The effect of EX-PLISST and GATHER models on sexual function with gestational diabetes

IF 1.2 Q3 Medicine Sexologies Pub Date : 2022-12-01 DOI:10.1016/j.sexol.2022.04.008

H. Fatah , K. Vakilian , A. Moslemi , F. Janani

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引用次数: 1

Abstract

Objectives

the present study aimed to compare the effect of individual counseling based on EX-PLISSIT and GATHER models on sexual function of women with gestational diabetes background during lactation.

Methods

In this randomized clinical trial, 78 breastfeeding women with gestational diabetes from health centers of Khorramabad were selected using clustering method between 10 and 16 weeks postpartum. Then, they were assigned into two groups of intervention according to randomized blocks. Each participant received two sessions of individual counseling based on GATHER or EX-PLISSIT methods. Sexual function questionnaire was completed one month after the intervention. The data were analyzed using SPSS 23, descriptive statistics (frequency and percentage), and analytical statistics (repeated measurement ANOVA, independent t-test, and chi-squared).

Results

Mean sexual desire is significantly different between before and after the intervention. (p = 0.001). The interaction of group and time is statistically significant (p = 0.007). So that the average sexual desire in both groups is increasing, but during the time in the Ex-PLISSIT group the average libido increases steeper. After the intervention, the average sexual function in the Ex-PLISSIT group is higher than in the GATHER group (p < 0.05).

Discussion

According to the results of the present study, it can be concluded that individual counseling based on Ex-PLISSIT model can be effective on improving women's sexual function during lactation in gestational diabetic women. Therefore, this method can be used in clinics and women's service centers.

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EX-PLISST和GATHER模型对妊娠期糖尿病患者性功能的影响

目的比较基于EX-PLISSIT和GATHER模型的个体化咨询对妊娠期糖尿病背景女性哺乳期性功能的影响。方法采用聚类法选取霍拉马巴德市卫生院产后10 ~ 16周母乳喂养的妊娠期糖尿病妇女78例进行随机临床试验。然后按随机分组分为两组干预。每个参与者都接受了两次基于GATHER或EX-PLISSIT方法的个人咨询。干预后1个月完成性功能问卷。采用SPSS 23、描述性统计(频率和百分比)和分析性统计(重复测量方差分析、独立t检验和卡方检验)对数据进行分析。结果干预前后平均性欲差异有统计学意义。(p = 0.001)。组与时间的交互作用有统计学意义(p = 0.007)。所以两组的平均性欲都在增加，但在前plissit组的时间里，平均性欲增加得更快。干预后，Ex-PLISSIT组的平均性功能高于GATHER组(p <0.05)。根据本研究结果，基于Ex-PLISSIT模型的个体化咨询可以有效改善妊娠期糖尿病女性的哺乳期性功能。因此，这种方法可以在诊所和妇女服务中心使用。

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来源期刊

Sexologies PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

1.80

自引率

16.70%

发文量

期刊介绍： Sexologies offers a large panel of information to all health professionals working in the field of sexuality: anatomophysiological and basic research; psychodynamic, cognitive, behavioural and relational evaluations of sexual difficulties; epidemiological, sociological, forensic data; information on new sexoactive molecules; research on sexual physiology, reports on specialized congresses; press and books reviews; ethical aspects; calendar of major events of sexology around the world.