Evlilik öncesi cinsel sağlik/üreme sağlığı eğitiminin yeni evli kadınların bilgi düzeyi ve evlilik uyumuna etkisi
Year 2020,
Volume: 45 Issue: 3, 899 - 909, 30.09.2020
Özlem Kaplan
,
Tülay Bülbül
Abstract
Amaç: Bu çalışma, evlilik öncesi Cinsel Sağlık/Üreme Sağlığı Eğitiminin yeni evli kadının bilgi düzeyi, evlilik uyumu ve cinsel memnuniyeti üzerindeki etkisini belirlemek amacıyla yapılmıştır.
Gereç ve Yöntem: Bu araştırma öntest-sontest kontrol gruplu desene dayanan deneysel bir araştırmadır. Çalışma 149 kadınla yapılmıştır.
Bulgular: Çalışmanın ön testinde, deney grubunun Cinsel Konular ile İlgili Bilgi Düzeyine İlişkin Değerlendirme Formu toplam puanı 65.19 ± 9.88, kontrol grubunun toplam puanı 63.33 ± 11.51 olup toplam puanların gruplar arasında benzer olduğu görülmüştür. Son test toplam puanının deney grubunda (74.08 ± 11.98) kontrol grubuna (62.33 ± 12.57) göre anlamlı derecede yüksek olduğu tespit edilmiştir. Deney ve kontrol gruplarındaki kadınların Evlilik Uyum Ölçeği, Golombok-Rust Cinsel Doyum Ölçeği - Kadın Formu ve Evliliğe Yönelik İnanç ve Tutumlar Ölçeği; Sağlık İnanç Modeli toplam puanları arasında ise istatistiksel olarak anlamlı bir fark bulunmamıştır.
Sonuç: Evlilik öncesi eğitimin kadınların cinsel konulardaki bilgi düzeylerinin artırılmasında etkili olduğu ancak dört aylık dönemde evlilik uyumlarını ve cinsel doyumlarını etkilemediği sonucuna varılmıştır.
Supporting Institution
Bu çalışma; Erciyes Üniversitesi Bilimsel Araştırma Projeleri Birimi tarafından desteklenmiştir
Project Number
TYL-2017-7467
References
- REFERENCES
1. Budak S. Psychology Dictionary. 3th ed. Ankara, TR: Science and Art Publications; 2005.
- 2. Vural BK, Temel AB. Belıefs and attıtudes towards marrıage: Analysıs of valıdıty and relıabılıty of health belıef model ınstrument for turkısh socıety. Journal of Ege University Nursing Faculty. 2007;23(2):31-50.
- 3. Kahraman Z. The effect of a marriage and family life education program to marital adjustment and family system for married women [PhD Thesis]. Istanbul, Marmara Üniversitesi, 2011.
- 4. Kayma Güneş D. To determinate the correlation between family relationship and problem solving abilities of the couples? who are at the process of divorce [PhD Thesis]. Ankara, Hacettepe Üniversitesi, 2007.
5. Gülsün M, Ak M, Bozkurt A. Marriage and sexuality from a psychiatric point of view. Current Approaches In Psychıatry. 2009;1(1): 68-79.
- 6. Cohen O, Finzi-Dottan R. Reasons for divorce and mental health following the breakup. Journal of Divorce & Remarriage. 2012;53(8): 581-601. doi:https://doi.org/10.1080/10502556.2012.719413
- 7. Abalı S. Considering the sexual life as a cause of divorce by women [PhD Thesis]. Istanbul, Marmara Üniversitesi, 2006.
- 8. Brezsnyak M, Whisman M. Sexual desire and relationship functioning: The effects of marital satisfaction and power. Journal Of Sex&Marital Therapy. 2004; 30(3):199-217. doi:https://doi.org/10.1080/00926230490262393.
- 9. Erbek E, Beştepe E, Akar H, Alpkan L, Eradamlar N. The association between sexuality and dyadic adjustment: A comparative study in three groups of couples. The Journal of Psychiatry and Neurological Sciences. 2005;18(2): 72-81.
