取参与者(每组99人)。干预组接受了四次每次两小时的认知行为团体咨询。使用人口统计学特征问卷和女性性功能指数(FSFI)收集所需数据。出于伦理考虑,在研究结束时,为对照组提供了性咨询。采用SPSS 13对收集的数据进行分析;独立样本t检验,也使用了协方差分析。显著性水平设定为0.05。结果显示,除性满意度和总性功能外,两组在所有领域的预测试平均得分方面无显著差异。然而,经过认知行为咨询后,与对照组相比,干预组在所有行为领域和总性功能方面均有显著提高。女性的认知行为咨询在改善性关系方面可以发挥积极有效的作用。因此,这种咨询的有效性可以得到更确切的证实。