Community Health Research Center, Isfahan (Khorasgan) Branch, Islamic Azad University, P.O. Box: 81595-158, Jey Street, Isfahan, Iran.
Department of Neurology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.
Arch Womens Ment Health. 2021 Jun;24(3):437-444. doi: 10.1007/s00737-020-01080-6. Epub 2020 Nov 11.
Multiple sclerosis is the most common progressive neurological disability in young adults. Sexual quality of life is mainly attributed to feelings of sexual attraction, showing interest and participating in sexual activity. The PLISSIT model shows 4 levels of intervention: Permission, limited Information, Specific Suggestions, and Intensive Therapy. The purpose of this study was to investigate the effect of counseling based on the PLISSIT model on the sexual quality of life of married women with multiple sclerosis referring to MS center in 2019. This randomized controlled trial study was conducted on 62 married women with multiple sclerosis. In the experimental group, based on the PLISSIT model, face-to-face counseling was conducted weekly in 4 sessions and each session lasted between 45 and 75 min. The control group received no intervention. Due to ethical issues, after completing the research, an educational guide on the quality of sexual life was given to the control group. The data collection tool was a questionnaire of sexual quality of life containing 18 questions. Data were analyzed using descriptive statistics and SPSS software. The results showed that there was no significant difference between the two groups before the intervention (P > 0.05). However, 2 weeks and 2 months after the intervention, the overall level of sexual quality of life in the experimental group was significantly better than the control group (P < 0.05). This study showed that counseling based on the PLISSIT model could have better results on the quality of life in sex.
多发性硬化症是年轻人中最常见的进行性神经残疾。性健康主要归因于性吸引力、表现出兴趣并参与性活动的感觉。PLISSIT 模式显示了 4 个干预级别:许可、有限信息、具体建议和强化治疗。本研究旨在探讨基于 PLISSIT 模式的咨询对 2019 年多发性硬化症中心就诊的已婚多发性硬化症女性性健康质量的影响。这是一项随机对照试验研究,共纳入 62 名已婚多发性硬化症女性。在实验组中,根据 PLISSIT 模式,每周进行 4 次面对面咨询,每次持续 45-75 分钟。对照组未接受干预。由于伦理问题,在完成研究后,为对照组提供了一份关于性健康质量的教育指南。性健康质量的调查问卷包含 18 个问题,用于收集数据。采用描述性统计和 SPSS 软件进行数据分析。结果显示,干预前两组间无显著差异(P>0.05)。然而,干预后 2 周和 2 个月,实验组的整体性健康质量明显优于对照组(P<0.05)。本研究表明,基于 PLISSIT 模式的咨询可以对性生活质量产生更好的效果。