- 10. Şen B. A group of fiance couples' who applied to get marry, the evaluations, idea and knowledge that are releated to the marriage and 'pre-marital couple education [PhD Thesis]. Ankara, Hacettepe Üniversitesi, 2009.
- 11. Öztürk CŞ, Arkar H. The relationships between marital adjustment and sexual satisfaction in married couples. Literatür Sempozyum. 2014;1(3):16-24.
- 12. Demir A. Evaluation of the knowledge of individuals related to sexually transmitted disease, family planning methods and baby care before marriage [PhD Thesis]. Edirne, Trakya Üniversitesi, 2013.
- 13. Turkish Statistical Institute (TSIP). Evlenme ve Boşanma İstatistikleri [Internet].
- http://www.tuik.gov.tr/PreHaberBultenleri.do?id=24642. Published March 2017. Accessed 25 February 2018.
- 14. Wong LP. Qualitative inquiry into premarital sexual behaviours and contraceptive use among multiethnic young women: implications for education and future research. Plos One. 2012;7:12. doi:https://doi.org/10.1371/journal.pone.0051745.
- 15. Ghodsi Z, Hojjatoleslami SA. Survey on use of methods and knowledge about contraceptive in married women. Procedia-Social And Behavioral Sciences. 2012;46:3031-3035. doi:https://doi.org/10.1016/j.sbspro.2012.06.004.
- 16. Moodi M, Miri MR, Sharifirad R. The effect of instruction on knowledge and attitude of couples attending pre-marriage counseling classes. Journal of Education and Health Promotion. 2013;2:52. doi:https://dx.doi.org/10.4103%2F2277-9531.119038.
- 17. Hacettepe University Institute of Population Studies (TDHS). Turkey Demographic and Health Survey [Internet].
http://www.hips.hacettepe.edu.tr/eng/TDHS_2013_main.report.pdf. Published November 2014. Accessed 30 January 2017.
- 18. Deniz Ü, Kurt M, Önder Ö, Acuner A. The views of university students on sexually transmitted infections. Journal of HIVAIDS. 2004; 7(2);6368.
- 19. 19. Khan MA, Rahman M, Khanam PA, Khuda B, Kane TT, Ashraf A. Awareness of sexually transmitted disease among women and service providers in rural Bangladesh. International Journal of STD & AIDS. 2015;8:688- 696. doi:https://doi.org/10.1258/0956462971919066
- 20. Şükür N. The effect of womens productive attitude of reproductive system for having vaginal douching [PhD Thesis]. İstanbul, Haliç Üniversitesi, 2012.
- 21. Kırmızıgül Eİ. Opinions on marriage and reproductive health knowledge and requirements of the couples to be married [PhD Thesis]. Ankara, Yıldırım Beyazıt Üniversitesi, 2014.
- 22. Metin Z. The levels of knowledge of the senior University students in terms of sexual and reproductive health. [PhD Thesis]. İstanbul, Okan Üniversitesi, 2015.
- 23. Stanley H, Bartle-Haring S, Day RD, Gangamma R. Couple communication, emotional and sexual intimacy, and relationship satisfaction. Journal of Sex & Marital Therapy. 2014;40(4): 275–293.
doi:https://doi.org/10.1080/0092623X.2012.751072
- 24. Sullivan TK, Pasch L, Cornelıus T, Cirigliano E. Predicting participation in premarital prevention programs: The health belief model and social norms, family process. Health and Medical Complete. 2004; 43(2):175-193. doi:https://doi.org/10.1111/j.1545-5300.2004.04302004.x
- 25. Tuğrul C, Öztan N, Kabakçı E. Standardization of Golombok-Rust Sexual Satisfaction Inventory. Turkish Journal of Psychiatry. 1993;4(2): 83-88.
- 26. Kışlak Tutarel Ş. Reliability and validity of the marital adjustment test (MAT). Journal of 3P. 1999;7(1): 50-57.
27. Doğan S, Varol Saraçoğlu G. The assessment of sexual knowledge, marital characteristics, sexual function and satisfaction in women with lifelong vaginismus. Balkan Medical Journal. 2009;26(2):151-158.
