The Effect of Information Motivation Behavioural Skills (IMB) Model Based Postpartum Sexual Counselling on Sexual Health of Women

Year 2024, Volume: 6 Issue: 1, 150 - 161, 25.04.2024

Resmiye Özdilek , Anahit Coşkun

https://doi.org/10.46413/boneyusbad.1416986

Abstract

Aim: The aim of this study was to determine the effect of postpartum sexual counseling provided using the Information-Motivation-Behavior (IMB) model on women's sexual health.
Materials and Method: This semi-experimental study was completed with 105 people, including 55 postpartum women in the experimental group and 50 people in the control group. Postpartum sexual counseling based on Information-Motivation-Behavioral skills was given to the women in the experimental group.The Female Sexual Function Questionnaire Index (IFSF), Edinburgh Postpartum Depression Scale (EPDS), and Body Image Scale (BCS) were used to obtain the data.
Results: In the repeated measurements of the experimental group made in the 2nd and 4th months postpartum; It was determined that the IFSF total score and Sexual Satisfaction subscale scores were higher than the control group and the difference between them was statistically significant. In the 4th month postpartum, the EPDS scores of the experimental group were significantly lower. BCS scores were found to be lower in the experimental group than the control group at the 2nd and 4th months.
Conclusion: It was determined that postpartum sexual counseling using the IMB model positively affected women's sexual health.

Keywords

Postpartum sexuality, Sexual counselling, IMB Model

IMB Model Temelli Postpartum Cinsel Danışmanlığın Kadın Cinsel Sağlığına Etkisi

Abstract

Amaç: Bu çalışmanın amacı, Bilgilendirme-Motivasyon-Davranış (IMB) modeli kullanılarak verilen doğum sonrası cinsel danışmanlığın kadın cinsel sağlığına etkisini belirlemekti.
Gereç ve Yöntem: Yarı deneysel olan bu çalışma, deney grubunu oluşturan 55 lohusa kadın ve kontrol grubunu oluşturan 50 kişi olmak üzere 105 kişi ile tamamlandı. Deney grubunda yer alan kadınlara Bilgilendirme-Motivasyon-Davranış becerileri temelli postpartum cinsel danışmanlık verildi. Verilerin elde edilmesinde Kadın Cinsel Fonksiyon Sorgulama İndeksi (IFSF), Edinburgh Postpartum Depresyon Ölçeği (EPDS), Vücut Algısı Ölçeği (BCS) kullanıldı.
Bulgular: Deney grubunun postpartum 2. ve 4. ayda yapılan tekrarlayan ölçümlerinde; IFSF toplam puanı ve Cinsel Doyum alt boyut puanlarının kontrol grubundan yüksek olduğu ve arasındaki farkın istatistiksel olarak ileri düzeyde anlamlı olduğu belirlendi. Postpartum 4. ayda deney grubunun EPDÖ puanları anlamlı şekilde düşüktü. BCS puanları deney grubunda 2. ay ve 4. ayda kontrol grubuna göre düşük olarak saptandı.
Sonuç: Doğum sonrası IMB modeli kullanılarak verilen cinsel danışmanlığın kadın cinsel sağlığını olumlu etkilediği belirlendi.

