Effect of PLISSIT Model Sexual Counseling Program on Sexual Quality of Life for Postpartum Women
American Journal of Nursing Science
Volume 7, Issue 2, April 2018, Pages: 63-72
Received: Feb. 19, 2018;
Accepted: Mar. 5, 2018;
Published: Mar. 24, 2018
Views 2086 Downloads 178
Eman Mohammed Abdelhakm, Obstetrics and Woman’s Health Nursing, Faculty of Nursing, Benha University, Benha, Egypt
Amira Refaat Said, Obstetrics and Woman’s Health Nursing, Faculty of Nursing, Benha University, Benha, Egypt
Doaa Mohamed Sobhy Elsayed, Community Health Nursing, Faculty of Nursing, Benha University, Benha, Egypt
Sexual changes after childbirth between couples are an important factor in creating a sense of satisfaction which effects on their quality of life. Aim: to evaluate effect of PLISSIT Model sexual counseling program on sexual quality of life for postpartum women. Research design: A quasi experimental design. Setting: The study was conducted in Obstetrics and Gynecological Outpatient Clinic at Benha University Hospital. Sample: A purposive sample of all admitted postpartum women for a period of 6 months (110) woman. Tools: Three tools were used I): An interviewing questionnaire. II): Arizona Sexual Experience Scale. III) The sexual quality of life-female questionnaire. Results: showed that the mean age of studied women were 25.02 4.47 years, 85.5% of women did not receive information about sexuality, 72.3% suffered from pain during intercourse after labor, 63.6% of them returned to sexual relation six week after labor. Only 13.6% of women had good total sexual quality of life before PLISSIT model counseling program, which increased to 44.5% after program. there were highly statistically significant differences between women regarding Arizona Sexual Experiences Scale and all sexual quality of life items before and after sexual counseling program (p<0.001). Conclusion: the PLISSIT model counseling program had a significant effect on the improvement of the women' sexual quality of life. Recommendations: Establish strategies to facilitate the women’s understanding and support sexual quality of life through apply this study on a large sample at outpatient clinics.
Eman Mohammed Abdelhakm,
Amira Refaat Said,
Doaa Mohamed Sobhy Elsayed,
Effect of PLISSIT Model Sexual Counseling Program on Sexual Quality of Life for Postpartum Women, American Journal of Nursing Science.
Vol. 7, No. 2,
2018, pp. 63-72.
Abdool Z, Thakar R, Sultan AH, (2016): Postpartum female sexual function. European Journal of Obstetrics & Gynecology and Reproductive Biology: 145 (2): 133-137.
Acele EO & Karaçam Z. (2012): Sexual problems in women during the first postpartum year and related conditions. J Clin Nurs. 21 (7-8):929-37.
Alum, A., Kizza, I., Osingada, C., Katende, G., &Kaye, D. (2015): Factors associated with early resumption of sexual intercourse among postnatal women in Uganda. Report Health; 12: P. 107.
Annon JS. (1981): The PLISSIT model: a proposed conceptual scheme for the behavioral treatment of sexual problems. J Sex Educ; 2: Pp. 1–15.
Anzaku, A., and Mikah, S. (2014): Postpartum resumption of sexual activity, sexual morbidity and use of modern contraceptives among Nigerian women, Ann Med Health Sci Res.; 4 (2): Pp. 210-216.
Banaei, M., Zahrani, Sh., Pormehr-Yabandeh, A., Ozgoli, G., and Azad, M. (2016): Investigating the impact of counselling based on PLISSIT model on sexual intimacy and satisfaction of breastfeeding women, International Journal of Pharmaceutical Research & Allied Sciences; 5 (3): pp. 489-499.
Brtnicka H, Weiss P, Zverina J (2016): Human sexuality during pregnancy and the postpartum period. Bratislavské lekárske listy - Bratislava Medical Journal 110 (7): 427-431.
Elsayed, H., Ramadan, S., Ibrahim, H., and Moursi, H. (2016): The Effect of Mode of Delivery on Postpartum Sexual Function and Sexual Quality of Life in Primiparous Women, American Journal of Nursing Science; 6 (4): Pp. 347-357.
Faghani, S., & Ghaffari, F. (2016): Effects of Sexual Rehabilitation Using the PLISSIT Model on Quality of Sexual Life and Sexual Functioning in Post-Mastectomy Breast Cancer Survivors, Asian Pacific Journal of Cancer Prevention; 17 (11): P. 4849.
Farnam F, Janghorbani M, Raisi F, Merghati-Khoei E. (2014): Compare the effectiveness of PLISSIT and sexual health models on Women's sexual problems in Tehran, Iran: a randomized controlled trial. J Sex Med. [PubMed] 139-146.
Fodstad, K., Staff, A., and Laine, K. (2016): Sexual activity and dyspareunia the first year postpartum in relation to degree of perineal trauma, Available@ https://www.duo.uio.no/bitstream/handle.
Glazener CMA. (2011): Sexual function after childbirth: women's experiences, persistent morbidity and lack of professional recognition. Br J Obstet. Gynaecol; 104: 330–333.
Greenshields W, & Hulme H. (2012): The Perineum in Childbirth. A Survey of women's experiences and midwives' practices: London: National Childbirth Trust, 1–95.
