Effectiveness of PLISSIT Model on Sexual Dysfunction and Psychological Distress among Women Using Hormonal Contraception

Document Type : Original Article

Authors

1 Maternity and Newborn Health Nursing, Faculty of nursing, Assiut University, Egypt

2 Obstetric and Gynecological Nursing, Faculty of Nursing, South valley University, Egypt

3 Psychiatric and Mental Health Nursing, Faculty of Nursing, Assiut University, Egypt

4 Psychiatric and Mental Health Nursing, Faculty of Medicine & Health Science, Hodeidah University, Yemen.

5 Psychiatric and Mental Health Nursing, Faculty of Nursing, Sohage University, Egypt.

6 Obstetric and Gynecological Nursing, Faculty of Nursing, Sohag University, Egypt.

Abstract

Background: Use of hormonal contraceptives in clinical settings and in the general public,
may exacerbate pre-existing anxiety and depressive symptoms. The PLISSIT model is a
sex therapy counseling model which can aid any persuasive practitioner to tackle women's
sexual health. Aim: Evaluating the Effectiveness of PLISSIT Model on Sexual
Dysfunction and Psychological Distress among Women Using Hormonal Contraception.
Research design: A quasi experimental research design was used in this study. Research
setting: Family Planning and Gynecological Clinics at Woman's Health Hospital, Assiut
University. Sample: In this study a purposive sample of 100 women. Tools: three tools
were used in this study, (1) women assessment sheet, (2) Female Sexual Function Index
tool (FSFI), (3) Depression Anxiety Stress Scales tool (DASS-21). Results: There were
highly statistically significant differences between pre and post implementation mean
scores of female sexual function among women (p=0.000**) with a significant increase of
the total mean score of female sexual function from pre-test (15.09±6.24) to (28.49±5.08)
in post-test among women. Conclusion: PLISSIT model had positive effect on sexual
dysfunction and psychological distress among Women using hormonal contraception.
Recommendations:Nurses should provide counseling through PLISSIT model for women
using hormonal contraception to optimize the sexual health and sexual quality for life.

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