- 28. Kısa S, Zeyneloğlu S, Yılmaz D, Verim E. Knowledge and beliefs related to sexuality of couples doing marriage preparation. TAF Prev Med Bull. 2013;12(3):297-306. doi:https://dx.doi.org/10.5455/pmb.1-1341926050
- 29. Audu BM, Yahya SJ, Bassi A. Knowledge, attitude and practice of natural family planning methods in a population with poor utilisation of modern contraceptives. Journal of Obstetrics and Gynaecology. 2006;26(6): 555-560. doi:https://doi.org/10.1080/01443610600811482
- 30. Doherty WJ, Anderson JR. Community marriage ınitiatives. Family Relations. 2004;53(5): 425-432.
- 31. Stanley SM, Amato PR, Johnson CA, Markman HJ. Premarital education, marital quality and marital stability: findings from a large, random household survey. Journal of Family Psychology. 2006;20(1): 117-126. doi:https://doi.org/10.1037/0893-3200.20.1.117
- 32. Sehat F, Sehat N, Shahsiah M, Mohebi S, Abaraie Y. The effect of sex education on sexual satisfaction increase of couples' in Isfahan. Life Sci J . 2013;10(5): 31-35.
- 33. Khazaeia M, Rostamib R, Zaryabic A. The relationship between sexual dysfunctions and marital satisfaction in Iranian married students procedia. Social and Behavioral Sciences. 2011;30:783-785. doi:https://doi.org/10.1016/j.sbspro.2011.10.152
- 34. Canel NA. Problem solving in family, marital satisfaction and evaluation of a group work case [PhD Thesis]. Istanbul, Marmara Üniversitesi, 2007.
- 35. Wilmoth J. A survey of marriage preparation provided by assemblies of god pastors in Oklohoma. Journal of Sex and Marital Therapy. 2004;2(5): 20-33.
- 36. Eroğlu Ş. Comparison of women married under 20 years old and over 20 years old in terms of their life satisfaction, marital adjustment, and sexual satisfaction [PhD Thesis]. Ankara, Beykent Üniversitesi, 2017.
- 37. Ayatollahi M. An investigation of the predictive role of demographic and psychological variables on sexual satisfaction [PhD Thesis]. Ankara, Ankara Üniversitesi, 2014.
- 38. Gölbaşı Z. The effectiveness of school-based reproductive health education for adolescent girls [PhD Thesis]. Ankara, Hacettepe Üniversitesi, 2002.
Effect of the premarital sexual health/reproductive health training on knowledge level and marital adjustment of the newly married women
Year 2020,
Volume: 45 Issue: 3, 899 - 909, 30.09.2020
Özlem Kaplan
,
Tülay Bülbül
Abstract
Purpose: This study was conducted in order to determine the effect of the premarital Sexual Health/Reproductive Health Training on the knowledge level, marital adjustment and sexual satisfaction of the newly married woman.
Materials and Methods: This study was an experimental study based on the design of pretest-posttest with control group. The study was performed with 149 women.
Results: In the pretest measurements of the study, total score of The Assessment Form on Sexual Knowledge Level of the experimental group was 65.19 ± 9.88 and total score of The Assessment Form on Sexual Knowledge Level of the control group was 63.33 ± 11.51, and it is observed that total scores were similar between the groups. It was determined that the posttest total score was significantly higher in the experimental group (74.08 ± 11.98) compared to the control group (62.33 ± 12.57). It was determined that Marital Adjustment Scale, Golombok Rust Inventory of Sexual Satisfaction and The Marital Beliefs and Attitudes Scale; Health Belief Model total scores of the women in the experimental and the control groups did not show a statistically significant difference.
Conclusion: The training was effective in increasing the knowledge levels of the women on sexual matters but it did not affect their marital adjustment and sexual satisfaction in a four-month period.
Project Number
TYL-2017-7467
References
- REFERENCES
1. Budak S. Psychology Dictionary. 3th ed. Ankara, TR: Science and Art Publications; 2005.
- 2. Vural BK, Temel AB. Belıefs and attıtudes towards marrıage: Analysıs of valıdıty and relıabılıty of health belıef model ınstrument for turkısh socıety. Journal of Ege University Nursing Faculty. 2007;23(2):31-50.
