Hamidi Fatemeh, Elyasi Forouzan, Mousavinasab Seyed-Nouraddin, Ghasemi Arash, Keshavarz Zohre, Shahhosseini Zohreh
Student of Midwifery Counseling, Student Research Committee, Mazandaran University of Medical Sciences, Sari, Iran.
Sexual and Reproductive Health Research Center, Department of Psychiatry, Psychiatric and Behavioral Sciences Research Center, Addiction Research Institute, Mazandaran University of Medical Sciences, Sari, Iran.
Palliat Support Care. 2023 Feb;21(1):27-37. doi: 10.1017/S1478951522000220.
Sexual self-concept has an influence on the sexual behaviors of women with breast cancer. Supportive programs for these women have demonstrable empirical efficacy; however, their effectiveness has not been examined. The aim of this study was to investigate the effect of a supportive program based on social networks on the sexual self-concept of women with breast cancer.
In this randomized controlled single-blind trial, 60 women were assigned to the intervention ( = 30) and control ( = 30) groups using permuted block randomization. Overall, eight 45-min intervention sessions were held (twice a week). The primary outcome was sexual self-concept, and the secondary outcomes were women's sexual quality of life and participants' satisfaction. The questionnaires were completed by patients before the intervention and immediately and 1 month after the intervention.
The generalized equation estimation test showed that the positive sexual self-concept score of the intervention group versus the control group had increased by 15.67 points ( < 0.001, effect size = 2.00) 1 month after the intervention. The negative sexual self-concept score had decreased by 2.65 points ( < 0.001, effect size = 0.74), and the situational sexual self-concept score had upturned by 6.82 points ( < 0.001, effect size = 2.08) in the intervention group at the same period. Also, the sexual quality of life score in the intervention group compared to the control group generally increased by 13.82 points ( < 0.001, Effect size = 2.08) 1 month following the intervention.
A social networking support program can be a promising approach to improve the sexual self-concept of women with breast cancer.
CLINICAL TRIALS.GOV IDENTIFIER: Iranian Clinical Trial Register, IRCT20150608022609N8. Registered on 2 July 2020.
性自我概念对乳腺癌女性的性行为有影响。针对这些女性的支持项目具有明显的实证效果；然而，其有效性尚未得到检验。本研究的目的是调查基于社交网络的支持项目对乳腺癌女性性自我概念的影响。
在这项随机对照单盲试验中，使用置换区组随机化方法将60名女性分为干预组（n = 30）和对照组（n = 30）。总体而言，共进行了八次45分钟的干预课程（每周两次）。主要结果是性自我概念，次要结果是女性的性生活质量和参与者的满意度。问卷由患者在干预前、干预后立即以及干预后1个月完成。
广义方程估计检验显示，干预组与对照组相比，干预后1个月阳性性自我概念得分增加了15.67分（P < 0.001，效应大小 = 2.00）。同期干预组阴性性自我概念得分下降了2.65分（P < 0.001，效应大小 = 0.74），情境性性自我概念得分上升了6.82分（P < 0.001，效应大小 = 2.08）。此外，干预组与对照组相比，干预后1个月性生活质量得分总体增加了13.82分（P < 0.001，效应大小 = 2.08）。
社交网络支持项目可能是改善乳腺癌女性性自我概念的一种有前景的方法。
伊朗临床试验注册中心，IRCT20150608022609N8。于2020年7月2日注册。
