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首页> 外文期刊>The journal of sexual medicine >Transtheoretical Model-based Postpartum Sexual Health Education Program Improves Women's Sexual Behaviors and Sexual Health
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Transtheoretical Model-based Postpartum Sexual Health Education Program Improves Women's Sexual Behaviors and Sexual Health

机译：基于跨理论模型的产后性健康教育计划改善了妇女的性行为和性健康

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Introduction. Postpartum sexual health education was once routinely administered to postpartum women, but few interventions were specifically described or clearly based on theory, and few sexual interventions affected women's sexual behaviors. Aim. To evaluate the effectiveness of a refined theory-based interactive postpartum sexual health education program (IPSHEP) in enhancing postpartum women's sexual behavior and health. Methods. For this prospective, randomized controlled trial, 250 participants were randomized to three groups. Experimental group A received our refined theory-based IPSHEP. Experimental group B received only an interactive, self-help pamphlet. The control group received routine education (a 10- to 15-minute educational talk and a sexual health pamphlet without an interactive design). Data were collected at baseline, 3 days, 2 months, and 3 months postpartum. Main Outcome Measure. Postpartum women's sexual self-efficacy (SSE), diversity of sexual activity (DSA), return to sexual activity, and sexual satisfaction (SS). Results. Women who received our theory-based postpartum sexual health education program had significantly greater SSE (P<0.05) and greater DSA (P<0.05), and tended to resume their sexual life earlier than women in the routine teaching and interactive pamphlet-only groups (P<0.05). However, the SS levels of postpartum women who received our program did not differ significantly from those of women who received routine teaching or the interactive pamphlet only. Conclusions. Our findings suggest that a theory-based postpartum sexual health education program improved women's sexual health and sexual behavior and that the transtheoretical model can be translated into practice, supporting its use to enhance the sexual health of postpartum women. Despite the lack of a significant effect on SS, women who received our theory-based postpartum sexual health education program tended to maintain their prepregnancy level of SS in early postpartum.
机译：介绍。曾经对产后妇女定期进行产后性健康教育，但很少有干预措施被具体描述或基于理论明确地进行，并且很少有性干预措施会影响妇女的性行为。目标。评估完善的基于理论的交互式产后性健康教育计划（IPSHEP）在增强产后妇女的性行为和健康方面的有效性。方法。对于这项前瞻性，随机对照试验，将250名参与者随机分为三组。实验组A接受了我们完善的基于理论的IPSHEP。实验组B仅收到一个交互式自助小册子。对照组接受常规教育（10到15分钟的教育讲座和没有互动设计的性健康小册子）。在基线，产后3天，2个月和3个月收集数据。主要结果指标。产后妇女的性自我效能（SSE），性活动多样性（DSA），恢复性活动和性满意度（SS）。结果。在常规教学和仅互动小册子组中，接受我们基于理论的产后性健康教育计划的女性的SSE（P <0.05）和DSA（P <0.05）明显更高，并且倾向于比女性更早恢复性生活（P ＜0.05）。但是，接受我们计划的产后妇女的SS水平与仅接受常规教学或仅接受互动式小册子的妇女的SS水平没有显着差异。结论。我们的研究结果表明，基于理论的产后性健康教育计划可以改善女性的性健康和性行为，并且跨理论模型可以转化为实践，从而支持其用于增强产后女性的性健康。尽管对SS缺乏显着影响，但是接受我们基于理论的产后性健康教育计划的妇女在产后早期倾向于保持其SS的怀孕水平。

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