Application of the PRECEDE model to improve sexual function among women with hysterectomy

Nazafarin Hosseini; Akram Amini; AliKaram Alamdari; Mohsen Shams; Mehrdad Vossoughi; Fatemeh Bazarganipour

doi:10.1016/j.ijgo.2015.07.019

Application of the PRECEDE model to improve sexual function among women with hysterectomy

Int J Gynaecol Obstet. 2016 Feb;132(2):229-33. doi: 10.1016/j.ijgo.2015.07.019. Epub 2015 Nov 10.

Authors

Nazafarin Hosseini¹, Akram Amini², AliKaram Alamdari¹, Mohsen Shams¹, Mehrdad Vossoughi³, Fatemeh Bazarganipour⁴

Affiliations

¹ Social Determinants of Health Research Center, Yasuj University of Medical Sciences, Yasuj, Iran.
² Student Research Committee, School of Nursing and Midwifery, Yasuj University of Medical Sciences, Yasuj, Iran. Electronic address: arezo.amini21@yahoo.com.
³ Department of Dental Public Health, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran.
⁴ Mother and Child Welfare Research Center, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.

PMID: 26613821
DOI: 10.1016/j.ijgo.2015.07.019

Abstract

Objective: To determine the effect of an educational program based on the PRECEDE model to improve sexual function among women with hysterectomy.

Methods: The present randomized trial, conducted in Iran during 2014, included 48 women with hysterectomy who were selected through convenience sampling and randomly divided into two equal groups. Women in the experimental group received an educational program based on constructs of the PRECEDE model. The control group received only routine interventions. Before the interventions, the women completed two questionnaires: one that measured the PRECEDE model constructs and the Rosen Female Sexual Function Index. The questionnaires were repeated 4 weeks after the intervention and the results were compared within and between groups.

Results: In each group, a significant improvement in sexual function was demonstrated after the intervention (P<0.001). The mean sexual function score increased to a greater extent in the experimental group (difference 16.95±6.33) than in the control group (difference 4.35±1.94; P<0.001).

Conclusion: The findings confirm the effectiveness of an educational program based on the PRECEDE model in terms of improving sexual function among women with hysterectomy. Iranian Registry of Clinical Trials: IRCT2014122220401N1.

Keywords: Education; Hysterectomy; PRECEDE model; Sexual function.

Publication types

Randomized Controlled Trial
Research Support, Non-U.S. Gov't

MeSH terms

Female
Health Promotion / methods*
Humans
Hysterectomy / psychology*
Iran
Middle Aged
Patient Education as Topic / methods*
Postoperative Period
Program Evaluation*
Sexual Behavior / psychology*
Surveys and Questionnaires