en تأثیر مشاوره ی ناباروری بر رضایت زناشویی و جنسی زوجین نابارور: یک مرور سیستماتیک و متاآنالیز 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 new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">مقدمه: </span></span></b><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">پیامدهای روانشناختی متعاقب ناباروری می&shy;توانند تأثیر منفی بر روابط زناشویی به ویژه عملکرد جنسی داشته باشند. در این راستا مداخلات روان&shy;شناختی، به ویژه مشاوره برای کمک به افراد نابارور شدیدا توصیه شده 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 new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">هدف: </span></span></b><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">این مطالعه به منظور بررسی اثربخشی مداخلات مشاوره&shy;ای بر رضایت زناشویی و جنسی زوجین نابارور انجام شده است.</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 new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">مواد و روش &shy;ها: </span></span></b><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">در این بررسی سیستماتیک و متاآنالیز که بر اساس راهنمای </span></span><span dir="LTR" style="font-size:10.0pt">PRISMA</span> <span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">انجام شده است، پایگاه</span></span><span dir="LTR" style="font-size:11.0pt"><span arial="" style="font-family:">&shy;</span></span><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">های اطلاعاتی از جمله، </span></span><span dir="LTR" style="font-size:10.0pt">PubMed</span><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">، &nbsp;&nbsp;&nbsp;&nbsp;</span></span><span dir="LTR" style="font-size:10.0pt">Web of Sciences</span><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">،</span></span> <span dir="LTR" style="font-size:10.0pt">Scopus</span><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">،</span></span> <span dir="LTR" style="font-size:10.0pt">Cochrane Library</span><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">،</span></span> <span dir="LTR" style="font-size:10.0pt">Psych Info</span><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:"> و </span></span><span dir="LTR" style="font-size:10.0pt">Embase</span> <span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">تا اردیبهشت 1400 بررسی شده است. تمامی کارآزمایی</span></span><span dir="LTR" style="font-size:11.0pt"><span arial="" style="font-family:">&shy;</span></span><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">های بالینی تصادفی که به بررسی تأثیر مداخلات مشاوره</span></span><span dir="LTR" style="font-size:11.0pt"><span arial="" style="font-family:">&shy;</span></span><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">ای بر بهبود رضایت زناشویی و جنسی زوجین نابارور پرداخته</span></span><span dir="LTR" style="font-size:11.0pt"><span arial="" style="font-family:">&shy;</span></span><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">اند، مورد بررسی قرار گرفتند. برآورد ادغام شده اثرات متغیرهای مورد مطالعه شامل رضایت زناشویی و جنسی با استفاده از مدل اثر تصادفی محاسبه گردید. خطر سوگیری با استفاده از ابزار خطر سوگیری کاکرین اندازه&shy;گیری شده و نتایج بر اساس فاصله اطمینان 95% و درصد هتروژنیته گزارش گردید.</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 new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">نتایج: </span></span></b><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">از میان 309 مطالعه، 13 کارآزمایی بالینی تصادفی شامل 230 زن نابارور و 512 زوج نابارور به طور سیستماتیک بررسی و مورد متاآنالیز قرار گرفتند. نتایج نشان داد مشاوره ناباروری سبب بهبود روابط زناشویی و رضایت جنسی می&shy;شود.</span></span></span></span></span></span></span><br> <b><span dir="RTL" lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">نتیجه&shy; گیری:</span></span></b> <span dir="RTL" lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">از آن&shy;جایی که مشاوره و مداخلات روانشناختی رضایت زناشویی و جنسی زوجین نابارور را افزایش می&shy;دهد، به عنوان روشی مؤثر در مدیریت روانی زوجین نابارور توصیه می&shy;شود.</span></span></div> <div style="text-align: justify;"><span style="font-family:Times New Roman;"><span style="font-size:12pt"><span style="line-height:normal"><span new="" roman="" times=""><b>Background:</b> Psychological consequences of infertility could have a negative effect on marital and sexual satisfaction. Numerous medical associations have strongly recommended psychological interventions, including counseling, to help infertile couples.&nbsp;</span></span></span><br> <span style="font-size:12pt"><span style="line-height:normal"><span new="" roman="" times=""><b>Objective:</b> This study reviewed the effectiveness of counseling interventions on marital and sexual satisfaction in infertile couples.</span></span></span><br> <span style="font-size:12pt"><span style="line-height:normal"><span new="" roman="" times=""><b>Materials and Methods:</b> This systematic review and meta-analysis was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses checklist, Databases including PubMed, Web of Science, Psych Info, Cochran Library, Scopus, and Embase were searched for relevant articles published up to March 2020. All randomized clinical trials assessing the impact of psychological interventions on marital and sexual satisfaction in infertile couples were included in the review. The outcome measures were marital and sexual satisfaction, and the pooled estimate of the effects was calculated using a random-effects model. The risk of bias was measured using the Cochrane risk of bias tool, and the summary measures were reported as 95% confidence interval and percentage of heterogeneity.</span></span></span><br> <span style="font-size:12pt"><span style="line-height:normal"><span new="" roman="" times=""><b>Results: </b>Out of the 309 studies found through the search, 13 randomized clinical trials including 230 infertile women and 512 infertile couples were systematically reviewed and included in the meta-analysis. It was found that counseling interventions improve marital and sexual satisfaction.&nbsp;</span></span></span><br> <span style="font-size:12pt"><span style="line-height:normal"><span new="" roman="" times=""><b>Conclusion:</b> As counseling and psychological interventions increase the marital and sexual satisfaction of infertile couples, those are highly recommended for the psychological management of infertile couples.</span></span></span></span></div> ناباروری, مداخلات روان شناختی, مشاوره, رضایت جنسی, مرور سیستماتیک, متاآنالیز. Infertility, Psychosocial intervention, Counseling, Sexual satisfaction, Systematic review, Meta-analysis, Couples. 798 806 http://ijrm.ir/browse.php?a_code=A-10-1916-1&slc_lang=en&sid=1 Somayeh Alirezaei Alirezaeis961@mums.ac.ir 0000-0002-7402-7228 No Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran. Ali Taghipour taghipoura@mums.ac.ir 0000-0001-7594-0097 No Social Determinants of Health Research Center, Mashhad University of Medical Sciences, Mashhad, Iran. Robab Latifnejad Roudsari rlatifnejad@yahoo.com 0000-0002-1438-8822 Yes Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.