Efficacy of sexual counseling based on PLISSIT model on sexual functioning in women with polycystic ovarian syndrome

Background and purpose: Women with Polycystic Ovarian Syndrome (PCOS) suffer from sexual dysfunction that is largely ignored in health clinics. This study was conducted to assess the efficacy of Permission, Limited Information, Specific Suggestion, Intensive Therapy (PLISSIT) model on sexual function of women with PCOS.. Materials and methods: This randomized clinical trial was performed in 66 women with PCOS aged 18-45 years old. They were divided into intervention and control groups (n=33 per group). Four weekly sessions of one hour individual counseling based on PLISSIT model were performed for the intervention group, while the control group received only routine care. Female Sexual Functioning Index questionnaire was completed at pre-test, and one month and three months after that in both groups. Data analysis was done applying Friedman, Mann-Whitney U, and Wilcoxon tests. Results: There were homogeneity in subjects� mean age (29.26±5.96), educational level (12.02±2.65) and BMI (25.95±3.67). Also, the two groups were similar in terms of symptoms including hirsutism, acne, alopecia, infertility and menstrual status. The mean scores for sexual functioning were 20.39±2.56, 24.40±4.70 and 23.73±1.26 at pre-test, after the intervention, and follow-up in intervention group, respectively (P<0.001), but no significant differences were seen between the scores of the control group (P=0.405).Also, the scores for lubrication were not significantly different between the two groups at post-intervention (P=0.245) and follow-up (P=0.423). Conclusion: The PLISSIT model improved sexual functioning in women with PCOS, therefore, it could be recommended as an assessment and management tool in investigating sexual problems at early stages in this group of women. © 2019, Mazandaran University of Medical Sciences. All rights reserved

Effects of home visit on perceived social support of mothers and the continuation of exclusive breastfeeding: A randomized clinical trial study

Introduction: Exclusive breastfeeding does not continue until six months in many places. It is seem, many factors are involved. The interventions for increase mothers� social support during breastfeeding could be effective. The aim of this study was to examine effect of home visit on social support and the continuity exclusive breastfeeding in Bokan city from kurdestan province. Materials and Methods: In this research, 108 mothers which have 3-5 day�s old neonates that were referred to 8 health care centers of Bokan (Iran). They were entered into the study by random allocation using randomized block design and were divided into intervention and control groups. The intervention consisted of six home-based training programs of about 30 minutes. The instruments used included demographic questionnaire and midwifery history, perceived social support tool of Zimet, and a researcher-made questionnaire on exclusive breastfeeding. Results: Most mothers in the intervention group continued exclusive breastfeeding until the fourth month, and the majority in the control group continued exclusive breastfeeding until the first and second months. In general, the mean number of breastfeeding months in the intervention group was 3.15±1.01 months and in the control group 1.71±0.906 months. Also, most people in the intervention group (76) had more than 8 times breastfeeding per day, while most mothers in the control group (88) had less than 8 times breastfeeding. Mothers� perception social support score were not significant difference in two groups. Conclusion: Home visit and follow-ups have led to a long-term exclusive breastfeeding and more often overnight, so it's possible to set up such plans to enhance breastfeeding status. Home visit did not effect on mothers� perceive social support and fathers� attitude. It is seem to need future further interventions in this field with long time follow up and qualitative study with influence in deep layer in culture people in Bokan city. © 2020, Semnan University of Medical Sciences. All rights reserved