The Effect of Sexual Counseling Based on BETTER and PLISSIT Model on Quality of Sexual Life in Women with Breast Cancer after Mastectomy

Background & aim: Mastectomy as the most common treatment of breast cancer has many effects on the quality of sexual life. Since there are limited studies on quality of sexual life in breast cancer, this study was conducted to compare the effect of counseling based on two models of PLISSIT and B...

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Main Authors: Kowsar Hakami Shalamzai, Negar Asghari Pour, Jamshid Jamali, Ali Taghizadeh Kermani, Raheleh Babazadeh
Format: Article
Language:English
Published: Mashhad University of Medical Sciences 2022-10-01
Series:Journal of Midwifery & Reproductive Health
Subjects:
Online Access:https://jmrh.mums.ac.ir/article_20735_1e139646c15b1d3d365eb15dc18faa16.pdf
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author Kowsar Hakami Shalamzai
Negar Asghari Pour
Jamshid Jamali
Ali Taghizadeh Kermani
Raheleh Babazadeh
author_facet Kowsar Hakami Shalamzai
Negar Asghari Pour
Jamshid Jamali
Ali Taghizadeh Kermani
Raheleh Babazadeh
author_sort Kowsar Hakami Shalamzai
collection DOAJ
description Background & aim: Mastectomy as the most common treatment of breast cancer has many effects on the quality of sexual life. Since there are limited studies on quality of sexual life in breast cancer, this study was conducted to compare the effect of counseling based on two models of PLISSIT and BETTER on quality of sexual life in women with breast cancer after mastectomy.Methods: This quasi-experimental study was conducted at Mashhad, Iran in 2021. A total of 78 women who underwent mastectomy were randomly allocated into two equal groups and received 4 weekly sessions of individual counseling of 60-90 minutes based on two models of BETTER and PLISSIT. The research tools included demographic and sexual quality of life questionnaire (SQOL-F). The changes in the mean scores of quality of sexual life between the two groups before and 4 weeks after the intervention were measured. Data were analyzed using SPSS software (version 25) with Kolmogorov-Smirnov, independent t-test, paired t-test, Mann-Whitney and Chi-square test.Results: The mean change score of quality of sexual life before and after the intervention in the group who received counselling based on BETTER model (8.6±5.1) was significantly higher than the group were counselled by PLISSIT model (6.2±5.05) (P<0.001).Conclusion: In cultures such as Iran, where the sexual problems of women with cancer are neglected and patients have a conservative approach to sexual issues, sexual counseling based on the BETTER model is more effective than the PLISSIT model in order to increase the quality of sexual life.
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spelling doaj.art-258081a414ee4265a8db9ff096ea33032022-12-22T04:11:24ZengMashhad University of Medical SciencesJournal of Midwifery & Reproductive Health2345-47922022-10-011043490349810.22038/jmrh.2022.63241.182020735The Effect of Sexual Counseling Based on BETTER and PLISSIT Model on Quality of Sexual Life in Women with Breast Cancer after MastectomyKowsar Hakami Shalamzai0Negar Asghari Pour1Jamshid Jamali2Ali Taghizadeh Kermani3Raheleh Babazadeh4MSc Student of Midwifery, Student Research Committee, Mashhad University of Medical Sciences, Mashhad, Iran.Assistant Professor, Research Center of Psychiatry and Behavioral Sciences, Ebne-sina Hospital, Mashhad University of Medical Sciences, Mashhad, IranAssistant Professor, Department of Biostatistics, School of Health, Mashhad University of Medical Sciences, Mashhad, IranAssociate Professor of Oncology, Surgical Oncology Research Center, Mashhad University of Medical Sciences, Mashhad, IranAssistant Professor, Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, IranBackground & aim: Mastectomy as the most common treatment of breast cancer has many effects on the quality of sexual life. Since there are limited studies on quality of sexual life in breast cancer, this study was conducted to compare the effect of counseling based on two models of PLISSIT and BETTER on quality of sexual life in women with breast cancer after mastectomy.Methods: This quasi-experimental study was conducted at Mashhad, Iran in 2021. A total of 78 women who underwent mastectomy were randomly allocated into two equal groups and received 4 weekly sessions of individual counseling of 60-90 minutes based on two models of BETTER and PLISSIT. The research tools included demographic and sexual quality of life questionnaire (SQOL-F). The changes in the mean scores of quality of sexual life between the two groups before and 4 weeks after the intervention were measured. Data were analyzed using SPSS software (version 25) with Kolmogorov-Smirnov, independent t-test, paired t-test, Mann-Whitney and Chi-square test.Results: The mean change score of quality of sexual life before and after the intervention in the group who received counselling based on BETTER model (8.6±5.1) was significantly higher than the group were counselled by PLISSIT model (6.2±5.05) (P<0.001).Conclusion: In cultures such as Iran, where the sexual problems of women with cancer are neglected and patients have a conservative approach to sexual issues, sexual counseling based on the BETTER model is more effective than the PLISSIT model in order to increase the quality of sexual life.https://jmrh.mums.ac.ir/article_20735_1e139646c15b1d3d365eb15dc18faa16.pdfmastectomyquality of sexual lifesexual counselingbetter modelplissit model
spellingShingle Kowsar Hakami Shalamzai
Negar Asghari Pour
Jamshid Jamali
Ali Taghizadeh Kermani
Raheleh Babazadeh
The Effect of Sexual Counseling Based on BETTER and PLISSIT Model on Quality of Sexual Life in Women with Breast Cancer after Mastectomy
Journal of Midwifery & Reproductive Health
mastectomy
quality of sexual life
sexual counseling
better model
plissit model
title The Effect of Sexual Counseling Based on BETTER and PLISSIT Model on Quality of Sexual Life in Women with Breast Cancer after Mastectomy
title_full The Effect of Sexual Counseling Based on BETTER and PLISSIT Model on Quality of Sexual Life in Women with Breast Cancer after Mastectomy
title_fullStr The Effect of Sexual Counseling Based on BETTER and PLISSIT Model on Quality of Sexual Life in Women with Breast Cancer after Mastectomy
title_full_unstemmed The Effect of Sexual Counseling Based on BETTER and PLISSIT Model on Quality of Sexual Life in Women with Breast Cancer after Mastectomy
title_short The Effect of Sexual Counseling Based on BETTER and PLISSIT Model on Quality of Sexual Life in Women with Breast Cancer after Mastectomy
title_sort effect of sexual counseling based on better and plissit model on quality of sexual life in women with breast cancer after mastectomy
topic mastectomy
quality of sexual life
sexual counseling
better model
plissit model
url https://jmrh.mums.ac.ir/article_20735_1e139646c15b1d3d365eb15dc18faa16.pdf
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