Effectiveness of Application of PLISSIT Counseling Model on Sexuality Among Women with Dyspareunia
American Journal of Nursing Science
Volume 7, Issue 2, April 2018, Pages: 73-83
Received: Mar. 14, 2018; Accepted: Apr. 2, 2018; Published: May 5, 2018
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Afaf Mohamed Mohamed Emam, Obstetrics and Woman's Health Nursing, Benha University, Benha, Egypt
Somaya Ouda Abd Elmenim, Obstetrics and Woman's Health Nursing, Benha University, Benha, Egypt
Samah Said Sabry, Community Health Nursing, Benha University, Benha, Egypt
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Background: Dyspareunia is one of the most common but neglected female health problems which has a significant negative impact on a woman's sexual function. The aim of the study was to evaluate the effectiveness of application of PLISSIT counseling model on sexuality among women with dyspareunia. Design: A quasi experimental design was used. Setting: This study was conducted in outpatient clinic of obstetrics & gynecological department at Benha University Hospital. Sample: A purposive sample of all admitted women for a period of 6 months (280) woman: 200 out of them without dyspareunia and 80 with dyspareunia completed the PILLIST model. Tools: three tools were used I): A structured Interviewing Questionnaire Sheet. II): Dyspareunia assessment tool. III): Female Sexual Function Index (FSFI). Results: showed that the mean age of studied women were (35.21±9.03)years. More than one quarter of them complains of dyspareunia. there were statistically significant differences of the FSFI mean score between pre and post application as regard to elements of FSFI including desire, arousal, orgasm, satisfaction and pain (P<0.001). Meanwhile, there were no statistically significant differences regarding lubrication (P>0.4). Conclusion: PLISSIT counseling model had significant effect in improving sexuality among women with dyspareunia. The study recommended that the PLISSIT model should be used in a tailored and patient-centered approach in conducting sexual assessment and management of female dyspareunia.
Dyspareunia, Sexuality, PLISSIT Counseling Model
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Afaf Mohamed Mohamed Emam, Somaya Ouda Abd Elmenim, Samah Said Sabry, Effectiveness of Application of PLISSIT Counseling Model on Sexuality Among Women with Dyspareunia, American Journal of Nursing Science. Vol. 7, No. 2, 2018, pp. 73-83. doi: 10.11648/j.ajns.20180702.15
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Sunga, S. C., Jenge, C. J., and Linb, Y. C (2011): Sexual health care for women with dyspareunia. Taiwan. J. Obstet. Gynecol. 50 (3), 268–274 (2011).
Olsen, M., and Rizk B., (2016): Office care of women, Cambridge university, 1st ed., USA. p 206.
Ferrero, S., Ragni, N. and Remorgida, V. (2013): Deep dyspareunia: causes, treatments, and results, Current Opinion in Obstetrics and Gynecology. 20:394–99.
Desrochers, G., Bergeron, S., Khalife, S., Dupuis, M. J. and Jodoin, M. (2014): Fear avoidance and self-efficacy in relation to pain and sexual impairment in women with provoked vestibulodynia. Clin. J. Pain., 25:520-7.
Donaldson, R. L., and Meana, M. (2015): Early dyspareunia experience in young women: Confusion, consequences, and help-seeking barriers. The Journal of Sexual Medicine, 8(3), 814- 823. doi: 10.1111/j.1743-6109.2010.02150.x.
Dziegielewski, S. F. (2013): DSM-IV-TR in action, 2nd ed., Johon wiley & sons, inc, Canada, p 416.
Rezaee, R., Kingsberg, S., and Spadt S. K., (2016): Approach to the woman with sexual pain. available at http://www.uptodate.com/contents/approach-to-the-woman-with-sexual-pain?source=see_link
Burns, E., Korn K. and Whyte J. (2015): Oxford American Handbook of clinical examination and practical Skills, 1st ed., oxford university press, New york. https://books.google.com.eg/books?id=wdiiGZreJ4IC&pg=PT513&dq=dyspareunia&hl=en&sa=,X&redir_esc=y#v=onepage&q=dyspareunia&f=false
Bornstein J, Goldstein AT, Stockdale CK, Bergeron S, Pukall C, Zolnoun D, and Coady D (2016): Consensus vulvar pain terminology committee of the International Society for the Study of Vulvovaginal Disease (ISSVD), the International Society for the Study of Womenʼs Sexual Health (ISSWSH), and the International Pelvic Pain Society (IPPS). Obstet Gynecol. 2016 Apr; 127(4):745-51.
