Meamar Fatemeh Zahra, Dastjerdi Mansour Siavash, Salehi Piman, Ghahramannejad Neda, Boromandfar Zahra
School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
Department of Internal Medicine, School of Medicine Endocrine and Metabolism Research Center, Nour & Ali-Asghar Hospital, Isfahan University of Medical Sciences, Isfahan, Iran.
Reprod Health. 2025 Feb 12;22(1):21. doi: 10.1186/s12978-025-01964-9.
One of the most serious problems that threatens the sexual health of couples is diabetes. Diabetes is a global public health crisis affecting more than 0.5 billion adults worldwide. Inefficiency in implementing family planning or childbearing, sexually transmitted infections and sexual disorders in these patients can lead to psychological problems such as feelings of inadequacy, despair, loss of self-esteem and psychological consequences. Action research has the dual purpose of action, to bring about change in society or an organization or program, and research to increase the understanding of the researcher or the people involved with the problem, or both, in the wider community. Therefore, this study was designed with the aim of improving the sexual health of couples with diabetes with an action research approach.
This study will be done with an action research approach in four phases and several steps. In the first phase (planning), which includes 4 steps, during which the needs and challenges of sexual health of couples with diabetes are explained ([with a qualitative and quantitative approach), the literature review of databases, the explanation of suitable and practical solutions, the prioritization of strategy improve sexual health Diabetic couples and development of sexual health promotion program for diabetic couples and Identifying sexual function and sexual satisfaction before implementing the program [before action]will be done. In the second phase (action), the program resulting from the first phase will be implemented, and in the third and fourth phases, the program will be continuously observed and reflected in order to adjust and improve the program. Qualitative data analysis using conventional content analysis method, quantitative data analysis will be done with SPSS 27 statistical software.
Since diabetes affects the sexual health and marital satisfaction of couples, and considering that providing sexual health is one of the duties of reproductive health practitioners, and considering that the study of strategic action research is accepted to change attitudes, behavior and performance in the system. It seems that the application of the technical action research method opens the field for the entry of a research team consisting of various relevant experts to implement the plan resulting from It is the participants' own needs and strategy open.
威胁夫妻性健康的最严重问题之一是糖尿病。糖尿病是一场全球公共卫生危机，影响着全球超过5亿成年人。这些患者在计划生育或生育方面效率低下、性传播感染以及性功能障碍会导致诸如自卑、绝望、自尊丧失等心理问题以及心理后果。行动研究具有双重目的，即行动，以在社会、组织或项目中带来变革，以及研究，以增进研究者或涉及该问题的人员在更广泛社区中的理解，或两者兼具。因此，本研究旨在采用行动研究方法改善糖尿病夫妻的性健康。
本研究将采用行动研究方法分四个阶段和若干步骤进行。在第一阶段（规划），包括4个步骤，在此期间将解释糖尿病夫妻性健康的需求和挑战（采用定性和定量方法）、对数据库进行文献综述、解释合适且实用的解决方案、对改善糖尿病夫妻性健康的策略进行优先排序并制定糖尿病夫妻性健康促进计划，以及在实施该计划之前（行动之前）确定性功能和性满意度。在第二阶段（行动），将实施第一阶段产生的计划，在第三和第四阶段，将持续观察和反思该计划，以便调整和改进该计划。定性数据分析采用常规内容分析法，定量数据分析将使用SPSS 27统计软件进行。
由于糖尿病会影响夫妻的性健康和婚姻满意度，并且考虑到提供性健康是生殖健康从业者的职责之一，还考虑到战略行动研究的应用被认为可以改变系统中的态度、行为和表现。似乎技术行动研究方法的应用为一个由各相关专家组成的研究团队实施由此产生的计划开辟了领域，这是参与者自身的需求和策略开放。
