Jaafarpour Molouk, Rashan Nasrin, Bahmani Mona, Direkvand-Moghadam Ashraf
Department of Midwifery, School of Nursing and Midwifery, Ayatollah Taleghani Hospital, Ilam University of Medical Sciences, Ilam, Iran.
Student Research Committee, Ilam University of Medical Sciences, Ilam, Iran.
Climacteric. 2025 Feb;28(1):74-80. doi: 10.1080/13697137.2024.2429426. Epub 2024 Dec 13.
Menopause can impact women's physical and mental well-being, including sexual function. The present study aims to evaluate the effect of sexual counseling based on the PLISSIT model on improving the sexual function of postmenopausal women.
The randomized trial focused on postmenopausal married women who did not have any pre-existing health conditions. The intervention group were provided with personalized sexual counseling grounded in the PLISSIT model, whereas the control group were given educational pamphlets. Participants filled out the Female Sexual Function Index (FSFI) questionnaire and were categorized into two groups through randomized blocking, utilizing blocks of four and six. The main outcome measure was the average sexual function score assessed at the start of the study, as well as at 4 and 8 weeks following the intervention.
A total of 60 eligible participants were included in the study. The mean ± standard deviation participant age was 58.7 ± 3.5 years. At week 4 following the intervention, statistically significant differences were observed between the study groups in the mean scores of sexual desire ( = 0.023), arousal ( = 0.002), orgasm ( = 0.0001), lubrication ( = 0.001) and satisfaction ( = 0.004). At week 8 following the intervention, significant differences were noted in the mean scores for sexual arousal ( = 0.001), orgasm ( = 0.000), lubrication ( = 0.031) and satisfaction ( = 0.004) between the study groups.
The sexual counseling based on the PLISSIT model can significantly improve sexual function in postmenopausal women, making it a valuable intervention for healthcare providers to consider in their practice.
更年期会影响女性的身心健康，包括性功能。本研究旨在评估基于PLISSIT模型的性咨询对改善绝经后女性性功能的效果。
该随机试验针对没有任何既往健康问题的绝经后已婚女性。干预组接受基于PLISSIT模型的个性化性咨询，而对照组则获得教育宣传册。参与者填写女性性功能指数（FSFI）问卷，并通过随机区组化分为两组，区组大小为4和6。主要结局指标是在研究开始时以及干预后4周和8周评估的平均性功能得分。
共有60名符合条件的参与者纳入研究。参与者的平均年龄为58.7±3.5岁。干预后第4周，研究组在性欲（=0.023）、性唤起（=0.002）、性高潮（=0.0001）、润滑（=0.001）和满意度（=0.004）的平均得分上存在统计学显著差异。干预后第8周，研究组在性唤起（=0.001）、性高潮（=0.000）、润滑（=0.031）和满意度（=0.004）的平均得分上存在显著差异。
基于PLISSIT模型的性咨询可以显著改善绝经后女性的性功能，使其成为医疗保健提供者在实践中值得考虑的一种有价值的干预措施。