Steinke E. E., Jaarsma, T., Barnason, S. A., Byrne M., Doherty S., Dougherty, C. M., Fridlund B., Kautz D. D., Mårtensson J., Mosack, V., and Moser D. K (2013): Sexual counseling for individuals with cardiovascular disease and their partners, European Heart Journal, Volume 34, Issue 41, Pp. 3217–3235. http://eurheartj.oxfordjournals.org/content/34/41/3217#fn-group-1.
Annon JS. (1981): The PLISSIT model: a proposed conceptual scheme for the behavioral treatment of sexual problems. J Sex Educ; 2: Pp. 1–15.
Palmisano B., (2016): Using The PLISSIT Model For Sexual HealthCounseling http://www.rxeconsult.com/healthcare-articles/Using-The-PLISSIT-Model-For-Sexual-Health-Counseling-1097
Swearingen P. L., (2016): All- In -One Nursing Care Planning Resources Medical –Surgical, Pediatric, Maternity, Psychiatric, 4th ed., Elsevier, Canada, p12.
Evans D. T (2013): Promoting sexual health and wellbeing: the role of the nurse. Nurs Stand 2013; 28: pp. 53-57.
Chow KM, Chan JC, Choi KK, and Chan CW (2016): A review of psycho-educational interventions to improve sexual functioning, quality of life, and psychological outcomes in gynecological cancer patients. Cancer Nurs 2016; 39:20-31.
Elnashar, A. M., Ibrahim, M., EL-Desoky, M. M., Ali, O. M. and Hassan, B. M. (2007) "Female sexual dysfunction in Lower Egypt". BJOG., 2007;114:201–06.
Jiwa M, O’Shea C, Merriman G, Halkett G., and Spilsbury K. (2014): "Psychosexual problems in general practice: measuring consultation competence using two different measures", Qual Prim Care; 18:243-50.
National Institutes of Health, (2003): Numeric Pain Intensity Scale.
Rosen, R., Brown, C., Heiman, J., Leiblum, S., Meston, C., Shabsigh, R., Ferguson, D., & D'Agostino, R. The female sexual function index (FSFI): A multidimensional self-report instrument for the assessment of female sexual functions. JSex Marital Therapy, 2000; 26 (2): 191-208.
Anis, T. H., Gheit, S. A., Saied, H. S., and Al kherbash, S. A., (2011): Arabic translation of Female Sexual Function Index and validation in an Egyptian population. J Sex Med., (12): 3370-3378.
Cronbach, L., (1951): Coefficient alpha and the internal structure of tests. Psychometrika. 1951; 16 (5):297–334.
Elkowessny, D., Salama, H., Abu-Nazel, M., and Gobashy, S. (2015): Help Seeking Behavior for Female Sexual Dysfunction Among Middle Aged Egyptian Women. European Psychiatry, 30 (1) 2015; P 1392.
Mansour, S. E., Shebl, A. M. and Wahed, S. M. (2014): The effect of sexual counseling program on pain level and sexual function among women with dyspareunia. Journal of Education and Practice, Vol. 5, No. 3, 2014.
KR Mitchell, R Geary, CA Graham, J Datta, K Wellings, P Sonnenberg, N Field, D Nunns, J Bancroft, KG Jones, AM Johnson and CH Mercer (2017): Painful sex (dyspareunia) in women: prevalence and associated factors in a British population probability survey BJOG. 2017 Oct; 124(11): 1689–1697.
Liu HL1, Lee HM, and Chung YC. (2015): Dyspareunia and its comorbidities among Taiwanese women: analysis of the 2004-2010 Nationwide Health Insurance Database. J Sex Med. 2015 Apr; 12(4):1012-8. doi: 10.1111/jsm.12820. Epub 2015 Jan 9.