Keywords

Postpartum cinsellik, Cinsel danışmanlık, IMB modeli

References

• Asadi, M., Noroozi, M., Alavi, M. (2022). Identifying women’s needs to adjust to postpartum changes: a qualitative study in Iran. BMC Pregnancy and Childbirth, 22(1), 1–10. https://doi.org/10.1186/s12884-022-04459-8
• Bertozzi, S., Londero, A. P., Fruscalzo, A., Driul, L. (2010). Prevalence and risk factors for dyspareunia and unsatisfying sexual relationships in a Cohort of Primiparous and Secondiparous Women After 12 Months Postpartum International Journal of Sexual Health, 22(47), 37–41. https://doi.org/10.1080/19317610903408130
• Beydokhti, T. B., Dehnoalian, A., Moshki, M., Akbary, A. (2021). Effect of educational- counseling program based on precede-proceed model during pregnancy on postpartum depression. Nursing Open, 8(4), 1578–1586. https://doi.org/10.1002/nop2.770
• Chayachinda, C., Titapant, V., Ungkanungdecha, A. (2015). Dyspareunia and sexual dysfunction after vaginal delivery in thai primiparous women with episiotomy. Journal of Sexual Medicine, 12(5), 1275–1282. https://doi.org/10.1111/jsm.12860
• Erbil, N., Senkul, A., Başara, G. F., Sağlam, Y., Gezer, M. (2012). Body image among Turkish women during the first year postpartum. Health Care for Women International, 33(2), 125–137. https://doi.org/10.1080/07399332.2011.603977
• Faisal-Cury, A., Huang, H., Chan, YF., Menezes, P.R. (2013). The relationship between depressive/anxiety symptoms during pregnancy/postpartum and sexual life decline after delivery. Journal of Sexual Medicine, 10(5), 1343–134. https://doi.org/10.1111/jsm.12092
• Lee, J., Tsai, J. (2012). Transtheoretical Model-based postpartum sexual health education program ımproves women’s sexual behaviors and. International Society for Sexual Medicine, 7(3), 125–130. https://doi.org/10.1111/j.1743-6109.2011.02419.x
• Fisher, C. M. (2012). Adapting the information-motivation-behavioral skills model: predicting HIV-related sexual risk among sexual minority youth. Health Education & Behavior : The Official Publication of the Society for Public Health Education, 39(3), 290–302. https://doi.org/10.1177/1090198111406537
• Geuens, S.,Vermeulen, J. (2023). From Midwifery competencies on sexual wellbeing to teaching and training midwives on sexuality. In Midwifery and Sexuality. https://doi.org/10.1007/978-3-031-18432-1_27
• Grajek, M., Krupa-Kotara, K., Grot, M., Kujawińska, M., Helisz, P., Gwioździk, W…Kobza, J. (2022). Perception of the body ımage in women after childbirth and the specific determinants of their eating behavior: cross-sectional study (Silesia, Poland). International Journal of Environmental Research and Public Health, 19(16), 1–14. https://doi.org/10.3390/ijerph191610137
• Ho, S. M., Heh, S. S., Jevitt, C. M., Huang, L. H., Fu, Y. Y., Wang, L. L. (2009). Effectiveness of a discharge education program in reducing the severity of postpartum depression. A randomized controlled evaluation study. Patient Education and Counseling, 77(1), 68–71. https://doi.org/10.1016/j.pec.2009.01.009
• Johnson, C. E. (2011). Sexual Health during Pregnancy and the Postpartum. J Sex Med, 8, 1260–1285. https://doi.org/10.1111/j.1743-6109.2011.02223.x
• Kaplan, SA., Reıs, RB., Kohn. IJ., Ikeguchı, EF., Laor, E., Te, AE.,… Martıns A. (1999). Safety and effıcacy of sıldenafıl ın postmenopausal women wıth sexual dysfunction. Urology, 53 (3), https://doi.org/10.1016/s0090-4295(98)00633-5
• Karacam Z. (2011). Sexual problems in women during the first postpartum year and related conditions. Sexualıty and Health, 21, 929–937. https://doi.org/10.1111/j.1365-2702.2011.03882.x
• Komurcu, N., Demirci, N., Yildiz, H., Gün, Ç. (2014). A View of sexuality from nursing journals i n turkey: a literature review. a view of sexuality from nursing journals in turkey: a literature review. Journal of Education And Research In Nursing, 11(1), 9–17.
