Journal of Mazandaran University of Medical Sciences
مجله دانشگاه علوم پزشکی مازندران
J Mazandaran Univ Med Sci
Medical Sciences
http://jmums.mazums.ac.ir
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بررسی تاثیر برنامه آموزشی- مشاورهای جنسی چند بعدی بر دانش و نگرش جنسی زوجین در شرف ازدواج
The Effect of Multidimensional Sexual Education-Counseling on Sexual Knowledge and Attitudes of Couples Preparing for Marriage
مامائی
Midwifery
پژوهشي-کامل
Research(Original)
<span style="line-height:2;"><span style="direction:rtl"><span style="unicode-bidi:embed"><b><span lang="FA"><span b="" koodak="" style="font-family:">سابقه و هدف:</span></span></b> <span b="" lang="AR-SA" style="font-family:" zar="">آگاهی، نگرش<span style="letter-spacing:-.2pt"></span>های جنسی در روابط زناشویی اهمیت دارد. مطالعات روی جوانان آستانه ازدواج ایرانی نشان داد، آگاهی مسائل جنسی پایین و نگرش<span style="letter-spacing:-.2pt"></span>های جنسی نادرست بود. این مطالعه با هدف تعیین تأثیر</span> <span b="" lang="AR-SA" style="font-family:" zar="">برنامه آموزشی- </span><span b="" lang="FA" style="font-family:" zar="">مشاوره</span><span b="" lang="AR-SA" style="font-family:" zar=""><span style="letter-spacing:-.2pt"></span></span><span b="" lang="AR-SA" style="font-family:" zar="">ای جنسی چند بعدی بر دانش و نگرش جنسی زوجین در شرف ازدواج، انجام پذیرفت.</span><span lang="FA"><span b="" style="font-family:" zar=""><span style="letter-spacing:-.2pt"></span></span></span></span></span><br>
<span style="direction:rtl"><span style="unicode-bidi:embed"><b><span lang="AR-SA"><span b="" koodak="" style="font-family:"><span style="letter-spacing:-.1pt">مواد و روش </span></span></span></b><b><span lang="FA"><span b="" koodak="" style="font-family:"><span style="letter-spacing:-.1pt"></span></span></span></b><b><span lang="AR-SA"><span b="" koodak="" style="font-family:"><span style="letter-spacing:-.1pt">ها:</span></span></span></b> <span b="" lang="AR-SA" style="font-family:" zar="">در این مطالعه کارآزمایی بالینی تصادفی شده با 43 زوج (در هر گروه کنترل و مداخله) </span><span b="" lang="FA" style="font-family:" zar="">مشارکتکننده</span><span b="" lang="AR-SA" style="font-family:" zar=""> در کلاس<span style="letter-spacing:-.2pt"></span>های ازدواج مرکز بهداشتی شهر کاشان در بهطور تصادفی به دو گروه تخصیص یافت. از آگاهی جنسی اسنل، نگرش جنسی ازگلی استفاده شد. چهار جلسه آموزش مجازی در اسکای<span style="letter-spacing:-.2pt"></span>روم ارائه شد. قبل، بلافاصله و سه ماه بعد از اتمام جلسات، پرسشنامه آنلاین تکمیل شد. تحلیل داده<span style="letter-spacing:-.2pt"></span>ها با </span><span dir="LTR" style="font-size:10.0pt">SPSS-25</span><span b="" style="font-family:" zar=""> انجام شد.</span><span lang="FA"><span b="" style="font-family:" zar=""><span style="letter-spacing:-.1pt"></span></span></span></span></span><br>
<span style="direction:rtl"><span style="unicode-bidi:embed"><b><span lang="AR-SA"><span b="" koodak="" style="font-family:">یافته</span></span></b><b><span lang="FA"><span b="" koodak="" style="font-family:"><span style="letter-spacing:-.2pt"></span></span></span></b><b><span lang="AR-SA"><span b="" koodak="" style="font-family:">ها:</span></span></b> <span b="" lang="AR-SA" style="font-family:" zar="">نمره دانش جنسی در زنان، مردان در مداخله و کنترل در قبل (6/09</span><span cambria="" lang="AR-SA" style="font-family:">±</span><span b="" lang="AR-SA" style="font-family:" zar="">50/53 و5/17</span><span cambria="" lang="AR-SA" style="font-family:">±</span><span b="" lang="AR-SA" style="font-family:" zar="">51/44) و (5/75</span><span cambria="" lang="AR-SA" style="font-family:">±</span><span b="" lang="AR-SA" style="font-family:" zar="">61/09 و 6/006</span><span cambria="" lang="AR-SA" style="font-family:">±</span><span b="" lang="AR-SA" style="font-family:" zar="">61/86)، بلافاصله بعد (7/65</span><span cambria="" lang="AR-SA" style="font-family:">±</span><span b="" lang="AR-SA" style="font-family:" zar="">87/60 