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改善绝经后女性的性生活质量:一项定性研究。

Improving the quality of sexual life in postmenopausal women: a qualitative study.

作者信息

Rafiei Elnaz Haji, Riazi Hedyeh, Shams Jamal, Majd Hamid Alavi

机构信息

Students Research Committee, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

出版信息

BMC Public Health. 2025 Apr 22;25(1):1492. doi: 10.1186/s12889-025-22722-3.

DOI:10.1186/s12889-025-22722-3
PMID:40264169
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12013135/
Abstract

BACKGROUND

Postmenopausal women frequently encounter a range of physical, emotional, and relational challenges. One aspect that is frequently overlooked is the impact of menopause on sexual life. The objective of this study was to elucidate solutions to enhance the quality of sexual life of postmenopausal women.

METHODS

This qualitative conventional content analysis study was conducted from December 2022 to August 2023 in Qazvin, Iran. Using purposive sampling with maximum variation, data were collected through in-depth interviews with 21 participants, comprising 15 postmenopausal women and 6 experts, for a period of 3 months.

RESULTS

From the interviews, a total of 495 initial codes were identified and subsequently organized into 39 subcategories and 11 categories. This rigorous coding process led to the extraction of three themes: "Understanding and managing influencing factors", "Raising awareness and a new perspective on sexual relationships", and "Accepting and managing postmenopausal changes".

CONCLUSION

By identifying the key themes that emerged from this study, we can gain a deeper understanding of the promotion of healthy and positive sexual relationships, as well as the development of strategies for addressing the challenges and complexities that arise in these relationships. The findings can serve as a basis for the implementation of interventions and the planning of initiatives aimed at the promotion of the quality of sexual life of postmenopausal women.

摘要

背景

绝经后女性经常面临一系列身体、情感和人际关系方面的挑战。一个经常被忽视的方面是更年期对性生活的影响。本研究的目的是阐明提高绝经后女性性生活质量的解决方案。

方法

这项定性的常规内容分析研究于2022年12月至2023年8月在伊朗加兹温进行。采用最大差异目的抽样法,通过对21名参与者进行深入访谈收集数据,其中包括15名绝经后女性和6名专家,为期3个月。

结果

通过访谈,共识别出495个初始编码,随后将其整理为39个子类别和11个类别。这一严格的编码过程提炼出三个主题:“理解和管理影响因素”、“提高对性关系的认识和新视角”以及“接受和管理绝经后变化”。

结论

通过确定本研究中出现的关键主题,我们可以更深入地理解促进健康和积极的性关系,以及制定应对这些关系中出现的挑战和复杂性的策略。这些发现可为实施干预措施和规划旨在提高绝经后女性性生活质量的举措提供依据。

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本文引用的文献

1
Menopause and Sexual Health: Hormones, Aging or Both?更年期与性健康:激素、衰老还是两者皆有?
Clin Obstet Gynecol. 2025 Mar 1;68(1):44-50. doi: 10.1097/GRF.0000000000000910. Epub 2024 Dec 2.
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Menopause knowledge, attitudes and experiences of women in Saudi Arabia: a qualitative study.沙特阿拉伯女性对绝经的知识、态度和体验:一项定性研究。
BMC Womens Health. 2024 Nov 25;24(1):624. doi: 10.1186/s12905-024-03456-7.
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Women's Experiences of Intimate and Sexual Relationships During Menopause: A Qualitative Synthesis.更年期女性亲密与性关系经历:一项定性综合研究
J Clin Nurs. 2025 May;34(5):1543-1554. doi: 10.1111/jocn.17436. Epub 2024 Sep 27.
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Exploring sexual life enrichment: a journey into strengthening well-being for women post- menopause through qualitative study.探索性生活丰富:通过定性研究为绝经后女性增强幸福感之旅。
BMC Womens Health. 2024 Sep 12;24(1):506. doi: 10.1186/s12905-024-03350-2.
5
Hormonal Treatments and Vaginal Moisturizers for Genitourinary Syndrome of Menopause : A Systematic Review.绝经后女性泌尿生殖系统综合征的激素治疗和阴道保湿剂:系统评价。
Ann Intern Med. 2024 Oct;177(10):1400-1414. doi: 10.7326/ANNALS-24-00610. Epub 2024 Sep 10.
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Complementary and Alternative Therapies for Genitourinary Syndrome of Menopause : An Evidence Map.补充和替代疗法治疗绝经后泌尿生殖系统综合征:证据图谱。
Ann Intern Med. 2024 Oct;177(10):1389-1399. doi: 10.7326/ANNALS-24-00603. Epub 2024 Sep 10.
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Mapping global prevalence of menopausal symptoms among middle-aged women: a systematic review and meta-analysis.全球中年女性更年期症状流行情况的绘制:系统评价和荟萃分析。
BMC Public Health. 2024 Jul 2;24(1):1767. doi: 10.1186/s12889-024-19280-5.
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Effect of sexual health education on sexual function and satisfaction of menopausal migrant women: an application of the theory of planned behavior.性健康教育对更年期移民妇女性功能和满意度的影响:计划行为理论的应用。
BMC Public Health. 2024 Jun 18;24(1):1626. doi: 10.1186/s12889-024-19162-w.
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The risk of depression in the menopausal stages: A systematic review and meta-analysis.绝经阶段抑郁风险:系统评价和荟萃分析。
J Affect Disord. 2024 Jul 15;357:126-133. doi: 10.1016/j.jad.2024.04.041. Epub 2024 Apr 18.
10
Adopting strategies with menopausal experiences: A systematic review.采用应对更年期经历的策略:一项系统综述。
Health Sci Rep. 2024 Apr 17;7(4):e1968. doi: 10.1002/hsr2.1968. eCollection 2024 Apr.