International Journal of Reproductive BioMedicine
International Journal of Reproductive BioMedicine
IJRM
Medical Sciences
http://ijrm.ir
1
admin
2476-4108
2476-3772
10.29252/ijrm
en
jalali
1401
3
1
gregorian
2022
6
1
20
6
online
1
fulltext
en
خودکارآمدی جنسی و کیفیت زندگی جنسی در زنان کاندید جراحی لاپاراسکوپی برای ضایعات آندومتریوز: یک مطالعه مقطعی
Sexual self-efficacy and sexual quality of life before and after laparoscopic surgery in women with endometriosis lesions: A cross-sectional study
Reproductive Psycology
Original Article
Original Article
<div style="text-align: justify;"><span style="font-size:12pt"><span style="text-justify:inter-ideograph"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><b><span lang="FA" style="font-size:11.0pt"><span style="font-family:"B Mitra"">مقدمه: </span></span></b><span lang="FA" style="font-size:11.0pt"><span style="font-family:"B Mitra"">آندومتریوز یکی از شایع­ترین بیماری­های زنان بوده و با افزایش خطر دیسپارونی همراه است.</span></span><span dir="LTR" style="font-size:11.0pt"><span style="font-family:"Arial","sans-serif""></span></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="text-justify:inter-ideograph"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><b><span lang="FA" style="font-size:11.0pt"><span style="font-family:"B Mitra"">هدف: </span></span></b><span lang="FA" style="font-size:11.0pt"><span style="font-family:"B Mitra"">هدف از این مطالعه بررسی تغییرات خودکارآمدی جنسی (</span></span><span dir="LTR" style="font-size:10.0pt">SSE</span><span lang="FA" style="font-size:11.0pt"><span style="font-family:"B Mitra"">) و کیفیت زندگی جنسی (</span></span><span dir="LTR" style="font-size:10.0pt">SQOL</span><span lang="FA" style="font-size:11.0pt"><span style="font-family:"B Mitra"">) زنان قبل و بعد از جراحی لاپاراسکوپی ضایعات آندومتریوز بود.</span></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="text-justify:inter-ideograph"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><b><span lang="FA" style="font-size:11.0pt"><span style="font-family:"B Mitra"">مواد و روش­ ها: </span></span></b><span lang="FA" style="font-size:11.0pt"><span style="font-family:"B Mitra"">این مطالعه مقطعی، با استفاده از پرسشنامه قبل و بعد از عمل جراحی بر روی 36 زن مبتلا به آندومتریوز (40-20 سال) انجام شد که بین دسامبر 2018 تا جولای 2019 به بیمارستان آرش تهران مراجعه کردند و به روش نمونه­گیری در دسترس انتخاب شدند. ابزار جمع­آوری اطلاعات شامل پرسشنامه </span></span><span dir="LTR" style="font-size:10.0pt">SQOL</span><span lang="FA" style="font-size:11.0pt"><span style="font-family:"B Mitra"">، پرسشنامه خودکارآمدی جنسی و مقیاس </span></span><span dir="LTR" style="font-size:10.0pt">Visual analog</span> <span lang="FA" style="font-size:11.0pt"><span style="font-family:"B Mitra"">بود. داده­ها قبل، 3 و 6 ماه پس از جراحی لاپاراسکوپی جمع­آوری شده بود. </span></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="text-justify:inter-ideograph"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><b><span lang="FA" style="font-size:11.0pt"><span style="font-family:"B Mitra"">نتایج: </span></span></b><span lang="FA" style="font-size:11.0pt"><span style="font-family:"B Mitra"">در مجموع 7/91% نمونه­ها آندومتریوز لگنی و 3/8% آندومتریوز شکمی و لگنی داشتند. نه بیمار (25</span></span><span lang="FA" style="font-size:11.0pt"><span style="font-family:"Sakkal Majalla"">٪</span></span><span lang="FA" style="font-size:11.0pt"><span style="font-family:"B Mitra"">) در مرحله </span></span><span dir="LTR" style="font-size:10.0pt">I</span><span lang="FA" style="font-size:11.0pt"><span style="font-family:"B Mitra""> و </span></span><span dir="LTR" style="font-size:10.0pt">II</span><span lang="FA" style="font-size:11.0pt"><span style="font-family:"B Mitra""> بیماری بودند و بیست و نه نفر (75</span></span><span lang="FA" style="font-size:11.0pt"><span style="font-family:"Sakkal Majalla"">٪</span></span><span lang="FA" style="font-size:11.0pt"><span style="font-family:"B Mitra"">) آندومتریوز با درگیری بیشتر داشتند. یافته­های این مطالعه تأثیر مثبت جراحی لاپاراسکوپی بر کیفیت زندگی جنسی و خودکارآمدی جنسی (</span></span><span dir="LTR" style="font-size:10.0pt">SSE</span><span lang="FA" style="font-size:11.0pt"><span style="font-family:"B Mitra"">) در بیماران آندومتریوز را نشان داد (001/0 </span></span><span lang="FA" style="font-size:10.0pt">> </span><span dir="LTR" style="font-size:10.0pt">p</span><span lang="FA" style="font-size:11.0pt"><span style="font-family:"B Mitra"">). </span></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="text-justify:inter-ideograph"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><b><span