Elkoca Ayşe, Ayar Duygu
Faculty of Health Sciences, Department of Midwife, Gaziantep Islam Science and Technology University, Gaziantep, Türkiye.
Faculty of Health Sciences, Department of Nursing, Gaziantep Islam Science and Technology University, Gaziantep, Türkiye.
Women Health. 2025 Jan;65(1):4-18. doi: 10.1080/03630242.2024.2432934. Epub 2024 Dec 1.
Despite physiological differences, women have to struggle with many problems related to menopause. It is the responsibility of nurses to provide women with the information and guidance they need during this period. Study was carried out to investigate the effects of education given in the menopausal period on the day-to-day impact of vaginal aging, self-efficacy in sexual abstinence, and sexual distress. This randomized controlled study was conducted at a center operated by a local municipality that provides services only to women, between 01.09.2023-10.12.2023 with 62 women (experimental:31, control:31). The data were collected using a "Personal Information Form," the "Day-to-Day Impact of Vaginal Aging Questionnaire-DIVA," the "Self-Efficacy Scale for Sexual Abstinence-SESSA," and the "Female Sexual Distress Scale-FSDS." ANOVA, independent-samples t-tests, paired-samples t-tests, and regression analyses were used to analyze the data. After the pretest, the experimental group were given education by the researcher in weekly sessions lasting 50/min. each for 5 weeks. In the posttest, the forms were administered 45 days after the last education session. There were significant differences between the experimental group in terms of their mean posttest DIVA (11.10 ± 2.65; 8.94 ± 1.65), FSDS (39.11 ± 9.07; 31.48 ± 10.27) and SESSA (17.85 ± 5.36; 21.25 ± 10.49 total scores ( < .001), while there was no significant difference between the pre-posttest of the control group ( < .05). Additionally, age was found to be a significant predictor of DIVA, whereas education level and marital satisfaction status were significant predictors of their SESSA. Education provided to women reduced the day-to-day impact of vaginal aging and sexual distress levels of the women and increased their self-efficacy in sexual abstinence.
尽管存在生理差异，但女性仍需应对许多与更年期相关的问题。护士有责任在此期间为女性提供她们所需的信息和指导。开展了一项研究，以调查更年期教育对阴道衰老的日常影响、性节制自我效能感和性困扰的作用。这项随机对照研究于2023年9月1日至2023年12月10日在一个由当地市政当局运营的、仅为女性提供服务的中心进行，共有62名女性参与（实验组：31名，对照组：31名）。数据收集使用了“个人信息表”、“阴道衰老日常影响问卷-DIVA”、“性节制自我效能量表-SESSA”和“女性性困扰量表-FSDS”。采用方差分析、独立样本t检验、配对样本t检验和回归分析对数据进行分析。在预测试后，研究人员每周为实验组进行一次时长50分钟、共5周的教育。在测试后，问卷在最后一次教育课程结束45天后发放。实验组在测试后DIVA（11.10±2.65；8.94±1.65）、FSDS（39.11±9.07；31.48±10.27）和SESSA（17.85±5.36；21.25±10.49总分（<0.001）的均值之间存在显著差异，而对照组在测试前后没有显著差异（<0.05）。此外，年龄被发现是DIVA的显著预测因素，而教育水平和婚姻满意度状况是SESSA的显著预测因素。对女性提供的教育降低了阴道衰老的日常影响和女性的性困扰水平，并提高了她们在性节制方面的自我效能感。
