Abstract

Patients with acute coronary syndrome (ACS) often have sexual dysfunction, and difficulty with sexual adjustment. The purpose of this study was to investigate the effect of PLLISIT sexual counseling on sexual function, self-perception and adjustment of women with ACS patients. A total of 34 women aged 30–65 years with acute coronary syndrome were randomly assigned into intervention and control groups. The intervention group received three sessions of one-hour PLLISIT-based sexual counseling and the control group received routine care. Female sexual Function Index (FSFI) and Sexual Self-Perception and Adjustment Questionnaire (SSPAQ) were used at baseline, one month and 3 months later for evaluation. There was no significant difference in FSFI and SSPAQ scores at baseline between the two groups. However, three months after intervention, both mean FSFI and SSPAQ scores rose significantly in intervention group (P = 0.022). Subscales of sexual desire, subjective arousal, orgasm, and satisfaction in FSFI as well as sexual anxiety, sexual self-efficacy, and sexual satisfaction in SSPAQ also showed significant improvement after intervention. Considering the effectiveness of PLLISIT-based sexual counseling on sexual function and sexual adjustment in our patient with ACS, this intervention can be used to improve sexuality in these women.

摘要

急性冠状动脉综合征（acute coronary syndrome，ACS）患者常有性功能障碍，性生活调整困难。本研究的目的是调查 PLLISIT 性咨询对 ACS 女性患者性功能、自我认知和调整的影响。共有 34 名 30-65 岁的急性冠脉综合征女性被随机分配到干预组和对照组。干预组接受三节基于 PLLISIT 的一小时性咨询，对照组接受常规护理。在基线、1个月和3个月后使用女性性功能指数（FSFI）和性自我感知和调节问卷（SSPAQ）进行评估。两组之间的基线 FSFI 和 SSPAQ 分数没有显着差异。然而，干预三个月后，干预组的平均 FSFI 和 SSPAQ 得分均显着上升 (P = 0.022)。FSFI 中的性欲、主观唤醒、性高潮和满意度分量表以及 SSPAQ 中的性焦虑、性自我效能和性满意度分量表在干预后也有显着改善。考虑到基于 PLLISIT 的性咨询对我们的 ACS 患者性功能和性调整的有效性，这种干预可用于改善这些女性的性行为。