Hassan, J., Lin, T., Sulaiman, S., and Darus, A. (2013): The prevalence of sexual dysfunction among female in a tertiary hospital in Malaysia, Available@ http://repository.um.edu.pdf.
Holanda, J., Abuchaim, E., Coca, K., and Abrao, A. (2014): Sexual dysfunction and associated factors reported in the postpartum period, Brazil, Acta. Paul Enferm.; 27 (6):Pp. 573-578.
Khajehei, M. (2013): Sexual function of women during the first year after childbirth: Effect of parity (giving birth after the 20th week of pregnancy), depression and relationship satisfaction, Doctorate thesis, Curtin University, P. 81.
Kitzinger S. (2014): Chapter 13: sex. In: The Year after Childbirth: Surviving the First Year of Motherhood. Oxford: Oxford University Press,: 243–261.
Leal, I., Lourenço, S., Oliveira, R., Carvalheira, A., and Maroco, J. (2014): Sexual function in women after delivery: Does episiotomy matter?, Health journal; 6 (5): pp. 356-363.
Lee J-T&Tsai J-L (2012) Trans theoretical model-based postpartum sexual health education program improves women’s sexual behaviors and sexual health. The Journal of Sexual Medicine 9 (4): 986-996.
Leeman LM, Rogers RG. (2012): Sex after childbirth: postpartum sexual function. Obstet Gynecol.; 119 (3):647-55.
Mansour, S., Shebl, A., and Waheda, S. (2014): The Effect Of Sexual Counseling Program On Pain Level And Sexual Function Among Women With Dyspareunia, Egypt, Journal of Education and Practice; 5 (3): Pp. 208-220.
Mousavi, S., Mortazavi, F., Chaman, R. and Khosravi, A. (2013): Quality of Life after Cesarean and Vaginal Delivery, Oman, Oman Medical Journal; 28 (4):Pp. 245-251.
Nho, J. (2013): Effect of PLISSIT Model Sexual Health Enhancement Program for Women with Gynecologic Cancer and Their Husbands, J Korean Acad. Nurs.; 43 (5): pp. 681-689.
Prado DS, Mota VP, Lima TI. (2010): Prevalence of sexual dysfunction in two women groups of different socioeconomic status. Rev Bras Gynecol. Obstet.; 32 (3):139-43. Portuguese.
Rezaei, N., Omidi, F., Janani, F., and Azadi, A. (2017): A Study on the Relationship between Sexual Function and Quality of Life in Postpartum Women, Iran, Der Pharmacia Lettre; 9 (7): Pp. 10-17.
Rostamkhani F, Ozgoli G, Khoei EM, Jafari F, Majd HA. (2012): Effectiveness of the PLISSIT-based Counseling on sexual function of women. J Nurs Midwifery.; 22:76.
Rostamkhani, F., Jafari, F., Ozgoli, G., and Shakeri, M. (2015): Addressing the sexual problems of Iranian women in a primary health care setting: A quasi-experimental study, Iranian Journal of Nursing and Midwifery Research; 20 (1):pp. 139-146.
Saboula, N., and Shahin, M. (2015): Effectiveness of Application of PLISSIT Counseling Model on Sexuality for Breast Cancer's Women Undergoing Treatment, Egypt, American Journal of Nursing Science; 4 (4): Pp. 218-230.
Sung, S., Jeng, Ch., and Lin, Y. (2011): Sexual health care for women with dyspareunia, Taiwan, Taiwanese Journal of Obstetrics & Gynaecology; 50: Pp. 268-274.
Symonds T, Boolell M, Quirk F (2005): Development of questionnaire on sexual quality of life in women. Journal of Sex & Marital Therapy 31 (5): 385-397.
Torkzahrani, Sh., Banaei, M., Ozgoli, G., Azad, M., and Mahmoudikohani, F. (2016): The effectiveness of consultation based on PLISSIT Model on sexual function of lactating women, Iran, The J Urmia Nurs Midwifery Fac,; 14 (7): Pp. 639-646.
Valadan, M., Shariat, M., Rezaei, Z., Hagholahi, F., Sheikholeslami, G., and Bandegi, P. (2014): A comparative study on quality of life and sexual function after vaginal delivery and Cesarean section, Nurs Pract Today; 1 (4): pp. 176-182.
Varma, A., Sethi, R., Hartman, DW., Herbertson, R., & Kablinger, A. S., et al. (2014): Sexual Functioning and Quality of Life of Women with Opioid Dependence Maintained on Buprenorphine/Naloxone vs. Community Norms. J Subst. Abuse Alcohol; 2 (1): P.1005. Available@:https://www.jscimedcentral.com.
Vettorazzi J, Marques F, Hentschel H, Ramos JGL, Martins-Costa SH, Badalotti M. (2012): [Sexuality and the postpartum period: a literature review]. Rev HCPA.; 32 (4):473-9. Portuguese.
World Health Organization (2014): WHO recommendations on Postnatal care of the mother and newborn, Available @ http://apps.who.int/iris /bitstream/_eng.pdf, Accessed on January 2018.
Yörük F. & Karaçam Z. (2016): The Effectiveness of the PLISSIT Model in Solving Postpartum Sexual Problems Experienced by Women, Athens Journal of Health.; 3 (3):235-237.