Ghafuri Delniya, Rabeipoor Soheila, Khademvatani Kamal, Barjasteh Samira, Yas Atefeh
Nursing & Midwifery Faculty, Urmia University of Medical Sciences, Urmia, Iran.
Reproductive Health Research Center, Clinical Research Institute, Urmia University of Medical Sciences, Urmia, Iran.
Contracept Reprod Med. 2025 Jan 23;10(1):5. doi: 10.1186/s40834-025-00337-8.
Cardiovascular diseases can adversely affect the quality of sexual life and marital satisfaction for both patients and their spouses. The aim of the current study is to determine the effect of couple counseling based on the CHARMS model on sexual quality of life and marital satisfaction of wives of men suffering from myocardial infarction (MI).
This two-group randomized clinical trial study with a parallel design was conducted in 2024 in Urmia, Iran. Participants included men with myocardial infarction and their spouses. Sampling was done on a convenience basis. Participants were randomly allocated into two groups: control (50 couples) and intervention (50 couples). The intervention consisted of six counseling sessions. Couples in intervention group were divided into six groups. Each group attended counseling sessions following the CHARMS model on a weekly basis. Data collection tools were include: Demographic information questionnaire, Women's Sexual Quality of Life Questionnaire and Enrich Marital Satisfaction Questionnaire, which were completed by women in both groups before and after the intervention. The Independent t-test, Chi-square, Fisher's exact test and a general linear model were used for comparing groups with SPSS software. The data analyst was blinded to the group allocation.
The average age of women in the intervention and control groups was 45.16 ± 5.90 and 44.75 ± 4.94 years, respectively, with most being housewives and having two children. The average age of men in the intervention and control groups was 48.6 ± 4.51 and 47.5 ± 5.5 years, respectively. The demographic and clinical characteristics of the two groups were similar (P > 0.05). Before the intervention, the average scores for sexual quality of life and marital satisfaction among women were not statistically significantly different between the control and intervention groups (P > 0.05). After the intervention, based on the ANCOVA and after adjusting for the baseline values, the average score for the sexual quality of life among women in the intervention and control groups was 61.96 ± 7.51 and 49.01 ± 6.32, respectively. This difference being statistically significant (Adjusted Mean Difference = 12.95; 95% CI = 1.18 to 21.13; P < 0.001). Additionally, the average score for women's marital satisfaction in the intervention and control groups was 127.96 ± 13.03 and 118.61 ± 12.01, respectively, with this difference also being statistically significant (Adjusted Mean Difference = 9.35; 95% CI = 4.23 to 15.73; P = 0.002).
The results of the current study indicate that sexual counseling for couples, utilizing the CHARMS model, effectively enhances the quality of sexual life and marital satisfaction for wives of men with myocardial infarction. Therefore, it is crucial to evaluate the sexual quality of life for cardiac patients and their partners in clinical settings and to suggest sexual counseling using the CHARMS model.
The trial protocol of this study has been registered in Iranian Registry of Clinical Trials. The registration reference is IRCT20240218061046N1.
心血管疾病会对患者及其配偶的性生活质量和婚姻满意度产生不利影响。本研究的目的是确定基于 CHARMS 模型的夫妻咨询对心肌梗死（MI）男性患者妻子的性生活质量和婚姻满意度的影响。
这项采用平行设计的两组随机临床试验研究于 2024 年在伊朗乌尔米亚进行。参与者包括心肌梗死男性患者及其配偶。采用便利抽样法。参与者被随机分为两组：对照组（50 对夫妻）和干预组（50 对夫妻）。干预包括六次咨询课程。干预组的夫妻被分成六组。每组每周按照 CHARMS 模型参加咨询课程。数据收集工具包括：人口统计学信息问卷、女性性生活质量问卷和 Enrich 婚姻满意度问卷，两组女性在干预前后均填写这些问卷。使用独立 t 检验、卡方检验、费舍尔精确检验和一般线性模型，通过 SPSS 软件对组间进行比较。数据分析人员对分组情况不知情。
干预组和对照组女性的平均年龄分别为 45.16±5.90 岁和 44.75±4.94 岁，大多数为家庭主妇且育有两个孩子。干预组和对照组男性的平均年龄分别为 48.6±4.51 岁和 47.5±5.5 岁。两组的人口统计学和临床特征相似（P>0.05）。干预前，对照组和干预组女性的性生活质量和婚姻满意度平均得分在统计学上无显著差异（P>0.05）。干预后，基于协方差分析并调整基线值后，干预组和对照组女性的性生活质量平均得分分别为 61.96±7.51 和 49.01±6.32。这种差异具有统计学意义（调整后平均差异=12.95；95%CI=1.18 至 21.13；P<0.001）。此外，干预组和对照组女性的婚姻满意度平均得分分别为 127.96±13.03 和 118.61±12.01，这种差异也具有统计学意义（调整后平均差异=9.35；95%CI=4.23 至 15.73；P=0.002）。
本研究结果表明，采用 CHARMS 模型对夫妻进行性咨询可有效提高心肌梗死男性患者妻子的性生活质量和婚姻满意度。因此，在临床环境中评估心脏病患者及其伴侣的性生活质量并建议采用 CHARMS 模型进行性咨询至关重要。
本研究的试验方案已在伊朗临床试验注册中心注册。注册编号为 IRCT20240218061046N1。