و5/14</span><span cambria="" lang="AR-SA" style="font-family:">±</span><span b="" lang="AR-SA" style="font-family:" zar="">54/46 و (7/57 </span><span cambria="" lang="FA" style="font-family:">±</span><span b="" lang="FA" style="font-family:" zar=""> 95/81 و </span><span b="" lang="AR-SA" style="font-family:" zar="">5/63</span><span cambria="" lang="AR-SA" style="font-family:">±</span><span b="" lang="AR-SA" style="font-family:" zar="">63/37 و سه ماه بعد (7/20</span><span cambria="" lang="AR-SA" style="font-family:">±</span><span b="" lang="AR-SA" style="font-family:" zar="">78/11و 4/77</span><span cambria="" lang="AR-SA" style="font-family:">±</span><span b="" lang="AR-SA" style="font-family:" zar="">65/06 ) و (8/01 </span><span cambria="" lang="FA" style="font-family:">±</span><span b="" lang="FA" style="font-family:" zar=""> 88/86 و </span><span b="" lang="AR-SA" style="font-family:" zar="">4/87</span><span cambria="" lang="AR-SA" style="font-family:">±</span><span b="" lang="AR-SA" style="font-family:" zar="">70/86) بود.</span> <span b="" lang="AR-SA" style="font-family:" zar="">نمره </span><span b="" lang="FA" style="font-family:" zar="">نگرش</span><span b="" lang="AR-SA" style="font-family:" zar=""> جنسی در زنان و مردان در سه مرحله قبل (4/95</span><span cambria="" lang="AR-SA" style="font-family:">±</span><span b="" lang="AR-SA" style="font-family:" zar="">25/20 و 3/39</span><span cambria="" lang="AR-SA" style="font-family:">±</span><span b="" lang="AR-SA" style="font-family:" zar="">23/95) و (4/07</span><span cambria="" lang="AR-SA" style="font-family:">±</span><span b="" lang="AR-SA" style="font-family:" zar="">22/53 و 3/94</span><span cambria="" lang="AR-SA" style="font-family:">±</span><span b="" lang="AR-SA" style="font-family:" zar="">22/30)، بلافاصله بعد (4/32</span><span cambria="" lang="AR-SA" style="font-family:">±</span><span b="" lang="AR-SA" style="font-family:" zar="">30/55 و 2/79</span><span cambria="" lang="AR-SA" style="font-family:">±</span><span b="" lang="AR-SA" style="font-family:" zar="">27/93) و (3/37</span><span cambria="" lang="AR-SA" style="font-family:">±</span><span b="" lang="AR-SA" style="font-family:" zar="">25/86 و3/37</span><span cambria="" lang="AR-SA" style="font-family:">±</span><span b="" lang="AR-SA" style="font-family:" zar="">21/86) و سه ماه بعد (4/23</span><span cambria="" lang="AR-SA" style="font-family:">±</span><span b="" lang="AR-SA" style="font-family:" zar="">30/340 و 2/71</span><span cambria="" lang="AR-SA" style="font-family:">±</span><span b="" lang="AR-SA" style="font-family:" zar="">27/90) و (3/27 </span><span cambria="" lang="FA" style="font-family:">±</span><span b="" lang="FA" style="font-family:" zar=""> 26/01 و </span><span b="" lang="AR-SA" style="font-family:" zar="">3/28 </span><span cambria="" lang="FA" style="font-family:">±</span><span b="" lang="FA" style="font-family:" zar=""> 22/25</span><span b="" lang="AR-SA" style="font-family:" zar="">) بود. میانگین نمره </span><span b="" lang="FA" style="font-family:" zar="">دانش و </span><span b="" lang="AR-SA" style="font-family:" zar="">نگرش جنسی در بلافاصله و سه ماه بعد، در گروه مداخله در مقایسه با کنترل در زنان و مردان افزایش قابل توجهی داشت (0/001></span><span dir="LTR" style="font-size:10.0pt">P</span><span b="" lang="AR-SA" style="font-family:" zar="">)</span>.<span lang="AR-SA"><span style="font-family:"B Zar""></span></span></span></span><br>
<span style="direction:rtl"><span style="unicode-bidi:embed"><b><span lang="FA"><span b="" koodak="" style="font-family:"><span style="letter-spacing:-.1pt">استنتاج:</span></span></span></b> <span b="" lang="FA" style="font-family:" zar="">برنامه آموزشی- مشاوره ای چند بعدی روشی موثر برای افزایش نمره دانش و نگرش جنسی زوجین هست. پیشنهاد می شود در برنامه مشاوره زوجین در شرف ازدواج گنجانده شود.</span><span lang="FA"><span style="font-family:"B Zar""></span></span></span></span><br>
