PMID- 31064641
OWN - NLM
STAT- MEDLINE
DCOM- 20200922
LR  - 20200922
IS  - 1449-8987 (Electronic)
IS  - 1448-5028 (Linking)
VI  - 16
IP  - 3
DP  - 2019 Jun
TI  - Effect of the EX-PLISSIT model on sexual function and sexual quality of life 
      among women after hysterectomy: a randomised controlled trial.
PG  - 225-232
LID - 10.1071/SH18107 [doi]
AB  - Background After hysterectomy, most patients experience psychological problems 
      and sexual dysfunction that can affect their sexual quality of life (QOL). This 
      study determined the effects of counselling based on the Extended 
      Permission-Limited Information-Specific Suggestion-Intensive Therapy (EX-PLISSIT) 
      model on sexual function and sexual QOL after hysterectomy among women attending 
      hospitals in Sari, northern Iran. METHODS: A randomised controlled trial was 
      conducted between 2016 and 2017. Of 354 women undergoing hysterectomy, 80 women 
      without anxiety, stress or depression who showed signs of sexual dysfunction were 
      selected and, using blocked randomisation, were assigned to the intervention and 
      control groups. The intervention group received two 1-h counselling sessions each 
      week based on the EX-PLISSIT model. The control group received no counselling. 
      Mood and sexual function and quality of life were measured using established 
      tools (i.e. Depression, Anxiety and Stress Scale, Female Sexual Function Index 
      (FSFI), and the Sexual Quality of Life - Female (SQOL-F)). Eight weeks after 
      completion of counselling, outcomes were compared between the intervention and 
      control groups using independent t-tests and Chi-squared, Mann-Whitney U, 
      Wilcoxon, and Fisher tests. RESULTS: There were no significant differences 
      between the two groups in terms of demographics and most other outcome variables. 
      However, there were significant differences between the intervention and control 
      groups in terms of sexual functioning (median (interquartile range (IQR) FSFI 
      score 32.45 (28.47-33.52) vs 23.85 (20.52-26.45) respectively) and sexual quality 
      of life (median (IQR) SQOL-F score 107.50 (91-108) vs 87 (62.75-96.25), 
      respectively) at the 8-week follow-up (P < 0.001 for both). CONCLUSION: Use of 
      the EX-PLISSIT model is recommended to sexual health care professionals.
FAU - Mahmoodi Dangesaraki, Marieh
AU  - Mahmoodi Dangesaraki M
AD  - Department of Midwifery, School of Nursing and Midwifery, Zanjan University of 
      Medical Sciences, Zanjan, Iran.
FAU - Maasoumi, Raziyeh
AU  - Maasoumi R
AD  - Department of Reproductive Health, School of Nursing and Midwifery, Tehran 
      University of Medical Sciences, Tehran, Iran; and Nursing and Midwifery Care 
      Research Center, School of Nursing and Midwifery, Tehran University of Medical 
      Sciences, Tehran, Iran.
FAU - Hamzehgardeshi, Zeinab
AU  - Hamzehgardeshi Z
AD  - Sexual and Reproductive Health Research Center, Mazandaran University of Medical 
      Sciences, Sari, Iran.
FAU - Kharaghani, Roghieh
AU  - Kharaghani R
AD  - Department of Midwifery, School of Nursing and Midwifery, Zanjan University of 
      Medical Sciences, Zanjan, Iran; and Corresponding author. Email: 
      r.kharaghani@zums.ac.ir.
LA  - eng
PT  - Journal Article
PT  - Randomized Controlled Trial
PT  - Research Support, Non-U.S. Gov't
PL  - Australia
TA  - Sex Health
JT  - Sexual health
JID - 101242667
SB  - IM
MH  - Adult
MH  - Affect
MH  - Female
MH  - Humans
MH  - Hysterectomy/*psychology
MH  - Iran
MH  - Middle Aged
MH  - *Quality of Life
MH  - Sex Counseling/*methods
MH  - Sexual Dysfunctions, Psychological/psychology/*therapy
EDAT- 2019/05/09 06:00
MHDA- 2020/09/23 06:00
CRDT- 2019/05/09 06:00
PHST- 2018/06/01 00:00 [received]
PHST- 2019/01/01 00:00 [accepted]
PHST- 2019/05/09 06:00 [pubmed]
PHST- 2020/09/23 06:00 [medline]
PHST- 2019/05/09 06:00 [entrez]
AID - SH18107 [pii]
AID - 10.1071/SH18107 [doi]
PST - ppublish
SO  - Sex Health. 2019 Jun;16(3):225-232. doi: 10.1071/SH18107.