• Lee, J., Tsai, J. (2012). Transtheoretical model-based postpartum sexual health education program ımproves women’ s sexual behaviors and. J Sex Med, 9, 986–996. https://doi.org/10.1111/j.1743-6109.2011.02419.x
• Mete S. (2008). Women's health; women and sexuality. In women's health. (pp. 110-123.).
• Moel, J. E., Buttner, M. M., Hara, M. W. O., Stuart, S., Gorman, L. (2010). Sexual function in the postpartum period : effects of maternal depression and interpersonal psychotherapy treatment. Arch Womens Ment Health, 13, 495–504. https://doi.org/10.1007/s00737-010-0168-0
• Moshki, M., Beydokhti, T. B., Cheravi, K. (2013). The effect of educational intervention on prevention of postpartum depression : an application of health locus of control. Journal of Clinical Nursing, 23(15–16), 2256–2263. https://doi.org/10.1111/jocn.12505
• Musavi, M., Rahimzadeh, M., Tabaghdeh, M. H., Saeieh, S. E. (2024). The effect of sexual education on the postpartum women’s sexual self-confidence and self-efficacy: a theory-based intervention. BMC Pregnancy and Childbirth, 24(1), 1–8. https://doi.org/10.1186/s12884-024-06255-y
• Ogallar-Blanco, A. I., Lara-Moreno, R., Godoy-Izquierdo, D. (2022). Going beyond “with a partner” and “ıntercourse”: does anything else ınfluence sexual satisfaction among women? the sexual satisfaction comprehensive ındex. International Journal of Environmental Research and Public Health, 19(16). https://doi.org/10.3390/ijerph191610232
• Olsson, A., Robertson, E., Falk, K., Nissen, E. (2011). Assessing women’s sexual life after childbirth: the role of the postnatal check. Midwifery, 27(2), 195–202. https://doi.org/10.1016/j.midw.2009.04.003
• Sahin N. (2009). Sexual life in women in the postpartum period. Zeynep Kamil Medical Bulletin, 40(3), 125–130.
• Sayyadi, F., Golmakani, N., Ebrahimi, M., Saki, A., Karimabadi, A., Ghorbani, F. (2019). Determination of the effect of sexual assertiveness training on sexual health in married women: A randomized clinical trial. Iranian Journal of Nursing and Midwifery Research, 24(4), 274–280. https://doi.org/10.4103/ijnmr.IJNMR_51_17
• Serati, M., Salvatore, S., Siesto, G., Cattoni, E., Zanirato, M., Khullar… Bolis, P. (2010). Female sexual function during pregnancy and after childbirth. The Journal of Sexual Medicine, 7(8), 2782–2790. https://doi.org/10.1111/j.1743-6109.2010.01893.x
• Sezer, N. Y. (2013). Knowledge and attitudes of fourth-year midwifery and nursing students regarding postpartum sexual health management. Ankara Health Sciences Journal, 1(3), 165–181.
• Smith, L. R., Fisher, J. D., Cunningham, C. O., Amico, K. R. (2012). Understanding the Behavioral Determinants of Retention in HIV Care: A Qualitative Evaluation of a Situated Information, Motivation, Behavioral Skills Model of Care Initiation and Maintenance. AIDS Patient Care and STDs, 26(6), 344–355. https://doi.org/10.1089/apc.2011.0388
• Wang, Z., Liu, J., Shuai, H., Cai, Z., Fu, X., Liu, Y… Yang, B. X. (2021). Mapping global prevalence of depression among postpartum women. Translational Psychiatry, 11(1), 1–24. https://doi.org/10.1038/s41398-021-01663-6
• WHO. (2013). Postnatal care of the mother and newborn 2013. World Health Organization, 1–72. https://doi.org/978 92 4 150664 9
• Wubetu, A. D., Engidaw, N. A., Gizachew, K. D. (2020). Prevalence of postpartum depression and associated factors among postnatal care attendees in Debre Berhan, Ethiopia, 2018. BMC Pregnancy and Childbirth, 20(1), 1–9. https://doi.org/10.1186/s12884-020-02873-4
• Yildiz, H., Kucuksahin, N. (2011). Postpartum problems and care needs of mothers living in rural area. Turkish Journal of Family Medicine, 15(4), 159–166. https://doi.org/10.2399/tahd.11.159
• Yılmaz, C., Eryılmaz, H. (2004). Kadın cinsel fonksiyon sorgulama indeksinin (IFSF) geçerlik- güvenirlik çalışması. Androloji Bülteni, 18, 275–276.