Department of Midwifery and Reproductive Health, Student Research Committee, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.
Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
PLoS One. 2024 Jul 30;19(7):e0306207. doi: 10.1371/journal.pone.0306207. eCollection 2024.
A prerequisite for interventions for sexual satisfaction in postmenopausal women is a clear, objective measurement of the concept. Despite the large number of studies on the sexual satisfaction of postmenopausal women, there is no clear definition of sexual satisfaction in menopause. This study was conducted to investigate the concept of sexual satisfaction in postmenopausal women. The present study was carried out using an integrated review of data obtained from secondary sources, utilizing Whittemore and Knafl's method of bibliographic search. A literature search was performed without any data limitations in journals and international databases. The primary inclusion criterion was relevance to sexual satisfaction in postmenopausal women. The full texts of all these articles were evaluated using the checklists of the MMAT and PRISMA. Data were analyzed using MAXQDA 10 software using a constant comparison method. Meaning units were identified and coded. The codes were classified into subgroups and categories according to the characteristics, antecedents, and consequences of sexual satisfaction in postmenopausal women. During the integrative review of the 62 articles and three books, 580 codes about sexual satisfaction in menopause were extracted. The codes were grouped into three main attributes, five main antecedents, and three main consequences of sexual satisfaction in postmenopausal women. Four attributes, symptoms, or components were identified for the concept. These attributes were as follows: Change in sexual objective and subjective dimensions of sexual satisfaction after menopause, conditional sexual consent, change in behavior, and sexual function. These dimensions distinguish sexual satisfaction in menopause from other conditions. The concept of sexual satisfaction in menopause is a subjective (emotional interaction) and objective (physical interaction) experience that is conditioned by the fulfillment of expectations and the reconstruction of sexual relations while also being influenced by the change in sexual capacity during menopause.
干预绝经后女性性满意度的前提条件是对该概念进行明确、客观的测量。尽管有大量关于绝经后女性性满意度的研究，但绝经后性满意度仍没有明确的定义。本研究旨在调查绝经后女性性满意度的概念。本研究采用二次数据综合评价，利用 Whittemore 和 Knafl 的文献检索方法进行。在期刊和国际数据库中进行了无任何数据限制的文献检索。主要纳入标准是与绝经后女性性满意度相关。对所有这些文章的全文都使用 MMAT 和 PRISMA 的检查表进行了评估。使用 MAXQDA 10 软件使用恒定性比较方法对数据进行分析。通过识别和编码意义单位。根据绝经后女性性满意度的特征、前因和后果，将代码分类为子组和类别。在对 62 篇文章和 3 本书的综合评价中，提取了 580 个关于绝经后性满意度的代码。这些代码分为三个主要属性、五个主要前因和三个主要后果。确定了绝经后女性性满意度的四个属性、症状或组成部分。这些属性如下：绝经后性满意度的变化，包括性目标和性满意度的主观和客观维度、有条件的性同意、行为改变和性功能。这些维度将绝经后的性满意度与其他状况区分开来。绝经后女性性满意度的概念是一种主观（情感互动）和客观（身体互动）体验，受期望的满足和性关系的重建所制约，同时也受到绝经期间性能力变化的影响。