<span style="direction:rtl"><span style="unicode-bidi:embed"><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" zar="">شماره ثبت کد کارآزمایی بالینی: </span></span></i><i><span dir="LTR" style="font-size:10.0pt"> IRCT20161126031117N14</span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span b="" koodak="" style="font-family:"><span style="color:black"></span></span></span></i></span></span></span><br>
<span style="line-height:2;"><b><span style="font-size:10.0pt"><span arial="" style="font-family:"><span style="letter-spacing:-.2pt">Background and purpose:</span></span></span></b> <span style="font-size:9.0pt">Sexual knowledge and attitudes</span> <span style="font-size:9.0pt">play a crucial role in marital relationships.</span> <span style="font-size:9.0pt">Studies on Iranian youth preparing for marriage have indicated</span> <span style="font-size:9.0pt">limited sexual knowledge</span> <span style="font-size:9.0pt">and</span> <span style="font-size:9.0pt">prevalent misconceptions</span> <span style="font-size:9.0pt">about sexuality. This study</span> <span style="font-size:9.0pt">aimed to evaluate</span> <span style="font-size:9.0pt">the impact of</span> <span style="font-size:9.0pt">multidimensional sexual education and counseling</span> <span style="font-size:9.0pt">on the sexual knowledge and attitudes of couples preparing for marriage.</span><br>
<b><span style="font-size:10.0pt"><span arial="" style="font-family:"><span style="letter-spacing:-.2pt">Materials and methods:</span></span></span></b> <span style="font-size:9.0pt">This randomized controlled trial included</span> <span style="font-size:9.0pt">43 couples in both the intervention and control groups, all of whom had attended marriage classes at the Kashan City Health Center. Participants were randomly assigned to the two groups. Sexual knowledge and attitudes were assessed</span> <span style="font-size:9.0pt">using</span> <span style="font-size:9.0pt">Snell's Sexual Awareness Questionnaire</span> <span style="font-size:9.0pt">and</span> <span style="font-size:9.0pt">Ozgoli's Sexual Attitude Questionnaire, respectively. Four</span> <span style="font-size:9.0pt">educational-counseling sessions</span> <span style="font-size:9.0pt">were conducted via</span> <span style="font-size:9.0pt">Sky Room, an online platform. Online questionnaires were completed</span> <span style="font-size:9.0pt">before the intervention, immediately after, and three months post-intervention. Data analysis was performed using</span> <span style="font-size:9.0pt">SPSS version 25.</span><br>
<b><span style="font-size:10.0pt"><span arial="" style="font-family:"><span style="letter-spacing:-.2pt">Results:</span></span></span></b><b> </b><span style="font-size:9.0pt">The sexual knowledge scores for women and men before the intervention were</span> <span style="font-size:9.0pt">50.53 ± 6.09 and 51.44 ± 5.17</span> <span style="font-size:9.0pt">in the intervention group, and</span> <span style="font-size:9.0pt">61.09 ± 5.75 and 61.86 ± 6.01</span> <span style="font-size:9.0pt">in the control group. Immediately after the intervention, the scores were</span> <span style="font-size:9.0pt">87.60 ± 7.65 and 54.46 ± 5.14</span> <span style="font-size:9.0pt">for the intervention group, and</span> <span style="font-size:9.0pt">95.81 ± 7.57 and 63.37 ± 5.63</span> <span style="font-size:9.0pt">for the control group. Three months later, the scores were</span> <span style="font-size:9.0pt">78.11 ± 7.20 and 65.06 ± 4.77</span> <span style="font-size:9.0pt">for the intervention group, and</span> <span style="font-size:9.0pt">88.86 ± 8.01 and 70.86 ± 4.87</span> <span style="font-size:9.0pt">for the control group. The sexual attitude scores for women and men before the intervention were</span> <span style="font-size:9.0pt">25.20 ± 4.95 and 23.95 ± 3.39</span> <span style="font-size:9.0pt">for the intervention group, and</span> <span style="font-size:9.0pt">22.53 ± 4.07 and 22.30 ± 3.94</span> <span style="font-size:9.0pt">for the control group. Immediately after the intervention, scores were</span> <span style="font-size:9.0pt">30.55 ± 4.32 and 27.93 ± 2.79</span> <span style="font-size:9.0pt">for the intervention group, and</span> <span style="font-size:9.0pt">25.86 ± 3.37 and 21.86 ± 3.37</span> <span style="font-size:9.0pt">for the control group. Three months later, the scores were</span> <span style="font-size:9.0pt">30.34 ± 4.23 and 27.90 ± 2.71</span> <span style="font-size:9.0pt">for the intervention group, and</span> <span style="font-size:9.0pt">26.01 ± 3.27 and 22.25 ± 3.28</span> <span style="font-size:9.0pt">for the control group.</span> <span style="font-size:9.0pt">The mean scores for sexual knowledge and attitudes showed a</span> <span style="font-size:9.0pt">significant increase</span> <span style="font-size:9.0pt">immediately after and three months following</span> <span style="font-size:9.0pt">the intervention,</span> <span style="font-size:9.0pt">compared to the control group, for both women and men (P < 0.001).</span><br>
<b><span style="font-size:9.0pt"><span arial="" style="font-family:">Conclusion:</span></span></b> <span style="font-size:9.0pt">The</span> <span style="font-size:9.0pt">multidimensional educational-counseling program</span> <span style="font-size:9.0pt">is an</span> <span style="font-size:9.0pt">effective method</span> <span style="font-size:9.0pt">for improving couples’ sexual knowledge and attitudes. It is recommended that this approach be incorporated into pre-marital counseling programs</span> <span style="font-size:9.0pt">for couples preparing for marriage.</span><br>
<b><i><span style="font-size:9.0pt"><span style="line-height:130%"></span></span></i></b></span><br>
آگاهی جنسی, نگرش جنسی, زوجین, در شرف ازدواج, مشاوره, چند بعدی
sexual knowledge, sexual attitude, couples, premarital, counseling, multidimensional
74
87
http://jmums.mazums.ac.ir/browse.php?a_code=A-10-212-14&slc_lang=fa&sid=1
Soghra
Khani
صغری
خانی
khanisog343@gmail.com
1003194753284600179945
1003194753284600179945
No
Professor, Department of Reproductive Health and Midwifery, Sexual and Reproductive Health Research Center, Mazandaran University of Medical Sciences, Sari, Iran
استاد، مرکز تحقیقات سلامت جنسی و باروری، دانشکده پرستاری و مامایی نسیبه، دانشگاه علوم پزشکی مازندران،ساری، ایران
Armin
Firouzi
آرمین
فیروزی
arminfiroozi@gmail.com
1003194753284600179946
1003194753284600179946
No
PhD, Department of Clinical Psychology, Shahid Beheshti University of Medical Sciences, Tehran, Iran
دکترای تخصصی روانشناسی بالینی، گروه روانشناسی بالینی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران
Mahmood
Moosazadeh
محمود
موسی زاده
mmoosazadeh1351@gmail.com
1003194753284600179947
1003194753284600179947
No
Associate Professor, Health Sciences Research Center, Faculty of Health, Mazandaran University of Medical Sciences, Sari, Iran
دانشیار، مرکز تحقیقات علوم بهداشتی، دانشکده بهداشت، دانشگاه علوم پزشکی مازندران، ساری، ایران
Seyyed Hossein
Hosseini Karnami
حسین
حسینی کارنامی
hosin.hosini@gmail.com
1003194753284600179948
1003194753284600179948
No
Associate Professor, Department of Islamic Studies, Mazandaran University of Medical Sciences, Sari, Iran
دانشیار، گروه علوم قرآن و احادیث، دانشگاه علوم پزشکی مازندران، ساری، ایران
Zahra
karimian
زهرا
کریمیان
karimian62@yahoo.com
1003194753284600179949
1003194753284600179949
No
Associate Professor, Department of Reproductive Health, Kashan University of Medical Sciences, Kashan, Iran
دانشیار، گروه بهداشت باروری، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی کاشان، کاشان، ایران
Fatemeh
Seyri
فاطمه
سیری
fateme.seyri96@gmail.com
1003194753284600179950
1003194753284600179950
Yes
MSc in Counselling in Midwifery, Student Research Committee, Mazandaran University of Medical Sciences, Sari, Iran
کارشناسی ارشد مشاوره در مامایی، دانشگاه علوم پزشکی مازندران، ساری، ایران