- 3. Kahraman Z. The effect of a marriage and family life education program to marital adjustment and family system for married women [PhD Thesis]. Istanbul, Marmara Üniversitesi, 2011.
- 4. Kayma Güneş D. To determinate the correlation between family relationship and problem solving abilities of the couples? who are at the process of divorce [PhD Thesis]. Ankara, Hacettepe Üniversitesi, 2007.
5. Gülsün M, Ak M, Bozkurt A. Marriage and sexuality from a psychiatric point of view. Current Approaches In Psychıatry. 2009;1(1): 68-79.
- 6. Cohen O, Finzi-Dottan R. Reasons for divorce and mental health following the breakup. Journal of Divorce & Remarriage. 2012;53(8): 581-601. doi:https://doi.org/10.1080/10502556.2012.719413
- 7. Abalı S. Considering the sexual life as a cause of divorce by women [PhD Thesis]. Istanbul, Marmara Üniversitesi, 2006.
- 8. Brezsnyak M, Whisman M. Sexual desire and relationship functioning: The effects of marital satisfaction and power. Journal Of Sex&Marital Therapy. 2004; 30(3):199-217. doi:https://doi.org/10.1080/00926230490262393.
- 9. Erbek E, Beştepe E, Akar H, Alpkan L, Eradamlar N. The association between sexuality and dyadic adjustment: A comparative study in three groups of couples. The Journal of Psychiatry and Neurological Sciences. 2005;18(2): 72-81.
- 10. Şen B. A group of fiance couples' who applied to get marry, the evaluations, idea and knowledge that are releated to the marriage and 'pre-marital couple education [PhD Thesis]. Ankara, Hacettepe Üniversitesi, 2009.
- 11. Öztürk CŞ, Arkar H. The relationships between marital adjustment and sexual satisfaction in married couples. Literatür Sempozyum. 2014;1(3):16-24.
- 12. Demir A. Evaluation of the knowledge of individuals related to sexually transmitted disease, family planning methods and baby care before marriage [PhD Thesis]. Edirne, Trakya Üniversitesi, 2013.
- 13. Turkish Statistical Institute (TSIP). Evlenme ve Boşanma İstatistikleri [Internet].
- http://www.tuik.gov.tr/PreHaberBultenleri.do?id=24642. Published March 2017. Accessed 25 February 2018.
- 14. Wong LP. Qualitative inquiry into premarital sexual behaviours and contraceptive use among multiethnic young women: implications for education and future research. Plos One. 2012;7:12. doi:https://doi.org/10.1371/journal.pone.0051745.
- 15. Ghodsi Z, Hojjatoleslami SA. Survey on use of methods and knowledge about contraceptive in married women. Procedia-Social And Behavioral Sciences. 2012;46:3031-3035. doi:https://doi.org/10.1016/j.sbspro.2012.06.004.
- 16. Moodi M, Miri MR, Sharifirad R. The effect of instruction on knowledge and attitude of couples attending pre-marriage counseling classes. Journal of Education and Health Promotion. 2013;2:52. doi:https://dx.doi.org/10.4103%2F2277-9531.119038.
- 17. Hacettepe University Institute of Population Studies (TDHS). Turkey Demographic and Health Survey [Internet].
http://www.hips.hacettepe.edu.tr/eng/TDHS_2013_main.report.pdf. Published November 2014. Accessed 30 January 2017.
- 18. Deniz Ü, Kurt M, Önder Ö, Acuner A. The views of university students on sexually transmitted infections. Journal of HIVAIDS. 2004; 7(2);6368.
- 19. 19. Khan MA, Rahman M, Khanam PA, Khuda B, Kane TT, Ashraf A. Awareness of sexually transmitted disease among women and service providers in rural Bangladesh. International Journal of STD & AIDS. 2015;8:688- 696. doi:https://doi.org/10.1258/0956462971919066
- 20. Şükür N. The effect of womens productive attitude of reproductive system for having vaginal douching [PhD Thesis]. İstanbul, Haliç Üniversitesi, 2012.
