The Effect of Post-Operative Sexual Counseling Carried out with PLISSIT Model on Sexual Function and Sexual Satisfaction in Gynecologic Cancers

Yıl 2023, Cilt: 13 Sayı: 3, 623 - 629, 11.09.2023

Çiğdem Bilge , Ergül Aslan

https://doi.org/10.33808/clinexphealthsci.1169795

Öz

Objective: This study aims to determine the effect of sexual counseling on the sexual functions and sexual satisfaction of women who underwent surgical treatment due to gynecologic cancer.
Methods: The study sample consisted of 60 women (experimental group n = 30, control group n = 30) with ovarian, endometrial, and cervical cancer. The women in the experimental group received sexual counseling according to PLISSIT, while the women in the control group were not given sexual counseling but were monitored through routine follow-up. The Female Sexual Function Index (FSFI) and the Sexual Satisfaction Scale for Women (SSS-W) were used for the first and last evaluations of the groups.
Results: The mean age of the women in the experimental group was 51.87 ± 8.89, while it was 50.47 ± 9.43 in the control group. There was no significant difference between the two groups in terms of sexual function and sexual satisfaction levels in the first evaluation (p>.05), whereas there was a significant difference between the two groups in the final evaluation after the sexual counseling provided to the experimental group (p < .001). When the first and final evaluations of the women were considered, it was observed that 33.3% of the women in the experimental group had adequate sexual functioning in the final evaluation.
Conclusion: The sexual counseling carried out using the PLISSIT model for women who were treated for gynecologic cancer positively affected their sexual function and sexual satisfaction levels.

Anahtar Kelimeler

cancer, gynecologic surgery, sexuality, sex counseling, sexual dysfunction

Teşekkür

We would like to thank to Prof. Dr. Samet TOPUZ and the personnel of the Oncology Clinic in which the study was carried out for their support in planning and execution of this study.

