دوره 13، شماره 7 - ( 6-1394 )                   جلد 13 شماره 7 صفحات 412-403 | برگشت به فهرست نسخه ها

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Salmani Z, Zargham Boroujeni A, Salehi M, K.Killeen T, Merghati-Khoei E. The existing therapeutic interventions for orgasmic disorders: recommendations for culturally competent services, narrative review. IJRM 2015; 13 (7) :403-412
URL: http://ijrm.ir/article-1-669-fa.html
سلمانی زهرا، ضرغام بروجنی علی، صالحی مهرداد، مر قاتی خویی عفت السادات. مداخلات درمانی در زنان با مشکلات ارگاسم در بستر ایرانی: مرور نقادانه. International Journal of Reproductive BioMedicine. 1394; 13 (7) :403-412

URL: http://ijrm.ir/article-1-669-fa.html


1- واحد تحقیقات پرستاری و مامایی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی اصفهان، اصفهان ایران
2- واحد تحقیقات روان–تنی دانشگاه علوم پزشکی اصفهان، اصفهان، ایران
3- بخش بهداشت باروری و جنسی در مرکز تحقیقات جراحی مغز و اعصاب، دانشگاه تهران علوم پزشکی تهران، تهران، ایران ، Effat_mer@yahoo.com
چکیده:   (2989 مشاهده)
مقدمه: تا کنون مداخلات درمانی قابل توجهی در حل مشکلات ارگاسمیک زنان معرفی شده است. از آنجایی که ارگاسم پدیده ایی فرا بیولوژیکی و آموختنی است، نیاز به درمانگرانی می باشد که بتوانند متناسب ترین درمانها را باتوجه به فرهنگ وبستر جامعه خود انتخاب نمایند.
هدف: هدف از این مرور نقادانه، بررسی چالش های مداخلات موجود در حل مشکل ارگاسمیک زنان به منظور انتخاب درمانهای کلینیکی مؤثر و متناسب با بستر جامعه ایرانی می باشد.
مواد و روش ها: در این تحقیق جستجوی گسترده و جامعی  در بانکهای اطلاعاتی الکترونیکی از سال 1970تا 2014 با استفاده از PubMed, Embase, Medline, PsychINFO, Cochrane CINAHL, “pearl-growing‟ techniques. Google Scholar hand-searching keyguidelines به منظور شناسایی مداخلات درمانی زنان دارای مشکلات ارگاسمیک انجام گردید. ترکیبی از کلمات کلیدی متفاوت مانند "ارگاسم" یا "ارگاسمیک"، "اختلالات جنسی زنان" یا انورگاسمیا در زنان یا اختلالات ارگاسمیک در زنان"، "اختلالات ارگاسم و درمان"، "ارگاسم و مداخله "استفاده شد. موارد انتخاب مقالات بر اساس مداخلات کلینیکی که بر اختلالات ارگاسمیک زنان متمرکز بود انجام گردید.
نتایج: تعداد قابل توجهی از این مداخلات (90درصد) غیردارویی و بقیه انها دارویی بوده است. خود ارضایی بیشترین و شایعترین روش پیشنهادی در رابطه مشکلات ارگاسمیک بوده است. در بازبینی اکثر درمانها، روش های زوج درمانی، آموزش مهارتهای جنسی و سکس درمانی به نظر متناسب ترین درمانهای قابل استفاده در مراکز و کلینیکهای ایران می باشد.
نتیجه گیری: از آنجایی که تعداد زیادی ازمداخلات درمانی بر رفتارها وعملکرد جنسی فرد تأکید داشتند، برای محققین این مطالعه مهم بود که مداخلات درمانی مشکلات ارگاسم متناسب با فرهنگ و حساسیت های مذهبی انتخاب شوند. گروههای تخصصی در زمینه بهداشت و امورات جنسی لازم است که حساسیت های لازمه را جهت استفاده از درمانهای مناسب فرهنگی برای زنان ایرانی داشته باشند. با توجه به نتایج این مطالعه پروتکل جامعه نگر بومی با حساسیتهای فرهنگی جهت غربالگری، ارزیابی و درمان مشکلات ارگاسمیک زنان در ایران پیشنهاد می شود.
نوع مطالعه: Original Article |

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