The Effect of Sexual Counseling Based on the PLISSIT/Ex-PLISSIT Model on Sexual Function During Pregnancy: A Systematic Review

Abstract

Objective: This systematic review aims to determine the effect of PLISSIT/Ex-PLISSIT model-based sexual counseling on sexual function during pregnancy. Methods: In the systematic review, studies conducted between 2010 and 2024 on the use of the PLISSIT/Ex-PLISSIT Model during pregnancy were examined in the “Cochrane,” “PubMed,” “CINAHL,” “Google Scholar,” “Scopus,” “Science Direct,” and “Web of Science” databases. The quality assessment of the included studies was performed by two independent researchers using Joanna Briggs Institute checklists. Results: The search yielded 583 studies, and after evaluation, 8 articles—3 quasi-experimental and 5 randomized controlled trials—were included in the systematic review. It was found that PLISSIT/Ex-PLISSIT-based sexual counseling interventions for pregnant women had a positive and statistically significant effect on women's sexual function. Conclusion and Recommendations: The study concluded that the PLISSIT/Ex-PLISSIT model applied to pregnant women is a viable method for improving sexual function and can be integrated into prenatal care education. Additionally, it was noted that more evidence-based studies on the subject are needed.

Keywords

• Ex-PLISSIT
• pregnancy
• PLISSIT
• sexual counseling
• sexual function
• Systematic Review

Gebelikte PLISSIT/Ex-PLISSIT Modeline Dayalı Cinsel Danışmanlığın Cinsel İşlev Üzerine Etkisi: Sistematik Derleme

Abstract

Amaç: Bu sistematik derleme gebelikte PLISSIT/Ex-PLISSIT Modeline dayalı cinsel danışmanlığın cinsel işlev üzerindeki etkisini belirlemeyi amaçlamaktadır. Gereç ve Yöntem: Sistematik derlemede, 2010 ile 2024 yılları arasında gebelik sürecinde PLISSIT/Ex-PLISSIT Modelinin kullanımı üzerine yapılan çalışmalar “Cochrane”, “PubMed”, “CINAHL”, “Google Scholar”, “Scopus”, “Science Direct” ve “Web of Science” veritabanlarında incelenmiştir. Dahil edilen çalışmaların kalite değerlendirmesi, Joanna Briggs Enstitüsü kontrol listeleri kullanılarak iki bağımsız araştırmacı tarafından gerçekleştirilmiştir. Bulgular: Tarama sonucu 583 çalışmaya ulaşıldı ve değerlendirme sonucunda 3’ü yarı deneysel ve 5’i randomize kontrollü çalışma olmak üzere 8 makale sistematik derlemeye dahil edildi. Gebe kadınlara verilen PLISSIT/Ex-PLISSIT tabanlı cinsel danışmanlık müdahalesinin kadınların cinsel işlevini olumlu ve anlamlı olarak etkilediği görüldü. Sonuç ve Öneriler: Gebelere uygulanan PLISSIT/Ex-PLISSIT modelinin cinsel işlevleri iyileştirmede kullanılabilir bir yöntem olduğu, doğum öncesi bakım eğitimlerine entegre edilmesinin faydalı olacağı sonucuna varıldı. Ayrıca, konuyla ilgili daha fazla kanıta dayalı çalışmaya ihtiyaç olduğu görüldü.

Keywords

• cinsel danışmanlık
• cinsel işlev
• gebelik
• sistematik derleme
• Ex-PLISSIT
• PLISSIT

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