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Addressing the sexual problems of Iranian women in a primary health care setting: A quasi-experimental study.

Rostamkhani F, Jafari F, Ozgoli G, Shakeri M - Iran J Nurs Midwifery Res (2015 Jan-Feb)

Bottom Line: Data were collected at three points: Before consultation and 2 and 4 weeks after consultation.Paired t-test and repeated measures analysis of variance (ANOVA) test were used for comparison of scores within groups.This study showed that PLISSIT model can meet the sexual health needs of clients in a primary health care setting and it can be used easily by health workers in this setting for addressing sexual complaints and dysfunctions.

View Article: PubMed Central - PubMed

Affiliation: Department of Midwifery, Zanjan Branch, Islamic Azad University, Zanjan, Iran.

ABSTRACT

Background: The World Health Organization emphasizes on integration of sexual health into primary health care services, educating people and health care workers about sexuality, and promoting optimal sexual health. Despite the high prevalence of sexual problems, these problems are poorly managed in primary health care services. This study was conducted to evaluate the efficacy and feasibility of the first two steps of PLISSIT (Permission, Limited Information, Specific Suggestions, Intensive Treatment) model for handling of women sexual problems in a primary health care setting.

Materials and methods: This was a quasi-experimental study that was carried out in Zanjan, northwest of Iran. Eighty women who had got married in the past 5 years and had sexual problem were randomly assigned to control and intervention groups. The intervention group received consultation based on PLISSIT model by a trained midwife and the control group received routine services. Female Sexual Function Index (FSFI) questionnaire was used for assessing and tracking any changes in sexual function. Data were collected at three points: Before consultation and 2 and 4 weeks after consultation. Paired t-test and repeated measures analysis of variance (ANOVA) test were used for comparison of scores within groups.

Results: Significant improvement was found in FSFI sub-domain scores, including sexual desire (P < 0.0001), arousal (P < 0.0001), lubrication (P < 0.0001), orgasm (P = 0.005), satisfaction (P = 0.005), pain (P < 0.0001), and FSFI total score (P < 0.0001) in the intervention group compared to the control group.

Conclusions: This study showed that PLISSIT model can meet the sexual health needs of clients in a primary health care setting and it can be used easily by health workers in this setting for addressing sexual complaints and dysfunctions.

No MeSH data available.


Related in: MedlinePlus

Study design
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Figure 1: Study design

Mentions: Women were included if they (a) were married in the past 5 years and had been living with their husbands, (b) had self-reported sexual problem, (c) completed secondary education level, and (d) had willingness to participate in the study. The exclusion criteria were as follows: Being pregnant during the study, having severe conflict with the husband, and suffering from psychiatric disorders including depression, and gynecologic and chronic systemic diseases (self-reported) that may affect sexual function. In the randomly selected health center, participants were randomly allocated to control or intervention groups using Balanced Blocked Randomization method [Figure 1]. We used the results of previous studies on PLISSIT model for estimating the sample size.[16] For identifying a mean difference of 4 in the total FSFI score, a confidence level of 95%, a power of 80%, and a dropout rate of 15%, the sample size was estimated at 40 participants per group using the formula:


Addressing the sexual problems of Iranian women in a primary health care setting: A quasi-experimental study.

Rostamkhani F, Jafari F, Ozgoli G, Shakeri M - Iran J Nurs Midwifery Res (2015 Jan-Feb)

Study design
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4325406&req=5

Figure 1: Study design
Mentions: Women were included if they (a) were married in the past 5 years and had been living with their husbands, (b) had self-reported sexual problem, (c) completed secondary education level, and (d) had willingness to participate in the study. The exclusion criteria were as follows: Being pregnant during the study, having severe conflict with the husband, and suffering from psychiatric disorders including depression, and gynecologic and chronic systemic diseases (self-reported) that may affect sexual function. In the randomly selected health center, participants were randomly allocated to control or intervention groups using Balanced Blocked Randomization method [Figure 1]. We used the results of previous studies on PLISSIT model for estimating the sample size.[16] For identifying a mean difference of 4 in the total FSFI score, a confidence level of 95%, a power of 80%, and a dropout rate of 15%, the sample size was estimated at 40 participants per group using the formula:

Bottom Line: Data were collected at three points: Before consultation and 2 and 4 weeks after consultation.Paired t-test and repeated measures analysis of variance (ANOVA) test were used for comparison of scores within groups.This study showed that PLISSIT model can meet the sexual health needs of clients in a primary health care setting and it can be used easily by health workers in this setting for addressing sexual complaints and dysfunctions.

View Article: PubMed Central - PubMed

Affiliation: Department of Midwifery, Zanjan Branch, Islamic Azad University, Zanjan, Iran.

ABSTRACT

Background: The World Health Organization emphasizes on integration of sexual health into primary health care services, educating people and health care workers about sexuality, and promoting optimal sexual health. Despite the high prevalence of sexual problems, these problems are poorly managed in primary health care services. This study was conducted to evaluate the efficacy and feasibility of the first two steps of PLISSIT (Permission, Limited Information, Specific Suggestions, Intensive Treatment) model for handling of women sexual problems in a primary health care setting.

Materials and methods: This was a quasi-experimental study that was carried out in Zanjan, northwest of Iran. Eighty women who had got married in the past 5 years and had sexual problem were randomly assigned to control and intervention groups. The intervention group received consultation based on PLISSIT model by a trained midwife and the control group received routine services. Female Sexual Function Index (FSFI) questionnaire was used for assessing and tracking any changes in sexual function. Data were collected at three points: Before consultation and 2 and 4 weeks after consultation. Paired t-test and repeated measures analysis of variance (ANOVA) test were used for comparison of scores within groups.

Results: Significant improvement was found in FSFI sub-domain scores, including sexual desire (P < 0.0001), arousal (P < 0.0001), lubrication (P < 0.0001), orgasm (P = 0.005), satisfaction (P = 0.005), pain (P < 0.0001), and FSFI total score (P < 0.0001) in the intervention group compared to the control group.

Conclusions: This study showed that PLISSIT model can meet the sexual health needs of clients in a primary health care setting and it can be used easily by health workers in this setting for addressing sexual complaints and dysfunctions.

No MeSH data available.


Related in: MedlinePlus