Malakouti Jamileh, Golizadeh Robab, Mirghafourvand Mojgan, Farshbaf-Khalili Azizeh
Department of Midwifery, Nursing and Midwifery School, Tabriz University of Medical Sciences, Tabriz, Iran.
Student Research Center, Nursing and Midwifery School, Tabriz University of Medical Sciences, Tabriz, Iran.
J Educ Health Promot. 2020 Oct 30;9:284. doi: 10.4103/jehp.jehp_168_20. eCollection 2020.
Since routine counseling does not suffice to resolve the sexual problems at postpartum period, the present study aimed to investigate the effect of counseling based on the Ex-PLISSIT model on sexual function and marital satisfaction of postpartum women.
This was a randomized controlled clinical trial that was conducted on 68 postpartum women (within 3-6 months after childbirth) who obtained a score <28 on the Female Sexual Function Index (FSFI). The participants were randomly assigned to the intervention and control groups. Participants in the intervention group received counseling based on the Ex-PLISSIT model and those in the control group received the routine postpartum care. The required data were collected using a demographics form, the FSFI, and the ENRICH Marital Satisfaction Scale. The primary outcomes were the mean function and martial satisfaction score of participants 4 and 8 weeks after the intervention.
There was no statistically significant difference between the two groups in terms of sexual function at baseline ( = 0.381), but it was significantly higher in the intervention group than control group after intervention (the adjusted MD: 4.24, 95% confidence interval [CI]: 3.18-5.29, < 0.001). There was no statistically significant difference between the two groups in marital satisfaction before the intervention ( = 0.433), but it increased significantly in the intervention group in comparison to control after intervention (adjusted MD: 23.17, 95% CI: 15.10-31.24, < 0.001).
The study findings suggested that sexual counseling based on the Ex-PLISSIT model can improve the sexual function and increase marital satisfaction of postpartum women.
由于常规咨询不足以解决产后性问题，本研究旨在探讨基于扩展的PLISSIT模型的咨询对产后女性性功能和婚姻满意度的影响。
这是一项随机对照临床试验，对68名产后女性（产后3至6个月内）进行，这些女性在女性性功能指数（FSFI）上得分低于28分。参与者被随机分配到干预组和对照组。干预组的参与者接受基于扩展的PLISSIT模型的咨询，对照组的参与者接受常规产后护理。所需数据通过人口统计学表格、FSFI和ENRICH婚姻满意度量表收集。主要结局是干预后4周和8周参与者的平均功能和婚姻满意度得分。
两组在基线时的性功能方面无统计学显著差异（P = 0.381），但干预后干预组显著高于对照组（调整后的MD：4.24，95%置信区间[CI]：3.18 - 5.29，P < 0.001）。两组在干预前的婚姻满意度方面无统计学显著差异（P = 0.433），但干预后干预组相比对照组显著增加（调整后的MD：23.17，95% CI：15.10 - 31.24，P < 0.001）。
研究结果表明，基于扩展的PLISSIT模型的性咨询可改善产后女性的性功能并提高婚姻满意度。
