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一项改善子宫内膜异位症女性性功能的综合介入方案:混合方法研究方案。

A comprehensive interventional program to improve the sexual function of women with endometriosis: a mixed-methods protocol study.

机构信息

Student Research Committee, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.

Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.

出版信息

Reprod Health. 2024 Feb 27;21(1):29. doi: 10.1186/s12978-024-01759-4.

DOI:10.1186/s12978-024-01759-4
PMID:38414010
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10900588/
Abstract

BACKGROUND

Endometriosis is a chronic disease affecting 6-10% of women worldwide. Sexual dysfunction has been reported in a significant percentage of these patients. Thus, the present study will be conducted to design, implement, and determine the effectiveness of an interventional program to improve the sexual function of women with endometriosis.

MATERIALS AND METHODS

This mixed-methods study will be carried out in three phases with a sequential exploratory approach. In the first phase (qualitative study) participants will be selected by purposive sampling in Isfahan, Iran. The data will be collected through in-depth interviews and field notes and analyzed using conventional content analysis. The interventional program will be designed in the second phase based on the results of the qualitative study and literature review and using the Delphi method and panel of experts. The interventional program will be implemented at the individual level in the third phase to investigate its effect on improving women's sexual function. This phase includes quasi-experimental research, in which the pre- and post-intervention data will be collected from the intervention and control groups using the FSFI questionnaire and analyzed by descriptive and inferential statistical methods. Ultimately, a suitable interventional program will be presented by combining the data obtained in the qualitative and quantitative phases of the research.

CONCLUSION

Conducting the present study, along with the design and implementation of an appropriate, native, and culturally sensitive interventional program, can contribute to improving the sexual function of women with endometriosis and enhancing the quality of sexual relations between couples.

摘要

背景

子宫内膜异位症是一种全球性疾病,影响全球 6-10%的女性。这些患者中有相当大比例的人存在性功能障碍。因此,本研究旨在设计、实施并确定一种干预方案,以改善子宫内膜异位症女性的性功能。

材料与方法

本混合方法研究将分三个阶段进行,采用序贯探索方法。在第一阶段(定性研究),将通过目的抽样选择伊朗伊斯法罕的参与者。数据将通过深入访谈和现场记录收集,并使用常规内容分析进行分析。第二阶段将根据定性研究和文献综述的结果以及使用德尔菲法和专家小组设计干预方案。第三阶段将在个体层面实施干预方案,以调查其对改善女性性功能的影响。该阶段包括准实验研究,将使用 FSFI 问卷从干预组和对照组收集干预前后的数据,并使用描述性和推断性统计方法进行分析。最终,将通过结合研究的定性和定量阶段获得的数据,提出一种合适的干预方案。

结论

开展本研究,并设计和实施一种合适的、本土的、文化敏感的干预方案,可以有助于改善子宫内膜异位症女性的性功能,提高夫妻之间的性关系质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9274/10900588/5a5e4d7f02cb/12978_2024_1759_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9274/10900588/5a5e4d7f02cb/12978_2024_1759_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9274/10900588/5a5e4d7f02cb/12978_2024_1759_Fig1_HTML.jpg

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本文引用的文献

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Int J Reprod Biomed. 2022 Oct 10;20(9):761-768. doi: 10.18502/ijrm.v20i9.12066. eCollection 2022 Sep.
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A systematic review on the prevalence of endometriosis in women.一篇关于子宫内膜异位症在女性中的患病率的系统综述。
Indian J Med Res. 2021 Mar;154(3):446-454. doi: 10.4103/ijmr.IJMR_817_18.
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Sexual function in patients with endometriosis: a prospective case-control study in China.
子宫内膜异位症患者的性功能:一项中国的前瞻性病例对照研究。
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A systematic review on the effects of endometriosis on sexuality and couple's relationship.关于子宫内膜异位症对性功能及夫妻关系影响的系统评价。
Facts Views Vis Obgyn. 2020 Oct 8;12(3):197-205.
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The effect of endometriosis on sexual function as assessed with the Female Sexual Function Index: systematic review and meta-analysis.子宫内膜异位症对女性性功能影响的评估:采用女性性功能指数的系统评价和荟萃分析。
Gynecol Endocrinol. 2020 Nov;36(11):1015-1023. doi: 10.1080/09513590.2020.1812570. Epub 2020 Sep 3.
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The Burden of Endometriosis on Women's Lifespan: A Narrative Overview on Quality of Life and Psychosocial Wellbeing.子宫内膜异位症对女性寿命的影响:生活质量和心理社会健康的叙述性综述。
Int J Environ Res Public Health. 2020 Jun 29;17(13):4683. doi: 10.3390/ijerph17134683.
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Influential factors on sexual function in infertile women with endometriosis: a path analysis.内异症不孕妇女性功能的影响因素:路径分析。
BMC Womens Health. 2020 May 5;20(1):92. doi: 10.1186/s12905-020-00941-7.
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Qualitative and quantitative aspects of sex life in the context of endometriosis: a multicentre case control study.子宫内膜异位症背景下性生活的定性和定量方面:一项多中心病例对照研究。
Reprod Biomed Online. 2020 Feb;40(2):296-304. doi: 10.1016/j.rbmo.2019.10.015. Epub 2019 Nov 7.
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About me as a person not only the disease - piloting Guided Self-Determination in an outpatient endometriosis setting.作为一个人,我不仅仅关注疾病——在门诊子宫内膜异位症环境中引导自主决策。
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