The Impact of BETTER Model-Based Counselling on Postpartum Women's Emotional Status Having Sexual Dysfunction

Ghada Ahmed Ghazi Mohamed, Howaida Amin Hassan Fahmy Elsaba, Amaal Samir Abdelmaksoud, Manal Ahmed Mohamed Ismail, Rasha Kamal Mohamed sweelam
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Abstract

Background : After childbirth, sexual dysfunction is frequent in women and may be linked to stress, anxiety, and depression. Most of these issues are treatable in their early stages using various counselling techniques. Aim : to determine the impact of BETTER model-based counselling on postpartum women's emotional status having sexual dysfunction. Design : A quasi-experimental study design was used. Setting : The research was carried out in the outpatient clinic of the Obstetrics and Gynecology department in Sohag University Hospital, Egypt. Sampling: For the study, a purposive sample of 100 women with sexual dysfunction was involved and was divided equally into two groups (study and control) and each group included 50 women. Tools : three different tools were used to collect the data: Personal data assessment sheet, The Depression, Anxiety, and Stress Scale (DASS), and the female sexual function index (FSFI). The results : The study's findings revealed that there was a high statistically significant difference in mean scores of total Female sexual functions among study and control groups post BETTER model application (P < 0.001), there was a statistically significant difference between both groups in total mean score of Depression, Anxiety, and Stress after application of BETTER model (P ≤ 0.05) and (P < 0.001)) in addition, there was a statistical significant positive correlation between total female sexual function and total Depression, Anxiety, and Stress score among study group after application of BETTER model (P ≤ 0.05) and (P < 0.001). Conclusion : The application of the counseling-based BETTER model significantly reduces depression, anxiety, and stress among postpartum women having sexual dysfunction . Recommendation : A BETTER sexual counseling model should be established to reduce depression, anxiety, and stress among postpartum women having sexual dysfunction.
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基于 BETTER 模式的咨询对产后妇女情绪状态和性功能障碍的影响
背景:分娩后,女性经常会出现性功能障碍,这可能与压力、焦虑和抑郁有关。这些问题大多可在早期阶段通过各种辅导技术得到治疗。目的:确定基于 BETTER 模式的咨询对产后妇女性功能障碍情绪状态的影响。设计 :采用准实验研究设计。环境:研究在埃及索哈格大学医院妇产科门诊进行。抽样:在研究中,有目的性地抽取了 100 名患有性功能障碍的妇女,并将其平均分为两组(研究组和对照组),每组包括 50 名妇女。工具:使用三种不同的工具收集数据:个人数据评估表、抑郁、焦虑和压力量表(DASS)以及女性性功能指数(FSFI)。结果:研究结果表明,应用 BETTER 模型后,研究组和对照组在女性性功能总平均分上的差异有统计学意义(P < 0.001),应用 BETTER 模型后,两组在抑郁、焦虑和压力总平均分上的差异有统计学意义(P ≤ 0.05)和(P < 0.001)),此外,应用 BETTER 模式后,研究组女性性功能总分与抑郁、焦虑和压力总分之间存在统计学意义上的正相关(P ≤ 0.05)和(P < 0.001)。结论:应用基于咨询的 BETTER 模式可显著降低产后性功能障碍妇女的抑郁、焦虑和压力。建议:应建立 BETTER 性咨询模式,以减少产后性功能障碍妇女的抑郁、焦虑和压力。
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