Effect of sexual counseling based on the PLISSIT model on the quality of sexual life and emotional divorce of hemodialysis patients in the special diseases center of Birjand city in Iran: Short Communication

Saeedi bazkhane, Eshrat; Hosseini, Hamideh; Torshizi, Marzieh

doi:10.61186/JBUMS.31.4.338

Volume 31, Issue 4 (February 2024) J Birjand Univ Med Sci. 2024, 31(4): 338-345 | Back to browse issues page

‎ 10.61186/JBUMS.31.4.338

Research code: 455328

Ethics code: IR.bums.Rec.1396.266

Mendeley

Zotero

RefWorks

Saeedi bazkhane E, Hosseini H, Torshizi M. Effect of sexual counseling based on the PLISSIT model on the quality of sexual life and emotional divorce of hemodialysis patients in the special diseases center of Birjand city in Iran: Short Communication. J Birjand Univ Med Sci. 2024; 31 (4) :338-345
URL: http://journal.bums.ac.ir/article-1-3409-en.html

Effect of sexual counseling based on the PLISSIT model on the quality of sexual life and emotional divorce of hemodialysis patients in the special diseases center of Birjand city in Iran: Short Communication

Eshrat Saeedi bazkhane¹

, Hamideh Hosseini²

, Marzieh Torshizi ^*³

1- MsC of Nursing, School of Nursing and Midwifery, Birjand University of Medical Sciences, Birjand, Iran
2- Department of Midwifery, School of Nursing and Midwifery, Birjand University of Medical Sciences, Birjand, Iran
3- Department of Midwifery, School of Nursing and Midwifery, Birjand University of Medical Sciences, Birjand, Iran. , torshizimbir3@gmail.com

Abstract: (690 Views)

Considering the sexual problems in hemodialysis patients and the need for intervention in this regard, this study aimed to investigate the effect of sexual counseling based on the Permission, Limited Information, Specific Suggestions, and Intensive Care (PLISSIT) model on the quality of sexual life and emotional divorce of hemodialysis patients. This semi-experimental randomized controlled study was conducted on 60 hemodialysis patients who met the inclusion criteria of the study. The intervention group received sexual counseling based on the PLISSIT model, and the control group received only routine care. The standard questionnaire on sexual life quality and emotional divorce by Gottmann was completed before and one month after the intervention. The average score of the quality of sexual life and emotional divorce in the intervention group showed a significant increase after the intervention compared to before the intervention (P<0.001); however, the difference before and after in the control group was not significant. According to the results of this study, sexual counseling based on the PLISSIT model had a positive effect on the quality of sexual life of hemodialysis patients and also emotional divorce. Therefore, this training can be useful and effective in solving the sexual problems of dialysis patients.

Keywords: Emotional divorce, Hemodialysis, PLISSIT model, Quality of sexual life

Full-Text [PDF 450 kb] (143 Downloads)

Type of Study: Short Communication | Subject: Midwifery
Received: 2024/06/22 | Accepted: 2025/02/15 | ePublished ahead of print: 2025/03/8 | ePublished: 2024/12/25

References

1. Zeighami S, Dehghankhalili S, Heiran K, Azarchehry SP, Heiran A, Sayadi M, et al. Comparison of Male and Female Sexual Dysfunction between Hemodialysis and Peritoneal Dialysis in Patients with End‐Stage Renal Disease: An Analytical Cross‐Sectional Study. International journal of endocrinology. 2022;2022(1):9404025. [DOI:10.1155/2022/9404025] [PMID] []

2. Lew-Starowicz M, Gellert R. The sexuality and quality of life of hemodialyzed patients-ASED multicenter study. The journal of sexual medicine. 2009;6(4):1062-71. [DOI:10.1111/j.1743-6109.2008.01040.x] [PMID]

3. Wu AW, Fink NE, Marsh-Manzi JV, Meyer KB, Finkelstein FO, Chapman MM, et al. Changes in quality of life during hemodialysis and peritoneal dialysis treatment: generic and disease specific measures. Journal of the American Society of Nephrology. 2004;15(3):743-53. [DOI:10.1097/01.ASN.0000113315.81448.CA] [PMID]

4. Rosas SE, Wasserstein A, Kobrin S, Feldman HI. Preliminary observations of sildenafil treatment for erectile dysfunction in dialysis patients. American journal of kidney diseases. 2001;37(1):134-7. [DOI:10.1053/ajkd.2001.20608] [PMID]

5. Schober JM. Sexual quality of life in an intersexual population: a needs assessment. BJU international. 2004;93(s 3):54-6. [DOI:10.1111/j.1464-410X.2004.04711.x] [PMID]

6. Alvandi JA, Afshari A, TALEBI M, Abasi R. The effect of Sexual rehabilitation on (Sexual) quality of life for hemodialysis patients referred to dialysis center in Labafinejad Hospital. 2015.

