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IRCT20230507058109N1 IRCT 2023-07-15 Oroumia University of Medical Sciences Investigating the effect of psycho-sexual counseling based on the Schover model on the Sexual self-concept and sexual distress of hysterectomy women Investigating the effect of psycho-sexual counseling based on the Schover model on the Sexual self-concept and sexual distress of hysterectomy women 2023-05-19 anticipated 100 Complete https://irct.ir/trial/70193 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Education/Guidance, Randomization description: Using the random allocation method (envelope), the final participants are divided into two test groups (50 people) and control (50 people). For random allocation, 100 envelopes are placed inside the box, 50 of these envelopes contain the number 1 and the other 50 contain the number 2. The participants choose one of the envelopes in the pack, if they choose the envelope containing the number 1. Enter the intervention group and if the envelope contains the number 2, enter the control group. N/A Hysterectomy women. Intervention 1: Intervention group: hysterectomized women, psycho-sexual counseling based on the Skover model during 4 weekly sessions of 90-120 minutes, the content of these sessions will include: evaluation of activity, performance and sexual relations, evaluation of concomitant diseases, mental , disabilities and examining the skills to deal with these challenges and treatments received.. Also, hysterectomy description and psychological and sexual consequences, examination of common sexual problems after hysterectomy (decrease in the frequency of sexual activity, decrease in vaginal moisture, decrease in sexual satisfaction, decrease Sexual desire and stimulation, inability to reach orgasm, pain during intercourse, change in sensation (numbness, pain or itching), change in reaching orgasm after hysterectomy, change in body function or mental image of the body following removal of the uterus, complications side related to disease or treatment), assessment of common psychological factors after hysterectomy (distorted body image, anxiety, depression, anger, impaired sense of femininity following loss of uterus and fertility, fear of injury and loss Other organs or exacerbation of the current situation, lack of coping skills, history of sexual, emotional or psychological abuse in the past, wrong cultural-social beliefs and superstitions of pre-existing sexual patterns), familiarity with sexual function and internal and external male organs and Woman, getting to know the pattern of sexual response, describing the physiological changes of men and women during sexual activity, definitions of sexual desire, arousal, slippage, climactic climax, answering possible questions of clients, evaluating communication factors after hysterectomy (change in personal or professional roles E. Difficulties in communication, decrease in the quality of communication with a life partner, difficulty in maintaining intimacy, lack of a life partner, social determinants in relation to self-care (recommendation from others), lack of suitable conditions for establishing a private environment based on life conditions. - Clarifying and clarifying expectations, correcting misconceptions and superstitions about sex, techniques for writing down needs and expectations from sex, solutions to deal with psychological-sexual changes after surgery - providing necessary information and training about sensory focus techniques, Advice on stretching exercises and pelvic floor exercises to improve sexual function, suitable positions to reduce pain during intercourse, ways to reduce vaginal irritation and irritation, available treatments to reduce vaginal dryness and urinary incontinence, nutritional recommendations, sleep hygiene education and performing stretching and sports exercises and recommending daily walks, sleep and bedroom hygiene, explaining the components of Sternberg's love triangle - explaining the role of commitment, love and intimacy in an effective relationship with a spouse, familiarizing and emphasizing the importance of flirting and behaviors after marriage Intercourse, helping to maintain the verbal and emotional relationship with the spouse and emphasizing the importance of flirting and making love, examining the determining factors in the quality of relationships, teaching creation skills and maintaining intimacy (counseling to improve the way of talking, listening empathetically and sharing feelings in creating intimacy), finding the roots of situational/pervasive sexual desire reduction and providing a solution.. It should be noted that the content of counseling and providing information during group counseling will be advanced based on the needs and demands of the group members. Intervention 2: Control group: Hysterectomy women, these people are not given any counseling, but after the end of the intervention, an educational package is provided to them. Yes - There is a plan to make this available What will be shared: Only part of the data is shared When: 6 months after the results are published To whom: researchers Conditions: For research work Where to obtain: Email How to obtain: Email me Comments:
public Zeinab Maloum
Zaker St