lang="FA" style="font-size:11.0pt"><span style="font-family:"B Mitra"">نتیجه ­گیری:</span></span></b> <span lang="FA" style="font-size:11.0pt"><span style="font-family:"B Mitra"">جراحی آندومتریوز با لاپاراسکوپی، </span></span><span dir="LTR" style="font-size:10.0pt">SQOL</span> <span lang="FA" style="font-size:11.0pt"><span style="font-family:"B Mitra"">و </span></span><span dir="LTR" style="font-size:10.0pt">SSE</span> <span lang="FA" style="font-size:11.0pt"><span style="font-family:"B Mitra"">و دیس پارونی را در زنان مبتلا بهبود می</span></span><span dir="LTR" style="font-size:11.0pt"><span style="font-family:"Arial","sans-serif"">­</span></span><span lang="FA" style="font-size:11.0pt"><span style="font-family:"B Mitra"">بخشد.</span></span><span dir="LTR" style="font-size:11.0pt"><span style="font-family:"Arial","sans-serif""></span></span></span></span></span></span></span><br>
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<span style="font-size:12pt"><span style="text-justify:inter-ideograph"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><b><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Mitra"">کلمات کلیدی: </span></span></i></b><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Mitra"">لاپاراسکوپی، آندومتریوز، دیس پارونیا، خودکارآمدی، کیفیت زندگی.</span></span></i></span></span></span></span></span></div>
<div id="_com_2" style="text-align: justify;" uage="JavaScript"><span style="font-size:11pt"><span style="line-height:normal"><span style="font-family:Calibri,"sans-serif""><b><span style="font-size:12.0pt"><span style="font-family:"Times New Roman","serif"">Background:</span></span></b><span style="font-size:12.0pt"><span style="font-family:"Times New Roman","serif""> Endometriosis is one of the most common gynecological diseases and is associated with an increased risk of dyspareunia. </span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span style="font-family:Calibri,"sans-serif""><b><span style="font-size:12.0pt"><span style="font-family:"Times New Roman","serif"">Objective:</span></span></b><span style="font-size:12.0pt"><span style="font-family:"Times New Roman","serif""> This study aimed to evaluate sexual self-efficacy (SSE) and sexual quality of life (SQOL) before and after laparoscopic surgery of endometriosis lesions.</span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span style="font-family:Calibri,"sans-serif""><b><span style="font-size:12.0pt"><span style="font-family:"Times New Roman","serif"">Materials and Methods:</span></span></b><span style="font-size:12.0pt"><span style="font-family:"Times New Roman","serif""> This cross-sectional study measured the dependent variable by questionnaires before and after the surgery, and was performed with 36 women with endometriosis (aged 20-40 yr) who were referred to Arash hospital, Tehran, Iran between December 2018 and July 2019 using a convenience sampling method. Data collection tools included SQOL and SSE questionnaires, and a </span></span><span style="font-size:12.0pt"><span style="font-family:"Times New Roman","serif"">visual analogue scale</span></span><span style="font-size:12.0pt"><span style="font-family:"Times New Roman","serif"">. Data were collected before, 3 and 6 months after laparoscopic surgery. </span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span style="font-family:Calibri,"sans-serif""><b><span style="font-size:12.0pt"><span style="font-family:"Times New Roman","serif"">Results:</span></span></b><span style="font-size:12.0pt"><span style="font-family:"Times New Roman","serif""> Out of 36 women included in this study, 91.7% had pelvic endometriosis and 8.3% had abdominal and pelvic endometriosis. 9 participants (25.0%) were in stages I or II of the disease, and 29 (75.0%) had endometriosis with higher involvement. The findings of the study showed a positive effect of laparoscopic surgery on SQOL and SSE in participants (p < 0.001). </span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span style="font-family:Calibri,"sans-serif""><b><span style="font-size:12.0pt"><span style="font-family:"Times New Roman","serif"">Conclusion:</span></span></b><span style="font-size:12.0pt"><span style="font-family:"Times New Roman","serif""> Laparoscopic surgery in cases of endometriosis can improve SQOL and SSE in affected women and improve dyspareunia.</span></span></span></span></span></div>
لاپاراسکوپی, آندومتریوز, دیس پارونیا, خودکارآمدی, کیفیت زندگی.
Laparoscopy, Endometriosis, Dyspareunia, Self-efficacy, Quality of life.
469
476
http://ijrm.ir/browse.php?a_code=A-10-1851-1&slc_lang=en&sid=1
Soraya
Malekmaleki
soraya.malekmaleki@modares.ac.ir