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
11
1
gregorian
2023
2
1
21
2
online
1
fulltext
en
اثربخشی مشاوره سلامت جنسی مبتنی بر رویکرد ذهن آگاهی بر رضایت جنسی زنان نابارور: یک کارآزمایی بالینی
Effectiveness of sexual health counseling based on mindfulness approach on sexual satisfaction in women suffering from infertility: An RCT
Fertility & Infertility
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"">پدیده ناباروری نه تنها بر فرآیندهای فیزیولوژیک، بلکه جنبه</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"">های روانی اجتماعی را نیز تحت تأثیر قرار می­دهد. مشاوره جنسی می­تواند رضایت جنسی و زناشویی را بهبود بخشد.</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"">این مطالعه با هدف تعیین اثربخشی مشاوره سلامت جنسی مبتنی بر رویکرد ذهن آگاهی بر رضایت جنسی زنان نابارور انجام شد.</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 از نوع نیمه تجربی بود. این مطالعه بر روی زنان نابارور مراجعه­کننده به پژوهشکده طب تولیدمثل یزد انجام شد. چهل­و­چهار زن نابارور به دو گروه تقسیم شدند. گروه مداخله هشت جلسه مشاوره جنسی دریافت کردند. گروه کنترل مراقبت­های معمول را دریافت کردند. ابزار گردآوری داده­ها پرسشنامه رضایت جنسی بود. برای تجزیه و تحلیل داده­ها از آمار توصیفی، آزمون­های پارامتریک و تحلیل کوواریانس با استفاده از نرم­افزار </span></span><span dir="LTR" style="font-size:10.0pt">SPSS</span> <span lang="FA" style="font-size:11.0pt"><span style="font-family:"B Mitra"">استفاده شد. سطح معنی­داری 05/0 </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"">در نظر گرفته شد.</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"">میانگین سنی زنان 9/4</span></span><span lang="FA" style="font-size:10.0pt"> ±</span><span lang="FA" style="font-size:11.0pt"><span style="font-family:"B Mitra""> 05/30 سال، مدت ناباروری 27/4 </span></span><span lang="FA" style="font-size:10.0pt">±</span><span lang="FA" style="font-size:11.0pt"><span style="font-family:"B Mitra""> 83/6 سال و میانگین مدت ازدواج 01/4</span></span><span lang="FA" style="font-size:10.0pt"> ±</span><span lang="FA" style="font-size:11.0pt"><span style="font-family:"B Mitra""> 3/8 سال بود. در ابتدا تفاوت آماری معنی­داری بین دو گروه از نظر متغیرهای جمعیت­شناختی و نمره رضایت جنسی وجود نداشت (05/0 </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"">). نمرات رضایت جنسی بلافاصله و یک ماه پس از مداخله نسبت به قبل از مداخله افزایش یافت و این تفاوت از نظر آماری معنیدار بود (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"">). تفاوت نمره رضایت جنسی یک ماه پس از مداخله در گروه مداخله معنیدار نبود (21/0 </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"">) و نشان</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"">دهنده تداوم تغییرات در تأثیر مشاوره گروهی در زمان پیگیری 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 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"">با توجه به نتایج این مطالعه به نظر میرسد برنامههای مشاوره سلامت جنسی ذهن آگاهی میتواند رضایت جنسی زنان نابارور را بهبود بخشد.</span></span></span></span></span></span></span><br>
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</div>
<div style="text-align: justify;"><span style="font-size:11pt"><span style="line-height:normal"><span style="font-family:Calibri,"sans-serif""><b><span lang="EN" style="font-size:12.0pt"><span style="font-family:"Times New Roman","serif"">Background: </span></span></b><span lang="EN" style="font-size:12.0pt"><span style="font-family:"Times New Roman","serif"">The infertility phenomenon affects physiological and psychosocial aspects. Sexual counseling can improve sexual and marital satisfaction.