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PLISSIT 模型指导下的妇科癌症性咨询培训对助产士学生认知和态度的影响:一项随机临床试验。

Effect of Sexual Counseling Training in Gynecological Cancers According to the PLISSIT Model on Midwifery Students' Awareness and Attitude: A Randomized Clinical Trial.

机构信息

Department of Nursing, Faculty of Health Sciences, Sakarya University, Sakarya, Turkey.

Department of Midwifery, Faculty of Health Sciences, Sakarya University, Sakarya, Turkey.

出版信息

Int J Community Based Nurs Midwifery. 2024 Jul 1;12(3):140-149. doi: 10.30476/IJCBNM.2024.100377.2355. eCollection 2024 Jul.

Abstract

BACKGROUND

It is very important to show health professionals and students that sexuality is important in women with gynecological cancer, to increase their awareness in this area and to ensure the formation of positive attitudes towards sexuality. This study aimed to determine the effect of sexual counseling training in gynecological cancers according to the PLISSIT Model on Midwifery students' Awareness and Attitude.

METHODS

This randomized controlled study was conducted between May and November 2022 by midwifery students studying at Sakarya University in Turkey. 36 students were allocated to the control group and 38 to the intervention group using block randomization. The intervention group was given 3 sessions training based on the PLISSIT model, whilethe control group underwent no training. Data were collected before the training and one month after completing the intervention using the Gynecological Cancer Awareness Scale (GCAS) and Sexual Attitudes and Beliefs Scale (SABS). Data analysis was done using SPSS software version 22 with Chi square test, independent and paired t-test. A significance level of P<0.05 was used.

RESULTS

In the intervention group, a significant difference was found within the group in terms of the GCAS (P<0.001), and SABS (P<0.001) scores after the study. In the control group, there was no significant difference within the group in terms of the GCAS (P=0.16) and SABS (P=0.26) scores. There was a significant difference between the intervention and control groups in terms of GCAS (P=0.004) and SABS (P<0.001) scores one month after training.

CONCLUSION

It was found that sexual counseling training in gynecological cancers according to the PLISSIT Model was effective in creating awareness and positive attitudes in mMidwifery students. NCT05967104.

摘要

背景

向妇科癌症患者的医护人员和学生展示性健康的重要性,提高他们在这方面的认识,并确保形成对性健康的积极态度非常重要。本研究旨在根据 PLISSIT 模型评估妇科癌症性咨询培训对助产学生意识和态度的影响。

方法

这是一项在土耳其萨卡里亚大学进行的随机对照研究,研究对象为助产专业学生。采用区组随机化方法将 36 名学生分配至对照组,38 名学生分配至干预组。干预组接受基于 PLISSIT 模型的 3 次培训,而对照组未接受培训。使用妇科癌症意识量表(GCAS)和性态度与信念量表(SABS),在培训前和干预完成后一个月收集数据。使用 SPSS 软件版本 22 进行数据分析,采用卡方检验、独立样本 t 检验和配对样本 t 检验。使用 P<0.05 作为显著性水平。

结果

干预组在研究后,GCAS(P<0.001)和 SABS(P<0.001)评分在组内有显著差异。对照组在 GCAS(P=0.16)和 SABS(P=0.26)评分方面,组内无显著差异。干预组和对照组在 GCAS(P=0.004)和 SABS(P<0.001)评分方面,一个月后有显著差异。

结论

根据 PLISSIT 模型对妇科癌症进行性咨询培训,可有效提高助产学生的意识和积极态度。NCT05967104。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d5d9/11330549/1c6d168f7f27/IJCBNM-12-140-g001.jpg

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