- 21. Kırmızıgül Eİ. Opinions on marriage and reproductive health knowledge and requirements of the couples to be married [PhD Thesis]. Ankara, Yıldırım Beyazıt Üniversitesi, 2014.
- 22. Metin Z. The levels of knowledge of the senior University students in terms of sexual and reproductive health. [PhD Thesis]. İstanbul, Okan Üniversitesi, 2015.
- 23. Stanley H, Bartle-Haring S, Day RD, Gangamma R. Couple communication, emotional and sexual intimacy, and relationship satisfaction. Journal of Sex & Marital Therapy. 2014;40(4): 275–293.
doi:https://doi.org/10.1080/0092623X.2012.751072
- 24. Sullivan TK, Pasch L, Cornelıus T, Cirigliano E. Predicting participation in premarital prevention programs: The health belief model and social norms, family process. Health and Medical Complete. 2004; 43(2):175-193. doi:https://doi.org/10.1111/j.1545-5300.2004.04302004.x
- 25. Tuğrul C, Öztan N, Kabakçı E. Standardization of Golombok-Rust Sexual Satisfaction Inventory. Turkish Journal of Psychiatry. 1993;4(2): 83-88.
- 26. Kışlak Tutarel Ş. Reliability and validity of the marital adjustment test (MAT). Journal of 3P. 1999;7(1): 50-57.
27. Doğan S, Varol Saraçoğlu G. The assessment of sexual knowledge, marital characteristics, sexual function and satisfaction in women with lifelong vaginismus. Balkan Medical Journal. 2009;26(2):151-158.
- 28. Kısa S, Zeyneloğlu S, Yılmaz D, Verim E. Knowledge and beliefs related to sexuality of couples doing marriage preparation. TAF Prev Med Bull. 2013;12(3):297-306. doi:https://dx.doi.org/10.5455/pmb.1-1341926050
- 29. Audu BM, Yahya SJ, Bassi A. Knowledge, attitude and practice of natural family planning methods in a population with poor utilisation of modern contraceptives. Journal of Obstetrics and Gynaecology. 2006;26(6): 555-560. doi:https://doi.org/10.1080/01443610600811482
- 30. Doherty WJ, Anderson JR. Community marriage ınitiatives. Family Relations. 2004;53(5): 425-432.
- 31. Stanley SM, Amato PR, Johnson CA, Markman HJ. Premarital education, marital quality and marital stability: findings from a large, random household survey. Journal of Family Psychology. 2006;20(1): 117-126. doi:https://doi.org/10.1037/0893-3200.20.1.117
- 32. Sehat F, Sehat N, Shahsiah M, Mohebi S, Abaraie Y. The effect of sex education on sexual satisfaction increase of couples' in Isfahan. Life Sci J . 2013;10(5): 31-35.
- 33. Khazaeia M, Rostamib R, Zaryabic A. The relationship between sexual dysfunctions and marital satisfaction in Iranian married students procedia. Social and Behavioral Sciences. 2011;30:783-785. doi:https://doi.org/10.1016/j.sbspro.2011.10.152
- 34. Canel NA. Problem solving in family, marital satisfaction and evaluation of a group work case [PhD Thesis]. Istanbul, Marmara Üniversitesi, 2007.
- 35. Wilmoth J. A survey of marriage preparation provided by assemblies of god pastors in Oklohoma. Journal of Sex and Marital Therapy. 2004;2(5): 20-33.
- 36. Eroğlu Ş. Comparison of women married under 20 years old and over 20 years old in terms of their life satisfaction, marital adjustment, and sexual satisfaction [PhD Thesis]. Ankara, Beykent Üniversitesi, 2017.
- 37. Ayatollahi M. An investigation of the predictive role of demographic and psychological variables on sexual satisfaction [PhD Thesis]. Ankara, Ankara Üniversitesi, 2014.
- 38. Gölbaşı Z. The effectiveness of school-based reproductive health education for adolescent girls [PhD Thesis]. Ankara, Hacettepe Üniversitesi, 2002.