7. Yilmaz A, Göker C, Kocak OM, Aygör B, Şentürk V, NERGİZOĞLU G, et al. Sexual functioning in hemodialysis patients and their spouses: results of a prospective study from Turkey. Turkish Journal of Medical Sciences. 2009;39(3):405-14. [DOI:10.3906/sag-0811-16]

8. Konstam V, Surman O, Hizzazi KH, Fierstein J, Konstam M, Turbett A, et al. Marital adjustment in heart transplantation patients and their spouses: A longitudinal perspective. American journal of family therapy. 1998;26(2):147-58. [DOI:10.1080/01926189808251094]

9. Frotan A, Milany M. Prevalence of sexual dysfunction in volunteers of divorce referred to family court. Daneshvar Med. 2008;78:39-41.

10. Mohammadi Z. Examining Social Haarms of Women during 1990s-2000s. Tehran, Public Relations of Social and Cultural Council of Women (in Persian); 2004.

11. Parvin S, Davoodi M, Mohamadi F. Sociological factors influencing emotional divorce in Tehran. Women's Strategic Studies. 2012;14(56 (summer 2012)):119-53.

12. Farhadi A, Manshaee G, Yousefi Z. Comparison of the effectiveness of family resilience training, with cognitive-spiritual hope training, on family resilience in caregivers of kidney patients undergoing hemodialysis. Journal of Applied Family Therapy. 2023;4(5):465-77. [DOI:10.61838/kman.aftj.4.5.27]

13. Nasehi AA, Raisi F, Ghaeli P, Amini M, Yahyavi ST, Arabkheradmand J, et al. Prevalence of Sexual Dysfunction Among General Population of Iran: A Systematic Review. Iran J Psychiatry Behav Sci. 2017;11(4):e7643. [DOI:10.5812/ijpbs.7643]

14. Jalili L, Najar S, Nezamivand-Chegini S, Yaralizadeh M. The Relationship Between Factors Related to Divorce Request and Mental Health Among Divorce Applicant Women Referred to Legal Medicine Organization in Ahvaz, Iran. J Family Reprod Health. 2017;11(3):128-37.

15. Karami Z, Soltani F, Ahmadpanah M, Kazemi F, Aghababaei S. Effect of Group Counseling on Sexual Knowledge, Attitude, and Function of Young Women with Sexual Dysfunction: A Randomized Controlled Clinical Trial. Avicenna Journal of Nursing and Midwifery Care. 2023;31(3):198-207. [DOI:10.32592/ajnmc.31.3.198]

16. Sadat Z, Ghofranipour F, Goshtasebi A, Azin SA. Validity and relibility of the Persian version of the Sexual Quality of Life-Male questionnaire. Payesh (Health Monitor). 2017;16(1):73-80.

17. Maasoumi R, Lamyian M, Montazeri A, Azin SA, Aguilar-Vafaie ME, Hajizadeh E. The sexual quality of life-female (SQOL-F) questionnaire: translation and psychometric properties of the Iranian version. Reproductive health. 2013;10(1):1-6. [DOI:10.1186/1742-4755-10-25] [PMID] []

18. Momeni K, Azadifard S. The relationship betweensexual knowledge and attitude, and relational beliefs with emotional divorce. Family Pathology, Counseling and Enrichment Journal. 2015;1(2):34-45.

19. Mami SH AM. The role of self-differentiation and attachment styles in predicting emotional divorce. Regional Conference on the Pathology of Divorce2014.

20. Sodani M, Karimi S, Shirali Nia K. The effectiveness of counseling with an emphasis on Choice Theory in reducing emotional divorce in couples. Journal of Family Psychology. 2021;3(2):83-92.

21. Rutte A, van Oppen P, Nijpels G, Snoek FJ, Enzlin P, Leusink P, et al. Effectiveness of a PLISSIT model intervention in patients with type 2 diabetes mellitus in primary care: design of a cluster-randomised controlled trial. BMC Family Practice. 2015;16(1):1-9. [DOI:10.1186/s12875-015-0283-0] [PMID] []