Effect of PLISSIT Model Sexual Counseling on Sexual Function among Women with Diabetes
Journal Title: IOSR Journal of Nursing and health Science - Year 2018, Vol 7, Issue 4
Abstract
Abstract: Background: The PLISSIT model is a tool for both assessing and managing a patient’s sexuality concerns. It is thought that an intervention plan prepared within the framework of the PLISSIT model will guide maternity nurses in solving sexual problems of diabetic women and providing integrated care and help them to express their sexual problems. this study was aimed to evaluate the effect of PLISSIT model sexual counseling on sexual function among women with diabetes. Research design: A quasi-experimental study design was used. Setting: The study was conducted at Gynecological and Diabetic Clinics at Ain Shams University Hospital. A purposive sample technique was used to recruit one hundred and ten (110 ) diabetic women in the study. Subjects were randomly divided into two groups control and intervention based on the following inclusion criteria; educated women with type 2 diabetes mellitus in reproductive age, they indicate to be dissatisfied about their sexual functioning and that they would like to talk about their sexual problem(s). The intervention group received sexual counseling based on the PLISSIT model on four levels, including Permission, Limited Information, Specific Suggestion and Intensive while the control group receives routine care. Three Tools were used for data collection as follows: 1- A Structured interview schedule to collect socio demographic data, 2- The Female Sexual Function Index "FSFI" to measures sexual function. 3-The Revised Dyadic Adjustment Scale (RDAS) , It assesses couple relationship satisfaction within three overarching categories .Result: the study showed no statistical significant difference between control and intervention group regarding couples satisfaction and total score of female sexual function at base line assessment (p=0.725 , p=0.461 respectively). While, there was highly statistical significant difference between control and intervention group regarding couples satisfaction and total score of female sexual function after intervention (p=0.001, p=0.001 respectively).Recommendation: Using sexual counseling based on PLISSIT model in addressing sexual dysfunction for diabetic women with preparation of secure environment in the Gynecological and Diabetic Clinics in Hospitals to discuss sexual problems with women freely. Beside Integrate the concept of psychosexual counseling based on PLISSIT model in addressing sexual dysfunction into undergraduate curricula for faculties of nursing.
Authors and Affiliations
Dr. Nahed Fikry Hassan Khedr, Dr. Nevin S. Metwally, Dr. Ahmed E. salama
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