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探究针对孕妇性满意度的有效心理干预措施:一项系统综述。

Investigating effective psychological interventions in pregnant women's sexual satisfaction: A systematic review.

作者信息

Naji Maryam, Hoseinnezhad Seyedeh Zeynab, Heshmat Farahnaz, Asgharipour Negar

机构信息

Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.

Sexual and Reproductive Health Research Center, Mazandaran University of Medical Sciences, Sari, Iran.

出版信息

J Educ Health Promot. 2024 Feb 7;13:33. doi: 10.4103/jehp.jehp_103_23. eCollection 2024.

Abstract

Sexual satisfaction is an important factor in people's lives, which is effective in all aspects of a couple's life. During pregnancy, due to existing changes, sexual performance is affected, which will also change sexual satisfaction. By performing effective interventions, changes can be made in the level of sexual satisfaction. The aim of this study is to investigate effective psychological interventions in the sexual satisfaction of pregnant women, which has been conducted in the form of a systematic review. This study is performed in 2022 with the steps of design of study question, search in SID, PubMed, Magiran, Iran doc, Science Direct, Scopus, and Google Scholar search engine with keywords such as "interventions", "sexual satisfaction", "Sexual function", "couples", "pregnant women" and their English equivalents, and after that, related studies were identified from the period of 2012 to 2022 (the last 10 years), the selection of studies, which after screening the title, abstract, and full text. Among 821 studies, finally 13 studies were left to announce the results. Researches that had unclear sample size and method of implementation and whose full text was not available were initially excluded from the study process. Screening of the quality of the studies was done by the risk assessment checklist and the Jadad Scale of the intervention studies. Then the findings were classified. The results of the present study were taken from 13 articles, which included mindfulness, cognitive-behavioral therapy, therapy based on acceptance and commitment and group counseling, PLISSIT model intervention, and education and support package. As per the results of interventions, all interventions during pregnancy can increase sexual satisfaction in pregnant women. Therefore, such interventions are recommended but it is necessary to do more interventions with minimal bias and long-term follow-up and comprehensive examination of variables to reach stronger evidence.

摘要

性满意度是人们生活中的一个重要因素,对夫妻生活的各个方面都有影响。在孕期,由于身体发生的变化,性行为会受到影响,这也会改变性满意度。通过实施有效的干预措施,可以改变性满意度水平。本研究旨在调查对孕妇性满意度有效的心理干预措施,采用系统评价的形式进行。本研究于2022年开展,步骤包括设计研究问题,在伊朗科学信息数据库(SID)、美国国立医学图书馆生物医学数据库(PubMed)、伊朗医学文献数据库(Magiran)、伊朗文献数据库(Iran doc)、科学Direct数据库、Scopus数据库以及谷歌学术搜索引擎中进行检索,关键词为“干预措施”“性满意度”“性功能”“夫妻”“孕妇”及其英文对应词,之后从2012年至2022年(过去10年)识别相关研究,进行研究筛选,包括筛选标题、摘要和全文。在821项研究中,最终留下13项研究公布结果。样本量和实施方法不明确且无法获取全文的研究最初被排除在研究过程之外。通过风险评估清单和干预研究的雅达量表对研究质量进行筛选。然后对研究结果进行分类。本研究结果取自13篇文章,其中包括正念训练、认知行为疗法、基于接纳与承诺的疗法及团体咨询、PLISSIT模型干预以及教育与支持套餐。根据干预结果,孕期的所有干预措施均可提高孕妇的性满意度。因此,推荐此类干预措施,但有必要进行更多偏差最小的干预、长期随访以及对变量进行全面检查,以获得更有力的证据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3119/10967959/102294c65983/JEHP-13-33-g001.jpg

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