Saboula N. E and Shahin, M. A (2015): Effect of Cognitive Behavioral Therapy on Women with Dyspareunia: A Nursing Intervention, IOSR Journal of Nursing and Health Science, Volume 4, Issue 2 Ver. I (Mar.-Apr. 2015), PP 81-91.
Hendrickx L1, Gijs L, and Enzlin P. (2015): Age-related prevalence rates of sexual difficulties, sexual dysfunctions, and sexual distress in heterosexual women: results from an online survey in flanders. J Sex Med. 2015 Feb;12(2):424-35. doi: 10.1111/jsm.12725. Epub 2014 Oct 27.
Sobhgol S. S. and S. Mohammad and Alizadeli Charndabee (2012): Rate and related factors of dyspareunia in reproductive age women: a cross-sectional study. International Journal of Impotence Research, 2012; 19: 88–94.
Dean, A. Seehusen K and Drew C (2014): Baird. Dyspareunia in women. Am. Fam. Physician., 2014; 90(7):465-470.
Steege, J. F., and Zolnoun, D. A. (2014):Evaluation and Treatment of Dyspareunia, Obstet Gynecol, 113(5)1124–36. https://www.med.unc.edu/ppru/publications/Evaluation%20and%20treatment%20of %20 dyspareunia.pdf
Shah, M. B., Hoffstetter, S. and Minerva Ginecol. (2015): Contraception and sexuality. US National Library of Medicine National Institutes of Health. 2015; 62(4):331-47.
Abd. Alkareem IME, Ounsa MAAF, Mohamed EY, Mohamed E & Abdalla S, et al. (2017): Prevalence and risk factors of postpartum dyspareunia at three months post-delivery in Sudanese women. Int J Reprod Contracept Obstet Gynecol. 2017 Jul;6(7):2724-2728 www.ijrcog.org
Boran SA, Cengiz H, Erman O, Erkaya SS (2013): Episiotomy and the development of postpartum dyspareunia and anal incontinence in nulliparous females. Eurasian J Med. 2013; 45(3):176-80.
Dabiri F, Yabandeh AP, Shahi A, Kamjoo A, and Teshnizi SH (2014): The Effect of Mode of Delivery on Postpartum Sexual Functioning in Primiparous Women. Oman Med J. 2014; 29(4):276-9.
Meir Medical Center, (2012): Postpartum Dyspareunia Resulting From Vaginal Atrophy. 2012.
Khajehei, M., S. Ziyadlou, Rad M. Safari, HR. Tabatabaee and F. and Kashefi, A. (2014): Comparison of sexual outcomes in primiparous women experiencing vaginal and caesarean births. Indian J. Community Med., 2014; 34(2): 126–130.
Thomas, H. M., Bryce, C., Ness, R. B. and Hess R. (2013): Dyspareunia is Associated with Decreased Frequency of Intercourse in the Menopausal Transition, PMC., https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3026887/
Orawan Chen, O and Taneepanichskul, S., (2014): Prevalence of Dyspareunia in Healthy Thai Perimenopausal Women, Thai Journal of Obstetrics and Gynaecology, Vol. 15, pp. 113-121.
John, F., Steege and Denniz A.and Zolnou (2013): Evaluation and treatment of dyspareunia; Obstetrics & Gynecolog, 2013; 113(5).
Alexander, I. M., Johnson-Mallard, V., Kostas-Polston, E., Fogel, C. I., and Woods, N. F., (2017):Women's Health Care in Advanced Practice Nursing, Second Edition, Springer Publishing Company, USA, p359.
Torkzahrani, S., Banaei, M., Ozgoli, G., Azad, M., and Mahmoudikohani, F., (2016): The Effectiveness of Consultation Based on PlISSIT Model on Sexual Function of Lactating Women, J Urmia Nurs Midwifery Fac., 14(7): 639-647.
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 | January-February 2015 | Vol. 20 | Issue 1, 139-146.
Chun, N, (2011): Effectiveness of PLISSIT model sexual program on female sexual function for women with gynecologic cancer, J Korean Acad Nurs. 2011 Aug; 41(4):471-80.
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