تعيين تاثير مداخله‌ي مبتني بر نگراني‌هاي‌جنسي بر عملكرد جنسي (خستگي جنسي، تمايل جنسي، احقاق جنسي، ناكامي ‌در روابط جنسي) زنان مبتلا به ديابت نوع ‌1

Determining the Impact of Sexual Concern Intervention on Sexual Function (Sexual Fatigue, Sexuality, Sexual Abstinence, Sexual Failure) in Women with Type 1 Diabetes

مقدمه: يكي از مهمترين نگراني‌هاي زنان مبتلا به ديابت، عملكرد جنسي است لذا اين پژوهش با هدف، تعيين تاثير مداخله مشاوره‌اي زوجي مبتني بر عملكرد جنسي (خستگي جنسي، تمايل جنسي، احقاق جنسي، ناكامي ‌در روابط جنسي) زنان مبتلا به ديابت نوع ‌1 انجام گرفت. روش پژوهش: پژوهش حاضر نيمه آزمايشي از نوع پيش آزمون پس آزمون با دوره پيگيري 3 ماهه بود. جامعه پژوهش را تمام زنان متأهل مبتلا به ديابت نوع 1 شهرستان همدان تشكيل دادند كه در انجمن ديابت پرونده داشتند. از اين تعداد 40 نفر به صورت نمونه‌گيري در دسترس انتخاب به صورت تصادفي به 2 گروه آزمايش و كنترل تقسيم شدند و به پرسشنامه شاخص عملكردجنسي زنان، پرسشنامه شدت خستگي، پرسشنامه تمايل جنسي هالبرت و پرسشنامه احقاق جنسي هالبرت به صورت پيش‌آزمون، پس آزمون و پيگيري 3 ماه بعد از مداخله پاسخ دادند و گروه مداخله در طي 4 جلسه 45 تا 90 دقيقه‌اي تحت آموزش مداخله مشاوره‌اي زوجي مبتني قرار گرفتند و در اين مدت گروه كنترل تحت آموزشي قرار نگرفتند و نتايج حاصل با استفاده از آزمون تحليل واريانس با مقادير تكراري انجام شد. يافته‌ها: نتايج نشان داد، مشاوره‌اي زوجي بر عملكرد جنسي (خستگي جنسي، تمايل جنسي، احقاق جنسي، ناكامي ‌در روابط جنسي) موثر بوده است و اين تاثير تا 3 ماه بعد از مداخله نيز تاثير خود را حفظ كرده است. نتيجه‌گيري: بر اساس يافته هاي اين مطالعه، مدل مشاوره‌اي زوجي بر افزايش معناداري در عملكرد جنسي اين زنان موثر بوده است و با توجه به كيفيت پايين زندگي اين افراد نيز پيشنهاد مي‌گردد در انجمن‌هاي حمايت از ديابت نيز از اين آموزش استفاده شود.

Introduction: Diabetes can adversely affect reproductive health in many ways. What doubles the importance of attention to this disease, especially in our country, is the growing trend of diabetics, especially in recent years. Often, women in their 20s and 40s, at the peak of their reproductive activity, are affected by the severity of the disease, and since one of the most important concerns of women with diabetes is sexual function, this study aimed to determine the impact Couple counseling intervention based on BETTER model on sexual function (sexual fatigue, sexual desire, sexual orientation, sexual dysfunction) in women with type 1 diabetes. Methods: The present study was a quantitative randomized clinical trial study with RCT control group. The study population consisted of all married women with type 1 diabetes in the city of Hamadan who had a history of diabetes in the community. Forty individuals were randomly selected and divided into two experimental and control groups. FSFI, FSS, Holbert HISD Sexual Desire Questionnaire, and Holbert HISA Sexual Abuse Questionnaire were answered pre-test, 2 and 3 months after the intervention and intervention group; Minutes were trained according to the BETTER model and the control group was not trained during this period, An analysis of the findings of the quantitative study of descriptive statistics, frequency tables were used for providing information. Depending on the type of data, chi-square and -test Independent t tests were used to examine groups in terms of demographic variables, midwifery history and clinical characteristics of type 1 diabetes. Repeated measures test was used to evaluate the sexual function and satisfaction of the two groups at different times during the study. Analyzes were performed with Intention to treat and significance level P <0.05, using SPSS software version 25. Results: The results showed that couple counseling based on BETTER model was effective on sexual function (sexual fatigue, sexual desire, sexual orientation, failure in sexual intercourse) and this effect retained its effect for 3 months after intervention. Conclusion: Based on the findings of this study, the couples counseling model based on the BETTER model has been effective in significantly increasing the sexual function of these women and considering their poor quality of life, it is suggested to use this training in diabetes support associations as well. In addition to the interventions of the present study, psychosocial and multidisciplinary interventions with a larger sample size should be considered.