基于 WhatsApp 的 BETTER 模型性咨询对乳腺癌幸存者性功能和性健康相关生活质量的影响：一项随机对照试验。

Effect of WhatsApp-based BETTER model sexual counselling on sexual function and sexual quality of life in breast cancer survivors: a randomized control trial.

机构信息

Department of Consultation on Midwifery, School of Nursing and Midwifery, Urmia University of Medical Sciences, Urmia, Iran.

Reproductive Health Research Center, Clinical Research Institute, Urmia University of Medical Sciemces, Urmia, Iran.

出版信息

BMC Womens Health. 2024 Aug 9;24(1):452. doi: 10.1186/s12905-024-03283-w.

DOI:10.1186/s12905-024-03283-w

PMID:39123153

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11311883/

Abstract

OBJECTIVE

The aim of the study was to determine the effect of WhatsApp-based BETTER sex counselling on sexual function and sexual quality of life in breast cancer survivors in a randomized control trial.

METHODS

This is a randomized controlled trial in which a total of 90 breast cancer survivors were recruited using convenience sampling and then randomly assigned to two groups of WhatsApp-based BETTER model counselling and routine care. Data collection tools consisted of a demographic questionnaire, the Sexual Quality of Life-Female (SQOL-F) and the Sexual Function Index (FSFI-BC). Participants in the intervention group were given access to the 6-week program. The program consisted of six consultation and assignment packages covering all six steps of the BETTER model. Data were analyzed using SPSS software version 20. Chi-square test, independent samples t-test and repeated measures analysis of variance were used. The significance level (p-value) was considered to be less than 0.05.

RESULTS

In the control group, the mean score of SQL scale changed from 35.16 ± 10.71 to 35.16 ± 12.97 (P > 0.05) and in the intervention group, it significantly increased from 34.76 ± 10.13 to 68.20 ± 20.48 (P < 0.001). Similarly, the comparison of mean of FSF in the control group showed a none-significant change from 58.13 ± 7.11 to 58.35 ± 6.11 (P > 0.05), and in the intervention group, it significantly improved from 59.49 ± 6.10 to 120.73 ± 25.54 (P < 0.001). The results of rANOVA indicated that there was a significant difference in the mean scores of the SQL and SFS between the two groups from pre- to post-intervention, and then over the 1-month follow-up period in the intervention group (p < 0.001). Considering partial eta squared, the effect of the intervention had the highest interaction effect on both variables of the sexual function index (η2 = 0.73) and sexual quality of life (η2 = 0.41).

CONCLUSIONS

The intervention program was a successful model for improving female sexual quality of life and female sexual function in breast cancer survivors.

TRIAL REGISTRATION

IRCT20210926052601N1, 7-11-2021.

摘要

目的

本研究旨在通过随机对照试验，确定基于 WhatsApp 的 BETTER 性咨询对乳腺癌幸存者性功能和生活质量的影响。

方法

这是一项随机对照试验，共有 90 名乳腺癌幸存者通过便利抽样招募，并随机分为基于 WhatsApp 的 BETTER 模型咨询组和常规护理组。数据收集工具包括人口统计学问卷、女性性健康生活质量量表（SQOL-F）和性功能指数（FSFI-BC）。干预组的参与者可以访问为期 6 周的计划。该计划包括六个咨询和分配包，涵盖 BETTER 模型的所有六个步骤。使用 SPSS 软件版本 20 进行数据分析。采用卡方检验、独立样本 t 检验和重复测量方差分析。显著性水平（p 值）被认为小于 0.05。

结果

在对照组中，SQL 量表的平均得分从 35.16±10.71 变为 35.16±12.97（P>0.05），而在干预组中，它从 34.76±10.13 显著增加到 68.20±20.48（P<0.001）。同样，对照组 FSF 的平均比较显示从 58.13±7.11 到 58.35±6.11 的变化无统计学意义（P>0.05），而在干预组中，它从 59.49±6.10 显著改善到 120.73±25.54（P<0.001）。rANOVA 的结果表明，两组在干预前后的 SQL 和 SFS 平均得分存在显著差异，然后在干预组的 1 个月随访期间也存在显著差异（p<0.001）。考虑部分 eta 平方，干预对性功能指数（η2=0.73）和性健康生活质量（η2=0.41）两个变量的影响具有最高的交互效应。