Sasanpour Maryam, Azh Nezal, Alipour Mahmoud
Student Research Committee, Qazvin University of Medical Sciences, Qazvin, Iran.
Faculty of Nursing and Midwifery, Qazvin University of Medical Sciences, Qazvin, Iran.
Int J Womens Health. 2020 May 7;12:393-397. doi: 10.2147/IJWH.S242621. eCollection 2020.
Correcting sexual beliefs can affect women's sexual function. There are very limited interventional studies on correcting the sexual dysfunction beliefs in postmenopausal women living in rural areas. Therefore, the present study was carried out with the aim of investigating the effect of a midwife-based group education on sexual dysfunction beliefs in one group of rural postmenopausal women.
The present study was a quasi-experimental pre-post design without a control group. The study population included rural menopausal women who referred to rural health centers. The study sample consisted of 50 participants who have all received education program. The education was held in six group discussion sessions. The data gathering tool used in this study was the Sexual Dysfunctional Beliefs Questionnaire which was completed before and after the education. This questionnaire consists of 33 items and includes 6 subscales.
The mean age of participants was 53.26 years. Approximately half of the participants (48%) had primary education. The mean scores of sexual dysfunction beliefs before and after education were 114.58 and 58.56, respectively (p-value<0.001). The mean scores of sexual conersations, affection primacy, motherhood-related beliefs, sexual desire and pleasure as sin beliefs, age-related beliefs, and body image beliefs before intervention were 14.38, 21.38, 13.9, 23.64, 20.74, 17.04, respectively, and after intervention were 6.9, 11.80, 8.64, 12.48, 7.7, 9.40, respectively.
Rural postmenopausal women had problems with sexual dysfunction beliefs. A midwife-based group discussion education on this matter had significantly improved the sexual dysfunction beliefs in them. Further studies are needed in this regard.
纠正性观念会影响女性性功能。针对农村绝经后女性性功能障碍观念进行纠正的干预性研究非常有限。因此，本研究旨在调查以助产士为主导的小组教育对一组农村绝经后女性性功能障碍观念的影响。
本研究为准实验性前后对照设计，无对照组。研究人群包括到农村健康中心就诊的农村绝经后女性。研究样本由50名参与者组成，她们均接受了教育项目。教育通过六次小组讨论会议进行。本研究中使用的数据收集工具是性功能障碍信念问卷，在教育前后完成。该问卷由33个项目组成，包括6个分量表。
参与者的平均年龄为53.26岁。约一半的参与者（48%）接受过小学教育。教育前后性功能障碍信念的平均得分分别为114.58和58.56（p值<0.001）。干预前，性交流、情感至上、与母亲身份相关的信念、性欲与愉悦即罪恶信念、与年龄相关的信念以及身体形象信念的平均得分分别为14.38、21.38、13.9、23.64、20.74、17.04，干预后分别为6.9、11.80、8.64、12.48、7.7、9.40。
农村绝经后女性在性功能障碍观念方面存在问题。针对此事以助产士为主导进行的小组讨论教育显著改善了她们的性功能障碍观念。在这方面还需要进一步研究。