Urmia Iran (Islamic Republic of) 6257757168 +98 939 800 7443 zeinab.maloom75@yahoo.com Oroumia University of Medical Sciences scientific Zeinab Maloum
Zaker
Urmia Iran (Islamic Republic of) 6257757168 +98 61 3552 1720 zeinab.maloom75@yahoo.com Oroumia University of Medical Sciences Iran (Islamic Republic of) 1- Be of reproductive age (18-49 years old) 6-3 months have passed since hysterectomy Subtotal and total hysterectomy without oophorectomy Have not gone through menopause before hysterectomy Be married and living His partnership with his wife should continue (not about to divorce) Not having chronic diseases such as mental disorders, physical disabilities, AIDS and hepatitis according to the patients themselves Hysterectomy due to benign indications Having at least one child Do not have vaginitis Do not have a history of vaginismus No addiction to psychoactive drugs or narcotics in couples 18 years 49 months Female 1- Absence of consent Participant does not want to continue the study Absence of even one of the counseling sessions Participant attends educational or sexual counseling sessions outside the study environment Lifestyle Lifestyle Intervention group: hysterectomized women, psycho-sexual counseling based on the Skover model during 4 weekly sessions of 90-120 minutes, the content of these sessions will include: evaluation of activity, performance and sexual relations, evaluation of concomitant diseases, mental , disabilities and examining the skills to deal with these challenges and treatments received.. Also, hysterectomy description and psychological and sexual consequences, examination of common sexual problems after hysterectomy (decrease in the frequency of sexual activity, decrease in vaginal moisture, decrease in sexual satisfaction, decrease Sexual desire and stimulation, inability to reach orgasm, pain during intercourse, change in sensation (numbness, pain or itching), change in reaching orgasm after hysterectomy, change in body function or mental image of the body following removal of the uterus, complications side related to disease or treatment), assessment of common psychological factors after hysterectomy (distorted body image, anxiety, depression, anger, impaired sense of femininity following loss of uterus and fertility, fear of injury and loss Other organs or exacerbation of the current situation, lack of coping skills, history of sexual, emotional or psychological abuse in the past, wrong cultural-social beliefs and superstitions of pre-existing sexual patterns), familiarity with sexual function and internal and external male organs and Woman, getting to know the pattern of sexual response, describing the physiological changes of men and women during sexual activity, definitions of sexual desire, arousal, slippage, climactic climax, answering possible questions of clients, evaluating communication factors after hysterectomy (change in personal or professional roles E. Difficulties in communication, decrease in the quality of communication with a life partner, difficulty in maintaining intimacy, lack of a life partner, social determinants in relation to self-care (recommendation from others), lack of suitable conditions for establishing a private environment based on life conditions. - Clarifying and clarifying expectations, correcting misconceptions and superstitions about sex, techniques for writing down needs and expectations from sex, solutions to deal with psychological-sexual changes after surgery - providing necessary information and training about sensory focus techniques, Advice on stretching exercises and pelvic floor exercises to improve sexual function, suitable positions to reduce pain during intercourse, ways to reduce vaginal irritation and irritation, available treatments to reduce vaginal dryness and urinary incontinence, nutritional recommendations, sleep hygiene education and performing stretching and sports exercises and recommending daily walks, sleep and bedroom hygiene, explaining the components of Sternberg's love triangle - explaining the role of commitment, love and intimacy in an effective relationship with a spouse, familiarizing and emphasizing the importance of flirting and behaviors after marriage Intercourse, helping to maintain the verbal and emotional relationship with the spouse and emphasizing the importance of flirting and making love, examining the determining factors in the quality of relationships, teaching creation skills and maintaining intimacy (counseling to improve the way of talking, listening empathetically and sharing feelings in creating intimacy), finding the roots of situational/pervasive sexual desire reduction and providing a solution.. It should be noted that the content of counseling and providing information during group counseling will be advanced based on the needs and demands of the group members. Control group: Hysterectomy women, these people are not given any counseling, but after the end of the intervention, an educational package is provided to them. Sexual self-concept. Timepoint: Before and one month after the intervention. Method of measurement: Sexual self-concept questionnaire. Oroumia University of Medical Sciences Approved 2023-05-19 Ethics Committee of Urmia University of Medical Sciences Zakir St Urmia West Azarbaijan Iran (Islamic Republic of)