EFFECTIVENESS OF THE PLISSIT-BASED COUNSELING ON SEXUAL FUNCTION OF WOMEN

AbstractBackground and aim:Sexual dysfunction is common among women. It affects on all aspects ofwomen's life. Majority of these problems can be treated in early stages with counseling and a fewnumbers of them need to be treated by specialists. The aim of this study was to assess theeffectiveness of PLISSIT-based counseling model on sexual function of women.Methods:This was a randomized clinical trial study. It was conducted in an urban health center inZanjan. Eighty women who were married in the previous 5 years, and had sexual problems,randomly assigned to control and experimental groups. The experimental group receivedconsultation based on PLISSIT model (Permission-limited Information-Specific Suggestion-Intensive Therapy) by a trained midwife and the control group received routine sexual consultation.Demographic and obstetric information were gathered through standard questionnaire. FSFI(Female Sexual Function Index) questionnaire were used for assessing sexual function. Data werecollected from participants at three points: before consultation, 2weeks and 4weeks afterconsultation. Mann-Whitney, T-tests and x2 used for data analysis.Results:Mean scores of sexual function were 25.3 before consultation, 28.8 two weeks after and29.4 four weeks after consultation in experimental group. These differences were statisticallysignificant (p<0.001 and p<0.001 respectively). In control group, mean scores of sexual functionwere 24.48, 24.44, 23.74 before, 2 weeks, 4 weeks after consultation respectively. These differenceswere not statistically significant (p=0.946 and p=0.375). There was no significant difference inmean score of sexual function between control and experimental groups before intervention(p=0.408). However 2 weeks and 4 weeks after the consultation this difference was significant(p<0.001 and p<0.001 respectively). Conclusion:Based on the result of this study, we can claim that sexual problem in womendecreased by using the PLISSIT model. Using the PLISSIT model is recommended in health caresetting.Keyword:sexual responses, consultation, PLISSIT model, sexual functionCorresponding Author: Giti Ozgoli, Department of Reproductive Health and Midwifery (SecondFloor), Faculty of Nursing and Midwifery, Shahid Beheshti University of Medical Science, Vali-AsrAvenue, Cross of Vali-Asr and Neiaiesh Highway, Opposite to Rajaee Heart Hospital, Tehran, Iran;REFERENCES-Anise B et al (2005). [Sexual changes and related sexual factors in primipara mothers during 3 to 6 monthspostpartum]. Iran Journal of Nursing. 18 (41-42) 69-75. (Persian)- Arman S Fahami F Hassan Zahraee R (2005). A comparative study on women`s sexual functioning disorders beforeand after menopause. Arak Medical University Journal (AMUL). 8 (3) 1- 7. (Persian)-Ayaz S Kubilay G (2008). Effectiveness of the PLISSIT model for solving the sexual problems of patients with stoma.Journal of Clinical Nursing. 18 (1) 89-98. -Bakouei F Omidvar Sh, Nasiri F (2007). [Prevalence of female sexual dysfunction in married women and its relatedfactors in Babol]. Journal of Babol University of Medical Sciences. 9 (4) 59-64. (Persian)-Berek J S (2006). Berek and Novak`s Gynecology. 14th edition. Philadelphia, Lippincott Williams & Wilkins. -Bolourian Z Ghanjloo J (2007). [Evaluating sexual dysfunction and some related factors in women attending Sabzevarhealth care centers]. Journal of Reproduction & Fertility. 8 (2) 163-170. (Persian)-Meston CM (2003). Validation of Female Sexual Function Index (FSFI) in the women with female orgasmic disorderand in women with hypoactive sexual desire disorder. Journal of sex & Marital Therapy. 29 (1) 39 - 49. -Eileen NP Harvey JH (1985). Enhancing marital sexuality: An evaluation of a program for the sexual enrichment ofnormal couples. Journal of Sex M Validation of the Iranianversion]. Payesh. 7 (3) 269 - 278. (Persian)-Oksuz E Malhan S (2006). Prevalence and risk factors for female sexual dysfunction in Turkish women.The Journal ofUrology. 175 (2) 654 - 658- Pakgohar M et al (2008). Effect of counseling on sexual satisfaction among hnfertile women referred to TehranFertility Center. Journal of Faculty of Nursing and Midwifery, Tehran University of Medical Sciences Hayat. 14 (1) 21-30. (Persian)-Refaie-Shirpak Kh Eftekhar H Mohammad K (2007). [Incorporation of a sex education program in health care centersin Tehran]. Payesh. 6 (3) 243 - 256. (Persian)-Refaie Shirpak Kh Chinichian M Eftekhar H (2010). Need assessment: Sexual health education in family planningcenters of Tehran. Payesh. 9 (3) 251-260. (Persian)-Sattarzadeh N et al (2006). [The comparison between sexual satisfaction in fertile and infertile couple referring toeducational center of Alzahra in Tabriz] . Nursing Midwifery Journal Tabriz University of Medical Sciences. 2 (5) 47 -56. (Persian)-Vural BK Temel AB (2009). Effectiveness of premarital counseling program on sexual satisfaction of recently marriedcouples. Journal of Sexual Health. 6 (3) 222 - 232. -Wiegel M Meston C Rozen R (2005). The female sexual function index (FSFI): Cross validation and development ofclinical cutoff scores. Journal of sex and Marital Therapy. 31 (1) 1-20