基于PLISSIT模型的辅导对使用避孕药的女性解决性功能障碍的影响:1年结果
Özlem Bakan Demirel1,2, Hatice Yıldız3
1Quality Coordination Office, Rectorate, Izmir Katip Çelebi University, 35620 Cigli-Izmir, Türkiye.
Sexual medicine
|December 22, 2025
概括
性功能障碍在使用避孕药的女性中很常见. 基于PLISSIT模型的辅导在一年内显著改善了性功能,证明了其在解决这些问题的有效性.
科学领域:
- 生殖健康 生殖健康
- 性医学性医学性医学性医学
- 临床心理学 临床心理学
背景情况:
- 性功能障碍是使用避孕方法的女性普遍关注的问题.
- 前提,有限,密集和广泛 (PLISSIT) 模型为解决性健康问题提供了一个框架.
- 有效的干预措施对于改善避孕妇女的性福利至关重要.
研究的目的:
- 评估基于PLISSIT模型的性培训-咨询的1年有效性,以解决使用避孕方法的妇女的性功能障碍.
- 评估基于PLISSIT的辅导对女性性功能的影响,用女性性功能指数 (FSFI) 来衡量.
主要方法:
- 一项前性随机对照试验分为两个阶段进行.
- 最初,使用避孕药的352名妇女使用FSFI进行了查;100名性功能障碍患者随机分为研究组 (SG) 和对照组 (CG).
- 总干事接受了基于PLISSIT模型的性教育咨询,两组在基线,3个月,6个月,1年后进行评估.
主要成果:
- 与CG相比,PLISSIT干预显著改善了SG中的性功能,在3个月,6个月和1年观察到更高的FSFI得分 (P < .001).
- 在FSFI总得分上,PLISSIT咨询对FSFI总得分的影响大小为37.6%.
- 性功能障碍率从基线时的100%下降到6个月后的38.8%和1年后的42.9%在SG中,相比之下,CG的比例分别为94.1%和80.4% (P < .001).
结论:
- 性功能障碍是使用避孕方法的女性的一个重要问题.
- 基于PLISSIT模型的性咨询是减少和解决这一群体性功能障碍的有效策略.
- 常规性功能评估和有针对性的咨询是使用避孕药的妇女护理的重要组成部分.
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