Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hung Hom, Hong Kong.
Department of Nursing, School of Health and Welfare, Jönköping University, Jönköping, Sweden.
J Psychosom Obstet Gynaecol. 2020 Mar;41(1):54-61. doi: 10.1080/0167482X.2019.1572743. Epub 2019 Mar 4.
This study used extended theory of planned behavior (extended TPB) to understand the underlying factors related to help-seeking behavior for sexual problems among Iranian women with heart failure (HF). We recruited 758 women (mean age = 61.21 ± 8.92) with HF at three university-affiliated heart centers in Iran. Attitude, subjective norms, perceived behavioral control, behavioral intention, self-stigma of seeking help, perceived barriers, frequency of planning, help-seeking behavior, and sexual function were assessed at baseline. Sexual function was assessed again after 18 months. Structural equation modeling was used to explain change in sexual functioning after 18 months. Attitude and perceived behavioral control were positively correlated to behavioral intention. Behavioral intention was negatively and self-stigma in seeking help was positively correlated to perceived barriers. Behavioral intention was positively and self-stigma in seeking help was negatively correlated to frequency of planning. Perceived behavioral control, behavior intention, and frequency of planning were positively and self-stigma in seeking help and perceived barriers were negatively correlated to help-seeking behavior. Help-seeking behavior was positive correlated to the change of FSFI latent score. The extended TPB could be used by healthcare professionals to design an appropriate program to treat sexual dysfunction in women with HF.
本研究采用扩展计划行为理论（extended TPB）来理解与伊朗心力衰竭（HF）女性寻求性问题帮助行为相关的潜在因素。我们在伊朗的三个大学附属医院的心内科招募了 758 名女性（平均年龄=61.21±8.92）。在基线时评估了态度、主观规范、感知行为控制、行为意向、寻求帮助的自我污名、感知障碍、计划频率、寻求帮助行为和性功能。18 个月后再次评估性功能。结构方程模型用于解释 18 个月后性功能的变化。态度和感知行为控制与行为意向呈正相关。行为意向与寻求帮助的自我污名呈负相关，与感知障碍呈正相关。行为意向与寻求帮助的自我污名呈负相关，与计划频率呈正相关。感知行为控制、行为意向和计划频率与寻求帮助的自我污名和感知障碍呈正相关，与寻求帮助行为呈负相关。寻求帮助行为与 FSFI 潜在评分的变化呈正相关。扩展 TPB 可被医疗保健专业人员用于设计适当的方案来治疗 HF 女性的性功能障碍。