<b> </b></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 lang="EN" style="font-size:12.0pt"><span style="font-family:"Times New Roman","serif"">Objective: </span></span></b><span lang="EN" style="font-size:12.0pt"><span style="font-family:"Times New Roman","serif"">This study aimed to determine the effectiveness of sexual health counseling based on the mindfulness approach </span></span><span style="font-size:12.0pt"><span style="font-family:"Times New Roman","serif"">on</span></span><span lang="EN" style="font-size:12.0pt"><span style="font-family:"Times New Roman","serif""> sexual satisfaction of</span></span> <span lang="EN" style="font-size:12.0pt"><span style="font-family:"Times New Roman","serif"">women suffering from infertility.</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 lang="EN" style="font-size:12.0pt"><span style="font-family:"Times New Roman","serif"">Materials and Methods: </span></span></b><span lang="EN" style="font-size:12.0pt"><span style="font-family:"Times New Roman","serif"">This </span></span><span style="font-size:12.0pt"><span style="font-family:"Times New Roman","serif"">randomized clinical trial study</span></span><span lang="EN" style="font-size:12.0pt"><span style="font-family:"Times New Roman","serif""> was conducted on 44 women suffering from infertility referred to the Yazd Reproductive Science Institute, Yazd, Iran</span></span><span dir="RTL" lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"Times New Roman","serif"">.</span></span> <span lang="EN" style="font-size:12.0pt"><span style="font-family:"Times New Roman","serif"">Women were randomly divided into 2 groups. The intervention group</span></span><span style="font-size:12.0pt"><span style="font-family:"Times New Roman","serif""> (n = 22)</span></span><span lang="EN" style="font-size:12.0pt"><span style="font-family:"Times New Roman","serif""> received 8 sessions of sexual counseling, while control group </span></span><span style="font-size:12.0pt"><span style="font-family:"Times New Roman","serif"">(n = 22) </span></span><span lang="EN" style="font-size:12.0pt"><span style="font-family:"Times New Roman","serif"">received routine care. The data collection tool was the sexual satisfaction questionnaire. </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 lang="EN" style="font-size:12.0pt"><span style="font-family:"Times New Roman","serif"">Results:</span></span></b><span lang="EN" style="font-size:12.0pt"><span style="font-family:"Times New Roman","serif""> The mean age of women was 30.05 ± 4.9 yr, infertility duration was 6.83 ± 4.27 yr, and the mean duration of marriage was 8.3 ± 4.01 yr. The mean score of sexual satisfaction of women suffering from infertility in the intervention group was 62.9 ± 7.32, 71.6 ± 5.95, and 70.9 ± 6.26, before the intervention (baseline), after intervention (8<sup>th</sup> wk), and follow-up (12<sup>th</sup> wk) respectively. The mean score of sexual satisfaction of women suffering from infertility in the control group was 63.3 ± 6.82, 64.2 ± 7.93, and 62.25 ± 7.99, at baseline, 8<sup>th</sup> wk later, and after follow-up (12<sup>th</sup> wk), respectively. Sexual satisfaction scores increased before and one month after the intervention in the counseling group, and this difference was statistically significant (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 lang="EN" style="font-size:12.0pt"><span style="font-family:"Times New Roman","serif"">Conclusion:</span></span></b><span lang="EN" style="font-size:12.0pt"><span style="font-family:"Times New Roman","serif""> Mindfulness-based sexual health counseling programs may improve sexual satisfaction in</span></span> <span lang="EN" style="font-size:12.0pt"><span style="font-family:"Times New Roman","serif"">women suffering from infertility in the intervention group. </span></span></span></span></span></div>
ناباروری, زنان, رضایت جنسی, ذهن آگاهی, روانشناسی.
Infertility, Women, Sexual satisfaction, Mindfulness, Psychology.
147
158
http://ijrm.ir/browse.php?a_code=A-10-180-2&slc_lang=en&sid=1
Sara
Hosseini Nejad
sami.hosseininejad1533@gmail.com