Kaynakça

• Souza DC, Santos AVSL, Rodrigues ECG, Dos Santos MA. Experience of sexuality in women with gynecological cancer: meta-synthesis of qualitative studies. Cancer Invest. 2021;39(8):607-620. DOI: 10.1080/07357907.2021.1912079.
• Serçekuş AP, Partlak GN, Göral TS, Özkan S. Sexuality in muslim women with gynecological cancer. Cancer Nurs. 2020;43(1):E47-E53. DOI:10.1097/NCC.0000000000000667.
• Yarandi F, Montazeri A, Shirali E, Mohseni M, Fakehi M, Ghaemi M. Sexual quality of life in gynecological cancer survivors in Iran. Asian Pac J Cancer Prev. 2021;22(7):2171-2175. DOI: 10.31557/APJCP.2021.22.7.2171.
• Driessen KAJ, Rooij DBH, Vos MC, Boll D, Pijnenborg JMA, Hoedjes M, Beijer S, Ezendam NPM. Cancer-related psychosocial factors and self-reported changes in lifestyle among gynecological cancer survivors: Cross-sectional analysis of profiles registry data. Support Care Cancer 2022;30(2):1199-1207. DOI: 10.1007/s00520-021-06433-0.
• Huang HY, Tsai WC, Chou WY, Hung YC, Liu LC, Huang KF, Wang WC, Leung KW, Hsieh RK, Kung PT. Quality of life of breast and cervical cancer survivors. BMC Womens Health 2017;17(1):30-33. DOI:10.1186/s12905-017-0387-x.
• Kumar A, Nesbitt KM, Bakkum-Gamez JN. Quality improvement in gynecologic oncology: Current successes and future promise. Gynecol Oncol. 2019;152(3):486-491. DOI:10.1016/j.ygyno.2018.10.046.
• Parsa P, Tabesh RA, Soltani F, Karami M. Effect of group counseling on quality of life among postmenopausal women in Hamadan, Iran. J Menopausal Med. 2017;23(1):49-55. DOI: 10.6118/jmm.2017.23.1.49.
• Stabile C, Goldfarb S, Baser RE, Goldfrank DJ, Abu-Rustum NR, Barakat RR, Dickler MN, Carter J. Sexual health needs and educational intervention preferences for women with cancer. Breast Cancer Res Treat. 2017;165(1):77-84. DOI:10.1007/s10549-017-4305-6.
• Nho JH. Effect of PLISSIT model sexual health enhancement program for women with gynecologic cancer and their husbands. J Korean Acad Nurs. 2013;43(5):681-689. DOI:10.4040/jkan.2013.43.5.681.
• Tuncer M, Oskay ÜY. Sexual counseling with the PLISSIT Model: A systematic review. J Sex Marital Ther. 2022;48(3):309-318. DOI:10.1080/0092623X.2021.1998270.
• Rosen R, Brown C, Heiman J, Leiblum S, Meston C, Shabsig R, Ferguson D, D'Agostino R. The Female Sexual Function Index (FSFI): A multidimensional self-report instrument for the assessment of female sexual function. J Sex Marital Ther. 2000;26(2):191-208. DOI:10.1080/009262300278597.
• Öksüz E, Malhan S. Kadın Cinsel Fonksiyon İndeksi Türkçe uyarlamasının geçerlilik ve güvenilirlik analizi. Sendrom 2005;17(7):54-60. (Turkish).
• Wiegel M, Meston C, Rosen R. The Female Sexual Function Index (FSFI): cCoss-validation and development of clinical cutoff scores. J Sex Marital Ther. 2005;31(1):1-20. DOI: 10.1080/00926230590475206.
• Meston C, Trapnell P. Development and validation of a five-factor sexual satisfaction and distress scale for women: the Sexual Satisfaction Scale for Women (SSS-W). Sex Med. 2005;2(1):66-81. DOI: 10.1111/j.1743-6109.2005.20107.x.
• Abali CS, Aslan E. Validity and reliability of the Turkish version of the Sexual Satisfaction Scale for Women. Sexuality & Culture 2018;22:881-893. DOI:10.1007/s12119-018-9499-1.
• Marchand GJ, Meassick KS. Advanced sexual counseling and how to ask patients about "intimate disclosure". Int J Womens Health. 2020;12:1105-1108. DOI:10.2147/IJWH.S256250.
• Kennedy V, Abramsohn E, Makelarski J, Barber R, Wroblewski K, Tenney M, Lee NK, Yamada SD, Lindau ST. Can you ask? We just did! Assessing sexual function and concerns in patients presenting for initial gynecologic oncology consultation. Gynecol Oncol. 2015;137(1):119-124. DOI: 10.1016/j.ygyno.2015.01.451.
• Baser RE, Li Y, Carter J. Psychometric validation of the Female Sexual Function Index (FSFI) in cancer survivors. Cancer 2012;118(18):4606-4618. DOI: 10.1002/cncr.26739.
• Tucker PE, Bulsara MK, Salfinger SG, Tan JJ, Green H, Cohen PA. Prevalence of sexual dysfunction after risk-reducing salpingo-oophorectomy. Gynecol Oncol. 2016;140(1):95-100. DOI:10.1016/j.ygyno.2015.11.002.
• Ye S, Yang J, Cao D, Zhu L, Lang J, Chuang LT, Shen K. Quality of life and sexual function of patients following radical hysterectomy and vaginal extension. J Sex Med. 2014;11(5):1334-1342. DOI: 10.1111/jsm.12498.
• Chun N. Effectiveness of PLISSIT model sexual program on female sexual function for women with gynecologic cancer. J Korean Acad Nurs. 2011;41(4):471-480. DOI:10.4040/jkan.2011.41.4.471.
• Malakouti J, Golizadeh R, Mirghafourvand M, Farshbaf-Khalili A. The effect of counseling based on ex-PLISSIT model on sexual function and marital satisfaction of postpartum women: A randomized controlled clinical trial. J Educ Health Promot. 2020;30(9):284-289. DOI: 10.4103/jehp.jehp_168_20.
• Khakbazan Z. Daneshfar F, Behboodi-Moghadam Z, Nabavi SM, Ghasemzadeh S, Mehran A. The effectiveness of the permission, limited information, specific suggestions, intensive therapy (PLISSIT) model based sexual counseling on the sexual function of women with multiple sclerosis who are sexually active. Mult Scler Relat Disord. 2016;8:113-119. DOI: 10.1016/j.msard.2016.05.007.