Farajkhoda Tahmineh, Memar Fatemeh Zahra, Khanabadi Mahdi, Sarebanhassanabadi Mohammadtaghi
Research Center for Nursing and Midwifery Care, Shahid Sadughi University of Medical Sciences, Yazd, Iran.
International Campus of Shahid Sadoughi University of Medical Science, Yazd, Iran.
Galen Med J. 2022 Nov 14;11:e2396. doi: 10.31661/gmj.v11i.2396. eCollection 2022.
Sexual function in patients with cardiovascular disease (CVDs) is often associated with anxiety and irrational beliefs. Moreover, 60-78% of patients with CVDs report sexual problems. Some studies suggest that sexual counseling is necessary for these patients but is not usually provided for them. Online or telephone counseling may be helpful during the covid-19 pandemic, but studies on its application to sexual function appear to be limited. This study aimed to investigate the effectiveness of online vs. telephone counseling of rational-emotional-behavioral therapy (REBT) on the sexual function of women undergoing cardiac rehabilitation. In this randomized clinical trial study, 46 women diagnosed with CVDs under rehabilitation were assigned into online and telephone groups. Overall, eight 60-min intervention sessions were held (once a week). The Female's Sexual Function Index (FSFI) questionnaire was completed by the women at baseline, week 8th, and follow-up week 12th (main outcome). FSFI scores between the two groups at baseline (online: 13.28±2, telephone: 12.68±1.52, P=0.254) compared to week 12th (online 28.86±2.44, telephone, 26.6±2.10, P=0.002) were significantly different. As for within-group comparison in baseline compared to week 12th statistically significant difference was observed in all subscales of FSFI (P=0.05). Online and telephone REBT counseling can improve the sexual function of women undergoing cardiac rehabilitation, but online counseling appears to be more effective. Thus, this method is recommended to improve the sexual function of these women during the covid-19 pandemic. .
心血管疾病（CVDs）患者的性功能通常与焦虑和不合理信念有关。此外，60%-78%的CVDs患者报告存在性问题。一些研究表明，这些患者需要性咨询，但通常并未得到提供。在新冠疫情期间，在线或电话咨询可能会有帮助，但关于其在性功能方面应用的研究似乎有限。本研究旨在调查理性情绪行为疗法（REBT）的在线咨询与电话咨询对接受心脏康复的女性性功能的有效性。在这项随机临床试验研究中，46名正在接受康复治疗的被诊断为CVDs的女性被分为在线组和电话组。总体而言，共进行了八次60分钟的干预课程（每周一次）。女性在基线、第8周和随访第12周时完成女性性功能指数（FSFI）问卷（主要结局指标）。两组在基线时的FSFI评分（在线组：13.28±2，电话组：12.68±1.52，P=0.254）与第12周时（在线组28.86±2.44，电话组26.6±2.10，P=0.002）相比有显著差异。至于组内比较，在基线与第12周时，FSFI的所有子量表均观察到有统计学意义的差异（P=0.05）。在线和电话REBT咨询均可改善接受心脏康复的女性的性功能，但在线咨询似乎更有效。因此，推荐这种方法在新冠疫情期间改善这些女性的性功能。
