en بررسی تأثیر مشاوره جنسی مبتنی بر حل مسئله به صورت آنلاین بر اضطراب و صمیمیت جنسی در زنان با سقط مکرر: یک کار آزمایی بالینی 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 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:">سقط مکرر شرایط پیچیده تولیدمثلی را در زنان ایجاد می&shy;کند. درمان حل مسئله یکی از رویکردهای سلامت جنسی است.</span></span><b><span dir="LTR" style="font-size:11.0pt"><span style="font-family:"Arial","sans-serif""></span></span></b></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 با هدف بررسی تأثیر مشاوره آنلاین حل مسئله بر اضطراب و صمیمیت جنسی در زنان با سقط مکرر 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 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:">این مطالعه کارآزمایی بالینی تصادفی بر روی 70 زن با سقط مکرر مراجعه&shy;کننده به کلینیک سقط شهر یزد از اسفند ماه 1401 تا مرداد ماه 1402 انجام شد. زنان به طور تصادفی به 2 گروه (35 نفر/هر گروه) تقسیم شدند. گروه مداخله 8 جلسه مشاوره جنسی دریافت کردند. گروه کنترل یک پمفلت آموزشی را دریافت کردند. پیامد اولیه اضطراب جنسی و پیامد ثانویه صمیمیت جنسی بود. ابزار گردآوری داده‌ها پرسشنامه‌های اضطراب و صمیمیت جنسی بود. پرسشنامه‌ها قبل، بعد و یک ماه بعد از مطالعه تکمیل شدند.</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:">نتایج: </span></span></b><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">در مجموع 70 شرکت&shy;کننده در تحلیل نهایی وارد شدند. میانگین نمره اضطراب جنسی در هفته هشتم و دوازدهم در گروه آنلاین به طور معنی&shy;داری کمتر از گروه کنترل بود (001/0 > </span></span><span dir="LTR" style="font-size:10.0pt">p</span><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">). میانگین نمره صمیمیت جنسی در هفته هشتم و دوازدهم در گروه آنلاین به طور معنی&shy;داری بیشتر از گروه کنترل بود&nbsp;&nbsp;&nbsp;&nbsp; (001/0 > </span></span><span dir="LTR" style="font-size:10.0pt">p</span><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">).</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:">نتیجه &shy;گیری: </span></span></b><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">مشاوره سلامت جنسی مبتنی بر حل مسئله می&shy;تواند باعث بهبود اضطراب و صمیمیت جنسی در زنان با سقط مکرر شود. با توجه به اثربخشی این نوع آموزش توصیه می&shy;شود که از مشاوره سلامت جنسی در مراکز سقط مکرر استفاده شود.</span></span><b><span dir="LTR" style="font-size:11.0pt"><span style="font-family:"Arial","sans-serif""></span></span></b></span></span></span></span></span></div> <div style="text-align: justify;"><span style="font-family:Times New Roman;"><span style="font-size:11pt"><span style="line-height:normal"><b><span style="font-size:12.0pt">Background: </span></b><span style="font-size:12.0pt">Recurrent pregnancy loss (RPL) creates complex reproductive conditions among women. Problem-solving therapy is one of the sexual health approaches.</span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><b><span style="font-size:12.0pt">Objective: </span></b><span style="font-size:12.0pt">This study was designed to investigate the effect of online problem-solving counseling on the sexual anxiety and intimacy of women with RPL.</span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><b><span style="font-size:12.0pt">Materials and Methods: </span></b><span style="font-size:12.0pt">A randomized clinical trial was conducted at Abortion Research Center in Yazd, Iran between March and August 2023. A total of 70 women with RPL were assigned into 2 groups, that is, intervention and control using random allocation software (n = 35/each). The intervention group received 8 sessions of sexual counseling on problem solving. The control group received an educational pamphlet. The primary outcome was sexual anxiety, and the secondary outcome was sexual intimacy. The data were collected using questionnaires based on sexual anxiety and intimacy. The questionnaires were completed before, after, and 1 month after the study. </span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><b><span style="font-size:12.0pt">Results: </span></b><span style="font-size:12.0pt">A total of 70 participants were included in the final analysis. The mean score of sexual anxiety in the 8^th and 12^th wk was significantly less in the online group than in control group (p < 0.001). The mean score of sexual intimacy in the 8^th and 12^th wk was significantly higher in the online group than in control group (p < 0.001).</span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><b><span style="font-size:12.0pt">Conclusion: </span></b><span style="font-size:12.0pt">Problem-solving-based sexual health counseling programs may improve sexual anxiety and intimacy in women with RPL. It is recommended to use a sexual health counseling method in RPL centers when considering the effectiveness of this type of training.</span></span></span></span><br> &nbsp;</div> <div style="text-align: center;"><span style="font-size:14px;"><span style="font-family:Times New Roman;"><span style="line-height:normal"><b><i>This article has been extracted from M.Sc. Thesis. (Shahla Mohammadkhani)</i></b></span><br> <span style="line-height:normal"><b><i>Registration ID in IRCT: IRCT20220620055229N1</i></b></span></span></span></div> سقط مکرر, مشاوره, حل مسئله, تمایلات جنسی, اضطراب. Habitual miscarriage, Counseling, Problem-solving, Sexuality, Anxiety. 717 726 http://ijrm.ir/browse.php?a_code=A-10-2735-1&slc_lang=en&sid=1 Shahla Mohammadkhani sh.mohamadkhani76@gmail.com 0000-0002-5770-0222 No Student Research Committee, Shahid Sadoughi University of Medical Sciences, Yazd, Iran. Nasrin Ghasemi nghasemi479@gmail.com 0000-0002-1103-6004 No Abortion Research Center, Reproductive Sciences Institute, Shahid Sadoughi University of Medical Sciences, Yazd, Iran. Tayebeh Mokhtari Sorkhani arianmokhtari2@gmail.com 0000-0002-4325-6917 No Department of Health Education and Health Promotion, Social Determinant of Health Research Center, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran. Mahshid Bokaie mah_bokaie@yahoo.com 0000-0001-7196-813X Yes Research Center for Nursing and Midwifery Care, Non-communicable Diseases Research Institute, Department of Midwifery, School of Nursing and Midwifery, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.